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[Pleuropulmonary surgical complications in children with abdominal surgical diseases]
Insights
Pediatric surgical patients can develop serious pleuropulmonary complications, particularly after abdominal surgery for liver echinococcus or peritonitis. Prompt abdominal cavity sanitation and pleural drainage are crucial for managing these severe cases.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Infectious Diseases
Background:
- Abdominal surgical diseases in children can lead to complex complications.
- Pleuropulmonary complications following abdominal surgery are rare but severe.
- Understanding these complications is vital for pediatric surgical outcomes.
Observation:
- A study reviewed 4350 pediatric abdominal surgeries over 3 years.
- Four cases (0.09%) of pleuropulmonary complications were identified.
- Complications arose after operations for liver echinococcus, liver rupture with abscess, and appendicitis with peritonitis.
Findings:
- Respiratory failure symptoms accompanied abdominal disease symptoms.
- Effective treatment involved abdominal cavity sanitation and double pleural drainage.
- The case fatality rate was high at 25% due to severe adjacent cavity pathology.
Implications:
- Highlights the risk of pleuropulmonary complications in pediatric abdominal surgery.
- Emphasizes the need for integrated treatment of abdominal and thoracic issues.
- Suggests improved diagnostic and management strategies are needed for severe cases.
Abstract:
In a series of 4350 children with abdominal surgical diseases operated at the Department of Pediatric Surgery in Sofia for a period of 3 years (1987-1989) the authors have observed 4 cases of pleuropulmonary complications (0.09 per cent). In two of these children the primary abdominal operation was for liver echinococcus, in 1--rupture of the liver and subphrenic abscess and in 1--perforative appendicitis and purulent peritonitis. Symptoms of respiratory failure developed in addition to the abdominal symptoms. Leading in the complex treatment was sanation of the abdominal cavity from the purulent process and double pleural drainage. The severe pathologic changes in the organs of the two adjacent cavities were responsible for the high case fatality rate (25 per cent).