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has been cited by the following article:

• TITLE: Indwelling Pleural Catheter Insertion Following Inefficient Thoracoscopic Decortication in Postpneumonic Empyema: Beneficial or Contraindicated?

  AUTHORS: Gabor Egri, Rakesh Krishnadas, Peter Froeschle

  KEYWORDS: Pleural Empyema; VATS; Trapped Lung; Decortication; Indwelling Pleural Catheter

  JOURNAL NAME: Open Journal of Thoracic Surgery, Vol.3 No.4, December 13, 2013

  ABSTRACT: Video assisted thoracic surgery in advanced stage postpneumonic empyema aims for thorough debridement and washout of the pleural space followed by an attempt to release the entrapped lung (decortication). When the latter isn’t successful, and the patient is in a poor performance status, applying tube thoracostomy is the usual routine, to avoid conversion to thoracotomy and open decortication. Tube thoracostomy, however, is associated with complications necessitating further surgery, needs long term follow up and also entails quality of life distorting issues. To overcome these disadvantages, we instead inserted a PleurX® indwelling pleural catheter in four patients in the above situation. The method brought success (lung re-expansion and complete or partial pleurodesis) without the need for further surgery or quality of life problems in either patient. Although the use of the indwelling pleural catheter in infected pleural space is not recommended by manufacturers, we noted no complications.