Management of empyema cavity with the vacuum-assisted closure device.


Management of empyema after pulmonary resection remains a challenging problem. Along with mandatory drainage of the thoracic cavity and investigations to rule out bronchopleural fistula, a reliable method of thoracic cavity closure is needed. The open thoracic window and Eloesser flap techniques rarely represent definitive therapy. Muscle flap and thoracoplasty procedures may provide well-vascularized tissue to close bronchopleural fistula and obliterate the empyema cavity, but they are quite complex and involve significant patient morbidity. We report a case of empyema without bronchopleural fistula after lobectomy in which the vacuum-assisted closure device was used to achieve complete wound healing after open drainage.

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@article{Varker2006ManagementOE, title={Management of empyema cavity with the vacuum-assisted closure device.}, author={Kimberly A. Varker and Thomas T. Ng}, journal={The Annals of thoracic surgery}, year={2006}, volume={81 2}, pages={723-5} }