Open Window Thoracostomy in a Patient With Broncopleural Fistula After Left Pneumonectomy

Lorenzo Spaggiari & Alessio Vincenzo Mariolo
IntroductionDr Oscar Clagett described the open window thoracostomy in 1963 for treating postpneumonectomy empyema. This technique is still used in the management of bronchopleural fistula after lung resection. The opening into the chest wall allows repeated drainage, irrigation, and dressing of the cavity, and it lets the wound granulate and close over time. It can also act as a bridge to secondary wound closure with muscle or omental flaps, once the infection of the pleural...
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