A 64-year-old man was diagnosed with complex empyema after a second course of palliative chemotherapy for metastatic lung cancer. Because of the poor general condition of the patient, the decision was made to proceed with vacuum-assisted closure (VAC) therapy of the empyema without Eloesser or Clagett open-window thoracostomy (OWT). Installation and changing of the VAC sponge were performed using the ALEXIS Wound Protector/Retractor (Applied Medical, Rancho Santa Margarita, CA), a flexible polymer membrane tube. After 10 days of VAC treatment, the pleural cavity was sterile and was closed with single stitches. Chemotherapy was resumed 1 week later. © 2012 The Society of Thoracic Surgeons.
Hofmann, H. S., Schemm, R., Grosser, C., Szöke, T., & Sziklavari, Z. (2012). Vacuum-assisted closure of pleural empyema without classic open-window thoracostomy. Annals of Thoracic Surgery, 93(5), 1741–1742. https://doi.org/10.1016/j.athoracsur.2011.12.039