scholarly journals A Case of Empyema after Lung Cancer Surgery Treated by Open-window Thoracostomy Followed by Negative Pressure Wound Therapy

2016 ◽  
Vol 77 (9) ◽  
pp. 2191-2196
Author(s):  
Kiyo TANAKA ◽  
Koji TAKAMI ◽  
Yasunari FUKUDA ◽  
Hideyasu OMIYA ◽  
Atsushi MIYAMOTO ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Lung Cancer Surgery ◽  
Cancer Surgery ◽  
Wound Therapy ◽  
Open Window ◽  
Open Window Thoracostomy

scholarly journals Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema

2019 ◽  
Vol 7 (5) ◽  
pp. e00417
Author(s):  
Kayo Okamoto ◽  
Kumiko Matsumoto ◽  
Norichika Iga ◽  
Seiji Komatsu
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Open Window ◽  
Open Window Thoracostomy

Successful closure of an open-window thoracostomy wound by negative-pressure wound therapy: report of a case

Surgery Today ◽  
2011 ◽  
Vol 42 (3) ◽  
pp. 295-298 ◽  
Author(s):  
Sumiko Maeda ◽  
Tetsu Sado ◽  
Akira Sakurada ◽  
Yoshinori Okada ◽  
Takashi Kondo
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Wound Therapy ◽  
Open Window ◽  
Open Window Thoracostomy

scholarly journals Short and Long-Term Outcomes of Surgical Intervention for Empyema in The Post-Fibrinolytic Era

2021 ◽  
Author(s):  
Caitlin J. Cain ◽  
Marc Margolis ◽  
John F. Lazar ◽  
Hayley R. Henderson ◽  
Margaret E. Hamm ◽  
...  
Keyword(s):  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Bronchopleural Fistula ◽  
Retrospective Chart Review ◽  
Fibrinolytic Therapy ◽  
Wound Therapy ◽  
Surgical Interventions ◽  
Open Window ◽  
Open Window Thoracostomy ◽  
Trapped Lung

Abstract Background: Open window thoracostomy is indicated for patients with bronchopleural fistulae or trapped lung in the setting of empyema refractory to non-surgical interventions. We investigated the role of open window thoracostomy in the era of minimally invasive surgeries, endobronchial valves and fibrinolytic therapy.Methods: A retrospective chart review of all patients who underwent open window thoracostomy at a single institution from 2010-2020 was performed. Indications for the procedure as well as operative details and morbidity and mortality were evaluated to determine patient outcomes for open window thoracostomy.Results: Eighteen patients were identified for the study. The most common indication for open window thoracostomy was post-resectional bronchopleural fistula (n=8). Patient comorbidities were quantified with the Charleston Comorbidity index (n=11 score≥5, 10-year survival ≤21%). Three (16.7%) patients died <30 days post-operatively and 12 (66%) patients were deceased by the study’s end (overall survival 24.0 ± 32.2 months). Mean number of ribs resected were 2.6 ± 1.2 (range 1-6). Patients were managed with negative pressure wound therapy (n=9) or Kerlix packing (n=9). Eleven patients (61.6%) underwent delayed closure (mean time from index surgery to closure 4.8 ± 6.7 months). Conclusions: Our study illustrates the significant comorbidities of patients undergoing open window thoracostomy, the poor outcomes therein, and pitfalls associated with this procedure. We show that negative pressure wound therapy can be utilized as potential way to obliterate the pleural space and manage an open chest in the absence of an airleak; however open window thoracostomy procedures continue to be extremely morbid.

scholarly journals Negative-pressure wound therapy in combination with bronchial occlusion to treat bronchopleural fistula: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Masashi Iwasaki ◽  
Masanori Shimomura ◽  
Tsunehiro Ii
Keyword(s):  
Lung Cancer ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Bronchopleural Fistula ◽  
Lung Cancer Surgery ◽  
Early Recovery ◽  
Wound Therapy ◽  
Bronchial Fistula ◽  
Lower Lobectomy ◽  
Right Lower Lobectomy

