Single-Stage Complete Muscle Flap Closure of the Postpneumonectomy Empyema Space: A New Method and Possible Solution to a Disturbing Complication

“…The proportion of thorax that can be closed by various types of pedicle muscle flaps is 30-40% for LD muscles, 20-30% for SA muscles, and 5-15% for abdominal rectus muscles (1,7). In case 1, the LD muscle fitted the empyema cavity that was the size of two fists after upper lobectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Empyema after pulmonary resection is a serious complication and treatment is often extremely difficult (1)(2)(3)(4)(5). To cure empyema, closure of the fistula and abscess cavity is crucial; therefore, the transplantation of omentum or skeletal muscles is often performed.…”

Section: Introductionmentioning

confidence: 99%

Surgical treatment of empyema after pulmonary resection using pedicle skeletal muscle plombage, thoracoplasty, and continuous cavity ablution procedures: a report on three cases

Mizuno

Kuroda²,

Sakao³

et al. 2016

J. Thorac. Dis.

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We present three cases of postoperative empyema after pulmonary resection: case 1, acute empyema without fistula after lobectomy and chest wall resection; case 2, continuing empyema with fistula and total left residual lung abscess after upper divisionectomy; and case 3, chronic empyema with middle lobe bronchopleural fistula after lower lobectomy. Pedicle skeletal muscle plombage into the cavity, thoracoplasty, and continuous cavity ablution with 24-h instillation of minocycline and saline solution through drains were used for treatment. In case 2, a completion extrapleural left pneumonectomy was concurrently performed. In all three cases, the surgery was successful; however, case 2 developed a massive gastrointestinal hemorrhage, which led to blood aspiration pneumonitis, renal failure, and death. Muscle plombage effectively achieves the closure of empyema cavity and thoracoplasty complements this. When a residual space remains, cavity ablution is considered to be effective. However, concurrent completion lung parenchyma resection might be excessively aggressive.

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“…The flaps were used to treat patients with chronic soft tissue defects, 1 Miller JI, Mansour, KA, Nahai, F et al described management of intrathoracic defects by gastric seromuscular flaps. 4 Seromuscular gastrocystoplasty lined with urothelium have been used for bladder augmentation. Surgeons have used the gastric wall from which the mucosa and submucosa had been removed.…”

Section: Discussionmentioning

confidence: 99%

Closure of Duodenal Perforation by Gastric Seromuscular Advancement Flap

Subbiah¹,

Gayathri²,

Gopinath³

et al. 2016

jemds

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BACKGROUNDPerforation remains a surgical disease and management means emergency surgical intervention. Primary closure with omental buttress, Graham's live/dead omental patch repair, Jejunal serosal (Thal) patch repair and antrectomy with Billroth II reconstruction have been the traditionally followed procedures depending on the site/size of the perforation. This study reports a series of cases of perforated duodenal ulcer closed by Gastric seromuscular advancement flap. This article compares the advantages and disadvantages of either methods and details the indications and method of this alternative repair.

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Single-Stage Complete Muscle Flap Closure of the Postpneumonectomy Empyema Space: A New Method and Possible Solution to a Disturbing Complication

Cited by 129 publications

References 5 publications

Two Cases of Single-Stage Closure of a Bronchopleural Fistula Using Latissimus Dorsi Musculocutaneous Flaps after Lung Surgery

Two Cases of Single-Stage Closure of a Bronchopleural Fistula Using Latissimus Dorsi Musculocutaneous Flaps after Lung Surgery

Surgical treatment of empyema after pulmonary resection using pedicle skeletal muscle plombage, thoracoplasty, and continuous cavity ablution procedures: a report on three cases

Closure of Duodenal Perforation by Gastric Seromuscular Advancement Flap

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