After the report in 1946 by Samson and Burford, open procedures for empyema thoracis were often delayed until pleurodesis was assured if surgery could not be performed within the first three weeks. Eloesser subsequently developed an ingenious flap technique to drain the empyema cavity after it was allowed to mature to the point of ensuring complete pleurodesis. Although this technique reduced morbidity, returned adequate pulmonary function and provided a cosmetically acceptable result, it prolonged postoperative hospitalization increased the burden of costly wound care and frequently necessitated secondary procedures for wound closure. Early thoracotomy for empyema has been reported by a number of authors with appropriate […]