Eloesser flap is a single-stage procedure for the treatment of severe pleural empyema, and involves a U-shaped incision and the resection of a number of subjacent posterolateral ribs. The U-shaped flap is then folded into the pleural space creating a permanent communication.
Unlike the Clagett procedure, from which it is radiographically difficult to distinguish, the Eloesser flap is not reversible.
History and etymology
Described in 1935 by Leo Eloesser, American thoracic surgeon (1881-1976, while treating tuberculous empyema in San Francisco.
- 1. Thourani VH, Lancaster RT, Mansour KA et-al. Twenty-six years of experience with the modified eloesser flap. Ann. Thorac. Surg. 2003;76 (2): 401-5. Ann. Thorac. Surg. (full text) - Pubmed citation
- 2. Shumacker HB. Leo Eloesser, M.D., eulogy for a free spirit. Philosophical Library Inc. (1982) ISBN:0802223982. Read it at Google Books - Find it at Amazon