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pediatric pleurodesis

Lisa M Soler, Steven L Raymond, Shawn D Larson, Janice A Taylor, Saleem Islam
PURPOSE: The management of primary spontaneous pneumothorax (PSP) in the pediatric population is not standardized. The purpose of this study was to understand the management options for a first episode of PSP in children and adolescents, and their associated outcomes. METHODS: A retrospective study was conducted for patients 5-20 years old with a diagnosis of PSP at a large academic children's hospital between 2002 and 2014. Patient data were reviewed for each case...
December 27, 2017: Journal of Pediatric Surgery
Fanny Yeung, Patrick H Y Chung, Esther L Y Hung, Chi Sum Yuen, Paul K H Tam, Kenneth K Y Wong
INTRODUCTION: Spontaneous pneumothorax in pediatric patients is relatively uncommon. The management strategy varies in different centers due to dearth of evidence-based pediatric guidelines. In this study, we reviewed our experience of thoracoscopic management of primary spontaneous pneumothorax (PSP) in children and identified risk factors associated with postoperative air leakage and recurrence. MATERIALS AND METHODS: We performed a retrospective analysis of pediatric patients who had PSP and underwent surgical management in our institution between April 2008 and March 2015...
August 2017: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
P Jiménez Arribas, A Laín Fernández, G Guillén Burrieza, S López-Fernández, A Moreno Galdó, J Lloret Roca
AIM OF THE STUDY: Recurrent spontaneous pneumothorax (SP) and persistent air leak (PAL) are a therapeutic challenge in some patients. Autologous blood pleurodesis (ABP) is an alternative treatment, but its usefulness in pediatric patients has not been determined yet. MATERIAL AND METHODS: Retrospective study of pediatric patients treated with ABP at our institution between 2010 and 2014, with special assessment of its indications, description of the technique, volume of blood used, complications and outcomes...
January 25, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
P Jiménez Arribas, S López-Fernández, A Laín Fernández, G Guillén Burrieza, J Lloret Roca
INTRODUCTION: Recurrence of spontaneous pneumothorax (SP) is more frequent in pediatric patients. The purpose of our study was to identify factors associated with this recurrence. MATERIAL AND METHODS: Retrospective review of the chart of patients with SP treated at our institution between 2004 and 2014. Statistic methods (χ2 and logistic regression) were used analyzing age, gender, side and size of pneumothorax and therapeutic approach as possible predictive factors of SP recurrence...
October 10, 2015: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Paola Ciriaco, Piergiorgio Muriana, Alessandro Bandiera, Angelo Carretta, Giulio Melloni, Giampiero Negri, Rossana Fiori, Piero Zannini
BACKGROUND: Primary spontaneous pneumothorax (PSP) is a relatively rare condition in the pediatric population lacking of specific recommendations regarding the management. Video-assisted thoracoscopic surgery (VATS) has gained widespread consensus during the last 10 years. We retrospectively reviewed our experience of VATS in the treatment of pediatric patients affected by PSP in terms of timing of surgery, operative technique, and postoperative outcome. METHODS: Between 1998 and 2014, 58 pediatric patients were treated for PSP...
July 2016: Pediatric Pulmonology
Radhames E Lizardo, Simone Langness, Katherine P Davenport, Karen Kling, Timothy Fairbanks, Stephen W Bickler, Julia Grabowski
PURPOSE: Antiinflammatory medications are thought to reduce the effectiveness of pleurodesis performed for the treatment of spontaneous pneumothorax. We reviewed our experience with children undergoing video-assisted thorascopic surgery (VATS) with pleurodesis for pneumothorax to determine if ketorolac administration influences patient outcomes. METHODS: A retrospective review of patients who underwent VATS pleurodesis for spontaneous pneumothorax from 2009 to 2013 at a pediatric hospital was performed...
December 2015: Journal of Pediatric Surgery
Monica E Lopez, Sara C Fallon, Timothy C Lee, J Ruben Rodriguez, Mary L Brandt, Mark V Mazziotti
BACKGROUND: Surgery as the primary management strategy for pediatric primary spontaneous pneumothorax is controversial. This study aims to evaluate the outcomes and effectiveness of management approaches for pediatric spontaneous pneumothorax. METHODS: Outcomes of pediatric patients undergoing initial nonoperative treatment versus video-assisted thoracoscopic surgery with blebectomy and mechanical pleurodesis were compared via a retrospective review. RESULTS: We identified 96 patients with 108 pneumothoraces...
