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- Title
A simple technique using a Lap-Protector for fenestration to manage empyema.
- Authors
Matsutani, Noriyuki; Kawamura, Masafumi
- Abstract
We describe the successful management of empyema in patients who need fenestration, but whose general condition is compromised by a high count of multi-drug resistant bacteria, deteriorating health, or bronchial fistula. The procedure is performed at the bed side, under local anesthesia. After making an incision in the thoracic wall using electric cautery, fenestration is created by inserting a Lap-Protector so as to widen the intercostal space. Fenestration using a Lap-Protector, which does not require resection of the ribs, is comparable to that obtained using the conventional rib resection method. However, it causes significantly less pain at the incision site, and the gauze can be changed without pain because it is not in direct contact with the fenestration wound. Thus, fenestration using a Lap-Protector is a more convenient and effective technique than conventional fenestration with rib resection for poor risk patients with empyema.
- Subjects
EMPYEMA; DRUG resistance in bacteria; FISTULA; BRONCHIAL diseases; LOCAL anesthesia; RIB surgery; HEALTH; THERAPEUTICS
- Publication
Surgery Today, 2013, Vol 43, Issue 11, p1333
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-013-0619-0