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Related Experiment Videos

Open-window thoracostomy in pleural empyema.

F Smolle-Jüttner1, W Beuster, H Pinter

  • 1Klinik für Thorax- und Hyperbare Chirurgie, Medizinische Hochschule, Graz, Austria.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|January 1, 1992
PubMed
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Open-window thoracostomy (OWT) effectively treated severe empyema and sepsis in 21 patients. Most patients experienced immediate sepsis resolution, with cavities closing spontaneously or after planned procedures.

Area of Science:

  • Thoracic Surgery
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Empyema, particularly complicated cases, presents significant treatment challenges.
  • Severe sepsis and multiorgan failure are common in advanced empyema.

Purpose of the Study:

  • To evaluate the efficacy and outcomes of open-window thoracostomy (OWT) in managing complex empyema cases.
  • To assess the resolution of sepsis and subsequent management of the empyema cavity.

Main Methods:

  • OWT involved resecting 3-5 ribs and suturing remaining tissues to create a drainage window.
  • Intercostal muscles were utilized for fistula closure.
  • Daily wound packing and management of sepsis were crucial.

Main Results:

Related Experiment Videos

  • Immediate sepsis resolution was observed in all 21 patients post-OWT.
  • No surgery-related complications occurred, with one death from unrelated pneumonia.
  • Cavity closure was achieved spontaneously in 7 patients and surgically in 7 others, with good functional and cosmetic results.

Conclusions:

  • OWT is a safe and effective treatment for severe empyema, rapidly controlling sepsis.
  • Spontaneous or planned closure of the empyema cavity is achievable with favorable outcomes.