1. Volume : 2
2. Issue : 1
3. Month : 01 (2020)

Research Article

Utilization of a Pedicled Rectus Abdominis Muscle Flap and Intrathoracic Muscle Flap for Expedited Closure of a Bronchopleural Fistula and Eloesser Window in a Spinal Cord Injury Patient

Salah Rubayi

Many techniques exist for definitive chest closure of an open window thoracostomy performed for empyema with bronchopleural fistula. We report a case involving the novel use of a pedicled rectus abdominis flap combined with intrathoracic muscle advancement flap for closure of the fistula and partial obliteration of the residual pleural space. There was significant improvement in respiratory function and no evidence of returning sepsis in the immediate post-operative period or on one-year follow up.