Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema
Treatment of empyema is very challenging. The use of negative pressure wound therapy (NPWT), and NPWT with instillation and dwell time (NPWTi‐d) for wound closure have attracted attention. However, they are both limited to use after open‐window thoracostomy (OWT) performed to control infection. In s...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-07-01
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| Series: | Respirology Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/rcr2.417 |
| _version_ | 1811266617043058688 |
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| author | Kayo Okamoto Kumiko Matsumoto Norichika Iga Seiji Komatsu |
| author_facet | Kayo Okamoto Kumiko Matsumoto Norichika Iga Seiji Komatsu |
| author_sort | Kayo Okamoto |
| collection | DOAJ |
| description | Treatment of empyema is very challenging. The use of negative pressure wound therapy (NPWT), and NPWT with instillation and dwell time (NPWTi‐d) for wound closure have attracted attention. However, they are both limited to use after open‐window thoracostomy (OWT) performed to control infection. In some patients with poor general conditions, who cannot undergo surgery, no treatment for empyema is available. Therefore, we devised a new treatment for such patients with NPWTi‐d without OWT (non‐OWT NPWTi‐d). Here we present the cases of two patients with refractory empyema after intrathoracic irrigation and drainage, who underwent non‐OWT NPWTi‐d using the fistula of the thoracic drain. Both the patients recovered. The first patient was treated for 31 days. As the empyema persisted, he underwent a repeat intrathoracic drainage after which the wound healed. The second patient was treated for 20 days. Non‐OWT NPWTi‐d may be a new option to treat empyema. |
| first_indexed | 2024-04-12T20:46:26Z |
| format | Article |
| id | doaj.art-db2a7960e3074620b7c7d8ad53b9b597 |
| institution | Directory Open Access Journal |
| issn | 2051-3380 |
| language | English |
| last_indexed | 2024-04-12T20:46:26Z |
| publishDate | 2019-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Respirology Case Reports |
| spelling | doaj.art-db2a7960e3074620b7c7d8ad53b9b5972022-12-22T03:17:16ZengWileyRespirology Case Reports2051-33802019-07-0175n/an/a10.1002/rcr2.417Negative pressure wound therapy with instillation without open‐window thoracostomy for empyemaKayo Okamoto0Kumiko Matsumoto1Norichika Iga2Seiji Komatsu3Plastic Surgery Okayama Rosai Hospital Okayama JapanPlastic Surgery Okayama Rosai Hospital Okayama JapanPlastic Surgery Okayama Rosai Hospital Okayama JapanPlastic Surgery Okayama Rosai Hospital Okayama JapanTreatment of empyema is very challenging. The use of negative pressure wound therapy (NPWT), and NPWT with instillation and dwell time (NPWTi‐d) for wound closure have attracted attention. However, they are both limited to use after open‐window thoracostomy (OWT) performed to control infection. In some patients with poor general conditions, who cannot undergo surgery, no treatment for empyema is available. Therefore, we devised a new treatment for such patients with NPWTi‐d without OWT (non‐OWT NPWTi‐d). Here we present the cases of two patients with refractory empyema after intrathoracic irrigation and drainage, who underwent non‐OWT NPWTi‐d using the fistula of the thoracic drain. Both the patients recovered. The first patient was treated for 31 days. As the empyema persisted, he underwent a repeat intrathoracic drainage after which the wound healed. The second patient was treated for 20 days. Non‐OWT NPWTi‐d may be a new option to treat empyema.https://doi.org/10.1002/rcr2.417Drainageempyemainstillationirrigationnegative pressure wound therapy |
| spellingShingle | Kayo Okamoto Kumiko Matsumoto Norichika Iga Seiji Komatsu Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema Respirology Case Reports Drainage empyema instillation irrigation negative pressure wound therapy |
| title | Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema |
| title_full | Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema |
| title_fullStr | Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema |
| title_full_unstemmed | Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema |
| title_short | Negative pressure wound therapy with instillation without open‐window thoracostomy for empyema |
| title_sort | negative pressure wound therapy with instillation without open window thoracostomy for empyema |
| topic | Drainage empyema instillation irrigation negative pressure wound therapy |
| url | https://doi.org/10.1002/rcr2.417 |
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