Vacuum-Assisted Closure of Pleural Empyema Without Classic Open-Window Thoracostomy  Hans-Stefan Hofmann, MD, Rudolf Schemm, MD, Christian Grosser, MD,

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Vacuum-Assisted Closure of Pleural Empyema Without Classic Open-Window Thoracostomy  Hans-Stefan Hofmann, MD, Rudolf Schemm, MD, Christian Grosser, MD, Tamas Szöke, MD, Zsolt Sziklavari, MD  The Annals of Thoracic Surgery  Volume 93, Issue 5, Pages 1741-1742 (May 2012) DOI: 10.1016/j.athoracsur.2011.12.039 Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 ALEXIS Wound Protector/Retractor (Applied Medical, Rancho Santa Margarita, CA) installation. (A) Placement of the ALEXIS Wound Protector/Retractor through the thoracic chest wall incision. (B) End position of the ALEXIS Wound Protector/Retractor. (C) Suction with −100 mm Hg on the vacuum-assisted closure (VAC) sponges. (D) Computed tomographic scan of the VAC sponges and the ALEXIS Wound Protector/Retractor (arrows mark the inner and external ring). The Annals of Thoracic Surgery 2012 93, 1741-1742DOI: (10.1016/j.athoracsur.2011.12.039) Copyright © 2012 The Society of Thoracic Surgeons Terms and Conditions