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Updated: Aug 6, 2026
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Bedside modified Clagett procedure for empyema after pulmonary resection
W Brent Keeling1, Joseph R Garrett, Nasreen Vohra
1University of South Florida, Division of Cardiothoracic Surgery, Tampa, Florida, USA.
The American Surgeon
|August 1, 2006
Summary
The bedside modified Clagett procedure (BMCP) offers a safe and effective treatment for post-pulmonary resection empyema. This minimally invasive approach avoids further surgeries and is a cost-effective option for managing this complication.
Area of Science:
- Thoracic Surgery
- Surgical Procedures
- Infectious Disease Management
Background:
- Empyema is a serious complication following pulmonary resection.
- Traditional management often requires further invasive procedures.
- A need exists for effective, less invasive treatment options.
Purpose of the Study:
- To evaluate the effectiveness and feasibility of the bedside modified Clagett procedure (BMCP) for treating empyema post-pulmonary resection.
- To assess the safety and outcomes of BMCP in a single-institution retrospective review.
Main Methods:
- Retrospective review of a single surgeon's experience.
- Analysis of operative, postoperative, and outcome data for five patients undergoing BMCP.
- Follow-up data collected from clinic charts.
Main Results:
- Five patients with post-pulmonary resection empyema were treated with BMCP.
- All patients had Gram-positive empyemas, diagnosed a mean of 31 days post-initial surgery.
- Mean follow-up of 11.2 months showed no complications or recurrence; no further procedures were needed.
Conclusions:
- The bedside modified Clagett procedure is a safe and effective treatment for postoperative empyema.
- BMCP is a valuable, cost-effective alternative to operative management, avoiding additional procedures.
- This approach offers a favorable outcome for patients with empyema after lung surgery.
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