Eloesser flap

Last revised by Ian Bickle on 24 Dec 2019

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.

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