Operative management of pediatric empyema: a single center review

Introduction: Empyema thoracis is an uncommon complication of childhood pneumonias but a common problem faced by a thoracic surgeon. Its management is still controversial, with a range of treatment options available and evolving gradually towards adoption of video-assisted thoracoscopic surgery (VA...

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Autores principales:	Aakriti Sharma, Ranjan Sapkota, Bibhusal Thapa, Prakash Sayami
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2018
Materias:	Decortication Deloculation Pediatric empyema thoracis VATS Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b2c1b76b7c934a7ebe59fc460a2d1553
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spelling	oai:doaj.org-article:b2c1b76b7c934a7ebe59fc460a2d15532021-12-05T19:15:59ZOperative management of pediatric empyema: a single center review10.3126/jssn.v21i1.243671815-39842392-4772https://doaj.org/article/b2c1b76b7c934a7ebe59fc460a2d15532018-06-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/24367https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: Empyema thoracis is an uncommon complication of childhood pneumonias but a common problem faced by a thoracic surgeon. Its management is still controversial, with a range of treatment options available and evolving gradually towards adoption of video-assisted thoracoscopic surgery (VATS) as the most commonly practiced one. Aim: The aim of this study was to review our experience in pediatric empyema thoracis. Methods: It was a retrospective review of the prospectively recorded data, spanning a period of 18 months in the Department of Cardio-Thoracic and Vascular Surgery in Manmohan Cardio-Thoracic Vascular and Transplant Center. Results: A total of 40 consecutive patients, 29 males and 11 females, aged 15 years or less were operated upon for a diagnosis of empyema thoracis made based on clinical, radiological and laboratory evidence. All of them were referred patients, mostly from pediatricians. VATS was undertaken in 36 of them, the remaining four treated by open approach. Deloculation sufficed in majority (26/40; 65%) of the patients which mostly (23/26; 90%) had either acute or subacute presentation. Decortication was required in 35% (14/40) of the patients. However, all of the patients but one had a successful outcome in terms of lung expansion, sterilization of the pleural cavity and absence of recurrence. There was no operative mortality. Conclusion: Surgical management of pediatric thoracic empyema is feasible and safe with favorable outcome. VATS is gradually becoming the more favored modality of operative management. Aakriti SharmaRanjan SapkotaBibhusal ThapaPrakash SayamiSociety of Surgeons of NepalarticleDecorticationDeloculationPediatric empyema thoracisVATSSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 21, Iss 1 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Decortication Deloculation Pediatric empyema thoracis VATS Surgery RD1-811
spellingShingle	Decortication Deloculation Pediatric empyema thoracis VATS Surgery RD1-811 Aakriti Sharma Ranjan Sapkota Bibhusal Thapa Prakash Sayami Operative management of pediatric empyema: a single center review
description	Introduction: Empyema thoracis is an uncommon complication of childhood pneumonias but a common problem faced by a thoracic surgeon. Its management is still controversial, with a range of treatment options available and evolving gradually towards adoption of video-assisted thoracoscopic surgery (VATS) as the most commonly practiced one. Aim: The aim of this study was to review our experience in pediatric empyema thoracis. Methods: It was a retrospective review of the prospectively recorded data, spanning a period of 18 months in the Department of Cardio-Thoracic and Vascular Surgery in Manmohan Cardio-Thoracic Vascular and Transplant Center. Results: A total of 40 consecutive patients, 29 males and 11 females, aged 15 years or less were operated upon for a diagnosis of empyema thoracis made based on clinical, radiological and laboratory evidence. All of them were referred patients, mostly from pediatricians. VATS was undertaken in 36 of them, the remaining four treated by open approach. Deloculation sufficed in majority (26/40; 65%) of the patients which mostly (23/26; 90%) had either acute or subacute presentation. Decortication was required in 35% (14/40) of the patients. However, all of the patients but one had a successful outcome in terms of lung expansion, sterilization of the pleural cavity and absence of recurrence. There was no operative mortality. Conclusion: Surgical management of pediatric thoracic empyema is feasible and safe with favorable outcome. VATS is gradually becoming the more favored modality of operative management.
format	article
author	Aakriti Sharma Ranjan Sapkota Bibhusal Thapa Prakash Sayami
author_facet	Aakriti Sharma Ranjan Sapkota Bibhusal Thapa Prakash Sayami
author_sort	Aakriti Sharma
title	Operative management of pediatric empyema: a single center review
title_short	Operative management of pediatric empyema: a single center review
title_full	Operative management of pediatric empyema: a single center review
title_fullStr	Operative management of pediatric empyema: a single center review
title_full_unstemmed	Operative management of pediatric empyema: a single center review
title_sort	operative management of pediatric empyema: a single center review
publisher	Society of Surgeons of Nepal
publishDate	2018
url	https://doaj.org/article/b2c1b76b7c934a7ebe59fc460a2d1553
work_keys_str_mv	AT aakritisharma operativemanagementofpediatricempyemaasinglecenterreview AT ranjansapkota operativemanagementofpediatricempyemaasinglecenterreview AT bibhusalthapa operativemanagementofpediatricempyemaasinglecenterreview AT prakashsayami operativemanagementofpediatricempyemaasinglecenterreview
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Operative management of pediatric empyema: a single center review

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