Abdelrahman M. Gameel MD, Hosam A. Tawfek MD.
GehanG. Ali1, Laila Rawash1, Shaban M. Abdelmageed2, and Shawki M.K Sharouda2
Ahmad Abd Al Aziz,MD; Ahmed Mahmoud Hussein MD
Ahmed Abd Al Aziz MD*, Salah Said Soliman MD**, Mohamed M Raslan MD***
Osama Ahmed Radwan
Ahmed Abdelsalam Hafiz (M.D)*, Youssif Khachaba(M.D)*, Ashraf Elsebaiae Mohammed(M.D)*, Waleed Adel (M.D)**
Mahmoud Farghaly, MD Ahmed Morad, MD Tarek Youssef, MD, MRCS, FACS
1Hossam El sayed El shafey MD, MRCS and 2Waledd Agawee MD
Mohamed E. Elsherbeni MD, A. Elboushi MD.
Tamer Yassin1, Wesam Mohamed1, Ahmed A Youssef2
Wesam Mohamed, Tamer Yassin, Ayman Hussein, Mahmoud El shahawy, Alaa Obeida
Mohamed M. Raslan
Ahmed Sobhy Abbass Ahmed Elsobky
An Account of the use of Intrathoracic Flaps in the Management of 12 Consecutive Patients with Residual Cavities following lung surgery
Introduction: Post-operative patients with empyema and residual cavities, with or without bronchopleural
fistulae, represent a collection of desperately ill patients whose clinical conditions have challenged
surgeons for years. The techniques to manage these complications include three phases which entail total
pleural decortication, obliteration of the empyema cavity, and coverage of the raw parenchymal surface
with viable tissue. These, together with proper and effective pleural drainage, have evolved with time and
continue to undergo modification. Patient and methods: Twelve patients have been divided into two groups
according to the presence or absence of bronchopleural fistula and treated with various intra-thoracic
flaps. Results: Results revealed sound healing in ten patients out of twelve. Two patients showed complete
failure with persistent bronchopleural fistula and empyema. Conclusion: Intra-thoracic flaps could be used
for obliteration of residual postoperative cavities, with or without associated bronchopleural fistulae. In
our study, various muscle flaps or omental flap offered enough tissue to obliterate and reinforce healing of
vulnerable bronchial stumps after pulmonary resections.
Key words: intra-thoracic flaps, empyema, dead space obliteration, bronchopleural fistula.