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Review of video-assisted thoracoscopy in children.

Oak SN, Parelkar SV, Satishkumar KV, Pathak R, Ramesh BH, Sudhir S, Keshav M - J Minim Access Surg (2009 Jul-Sep)

Bottom Line: It decreases the morbidity and duration of hospital stay.Patients with empyema were treated according to their stage of disease.The mean duration for removal of drain was three days and the average total duration of hospital stay was six days.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.

ABSTRACT
Open thoracotomy is the standard procedure for various thoracic diseases against which other procedures are compared. Currently Video Assisted Thoracoscopic Surgery (VATS) has gained widespread acceptance in the management of a variety of thoracic disorders. It decreases the morbidity and duration of hospital stay. A total of 133 children with various thoracic diseases who presented at a University Teaching Hospital in the Department of Pediatric Surgery, from June 2000 to December 2007, were included. Of the 133 patients,116 patients had empyema, all of whom were subjected to VATS, and an attempt at debridement/decortication and drainage was made. Other thoracic disorders treated included lung abscesses, lung biopsies, hydatid cysts, and so on. Patients with empyema were treated according to their stage of disease. Of the 116 patients who underwent thoracoscopy, 16 had to be converted to open surgery due to various reasons. The mean duration for removal of drain was three days and the average total duration of hospital stay was six days. Similarly the application of VATS was advantageous in other thoracic diseases.

No MeSH data available.


Related in: MedlinePlus

Thick peel visible on thoracoscopy
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Figure 0001: Thick peel visible on thoracoscopy

Mentions: Of the 116 children with empyema, 50 (43%) of them were managed without a preliminary ICD (Primary VATS). In the cases who had presented early (5-7 days of diagnosing of empyema) toileting of the pleural cavity was done by first clearing the pleural cavity of the collection and then removing all the adhesions between the lung and the parietal pleura without a formal decortication. In patients who presented later, the pleural peel appeared to be thick and densely adherent to the underlying lung as well as to the thoracic wall and diaphragm and these needed decortications [Figure 1]. The mean operating time was 90 minutes (ranging between 150 and 45 minutes). In all patients, the intercostal drainage tubes were kept postoperatively


Review of video-assisted thoracoscopy in children.

Oak SN, Parelkar SV, Satishkumar KV, Pathak R, Ramesh BH, Sudhir S, Keshav M - J Minim Access Surg (2009 Jul-Sep)

Thick peel visible on thoracoscopy
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2822171&req=5

Figure 0001: Thick peel visible on thoracoscopy
Mentions: Of the 116 children with empyema, 50 (43%) of them were managed without a preliminary ICD (Primary VATS). In the cases who had presented early (5-7 days of diagnosing of empyema) toileting of the pleural cavity was done by first clearing the pleural cavity of the collection and then removing all the adhesions between the lung and the parietal pleura without a formal decortication. In patients who presented later, the pleural peel appeared to be thick and densely adherent to the underlying lung as well as to the thoracic wall and diaphragm and these needed decortications [Figure 1]. The mean operating time was 90 minutes (ranging between 150 and 45 minutes). In all patients, the intercostal drainage tubes were kept postoperatively

Bottom Line: It decreases the morbidity and duration of hospital stay.Patients with empyema were treated according to their stage of disease.The mean duration for removal of drain was three days and the average total duration of hospital stay was six days.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery, TNMC and BYL Nair Hospital, Mumbai Central, Mumbai, India.

ABSTRACT
Open thoracotomy is the standard procedure for various thoracic diseases against which other procedures are compared. Currently Video Assisted Thoracoscopic Surgery (VATS) has gained widespread acceptance in the management of a variety of thoracic disorders. It decreases the morbidity and duration of hospital stay. A total of 133 children with various thoracic diseases who presented at a University Teaching Hospital in the Department of Pediatric Surgery, from June 2000 to December 2007, were included. Of the 133 patients,116 patients had empyema, all of whom were subjected to VATS, and an attempt at debridement/decortication and drainage was made. Other thoracic disorders treated included lung abscesses, lung biopsies, hydatid cysts, and so on. Patients with empyema were treated according to their stage of disease. Of the 116 patients who underwent thoracoscopy, 16 had to be converted to open surgery due to various reasons. The mean duration for removal of drain was three days and the average total duration of hospital stay was six days. Similarly the application of VATS was advantageous in other thoracic diseases.

No MeSH data available.


Related in: MedlinePlus