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Open pleural decortication for the late stage empyema thoracis in children: a retrospective observational study from a tertiary hospital of eastern Nepal.
- Source :
- Tropical Doctor; Jul2020, Vol. 50 Issue 3, p203-209, 7p
- Publication Year :
- 2020
-
Abstract
- The management of late-stage empyema thoracis requires surgical intervention. We performed a retrospective descriptive analysis of open pleural decortication for late stage empyema thoracis in 55 children (age ≤ 15 years; median age = 6 years; age range = 1-15 years; 40 [72.7%] boys) over 42 months. The median time to thoracotomy from the onset of symptoms was 24 days, and the median duration of hospital stay before and after surgery was 15 and 4 days, respectively. Three (5.5%) patients had necrotising pneumonia, requiring debridement; 4 (7.3%) patients had superficial surgical site infection; 12 (21.8%) patients had perioperative pus culture positive for bacteria; and 3 (5.5%) patients had tubercular aetiology. There was no operative mortality. At median follow-up of 18 months, all patients are in good general health. Open pleural decortication leads to rapid resolution of symptoms and reduces hospital stay in paediatric late-stage empyema thoracis. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 00494755
- Volume :
- 50
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Tropical Doctor
- Publication Type :
- Academic Journal
- Accession number :
- 144891432
- Full Text :
- https://doi.org/10.1177/0049475520921279