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KMID : 0364019960290010063
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Korean Journal of Thoracic and Cardiovascular Surgery
1996 Volume.29 No. 1 p.63 ~ p.66
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Management of Empyema Thoracis with Bronchopleural Fistula Using Muscle Flap Transposition
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김형국
김정택/김광호/차진한/김양우.
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Abstract
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Postoperative empyema thoracis with bronchopleural fistula(BPF) is uncommon but serious complication. The management remains troublesome area in the field of the general thoracic surgery. During the period of October 1993 to December 1994, four
patients
with postresectional empyema thoracis with BPF were treated consecutively in Ewha Womans University Mokdong Hospital. The treatment procedures include irrigation and debridement of the empyema cavity and muscle flap transposition. Follow-up
periods
after surgery were 4-12 months. Three patients were thought successful, one patient failed. We think that the cause of failure is muscle necrosis of rectus abdominis muscle flap due to vascular injury and infection of muscle due to residual
infected
debridement of empyema cavity.
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KEYWORD
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