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Mini-thoracostomy with vacuum-assisted closure: a minimally invasive alternative to open-window thoracostomy

Thoracostomy is a common treatment option for patients with stage III pleural empyema who do not tolerate pulmonary decortication. However, thoracostomy is considered mutilating because it involves a thoracic stoma, the closure of which can take years or require further surgery. A new, minimally inv...

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Detalles Bibliográficos
Autores principales: Mariani, Alessandro Wasum, Lisboa, João Bruno Ribeiro Machado, Rodrigues, Guilherme de Abreu, Avila, Ester Moraes, Terra, Ricardo Mingarini, Pêgo-Fernandes, Paulo Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Pneumologia e Tisiologia 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188697/
https://www.ncbi.nlm.nih.gov/pubmed/29947716
http://dx.doi.org/10.1590/S1806-37562017000000167
Descripción
Sumario:Thoracostomy is a common treatment option for patients with stage III pleural empyema who do not tolerate pulmonary decortication. However, thoracostomy is considered mutilating because it involves a thoracic stoma, the closure of which can take years or require further surgery. A new, minimally invasive technique that uses the vacuum-assisted closure has been proposed as an alternative to thoracostomy. This study aims to analyze the safety and effectiveness of mini-thoracostomy with vacuum-assisted closure in an initial sample of patients.