Late Paediatric Empyema Thoracic Decortication Using Muscle Sparing Axillary Skin Crease Incision (Msasci)
Mumtaz Ahmed Qureshi, Sadia Asmat Burki, Muhammad Kashif Arsalan, Abid Hussain, Abid Rafiq Chaudhry, Khadijah Ahmad Cheema
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ABSTRACT
Objective: The aim of this study is to determine the
effectiveness of muscle sparing axillary skin incision (MISASCI) among patients
of late paediatric empyema thoracic were undergone decortication.
Study Design: A prospective study
Place and Duration: The study was conducted at Children
Hospital and Institute of Child Health Lahore and Women and Children Hospital
Rajjar, Charsada during the period from December 2020 to May 2021.
Methods: Total 50 children of both genders were
presented in this study. Patients were aged 1 month-12 years. Patients’
detailed demographics age, sex and weight were calculated after taking informed
written consent from authorities. Patients had late paediatric empyema thoracic
were enrolled. MSASCI was used for decortication among all cases. Effectiveness
of incision was calculated post-operatively in terms of visibility and size of
scar, intraoperative exposure and access to the lobes. Complete data was
analyzed by SPSS 23.0 version.
Results: There were 30 (60%) male and 20 (40%) females
with mean age 7.14±7.44 years. Mean body weight of the children was 16.58±9.74
kg. We found pyopneumothorax in 20 (40%), followed by encysted empyema in 12
(24%), multiloculated empyema in 9 (18%), bilateral Empyema thorax in 5 (10%),and
diaphragmatic hernia in 4 (8%). Adequate exposure was seen among 49 (98%)
cases. Chest tube was removed within 5.87±4.54 days. Good lung expansion was
found in 47 (94%) cases. Air leak was found among 6 (12%) cases. Frequency of
scars was very low only among 4 (8%) cases.
Conclusion: We concluded in this study that MSASCI was
effective for decortication among patients of late paediatric empyema thoracic
in terms of post-operative good lung expansion, adequate exposure with minimum
numbers of scars and less complications i.e air leak in all cases.
Keywords: MSASCI, Paediatric Empyema Thoracic,
Decortication, Complications
ABSTRACT
Objective: The aim of this study is to determine the
effectiveness of muscle sparing axillary skin incision (MISASCI) among patients
of late paediatric empyema thoracic were undergone decortication.
Study Design: A prospective study
Place and Duration: The study was conducted at Children
Hospital and Institute of Child Health Lahore and Women and Children Hospital
Rajjar, Charsada during the period from December 2020 to May 2021.
Methods: Total 50 children of both genders were
presented in this study. Patients were aged 1 month-12 years. Patients’
detailed demographics age, sex and weight were calculated after taking informed
written consent from authorities. Patients had late paediatric empyema thoracic
were enrolled. MSASCI was used for decortication among all cases. Effectiveness
of incision was calculated post-operatively in terms of visibility and size of
scar, intraoperative exposure and access to the lobes. Complete data was
analyzed by SPSS 23.0 version.
Results: There were 30 (60%) male and 20 (40%) females
with mean age 7.14±7.44 years. Mean body weight of the children was 16.58±9.74
kg. We found pyopneumothorax in 20 (40%), followed by encysted empyema in 12
(24%), multiloculated empyema in 9 (18%), bilateral Empyema thorax in 5 (10%),and
diaphragmatic hernia in 4 (8%). Adequate exposure was seen among 49 (98%)
cases. Chest tube was removed within 5.87±4.54 days. Good lung expansion was
found in 47 (94%) cases. Air leak was found among 6 (12%) cases. Frequency of
scars was very low only among 4 (8%) cases.
Conclusion: We concluded in this study that MSASCI was
effective for decortication among patients of late paediatric empyema thoracic
in terms of post-operative good lung expansion, adequate exposure with minimum
numbers of scars and less complications i.e air leak in all cases.
Keywords: MSASCI, Paediatric Empyema Thoracic,
Decortication, Complications