dc.contributor.author | Nadir, A. | |
dc.contributor.author | Kaptanoglu, M. | |
dc.contributor.author | Gonlugur, U. | |
dc.contributor.author | Cevit, O. | |
dc.contributor.author | Sahin, E. | |
dc.contributor.author | Akkurt, I. | |
dc.date.accessioned | 2019-07-27T12:10:23Z | |
dc.date.accessioned | 2019-07-28T10:16:45Z | |
dc.date.available | 2019-07-27T12:10:23Z | |
dc.date.available | 2019-07-28T10:16:45Z | |
dc.date.issued | 2007 | |
dc.identifier.issn | 0001-5458 | |
dc.identifier.uri | https://dx.doi.org/10.1080/00015458.2007.11680038 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12418/10628 | |
dc.description | WOS: 000246401600015 | en_US |
dc.description | PubMed ID: 17515269 | en_US |
dc.description.abstract | Aim : We investigated specific aetiology and different therapeutic approaches in patients with empyema in a General Thoracic Surgery Clinic. Material and methods : Charts of 139 patients admitted with empyema, between January 1998 and March 2005 were retrospectively reviewed. Although not completely comparable, patients were divided into two groups; Paediatric (n = 71) and adult (n = 68) cases. In addition to demographic characteristics, treatment options, complications and clinical outcomes were investigated according to the specific group. Results : The mean age was 5.6 years (4 mo - 17 y) for paediatric patients and 49.6 years (20-81 y) for adult patients. Overall, 65% of the patients (n = 91) were male. All paediatric cases had parapneumonic empyema, while 63% of the adult cases had parapneumonic and 23.5% had postoperative empyema. Of the paediatric cases, 50% received fibrinolytic treatment in addition to tube thoracostomy and 35% had decortication. In adults, 42% had tube thoracostomy and fibrinolytic treatment, and decortication was required in 9% only. Thoracomyoplasty was performed in 12% of the patients (n = 8). We had no mortality in paediatric patients, however mortality rate was 8% in the adult group. Morbidity, consisted mostly of prolonged air leakage and impaired lung expansion. Conclusion : Early decortication and fibrinolytic treatment are sufficient for paediatric patients, while a variety of techniques including open drainage, rib resection and thoracomyoplasty are required in adult patients with empyema. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | ACTA MEDICAL BELGICA | en_US |
dc.relation.isversionof | 10.1080/00015458.2007.11680038 | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | adult | en_US |
dc.subject | childhood | en_US |
dc.subject | empyema | en_US |
dc.subject | fibrinolytic | en_US |
dc.subject | therapy | en_US |
dc.subject | surgery | en_US |
dc.title | Empyema in adults and children : Difference in surgical approaches, report of 139 cases | en_US |
dc.type | article | en_US |
dc.relation.journal | ACTA CHIRURGICA BELGICA | en_US |
dc.contributor.department | Cumhuriyet Univ, Dept Thorac Surg, Sch Med, Sivas, Turkey -- Cumhuriyet Univ, Dept Chest Dis, Sch Med, Sivas, Turkey -- Cumhuriyet Univ, Dept Paediat, Sch Med, Sivas, Turkey | en_US |
dc.identifier.volume | 107 | en_US |
dc.identifier.issue | 2 | en_US |
dc.identifier.endpage | 191 | en_US |
dc.identifier.startpage | 187 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |