Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results
Empyema remains a challenge for modern medicine. Cases not amenable to lung decortication are particularly difficult to treat, requiring prolonged hospitalizations and mutilating procedures. This paper presents the current role of thoracomyoplasty procedures, which allow complete and definitive obli...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Pulmonary Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/418514 |
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| _version_ | 1832561905074438144 |
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| author | Petre Vlah-Horea Botianu Alexandru Mihail Botianu |
| author_facet | Petre Vlah-Horea Botianu Alexandru Mihail Botianu |
| author_sort | Petre Vlah-Horea Botianu |
| collection | DOAJ |
| description | Empyema remains a challenge for modern medicine. Cases not amenable to lung decortication are particularly difficult to treat, requiring prolonged hospitalizations and mutilating procedures. This paper presents the current role of thoracomyoplasty procedures, which allow complete and definitive obliteration of the infected pleural space by a combination of thoracoplasty and the use of neighbourhood muscle flaps (latissimus dorsi, serratus anterior, pectoralis, rectus abdominis, omentum, etc). Recent publications show an overall rate of success of 90%, with a quick and definitive healing. Although rarely indicated in our days, this kind of procedures remain in the armamentarium of modern thoracic surgery. The importance of thoracomyoplasty derives from the fact that it may be a simple and definitive solution for complicated cases of chronic empyema not amenable to standard decortication. |
| format | Article |
| id | doaj-art-368f175fdb1e4afcad32b92bfb311740 |
| institution | Kabale University |
| issn | 2090-1836 2090-1844 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pulmonary Medicine |
| spelling | doaj-art-368f175fdb1e4afcad32b92bfb3117402025-02-03T01:23:50ZengWileyPulmonary Medicine2090-18362090-18442012-01-01201210.1155/2012/418514418514Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and ResultsPetre Vlah-Horea Botianu0Alexandru Mihail Botianu1Surgical Clinic 4, University of Medicine and Pharmacy of Târgu Mures, Gh. Marinescu 66/1, Târgu Mures, RomaniaSurgical Clinic 4, University of Medicine and Pharmacy of Târgu Mures, Gh. Marinescu 66/1, Târgu Mures, RomaniaEmpyema remains a challenge for modern medicine. Cases not amenable to lung decortication are particularly difficult to treat, requiring prolonged hospitalizations and mutilating procedures. This paper presents the current role of thoracomyoplasty procedures, which allow complete and definitive obliteration of the infected pleural space by a combination of thoracoplasty and the use of neighbourhood muscle flaps (latissimus dorsi, serratus anterior, pectoralis, rectus abdominis, omentum, etc). Recent publications show an overall rate of success of 90%, with a quick and definitive healing. Although rarely indicated in our days, this kind of procedures remain in the armamentarium of modern thoracic surgery. The importance of thoracomyoplasty derives from the fact that it may be a simple and definitive solution for complicated cases of chronic empyema not amenable to standard decortication.http://dx.doi.org/10.1155/2012/418514 |
| spellingShingle | Petre Vlah-Horea Botianu Alexandru Mihail Botianu Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results Pulmonary Medicine |
| title | Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results |
| title_full | Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results |
| title_fullStr | Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results |
| title_full_unstemmed | Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results |
| title_short | Thoracomyoplasty in the Treatment of Empyema: Current Indications, Basic Principles, and Results |
| title_sort | thoracomyoplasty in the treatment of empyema current indications basic principles and results |
| url | http://dx.doi.org/10.1155/2012/418514 |
| work_keys_str_mv | AT petrevlahhoreabotianu thoracomyoplastyinthetreatmentofempyemacurrentindicationsbasicprinciplesandresults AT alexandrumihailbotianu thoracomyoplastyinthetreatmentofempyemacurrentindicationsbasicprinciplesandresults |