October 2014: American Journal of Surgery
I-Chih Tan, Duraisamy Balaguru, John C Rasmussen, Renie Guilliod, John T Bricker, William I Douglas, Eva M Sevick-Muraca
Chylothorax is a rare but serious complication in children who undergo heart surgery. Its pathogenesis is poorly understood, and invasive surgical treatments are considered only after conservative management fails. Current diagnostic imaging techniques, which could aid decision making for earlier surgical intervention, are difficult to apply. Herein, we deployed near-infrared fluorescence (NIRF) lymphatic imaging to allow the visualization of abnormal lymphatic drainage in an infant with postoperative chylothorax to guide the choice of surgical management...
October 2014: Pediatric Cardiology
John Adams, Joanne Auger, Deborah Schiff
Malignant effusions may cause significant morbidity and mortality for cancer patients. Indwelling tunneled PleurX® catheter placement for intermittent drainage of malignant effusions has been shown to be efficacious in adults but has not been studied in children. We performed a retrospective review of nine children and young adults who underwent PleurX® catheter placement for the palliation of symptoms associated with malignant effusions. Eight of nine demonstrated symptomatic improvement and seven of nine were discharged from the hospital after catheter placement...
June 2014: Pediatric Blood & Cancer
Barbara S den Hollander, Bairbre L Connolly, Lillian Sung, Adam Rapoport, C M Zwaan, Ronald M Grant, Dimitri Parra, Michael J Temple
BACKGROUND: Malignant pleural effusion (MPE) and ascites (MA) negatively impact quality of life of palliative patients. Treatment options are limited. This study's purpose is to examine the experience with indwelling tunneled catheters (ITCs) for management of MPE/MA in children with advanced cancer. METHODS: Children with MPE/MA who underwent ITC insertion (2007-2012) were retrospectively reviewed. Clinical, procedural, complication and outcome details were analyzed...
June 2014: Pediatric Blood & Cancer
Carlos M Mery, Brady S Moffett, Muhammad S Khan, Wei Zhang, Francisco A Guzmán-Pruneda, Charles D Fraser, Antonio G Cabrera
OBJECTIVE: There is limited information regarding the true incidence of and risk factors for chylothorax after pediatric cardiac surgery. The objective of this study was to determine, from a large multi-institution database, incidence, associated factors, and treatment strategy in patients undergoing pediatric cardiac surgery. METHODS: All patients younger than 18 years in the Pediatric Health Information System (PHIS) database who underwent congenital heart surgery or heart transplant from 2004 to 2011 were included...
February 2014: Journal of Thoracic and Cardiovascular Surgery
Joseph B Lillegard, Raelene D Kennedy, Michael B Ishitani, Abdalla E Zarroug, Brad Feltis
PURPOSE: Persistent air leak (PAL) is associated with increased morbidity. Standard treatment of PAL includes chemical or mechanical pleurodesis. Long-term impact of these interventions is not known in the pediatric population. Autologous blood patch (ABP) offers a novel treatment option. We report our experience with autologous blood patch to successfully treat PAL in eight children. METHODS: Children with PAL were treated with ABP. A fresh whole blood sample was obtained from each patient and injected via their pre-existing chest tube...
September 2013: Journal of Pediatric Surgery
Erdal Yekeler, Hakki Ulutas
In the etiology of chylothorax, traumas and malignancies are the first two leading causes. Today in pediatric patients, the most common cause of chylothorax includes the complications secondary to cardiothoracic operations. Bilateral chylothorax is rarely observed after severe vomiting leading to increase in intrathoracic pressure. In idiopathic chylothorax, bilateral localization is dominant. A 9-year-old girl who presented to our emergency department with the complaints of dyspnea and back pain following severe vomiting received a diagnosis of bilateral chylothorax...
