著者

ヒルバート リチャード・A 中川 敦 (訳) 松木 洋人 (訳) Richard A. HILBERT Atsushi NAKAGAWA Hiroto MATSUKI

雑誌

総合政策論叢 (ISSN:13463829)

巻号頁・発行日

vol.31, pp.117-136, 2016-03-09

著者

Tomoya Kawabata Mika Ikeda Haruka Matsuzoe Shungo Oka Hiroaki Ohama Takafumi Kabuto Yutaka Takahashi Yuri Shimada Atsushi Nakagawa Kazuya Kataoka

出版者

Japan Society for Surgical Wound Care

雑誌

International Journal of Surgical Wound Care (ISSN:24352128)

巻号頁・発行日

vol.4, no.1, pp.22-28, 2023 (Released:2023-03-01)

参考文献数

25

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When pleural empyema is treated with open-window thoracostomy, only 35% of cases are successfully closed, requiring an average of 4.5 months of treatment until wound closure. Conventional treatments such as daily gauze replacement often result in insufficient re-expansion of the collapsed lung, and surgical procedures such as thoracoplasty, muscle flap transposition, and omentoplasty are often necessary. We report a case of acute pleural empyema secondary to coronavirus disease 2019 treated with negative-pressure wound therapy (NPWT). After a month of conservative treatment following open-window thoracostomy, NPWT was performed for three weeks, and the thoracostoma was completely closed with the expanded lung. Approximately one week later, epithelialization of the exposed pleura was completed, and the patient was discharged. Six months after healing, there was no recurrence of pleural empyema. In this case, NPWT resulted in good pulmonary expansion and likely shortened the healing time. Although NPWT is contraindicated in wounds with exposed organs, the use of a contact layer and appropriate negative-pressure settings ensured safe treatment in our patient. We report the results of this study, along with a review of the available literature.