18 SURGICAL MANAGEMENT OF PAEDIATRIC EMPYEMA
Journal Title: Indian journal of applied basic medical sciences - Year 2017, Vol 19, Issue 29
Abstract
Introduction: Empyema thoracis is defined as a collection of suppurative fluid in the pleural space. Pleural space infections arise secondary to a subjacent pneumonia or may complicate thoracic injury. In the paediatric population, parapneumonic effusion is the most frequent aetiology. [1] Aims and Objectives: We undertook a study of all patients admitted between 2014 to 2016 with empyema thoracis who required surgical intervention in the form of intercostal drainage tube insertion, thoracotomy, thoracoscopy or a combination thereof. Materials and Methods: We did a retrospective study of 290 patients in VS General Hospital, patients ranging from infancy to 14 years who presented with empyema thoracis. Conclusions: Video assisted thoracoscopic surgery is the preferred modality for the management of paediatric empyema if they present in the early stage as it is minimally invasive. More complicated empyemas or those that present in the later stages might need thoracotomy with decortication.
Authors and Affiliations
Dr. Urvish parikh, Dr. Sudhir Chandna
Keywords
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