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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 : 2002  |  Volume : 7  |  Issue : 2  |  Page : 70-72

Empyema thoracic and the role of thoracoscopic decortication


Dept. of Pediatric surgery, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu, India

Correspondence Address:
S Kanagavel
Dept. of Pediatric surgery, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


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ABSTRACT: Empyema thoracis results as a sequele of postpneumonic effusion of aerobic and anerobic bacterial origin. If untreated, empyema thoracis runs through an exudative, fibro-purulent and an organizing phase. Our intervention of empyema thoracis with thoracoscopic decortication in the early phases has led to dramatic decrease in the complications as well as in the incidence of late phases of thoracic empyema. Nine patients were treated during the last 2 1/2 years with thoracoscopic decortication. The age of the patients varied from 2 years to 9 years. Two patients open decortication due to large fibrous peel which could not be brought out endoscopically.






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