Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

A dedicated prosthesis for open thoracostomy

L T Filomeno1, J M de Campos, A W de Almeida

  • 1Department of Cardio-Pneumology, Faculty of Medicine of the University of São Paulo, Brazil.

The Annals of Thoracic Surgery
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Cerebral hemodynamics with intra-aortic balloon pump: business as usual?

Physiological measurement·2017
Same author

Cerebral blood flow autoregulation in ischemic heart failure.

American journal of physiology. Regulatory, integrative and comparative physiology·2016
Same author

[Not Available].

Arquivos brasileiros de cardiologia·2016
Same author

[Guidelines of Sociedade Brasileira de Cardiologia for Unstable Angina and Non-ST-Segment Elevation Myocardial Infarction (II Edition, 2007) 2013-2014 Update].

Arquivos brasileiros de cardiologia·2014
Same author

Lung transplantation in patients with cystic fibrosis.

Transplantation proceedings·2013
Same author

Risk factors and survival impact of primary graft dysfunction after lung transplantation in a single institution.

Transplantation proceedings·2012
Same journal

Late outcomes of postoperative complete heart block after congenital heart surgery: recovery or re-heart block?

The Annals of thoracic surgery·2026
Same journal

Coronary artery bypass grafting based on computed tomography-derived fractional flow reserve versus angiography: Early results.

The Annals of thoracic surgery·2026
Same journal

Beyond R0: Margin Cytology and Local Control After Sublobar Resection.

The Annals of thoracic surgery·2026
Same journal

Deferred AVR During CABG in Moderate Aortic Stenosis: Lower Index Risk or Deferred Cumulative Risk?

The Annals of thoracic surgery·2026
Same journal

The Renaissance of Transapical TAVR: From Competing Access Route to Enabling Platform for Hybrid Heart Therapy.

The Annals of thoracic surgery·2026
Same journal

A Moving Target: Interpreting Post-TAVI Reintervention in a Rapidly Evolving Era.

The Annals of thoracic surgery·2026
See all related articles

A novel silicone prosthesis offers a less invasive alternative to traditional thoracostomy for managing empyema. Early results show promise, with some patients cured and prosthesis removal resulting in minimal scarring.

Area of Science:

  • Thoracic Surgery
  • Biomaterials Engineering
  • Medical Device Development

Background:

  • Traditional open thoracostomy for empyema can lead to significant patient morbidity.
  • A need exists for less invasive and more effective management strategies for empyematic cavities.

Purpose of the Study:

  • To introduce and evaluate a novel corrugated silicone prosthesis designed to replace or improve upon conventional skin-lined open thoracostomy.
  • To assess the safety and efficacy of this new prosthesis in patients with empyema.

Main Methods:

  • A corrugated silicone tube prosthesis with internal and external fixation components was developed.
  • The prosthesis was inserted into the empyematic cavity after partial rib resection in 20 patients.
  • Patients had empyema secondary to pneumonia or post-surgical complications.

Related Experiment Videos

Main Results:

  • Six patients (30%) were successfully treated and the prosthesis was removed after 54-305 days, with resulting scars similar to standard chest tube removal.
  • One patient with a persistent bronchopleural fistula had the prosthesis removed after 299 days and underwent thoracoplasty.
  • Six patients (30%) still have unresolved cavities after 63-302 days of prosthesis use.
  • Seven patients (35%) died from underlying conditions during the study period.

Conclusions:

  • The novel silicone prosthesis demonstrates early favorable results as a less mutilating alternative to open thoracostomy for empyema management.
  • Further investigation with a larger patient cohort and longer follow-up is required to establish definitive recommendations for this innovative device.