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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2003  |  Volume : 8  |  Issue : 4  |  Page : 187-194

Experience with VATS for empyema in cjildren.


Department of Pediatric Surgery, TNMC & BYL Nair Hospital, Mumbai-400008

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S Oak
Department of Pediatric Surgery, TNMC & BYL Nair Hospital, Mumbai-400008

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ABSTRACT: VATS (Video assisted thoracoscopic surgery) is gaining acceptance as a primary modality of treatment in cases of early empyema. It decreases the morbidity and reduces the hospital stay of the patient. Fourteen cases of empyema presented at a medical college hospital in the Department of Pediatric Surgery from June 2000 to Dec 2002. All of these cases were subjected to VATS and an attempt for debridement and drainage was made in all of them. The patients who had presented early in the fibrinopurulent stage of empyema settled with thorough debridement and those who had presented later in the fibrous stage required decortication, There were 9 male patients and 5 females. The ages of these patients ranged from 11 months to 12 years. Eleven cases were treated only thoracoscopically and three had to be converted to open method for a thorough decortication. Eight of these patients underwent primary thoracoscopic debridement and drainage without prior tube thoracostomy. The results in all the patients were good.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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