1989European Respiratory JournalOpen access

Treatment of post pneumonectomy pleural empyema by open window thoracostomy

PE Postmus, JM Kerstjens, WJ de Boer, JN Homan van der Heide, G H Koëter

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Abstract

In 13 patients an open window thoracostomy (OWT) was performed for post pneumonectomy pleural empyema. The operation, and life with an OWT cavity, were tolerated well. Early closure of an OWT is not advisable because of a high chance of recurrence of the infection and, in lung cancer patients also the risk of tumour relapse within two years after tumour surgery.

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In 13 patients an open window thoracostomy (OWT) was performed for post pneumonectomy pleural empyema. The operation, and life with an OWT cavity, were tolerated well. Early closure of an OWT is not advisable because of a high chance of recurrence of the infection and, in lung cancer patients also the risk of tumour relapse within two years after tumour surgery.

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Available abstract

In 13 patients an open window thoracostomy (OWT) was performed for post pneumonectomy pleural empyema. The operation, and life with an OWT cavity, were tolerated well. Early closure of an OWT is not advisable because of a high chance of recurrence of the infection and, in lung cancer patients also the risk of tumour relapse within two years after tumour surgery.

Key concepts: Thoracostomy, Empyema, Pneumonectomy, Medicine, Pleural empyema, Surgery, Lung cancer, Pleural cavity

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