Minimally Invasive Vacuum-Assisted Closure Therapy With Instillation (Mini-VAC-Instill) for Pleural Empyema

Hofmann, Hans-Stefan and Neu, Reiner and Potzger, Tobias and Schemm, Rudolf and Grosser, Christian and Szoeke, Tamas and Sziklavari, Zsolt (2015) Minimally Invasive Vacuum-Assisted Closure Therapy With Instillation (Mini-VAC-Instill) for Pleural Empyema. SURGICAL INNOVATION, 22 (3). pp. 235-239. ISSN 1553-3506, 1553-3514

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Abstract

Enthusiasm for minimally invasive thoracic surgery is increasing. Thoracoscopy plays a significant therapeutic role in the fibrinopurulent stage (stage II) of empyema, in which loculated fluid cannot often be adequately drained by chest tube alone. For some debilitated and septic patients, further procedures such as open-window thoracostomy (OWT) with daily wound care or vacuum-assisted closure (VAC) therapy are necessary. In the present article, we propose a new option of minimally invasive VAC therapy including a topical solution of the empyema without open-window thoracostomy (Mini-VAC-instill). Three patients who underwent surgery using this technique are also presented. The discussion is focused on the advantages and disadvantages of the approach.

Item Type: Article
Uncontrolled Keywords: ; pleural empyema; VAC-instill; minimally invasive thoracic surgery
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Abteilung für Thoraxchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 17 Jul 2019 07:28
Last Modified: 17 Jul 2019 07:28
URI: https://pred.uni-regensburg.de/id/eprint/5455

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