Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Empyema thoracis is commonly observed in children with a worldwide increasing incidence. There are different treatment modalities which have been described which include thoracentesis, antibiotics, intrapleural fibrinolytic, tube thoracostomy, video‐assisted thoracoscopic surgery (VATS), open window thoracostomy and thoracotomy. Present study was aimed to study outcome of surgical intervention in cases of empyema thoracis in paediatric age group. Present study was single‐center, prospective, observational study, conducted in patients of age 6 months to 18 years, either gender, primary as well as secondary cases of empyema thoracis. Among 31 cases, majority were from age group 1‐5 years (41.94%), were female (54.84%). The mean age of the patients was 4.65 ± 3.85 years. Pleural peel was found to be 7.1‐ 8 mm in majority cases (54.84%). Side of ET was observed to be the right side (74.2%) in majority cases as compared to left side (25.8%). Common treatment modality was open decortication (45.16%), followed by VATS (32.26%), ICD (12.9%) and VATS to open (9.68%). The analysis of data showed that the ICD was removed earlier in the case of VATS as compared to open decortication. In the first week post op, the ICD was removed in 10 patients in the case of VATS while it was just in 5 patients in the case of open decorticating. The culture was found to be Sterile in case of 48.4% of the patients while it was Streptococcus pneumoniae (19.3%) and Mycobacterium Tuberculosis (16.2%) were common culture positive organisms. Hospital stay was the minimum in the case of VATS as compared to open decortication and ICD. Early detection of the disease can lead to better outcome with minimal access intervention (VATS) and lesser complications post‐surgery and faster recovery.
How to cite this article:
Rajgopal Totla, Falak Pancholi, Arjun Pawar and Shubham Tatu. Study of Outcome of Surgical Intervention in Cases of Empyema Thoracis in Paediatric Age Group.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.475.479
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.475.479