Quadrangular Eloesser Flap Technique an Innovative Controlled Open Thoracoplasty for Chronic Organised Empyema and its Outcome

Empyema thoracis is a purulent pleural effusion. The rib resection and open drainage is an option for the treatment of chronic empyema thoracis in late stage, particularly in tubercular empyema where mediastinum fixed and underlying lung fibrosed. From first principles, pus anywhere requires drainage and this applies equally to pleural space pus. Since these patients are often unfit for procedures like decortication or the underlying lung is often unhealthy and will fail to expand, open drainage provides a safe and suitable option for the treatment of this pathology. We present the successful management of patients by this approach as well as the review of literature in this respect.