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[Post-pneumonectomy Empyema Successfully Treated with Negative Pressure Wound Therapy]
Satoshi Hayashi1, Nana Takahashi, Shunsuke Yasuda
1Respiratory Center, Asahikawa Medical University, Asahikawa, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|April 15, 2016
Summary
A patient developed empyema after lung cancer surgery. A multi-stage treatment involving vacuum-assisted closure, thoracotomy, and thoracoplasty successfully resolved the infection.
Area of Science:
- Thoracic Surgery
- Infectious Diseases
- Surgical Oncology
Background:
- Primary lung cancer necessitates surgical intervention, such as pneumonectomy.
- Post-pneumonectomy complications can include thoracic infections like empyema.
- Management of empyema requires prompt and effective therapeutic strategies.
Observation:
- A 61-year-old male presented with empyema four weeks post-right pneumonectomy for lung cancer.
- Initial treatment involved two months of saline irrigation.
- Subsequent interventions included vacuum-assisted closure therapy and open thoracotomy.
Findings:
- Bacteriological cleaning of the thoracic cavity was performed.
- Thoracoplasty and muscle flap transposition were utilized for definitive treatment.
- Complete resolution of the empyema was achieved post-intervention.
Implications:
- This case highlights a successful multimodal approach for managing post-pneumonectomy empyema.
- The combination of vacuum-assisted closure, thoracotomy, and thoracoplasty can be effective in treating complex thoracic infections.
- Aggressive surgical management is crucial for achieving favorable outcomes in post-pneumonectomy empyema cases.
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