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The overall success rate was 80%, 77% if death is included. With respect to the indications, thoracoplasty was successful in 17 of 21 (81%) postresectional empyemas (11 of 13 postpneumonectomy and 6 of 8 postlobectomy), in all primary empyemas, and in 1 case of cavernostomy.
1 Μαΐ 2010 · Thoracoplasty was combined with a muscle flap transposition (thoracomyoplasty) in 23 patients (63.9%): 12 out of 20 PPE, seven out of eight PLE patients and three out of seven patients without previous lung resection. Mean postoperative hospital stay was 29.4 days (range: 8–100 days). Table 1.
The operative mortality rate was 10%, but cavity closure was successful in 93% of treated patients. . Most thoracoplasties produce some degree of chest wall and shoulder deformity (Fig. 50-16). . Scoliosis may develop. . Restriction of shoulder motion may occur. . Some patients develop progressive respiratory failure. Current Use. .
Our technique for thoracoplasty begins with a posteriorly based periscapular incision. Dissection through skin and posterior chest wall muscles is performed until the chest wall is reached. Next, the subperiosteal resection of several ribs is performed. Typically 4 to 5 ribs are removed.
12 Μαρ 2021 · Management of residual pleural space remains a challenge in the practice of thoracic surgery. Options include thoracotomy with muscle flap/wound vac, Eloesser procedure, or thoracoplasty. We examine current practice and short-term outcomes of thoracoplasty in the American College of Surgeons National Surgery Quality Improvement Program (ACS NSQIP).
the past 30 years, thoracoplasty is rarely performed and when performed, it is often done incorrectly. Although surgery in the treatment of the pulmonary tuberculosis is currently of no great relevance, the impor-tance of thoracoplasty has not decreased, especially in cases of infected intrathoraciccavities,whichcannotbeliquidated
Treatment Outcome. Thoracoplasty was invented for removing cavities between thoracic wall and remnant lung or mediastinum. It was initially used in cases of tuberculosis or unspecific infections, while currently it is used mainly for space problems after lobectomy/pneumonectomy.This article presents an overview of the ….
