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  • Title: Surgical management of children with pyopneumothorax: serratus anterior digitation flap.
    Author: Hallows MR, Parikh DH.
    Journal: J Pediatr Surg; 2004 Jul; 39(7):1122-4. PubMed ID: 15213913.
    Abstract:
    Spontaneous bronchopleural fistula after childhood empyema remains a surgically challenging condition to treat and is associated with a high morbidity. Four children with pyopneumothorax and associated spontaneous infective bronchopleural fistula are reported. Drainage of the empyema by thoracotomy was performed together with limited decortication and the suturing of a raised digitation of serratus anterior around the fistula to achieve a successful outcome. The surgical technique of raising a serratus anterior digitation flap is described.
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