J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1204KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 86(9): 1064-1066, 1985

Report on the annual meeting

CHRONIC EMPYEMA : KEY-POINT AND THE RESULTS OF OUR ONE STEP OPERATION

Department of Surgery, National Kinki Central Hospital for Chest Diseases, Sakai, Japan

Kenji Sawamura, Takashi Mori, Keiji Iuchi, Hirohito Tada, Yong-Eun  Lee, Takatoshi Mizuta, Akihiko Ichimiya

A new operative method named as “Extraperiosteal air plombage” against chronic empyema were perforrned to 80 patients and its cure rate by the first operation was 93.8％ which is a good and high rate.
Know-how to perform the operation without failure is (1) to complete the excoriation of the pleural debris, (2) to seal completely the leakage such as bronchiolar fistula, (3) to perform the extraperiosteal abbration rather over much to attach the lung to the muscle layer, (4) to close the chest wall completely, and (5) to wash out thoroughly the extraperiosteal cavity with brush and enough saline solution and to use the effective antibiotica.

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