[About double drainage empyema treatment with bronchial fistula afer pneumonectomy (author's transl)]

We have resumed the files concerning the twenty patients treated these last eight years at Medico-Surgical center of Villiers Saint Denis for empyema with bronchial fistula after pneumonectomy, out of more than five hundred patients treatment for empyema of all origins. On that occasion, we explained the principals and the technique of double drainage which enabled us to cure 10 patients, the other ten died of a progressive resumption of cancer in the process of being treated. The direct treatment of fistula through endoscope has completed the action of pleural baths seven times. We also needed to resort to a complementary thorachoplasty seven times, in order to collapse a pouch already very reduced and disinfected by double draining, which had enabled us to block the fistula as well.