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Updated: Sep 11, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
The Contemporary Utility of the Eloesser Flap for Management of Complex Pleural Space Infections
Ioana B Florea1, Johanna Lou1, Keshav Kooragayala1
1Department of Surgery, Cooper University Hospital, Camden, New Jersey.
Abstract:
A 27-year-old man with hyperimmunoglobulin E syndrome and remote left upper lobectomy for refractory hemoptysis presented with recurrent hemoptysis and a defunctionalized left lung. He underwent a reoperative thoracotomy and completion pneumonectomy complicated by a bronchopleural fistula. A 45-year-old man with a prior left upper lobectomy for adenocarcinoma presented with progressive cavitary Mycobacterium avium refractory to third-line antibiotics. These cases of chronic pleural space pathology in the immunosuppressed, reoperative setting were successfully addressed through a staged operative intervention with Eloesser thoracoplasty, demonstrating its ongoing utility in the armamentarium of the modern thoracic surgeon.
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