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The Journal of Thoracic and Cardiovascular Surgery, Vol 96, 433-435, Copyright © 1988 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Bronchopleural fistula. A novel type of window thoracostomy

IF Galvin, JR Gibbons and MH Maghout
Department of Thoracic Surgery, Royal Victoria Hospital, Belfast, Northern Ireland.

Bronchopleural fistula usually associated with chronic empyema after lung operations continues to occur in modern surgical practice. Successful treatment depends to a large extent on adequate dependent drainage of the empyema space. Tube thoracostomy, although useful initially, is unacceptable as long-term treatment. Window thoracostomy as currently performed is effective but unnecessarily extensive. We describe a simpler procedure, triangular window thoracostomy, for use as a permanent pleurocutaneous stoma or as an interim measure before definitive surgical treatment.


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A Dedicated Prosthesis for Open Thoracostomy
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[Abstract] [Full Text]


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