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Meindert Palmen, MD, PhD, H. Nathalie A. M. van Breugel, MD, Gijs G

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Presentation on theme: "Meindert Palmen, MD, PhD, H. Nathalie A. M. van Breugel, MD, Gijs G"— Presentation transcript:

1 Open Window Thoracostomy Treatment of Empyema Is Accelerated by Vacuum- Assisted Closure 
Meindert Palmen, MD, PhD, H. Nathalie A.M. van Breugel, MD, Gijs G. Geskes, MD, Arne van Belle, MD, Jos M.H. Swennen, RN, André H.M. Drijkoningen, RN, Rene R. van der Hulst, MD, PhD, Jos G. Maessen, MD, PhD  The Annals of Thoracic Surgery  Volume 88, Issue 4, Pages (October 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 The vacuum-assisted closure (VAC) system is shown sealing the open window thoracostomy in a patient with right-sided empyema. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) With open window thoracostomy after debridement before vacuum-assisted closure (VAC) treatment, the lung is compressed. (B) With open window thoracostomy after 12 days of VAC treatment, the pulmonary parenchyma has reexpanded. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A) Computed tomography scan demonstrates recurrent empyema after conservative treatment with saline-soaked gauzes and compression of pulmonary parenchyma. (B) Full expansion of pulmonary parenchyma occurred after debridement and 2 weeks of vacuum-assisted closure treatment. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 One-year survival after creation of an open window thoracostomy in the presence of residual pulmonary parenchyma for vacuum-assisted closure (VAC) treated patients (upper graph) and conventionally treated patients (lower graph) is shown, along with the number of patients at risk at different time intervals. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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