The Use of Vacuum-Assisted Wound Closure Therapy in Thoracic Operations Shah S.S. Begum, MBChB, MS, Kostas Papagiannopoulos, MMED Thorax, MD (CTh) The.

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The Use of Vacuum-Assisted Wound Closure Therapy in Thoracic Operations Shah S.S. Begum, MBChB, MS, Kostas Papagiannopoulos, MMED Thorax, MD (CTh) The Annals of Thoracic Surgery Volume 94, Issue 6, Pages 1835-1840 (December 2012) DOI: 10.1016/j.athoracsur.2012.08.009 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The effect of vacuum-assisted closure therapy when used in conjunction with a thoracostomy. This man is a current smoker, known to have chronic obstructive pulmonary disease, and is currently taking steroids. He presented with a Streptococcus milleri empyema. After decortication, his lung failed to reexpand and he was left with a large complex pleural cavity. The vacuum-assisted closure therapy system was inserted on day 1 postoperatively. Images show progression of healing: (A) day 1, (B) 6 weeks, (C) 3 months, (D) 5 months, (E) 5.5 months, and (F) 6 months. The volume from the wound decreased dramatically, from 400 mL on day 1 to less than 100 mL in 6 weeks. The Annals of Thoracic Surgery 2012 94, 1835-1840DOI: (10.1016/j.athoracsur.2012.08.009) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions