Comparison of the methods of fibrinolysis by tube thoracostomy and thoracoscopic decortication in children with stage II and III empyema: a prospective randomized study.

Pediatric Reports
Ufuk CobanogluMehmet Melek

Abstract

Today, in spite of the developments in imaging methods and antibiotherapy, childhood pleural empyema is a prominent cause of morbidity and mortality. In recent years, it has been shown that there has been an increase in the frequency of pleural empyema in children, and antibiotic resistance in microorganisms causing pleural empyema has made treatment difficult. Despite the many studies investigating thoracoscopic debridement and fibrinolytic treatment separately in the management of this disease, there is are not enough studies comparing these two treatments. The aim of this study was to prospectively compare the efficacy of two different treatment methods in stage II and III empyema cases and to present a perspective for treatment options.WE EXCLUDED FROM THE STUDY CASES WITH: i) thoracoscopic intervention and fibrinolytic agent were contraindicated; ii) immunosuppression or additional infection focus; iii) concomitant diseases, those with bronchopleural fistula diagnosed radiologically, and Stage I cases. This gave a total of 54 cases: 23 (42.6%) in stage II, and 31 (57.4%) cases in stage III. These patients were randomized into two groups of 27 cases each for debridement or fibrinolytic agent application by video-assisted th...Continue Reading

Citations

Apr 29, 2015·The Journal of Pediatrics·Samatha Sonnappa
Oct 3, 2006·Journal of Pediatric Surgery·Nicolas KalfaRené-Benoit Galifer
Mar 18, 2017·The Cochrane Database of Systematic Reviews·Mark D ReddenMieke L van Driel
May 5, 2017·Archives of Disease in Childhood·Christopher William CourseIolo Doull
Sep 21, 2016·Pediatric Pulmonology·Florian J SegererJohannes G Liese
Apr 25, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hung DoLinh Nguyen
Oct 29, 2014·Pediatrics·Claudia MarhuendaAntonio Moreno-Galdó

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