Management of multiloculated empyema thoracis in children

Basit Öğe Kaydı
dc.contributor.authorBalci, AE
dc.contributor.authorEren, S
dc.contributor.authorÜlkü, R
dc.contributor.authorEren, MN
dc.date.accessioned2024-04-24T16:18:56Z
dc.date.available2024-04-24T16:18:56Z
dc.date.issued2002
dc.departmentDicle Üniversitesien_US
dc.description12th World Congress of the World-Society-of-Cardio-Thoracic-Surgeons -- MAR 03-06, 2002 -- LUZERN, SWITZERLANDen_US
dc.description.abstractObjective: Progression of empyema, with the development of fibrinous adhesions and loculations, makes simple drainage difficult or impossible. The appropriate management remains controversial. Intrapleural fibrinolytic treatment to facilitate drainage of loculated empyema instead of open thoracototny has been advocated recently. The aim of this study was to evaluate the effectiveness of the intrapleural fibrinolytic application. Methods: In our clinic we used urokinase in 28 patients and performed thoracotomy and decortication in another 43. The two groups of patients had similar characteristics. Mean age was 10.2 (range: 3-14 years). All had undergone medical treatment and tube thoracostomy. Empyema severity score (ESS) was measured in all. Results: Fibrinolytic treatment, and thoracototny and decortication had complete response rates of 67.8 and 100%, respectively. Treatment was ineffective in six (21.4%) out of 28 patients who underwent urokinase instillation; they recovered after thoracotomy. In three (10.7%) patients, partial resolution was observed. One patient died of sepsis and pleural hemorrhage. Mean hospital stay after urokinase was 10.7 (range: 6-17) days. In the thoracotomy group, all patients recovered completely. No deaths occurred. Postoperative complications were incisional infection in two patients, atelectasis in one and reoperation after hemorrhage in one. Mean hospital stay after surgery was 9.5 (5-19) days. The ESS of cases operated on was lower postoperatively (0.3 versus 0.8). Conclusion: Continued conservative therapy risks morbidity and mortality. Thoracotomy-decortication can be used successfully and must remain the preferred method in the treatment of multiloculated pediatric empyema. (C) 2002 Elsevier Science B.V. All rights reserved.en_US
dc.description.sponsorshipWorld Soc Cardio Thoracic Surgeonsen_US
dc.identifier.doi10.1016/S1010-7940(02)00379-2
dc.identifier.endpage598en_US
dc.identifier.issn1010-7940
dc.identifier.issue4en_US
dc.identifier.pmid12297178en_US
dc.identifier.scopus2-s2.0-0036806164en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage595en_US
dc.identifier.urihttps://doi.org/10.1016/S1010-7940(02)00379-2
dc.identifier.urihttps://hdl.handle.net/11468/16342
dc.identifier.volume22en_US
dc.identifier.wosWOS:000178785700019
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofEuropean Journal of Cardio-Thoracic Surgeryen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectEmpyemaen_US
dc.subjectDecorticationen_US
dc.subjectUrokinaseen_US
dc.titleManagement of multiloculated empyema thoracis in childrenen_US
dc.typeConference Objecten_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu