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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

Traumatic bronchial tear visualized on thoracoscopy
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Figure 0003: Traumatic bronchial tear visualized on thoracoscopy

Mentions: We had a six-year-old boy who presented with a blunt injury to the chest. A chest X-ray revealed right pneumothorax. In spite of three days of intercostal drainage there was no improvement. On VATS, we found the tip of the endotracheal suction tube introduced by the anesthetist in the pleural cavity through a tear in the bronchus [Figure 3]. Thoracotomy revealed complete transection of the right main bronchus, which was repaired. The child had an uneventful recovery and is doing well.


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)

Traumatic bronchial tear visualized on thoracoscopy
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0003: Traumatic bronchial tear visualized on thoracoscopy
Mentions: We had a six-year-old boy who presented with a blunt injury to the chest. A chest X-ray revealed right pneumothorax. In spite of three days of intercostal drainage there was no improvement. On VATS, we found the tip of the endotracheal suction tube introduced by the anesthetist in the pleural cavity through a tear in the bronchus [Figure 3]. Thoracotomy revealed complete transection of the right main bronchus, which was repaired. The child had an uneventful recovery and is doing well.

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