Related Experiment Video
Updated: Jan 20, 2026
Surgical Treatment of an Endolymphatic Sac Tumor
Published on: May 26, 2023
[Surgical treatment of tuberculous empyema in children]
D B Giller1, I I Martel1, I I Enilenis1
1Sechenov First Moscow State Medical University, Moscow, Russia.
Insights
Surgical treatment of tuberculous pleural empyema in children is effective, but outcomes depend on disease stage. Most patients presented with advanced Stage III empyema, necessitating extensive surgeries.
Area of Science:
- Pediatric Surgery
- Thoracic Surgery
- Infectious Diseases
Background:
- Tuberculous pleural empyema is a serious condition in children.
- Treatment strategies vary based on disease progression and stage.
Purpose of the Study:
- To analyze surgical interventions for tuberculous pleural empyema in pediatric patients.
- To correlate surgical outcomes with the stage of the disease.
Main Methods:
- Retrospective analysis of 82 pediatric patients (ages 4-17) with tuberculous pleural empyema.
- Evaluation of clinical and radiographic features across different disease stages.
- Analysis of surgical procedures performed at each stage.
Main Results:
- 76 surgeries were performed on 72 children with Stage III empyema.
- Postoperative complications (delayed lung inflation) occurred in 2.6% of cases, managed with thoracentesis and drainage.
- No postoperative mortality was observed.
Conclusions:
- Complex treatment, including modern surgical methods, leads to satisfactory outcomes in pediatric tuberculous pleural empyema.
- Surgical approach, morbidity, and hospital stay are significantly influenced by the disease stage.
- The high prevalence of Stage III empyema (nearly 90%) often precludes minimally invasive options, requiring more extensive surgical interventions.
Objective:
To analyze surgical treatment of tuberculous pleural empyema in children depending on the stage of the process.
Material And Methods:
There were 82 patients aged 4-17 years with tuberculous pleural empyema. Clinical and X-ray features of different stages of disease are described. Certain types of surgical interventions at each stage of the process are analyzed.
Results:
In 72 children with empyema stage III 76 surgeries were performed. Postoperative complications occurred in 2 (2.6%) cases (delayed lung inflation) that required thoracocentesis with pleural drainage. There was no postoperative mortality.
Conclusion:
Complex treatment of tuberculous pleural empyema in children and adolescents with the use of modern surgical methods is followed by satisfactory outcomes in all patients. However, surgical technique, postoperative morbidity and hospital-stay depend on the stage of the process. Unfortunately, almost 90% of patients had empyema stage III. Therefore, minimally invasive surgery was not advisable and extensive, traumatic surgeries were required.
Related Concept Videos
04:34Surgical Treatment of an Endolymphatic Sac Tumor
06:23Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
07:20Repeated Transcranial Magnetic Stimulation Combined with Action Observation Training in Children with Spastic Cerebral Palsy
09:05Assessing Working Memory in Children: The Comprehensive Assessment Battery for Children – Working Memory (CABC-WM)
07:02Measuring Children's Trust in Testimony
How does a person learn about the world around them? One way is through direct observation and exploration. However, not every piece of information can be observed firsthand. Instead, a person must often rely on other people as information sources. This is particularly true for children who have so many questions about the world around them, yet have limited means of accessing the answers. Thus, children...
06:23How Children Solve Problems Using Causal Reasoning
Imagine a young child hears an adult say, “I want to watch the news,” then watches the adult press a button on the remote control. A moment later, the television screen turns on. The next day, the child wants to turn on the television screen to watch cartoons. How does the child know what to do? Is it enough to say, “I want to watch cartoons,” or is pushing the button on the...