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Related Experiment Videos

[Pleural empyema in childhood].

I Joppich1, P Liedgens

  • 1Kinderchirurgische Klinik, Klinikum Mannheim, Fakultät für Klinische Medizin, Universität Heidelberg, Mannheim.

Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
PubMed
Summary

Pediatric empyema, a rare complication, is typically managed with antibiotics and chest tube drainage. Surgical intervention like decortication is reserved for empyemas linked to lung malformations.

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Area of Science:

  • Pediatric Pulmonology
  • Thoracic Surgery
  • Infectious Diseases

Context:

  • Empyema is an uncommon but serious parapneumonic complication in children.
  • Traditional management has shifted from early surgical intervention to less invasive methods.

Purpose:

  • To review the current management strategies for pediatric empyema.
  • To highlight indications for surgical intervention in specific cases.

Summary:

  • Antibiotics and closed-tube thoracostomy drainage are the primary treatments for pediatric empyema, even in anaerobic infections.
  • Decortication is rarely recommended, with a few exceptions for specific underlying conditions.
  • Empyemas associated with congenital lung malformations, such as lobar emphysema or cystic lung, necessitate surgical treatment.

Impact:

  • This approach optimizes treatment for most pediatric empyema cases.
  • It emphasizes the importance of surgical consideration for empyemas stemming from structural lung abnormalities.
  • Improves outcomes by guiding appropriate, timely interventions for pediatric empyema.

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