TY - JOUR
T1 - Closure of fenestra in clagett procedure
T2 - Use of rectus abdominis musculocutaneous flap
AU - Asamura, Hisao
AU - Goya, Tomoyuki
AU - Naruke, Tsuguo
AU - Tsuchiya, Ryosuke
AU - Kondo, Haruhiko
AU - Suemasu, Keiichi
AU - Nakatsuka, Takashi
PY - 1992/7
Y1 - 1992/7
N2 - Empyema developed in a 62-year-old man after right pneumonectomy for lung cancer. According to the Clagett procedure, an open window thoracostomy was made with two ribs removed. After 5 weeks, primary closure of the fenestra was attempted. Because the fenestra was too large to be primarily closed, a rectus abdominis musculocutaneous flap was successfully transposed to cover the chest wall. There was no evidence of recurrence of empyema during 11 months' observation after closure. In patients with a large fenestra and with little tissue left for closure, the rectus abdominis musculocutaneous flap could be of great help in completing the Clagett procedure.
AB - Empyema developed in a 62-year-old man after right pneumonectomy for lung cancer. According to the Clagett procedure, an open window thoracostomy was made with two ribs removed. After 5 weeks, primary closure of the fenestra was attempted. Because the fenestra was too large to be primarily closed, a rectus abdominis musculocutaneous flap was successfully transposed to cover the chest wall. There was no evidence of recurrence of empyema during 11 months' observation after closure. In patients with a large fenestra and with little tissue left for closure, the rectus abdominis musculocutaneous flap could be of great help in completing the Clagett procedure.
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U2 - 10.1016/0003-4975(92)91165-6
DO - 10.1016/0003-4975(92)91165-6
M3 - Article
C2 - 1319133
AN - SCOPUS:0026703621
SN - 0003-4975
VL - 54
SP - 147
EP - 149
JO - The Annals of Thoracic Surgery
JF - The Annals of Thoracic Surgery
IS - 1
ER -