|
|
| |
| Spontaneous Closing of the Thoracostomy (Case Report)
Download PDF
|
F. Lamouime, M.Rhaouti, I.Arramach, M.Lakranbi,, Y Ouadnouni,, M Smahi,
|
Abstract:
: Introduction. - The occurrence of empyema following a pneumonectomy or a chronic pleural pocket is a severe complication of which management is long and dif?cult. The authors report their experience managing this complication including infection control by an emptying of the pleural pocket through percutaneous drainage or through a thoracostomy which will be coupled with a thoracoplasty to completely erase the pleural pocket. Observation. - The patient was 64 years old, with no significant pathological history, and was admitted for the management of a left pleural pocket. Given the patient's age, general condition and the high anesthetic risk, the surgical procedure was a left thoracotomy followed by a good preparation of the patient for a filling thoracomyoplasty. The evolution was marked by a spontaneous closure of the thoracotomy cavity after its complete cleaning. Conclusion. - Pyothorax complicating a pneumonectomy cavity and calcified pleural pockets are a serious complication of which the management is long and delicate. The use of thoracic myoplasty is an effective alternative to the filling of the cavity in fragile patients with significant operative risk.
|
|
|
| | |