| Title |
Localized pyopneumothorax treated with a vacuum-assisted closure system / |
| Translation of Title |
Riboto piopneumotorakso gydymas vakuumine žaizdų gydymo sistema. |
| Authors |
Jagelavičius, Žymantas ; Vaitėnas, Gediminas ; Jovaišas, Vytautas ; Janilionis, Ričardas |
| DOI |
10.15388/LietChirur.2015.1.5331 |
| Full Text |
|
| Is Part of |
Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2015, T. 14, nr 1, p. 46-51.. ISSN 1392-0995. eISSN 1648-9942 |
| Keywords [eng] |
pleural empyema ; pyopneumothorax ; VAC therapy ; open window thoracostomy |
| Abstract [eng] |
A 52-year-old male was admitted to the Department of General Thoracic Surgery with a right-side localized pyopneumothorax that showed no improvement after conservative treatment. Open-window thoracostomy was created due to the presence of bronchopleural fistula. The capacity of the cavity was 600 ml. On the 11th postoperative day, a spontaneous closure of the bronchopleural fistula occurred. Later, a vacuum-assisted device was used for the residual empyema cavity treatment. It was used for 15 days, sponges were changed every 5 days. The residual cavity reduced in size six times (till 100 ml). The patient was discharged for a daily dressing changing at the outpatient department. After two months the patient was ready for a radical closure of open-window thoracostomy. The postoperative period was uneventful. The case shows that the vacuumassisted closure therapy can be safely used in open-window thoracostomy after pleural empyema. This method reduces the duration of open-window thoracostomy and accelerates surgical closure. |
| Published |
Vilnius : Vilniaus universiteto leidykla |
| Type |
Journal article |
| Language |
English |
| Publication date |
2015 |
| CC license |
|
