We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Modified Clagett procedure for acute pleural empyema.
- Authors
Yamanaka, Takahiro; Sakairi, Yuichi; Tamura, Hajime; Kaiho, Taisuke; Hata, Atsushi; Tanaka, Kazuhisa; Yoshino, Mitsuru; Suzuki, Hidemi; Yoshino, Ichiro
- Abstract
Pleural empyema often requires surgical intervention; however, surgical invasiveness should be minimized. We utilized the modified Claget procedure as an alternative to thoracoplasty for acute pleural empyema with a dead space. The procedure was performed as follows: first, 500 mg of kanamycin and 500,000 units of polymyxin sulfate dissolved in 10–100 ml saline was instilled intrapleurally via tube thoracostomy. The chest tube was clamped overnight and then removed. The modified Clagett procedure might be effective for acute pleural empyema with a dead space without pulmonary or bronchopleural fistula. We report our successful experience of performing modified Clagett procedure for pleural empyema with a dead space, through a detailed case presentation.
- Subjects
EMPYEMA; BRONCHIAL fistula; THORACOSTOMY; CHEST tubes; POLYMYXIN
- Publication
Surgery Today, 2023, Vol 53, Issue 6, p743
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-022-02593-6