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Closure of open window thoracostomy due to MRSA pyothorax by EWS bronchial occlusion and modified extraperiosteal air plombage: a case report.
Surg Case Rep
January 2024
Department of Thoracic Surgery, Mito Saiseikai General Hospital, 3-3-10 Futabadai Mito, Ibaraki, 311-4198, Japan.
Background: Refractory pyothorax caused by methicillin-resistant Staphylococcus aureus (MRSA) is a challenging clinical condition; complications such as bronchopleural fistulae can further hinder its treatment. To avoid a fatal state caused by aspirating pneumonia, open window thoracotomy is not only sometimes performed, but subsequent closure of the window can also be difficult. In this report, we describe the case of a patient with MRSA pyothorax with bronchopleural fistula in whom a successful closure of window thoracostomy was achieved by utilizing Endobronchial Watanabe Spigot (EWS; Novatech, La Ciotat, France) bronchial occlusion and a modified extraperiosteal air plombage technique.
View Article and Find Full Text PDFPericardial fat pad plombage for pulmonary cavity causing massive air leakage.
Surg Case Rep
July 2020
Department of General Thoracic Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Background: Secondary pneumothorax after chemotherapy for a malignant pulmonary tumor is a complication from a large cavity causing refractory pneumothorax.
Case Presentation: A 61-year-old man was referred due to prolonged air leakage from a pulmonary cavity that developed after treatment for pulmonary metastases from renal cell carcinoma. As air leakage continued after thoracic drainage and endobronchial occlusion, we planned thoracoscopy-assisted surgery.
[Fenestration, Pedicle Muscle Flap, and Omental Plombage for Pyothorax].
Kyobu Geka
September 2019
Department of Thoracic Surgery, Aizu Medical Center Fukushima Medical University, Aizuwakamatsu, Japan.
We sometimes encounter patients with chronic empyema of their thoracic cavity with or without air leakage. These patients suffer from mental and physical problems because of restrictions in daily life and long-term treatment. Pyothorax is divided into acute or chronic empyema.
View Article and Find Full Text PDFSurgical Treatment of Complications 55 Years After Extraperiosteal Lucite Ball Plombage for Pulmonary Tuberculosis.
Rev Port Cir Cardiotorac Vasc
May 2019
Hospital Pulido Valente - CHLN, Portugal.
Introduction: In the 1930-50s, before the introduction of antimicrobial drugs and development of techniques of pulmonary resssection, collapse therapy was the mainstream of treatment for cavitary pulmonary tuberculosis. The methods to achieve the collapse included artificial pneumothorax with air refills, phrenic nerve crush, thoracoplasty and extrapleural plombage. The plombage involves creating a cavity surgically under the ribs in the upper chest wall and filling the space with inert material, such fat, paraffin wax, rubber ballons, oil and methyl-methacrylate (Lucite) balls.
View Article and Find Full Text PDF[Endobronchial Watanabe Spigot in Treating Pleural Empyema with Fistula].
Kyobu Geka
March 2017
Department of Thoracic Surgery, Shin Takeo Hospital, Takeo, Japan.
For pleural empyema with fistula, fenestration and subsequent omental plombage, and thoracoplasty are frequently necessary. A 57-year-old man was transported by ambulance because of impaired consciousness and septic shock due to pleural empyema on the right caused by a ruptured lung abscess. We performed empyema curettage urgently, drained 800 ml of purulent pleural effusion, and inserted 3 chest tubes.
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