Abstract Background Bronchopleural fistula, which usually accompanies bronchial fistula and empyema, is a severe complication of lung cancer surgery. Negative-pressure wound therapy can enhance drainage and reduce the empyema cavity, potentially leading to early recovery. This therapy is not currently indicated for bronchopleural fistulas because of the risk of insufficient respiration due to air loss from the fistula. Case presentation A 73-year-old man, who was malnourished because of peritoneal dialysis, was referred to our hospital for the treatment of lung cancer. Right lower lobectomy with mediastinal lymph node dissection was performed via posterolateral thoracotomy, and the bronchial stump was covered with the intercostal muscle flap. His postoperative course was uneventful and he was discharged. However, he was readmitted to our hospital because of respiratory failure and diagnosed as having bronchopleural fistula on the basis of the bronchoscopic finding of a 10-mm hole at the membranous portion of the inlet of the remnant lower lobe bronchus. Thus, thoracotomy debridement and open window thoracostomy were immediately performed. After achieving infection control, bronchial occlusion was performed using fibrin glue and a polyglycolic acid sheet was inserted through a fenestrated wound. Bronchial fistula closure was observed on bronchoscopy; therefore, a negative-pressure wound therapy system was applied to close the fenestrated wound. The collapsed lung was re-expanded and the granulation tissue around the wound increased; therefore, thoracic cavity size decreased and thoracoplasty using the latissimus dorsi was performed. Conclusions This bronchopleural fistula was treated successfully after a right lower lobectomy using an extra-pleural bronchial occlusion and negative-pressure wound therapy.

Immediate Negative Pressure Wound Therapy After Free Flap Transfer for Head and Neck Cancer Surgery

2018 ◽  
Vol 128 (11) ◽  
pp. 2478-2482 ◽  
Author(s):  
Pao-Yuan Lin ◽  
Tz-Luen Liou ◽  
Ko-Chien Lin ◽  
Mu-Han Hsieh ◽  
Chih-Yen Chien ◽  
...  
Keyword(s):  
Head And Neck Cancer ◽  
Head And Neck ◽  
Neck Cancer ◽  
Free Flap ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Cancer Surgery ◽  
Wound Therapy ◽  
Flap Transfer ◽  
Free Flap Transfer

scholarly journals Clinical application of a multi-groove silicone drain combined with unidirectional negative-pressure drainage system in single-operating-port video-assisted thoracoscopic lung cancer surgery: a comparison study

2021 ◽  
Vol 49 (4) ◽  
pp. 030006052199976
Author(s):  
Ze Wang ◽  
Jian Lv ◽  
Si’ang Zhang ◽  
Wenjie Chen ◽  
Bin Wu ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Negative Pressure ◽  
Drainage System ◽  
Lung Cancer Surgery ◽  
Cancer Surgery ◽  
Complication Rates ◽  
Drain Removal ◽  
Thoracic Drainage ◽  
Significant Difference ◽  
New System

Objective To evaluate the effect of a new negative-pressure drainage system in thoracoscopic lung cancer surgery; thereby, providing a new option for postoperative drainage. Methods We retrospectively analyzed data for 200 patients who underwent thoracoscopic surgery between May 2018 and October 2019. According to the thoracic drainage method, the patients were divided into the thoracic tube group and the new system group. The epidemiological and clinicopathological data were compared before operation, and the clinical effect of thoracic drainage was compared after operation. Results There was no significant difference in epidemiological and clinicopathological data between the two groups. There was also no significant difference in drain removal time, hospital stay, and complication rates between the two groups. However, the incidences of pleural effusion and poor incision healing in the new system group were lower than in the thoracic tube group. Visual analog scale (VAS) scores in the new system group were lower than those in the thoracic tube group at each postoperative interval; therefore, the new system group required less analgesia. Conclusion The new system was not inferior to thoracic tubes regarding the drainage effect after thoracoscopic lung cancer surgery. Hence, the system is an alternative to traditional thoracic tubes.

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