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Updated: Aug 27, 2025
03:22
Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
822
Modified Clagett procedure for acute pleural empyema.
Takahiro Yamanaka1, Yuichi Sakairi2, Hajime Tamura1
1Department of General Thoracic Surgery, Chiba University Graduate School of Medicine, 1-8-1, Inohana, Chuo-ku, Chiba, 260-8677, Japan.
Surgery Today
|September 26, 2022
Summary
The modified Clagett procedure offers a less invasive surgical option for acute pleural empyema with dead space. This technique may effectively treat empyema without causing fistulas.
Area of Science:
- Thoracic Surgery
- Infectious Diseases
Background:
- Pleural empyema frequently necessitates surgical intervention.
- Minimizing surgical invasiveness is a key goal in treating pleural empyema.
Purpose of the Study:
- To evaluate the modified Clagett procedure as an alternative to thoracoplasty for acute pleural empyema with dead space.
- To present a case demonstrating the successful application of this modified procedure.
Main Methods:
- The modified Clagett procedure involved intrapleural instillation of kanamycin and polymyxin sulfate via tube thoracostomy.
- The chest tube was clamped overnight before removal.
Main Results:
- The modified Clagett procedure was successfully performed for acute pleural empyema with a dead space.
- This approach may be effective in cases without pulmonary or bronchopleural fistula.
Conclusions:
- The modified Clagett procedure is a potentially effective and less invasive surgical option for managing acute pleural empyema with dead space.
- Further investigation and case presentations are warranted to establish its role in thoracic surgery.
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