Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children

A total of 93 children with pleural complications of destructive pneumonia were randomised, and all the patients get studymethod of dynamic thoracoscopy. Evaluation of changes in lung and pleura were made. Basing to this changes-the stages of destructive process were developed. On the base of the s...

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Main Authors: A. Losev, D Samofalov
Format: Article
Language:English
Published: Kazimierz Wielki University 2014-04-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/44054
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author A. Losev
D Samofalov
author_facet A. Losev
D Samofalov
author_sort A. Losev
collection DOAJ
description A total of 93 children with pleural complications of destructive pneumonia were randomised, and all the patients get studymethod of dynamic thoracoscopy. Evaluation of changes in lung and pleura were made. Basing to this changes-the stages of destructive process were developed. On the base of the stages patogenetical treatment was suggested. In the treatment group (n=56) method of fractional washing of pleural cavity, and the method of local antibioticotherapy was used. No complications resulted from the thoracoscopies and there was no need for further surgical intervention in any of these patients. We conclude that dynamic thoracoscopy allows for minimally invasive, yet effective treatment pleural complications of destructive pneumonia. Thoracoscopic visualization of the pleural cavity permits efficient debridement, thorough adhesiolysis, and optimal placement of drainage tubes.
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spelling doaj.art-9b1dfc5db0ae4d50834f00f275aee8c42023-05-19T10:49:13ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062014-04-014810.12775/JEHS.2014.04.08.209-218Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in childrenA. LosevD Samofalov A total of 93 children with pleural complications of destructive pneumonia were randomised, and all the patients get studymethod of dynamic thoracoscopy. Evaluation of changes in lung and pleura were made. Basing to this changes-the stages of destructive process were developed. On the base of the stages patogenetical treatment was suggested. In the treatment group (n=56) method of fractional washing of pleural cavity, and the method of local antibioticotherapy was used. No complications resulted from the thoracoscopies and there was no need for further surgical intervention in any of these patients. We conclude that dynamic thoracoscopy allows for minimally invasive, yet effective treatment pleural complications of destructive pneumonia. Thoracoscopic visualization of the pleural cavity permits efficient debridement, thorough adhesiolysis, and optimal placement of drainage tubes. https://apcz.umk.pl/JEHS/article/view/44054destructive pneumoniatreatment of destructive pneumoniapyothorax-thorakoskopychildren
spellingShingle A. Losev
D Samofalov
Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
Journal of Education, Health and Sport
destructive pneumonia
treatment of destructive pneumonia
pyothorax-thorakoskopy
children
title Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
title_full Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
title_fullStr Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
title_full_unstemmed Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
title_short Role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
title_sort role of dynamic thoracoscopy in treatment of pleural complications of bacterial destruction of the lungs in children
topic destructive pneumonia
treatment of destructive pneumonia
pyothorax-thorakoskopy
children
url https://apcz.umk.pl/JEHS/article/view/44054
work_keys_str_mv AT alosev roleofdynamicthoracoscopyintreatmentofpleuralcomplicationsofbacterialdestructionofthelungsinchildren
AT dsamofalov roleofdynamicthoracoscopyintreatmentofpleuralcomplicationsofbacterialdestructionofthelungsinchildren