Closure of fenestra in clagett procedure: Use of rectus abdominis musculocutaneous flap

Hisao Asamura, Tomoyuki Goya, Tsuguo Naruke, Ryosuke Tsuchiya, Haruhiko Kondo, Keiichi Suemasu, Takashi Nakatsuka

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Empyema developed in a 62-year-old man after right pneumonectomy for lung cancer. According to the Clagett procedure, an open window thoracostomy was made with two ribs removed. After 5 weeks, primary closure of the fenestra was attempted. Because the fenestra was too large to be primarily closed, a rectus abdominis musculocutaneous flap was successfully transposed to cover the chest wall. There was no evidence of recurrence of empyema during 11 months' observation after closure. In patients with a large fenestra and with little tissue left for closure, the rectus abdominis musculocutaneous flap could be of great help in completing the Clagett procedure.

Original languageEnglish
Pages (from-to)147-149
Number of pages3
JournalThe Annals of Thoracic Surgery
Volume54
Issue number1
DOIs
Publication statusPublished - 1992 Jul
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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