The omentum flap for empyema treatment: indications and disadvantages

Flap choice for closure of open window thoracotomy: a response to the author of the article entitled “the omentum flap for empyema treatment: indications and disadvantages”

“…Transposition of the muscle flap is simple to be performed (4), without the need to change patient position during surgery (2). We agree that the muscle flap should precede the omental pedicle flap as a choice for OWT closure in cases that are not severe and the omental pedicle flap should be limited to complicated cases.…”

“…The most important issue that Shipkov et al pointed out was selecting an appropriate flap according to the type of empyema (2). The location and volume of the cavity, status of thoracic infection, presence of bronchopleural fistula (BPF), etiology of infection, past history of abdominal operation, and type of previous thoracic incision influence flap choice for OWT closure (1).…”