Empyema Complicating Muscle-Sparing Thoracotomy: The Role of Wound Management
The fascial layers bordering the latissimus dorsi and anchoring the serratus muscles often do not lend themselves to impervious closure during muscle-sparing thoracotomy. Fluid from the subcutaneous space may therefore drain into the pleural cavity after such procedures. If this fluid is contaminate...
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| Veröffentlicht in: | The American surgeon 2002-04, Vol.68 (4), p.390-391 |
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| creator | Sees, Maj David W. Obney, Maj James A. Tripp, Ltc Henry F. |
| description | The fascial layers bordering the latissimus dorsi and anchoring the serratus muscles often do not lend themselves to impervious closure during muscle-sparing thoracotomy. Fluid from the subcutaneous space may therefore drain into the pleural cavity after such procedures. If this fluid is contaminated with microorganisms the potential for development of empyema is present. Two patients are presented in whom this scenario was presumed to have occurred. Early intervention in the second patient was felt to have avoided the development of a major empyema. |
| doi_str_mv | 10.1177/000313480206800416 |
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Fluid from the subcutaneous space may therefore drain into the pleural cavity after such procedures. If this fluid is contaminated with microorganisms the potential for development of empyema is present. Two patients are presented in whom this scenario was presumed to have occurred. Early intervention in the second patient was felt to have avoided the development of a major empyema.</description><identifier>ISSN: 0003-1348</identifier><identifier>EISSN: 1555-9823</identifier><identifier>DOI: 10.1177/000313480206800416</identifier><identifier>PMID: 11952254</identifier><identifier>CODEN: AMSUAW</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Adult ; Bacterial diseases ; Bacterial diseases of the respiratory system ; Biological and medical sciences ; Empyema, Pleural - etiology ; Female ; Human bacterial diseases ; Humans ; Illnesses ; Infectious diseases ; Male ; Medical procedures ; Medical sciences ; Surgery (general aspects). 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Fluid from the subcutaneous space may therefore drain into the pleural cavity after such procedures. If this fluid is contaminated with microorganisms the potential for development of empyema is present. Two patients are presented in whom this scenario was presumed to have occurred. Early intervention in the second patient was felt to have avoided the development of a major empyema.</description><subject>Adult</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the respiratory system</subject><subject>Biological and medical sciences</subject><subject>Empyema, Pleural - etiology</subject><subject>Female</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the respiratory system</subject><subject>Thoracotomy - adverse effects</subject><subject>Thoracotomy - methods</subject><issn>0003-1348</issn><issn>1555-9823</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kN1LwzAUxYMobn78Az5IEfStLjdp2tQ3GX6BQ9CJjyVLb2albWrSPuy_N2ODgYIv93Lgd889HELOgF4DZNmEUsqBJ5IymkpKE0j3yBiEEHEuGd8n4zUQr4kROfL-K8gkFXBIRgC5YEwkYzK7a7oVNiqa2qarK636ql1Gs8HrGuO3Trm1nH9ap7TtbbO6CQKjV1tjZE30YYe2jGaqVUtssO1PyIFRtcfT7T4m7_d38-lj_Pzy8DS9fY41z9M-zhFVwkyYIpeJgTKE5oYpSIzQMk1FBglmC6koLjQYyjgvaVlmIkfOmaT8mFxtfDtnvwf0fdFUXmNdqxbt4IsMhJRZJgJ48Qv8soNrQ7aCQXAKPcgAsQ2knfXeoSk6VzXKrQqgxbrp4m_T4eh86zwsGix3J9tqA3C5BZTXqjZOtbryO44LyYDmgZtsOB9K3MX75_UPXSuRKQ</recordid><startdate>20020401</startdate><enddate>20020401</enddate><creator>Sees, Maj David W.</creator><creator>Obney, Maj James A.</creator><creator>Tripp, Ltc Henry F.</creator><general>SAGE Publications</general><general>Southeastern Surgical Congress</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M7N</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20020401</creationdate><title>Empyema Complicating Muscle-Sparing Thoracotomy: The Role of Wound Management</title><author>Sees, Maj David W. ; Obney, Maj James A. ; Tripp, Ltc Henry F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-9eea42feea5984f1d1553f2a14f5c8665714e7b8a0ebc1f0233d0dd759e332803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Bacterial diseases</topic><topic>Bacterial diseases of the respiratory system</topic><topic>Biological and medical sciences</topic><topic>Empyema, Pleural - etiology</topic><topic>Female</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Surgery (general aspects). 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Fluid from the subcutaneous space may therefore drain into the pleural cavity after such procedures. If this fluid is contaminated with microorganisms the potential for development of empyema is present. Two patients are presented in whom this scenario was presumed to have occurred. Early intervention in the second patient was felt to have avoided the development of a major empyema.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>11952254</pmid><doi>10.1177/000313480206800416</doi><tpages>2</tpages></addata></record> |
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| subjects | Adult Bacterial diseases Bacterial diseases of the respiratory system Biological and medical sciences Empyema, Pleural - etiology Female Human bacterial diseases Humans Illnesses Infectious diseases Male Medical procedures Medical sciences Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the respiratory system Thoracotomy - adverse effects Thoracotomy - methods |
| title | Empyema Complicating Muscle-Sparing Thoracotomy: The Role of Wound Management |
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