July 2012: Annals of Thoracic Surgery
Irena Wojsyk-Banaszak, Natalia Schoeneich, Katarzyna Jończyk-Potoczna, Jacek Henschke, Anna Breborowicz
UNLABELLED: Although pneumothorax has been thoroughly described since the beginning of 19th century there are few studies investigating its epidemiology in pediatric patients. The aim of this study was to evaluate incidence and clinical picture of pneumothorax in pediatric patients. MATERIALS AND METHOD: A retrospective review of medical records of all patients treated in the Department of Pediatric Pulmonology, Allergy and Clinical Immunology of Karol Marcinkowski Medical University from January 1999 to December 2008 with the diagnosis of pneumothorax...
December 2011: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Ioana Antonescu, Robert Baird
Clinically apparent injury to an intercostal nerve associated with paralysis of the upper rectus abdominis is a rare complication of video-assisted thoracoscopic surgery (VATS), with no reports available in the pediatric literature. We present the case of a 16-year-old boy who underwent VATS blebectomy and pleurodesis followed by tube thoracostomy for recurrent spontaneous pneumothorax. Definitive reexpansion of the lung was achieved with no immediate complications, but the child complained of abnormal sensation and motor dysfunction of the left upper rectus at his first follow-up visit 2 weeks after the operation...
December 2011: Journal of Pediatric Surgery
Michael S Katz, Marshall Z Schwartz, Matthew L Moront, Lindsay G Arthur, Shaheen J Timmapuri, Brittany K Nagy, Rajeev Prasad
BACKGROUND: Single-incision pediatric endosurgery is gaining popularity, especially for abdominal operations. Several reports in the literature support the feasibility of the single-incision approach in pediatric laparoscopy. Here we compare our experience with single-incision thoracoscopic surgery (SITS) to traditional multiple-incision video-assisted thoracoscopic surgery (VATS) in children. METHODS: A chart review of all patients who underwent SITS at our institution was performed...
March 2012: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
F Jochum, A Nomayo, R Hentschel, M Leuchter, Ch Fusch
We report the use of somatostatin in two preterm neonates with chylothorax and discuss those cases in the light of current literature on the treatment of chylothorax in infants born preterm. Chylothorax, a severe complication in thorax surgery, is also a symptom of different diseases and may even occur spontaneously. Treatment is difficult, especially in preterm neonates with co-morbidities. The standard therapeutic strategy with non-invasive procedures (e.g. enteral diet free of long chain triglycerides or parenteral nutrition) is not always effective...
April 2011: Georgian Medical News
Julia Shelton, Gretchen Purcell Jackson
Pediatric surgeons can play an important role in offering procedures that may improve the quality of life for terminally ill children. As with all palliative interventions, surgical therapies should be evaluated in the context of explicitly defined treatment goals while weighing the risks and benefits of procedures in the context of a shortened life span. It is essential that pediatric surgeons become active members in the multidisciplinary team that provides palliative care.
April 2011: Surgical Clinics of North America
Rajeev Prasad, L Grier Arthur, Shaheen J Timmapuri, Marshall Z Schwartz, Timothy J Fairbanks, Kim G Mendelson, Keith Thatch, Matthew L Moront
INTRODUCTION: Single-incision pediatric endosurgery is gaining popularity in children. We have recently applied the single-incision approach for thoracoscopic procedures. We report our initial experience with single-incision thoracoscopic surgery in the pediatric population. METHODS: A retrospective chart review of the first 10 single-incision thoracoscopic operations done at our institution was conducted. The patients' mean age and weight and the median operative time, postoperative length of stay, and time until discontinuation of chest tubes were determined...
March 2011: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
Mirko Zganjer, Ante Cizmić, Anto Pajić, Irenej Cigit, Vlasta Zganjer
BACKGROUND: Primary spontaneous pneumothorax in children is a significant clinical problem. The majority of these patients will require immediate surgical therapy, such as tube thoracostomy. PATIENTS AND METHODS: We conducted a retrospective review of 16 patients with a diagnosis of primary spontaneous pneumothorax over a period of 7 years. RESULTS: In the last 7 years, we had 16 patients with spontaneous pneumothorax. Patient age ranged from 11 to 18 years (median, 15...
March 2010: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
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