MANAGEMENT OF EMPYEMA THORACIS IN PEDIATRIC POPULATION – A TERTIARY CENTRE EXPERIENCE
Journal Title: Journal of Indira Gandhi Institute of Medical Sciences - Year 2019, Vol 5, Issue 1
Abstract
Abstract Background: Significant morbidity is often observed in inadequately managed Empyema cases. Aims and Objectives: To evaluate the different treatment modalities in the management of Paediatric Empyema Thoracis. Materials & Methods: 70 Cases of Empyema turning up to the department of Paediatric surgery in a tertiary care hospital and managed with aspiration, intercostal tube drainage, video-assisted thoracoscopic surgery (VATS) and thoracotomy decortication between January, 2017 to December, 2018 formed the study group. Data was collected and analysis done. Results: Most patients presented late. Intercostal tube drainage had low success rate (only 29.41%); Primary VATS was successful in 90% cases with minimal morbidity where it was chosen as first choice; Late presenters and failed /complicated cases did well with thoracotomy decortication (22/70= 31.43%): There was one mortality in the study. Conclusion: Optimal results with least morbidity are seen if Early VATS is done when Empyema is still in its exudative or fibrinopurulent stage; late presenters with organised Empyema or failed cases should undergo thoracotomy decortication.
Authors and Affiliations
vijyendra Kumar
Keywords
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