Salvage treatment of acute respiratory failure after autogenous tissue flap transplantation for chronic empyema with chest wall sinus: a case report and literature review

Table 1 Management of pneumonectomy empyema

Objective	Acute phase(<3 weeks)	Late phase(>3 weeks)
Infection control	① Drug anti-infectin + drainage with chest tube	①Empyema debridement + rib resection drainage	②Open window thoracostomy
Infection control	②Thoracoscopic debridement of empyema + drainage with chest tube	③drainage with chest tube	④Vacuum sealing drainage
Combined with BPF	Endoscopic closure of fistula
Abscess cavity obliteration	After the infection was controlled,pull out the drainage tube or evaluate whether to eliminate the pus cavity through second-stage operation.	①Decortication of a fibrous pleura.
Abscess cavity obliteration		②Transplantation of tissue flaps such as muscle flaps, myocutaneous flap, and omental flaps.

ISSN: 1749-8090