CONSERVATIVE TREATMENT OF POST-PNEUMONIC THORACIC EMPYEMA IN CHILDREN

Indicators for surgical intervention in thoracic empyema in children

OBJECTIVES To determine predictors for surgical intervention of thoracic empyema in children, and its associated morbidity. METHODS We conducted a retrospective review of medical records of children with empyema thoracis admitted in the Maternity and Children Hospital, Al Madinah Al Munawwarah, Saudi Arabia between January 2007 and January 2012. The data extracted included: socio-demographic ...

Video-assisted thoracic surgery in the treatment of posttraumatic empyema.

BACKGROUND Video-assisted thoracic surgery (VATS) appears to be replacing open thoracotomy for the treatment of posttraumatic thoracic complications. OBJECTIVE To compare operative times, complication rates, and outcomes in patients who underwent VATS vs open thoracotomy. DESIGN Retrospective review. SETTING University hospital, level I trauma center. PATIENTS Trauma patients who betwee...

[Treatment of empyema thoracis in children].

Empyema, an accumulation of infected fluid in the thoracic cavity, is commonly secondary to bacterial pneumonia in children. Despite the high prevalence and availability of many medical treatment options, there is no general consensus on the optimal management approach, which would lead to full and rapid recovery. Especially, there are the big differences in treatment options for the child with...

Rational treatment of empyema in children.

HYPOTHESIS Efficacious and cost-effective treatment of pediatric empyema can be accomplished following a protocol based on its radiographic appearance. Therapeutic modalities include thoracostomy tube drainage (TTD) with or without fibrinolytic therapy (FT) and video-assisted thoracoscopic debridement (VATD). DESIGN Retrospective case series. SETTING Tertiary referral center. RESULTS From...

[Surgical treatment of pleural empyema in children].