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    The role of decortication in childhood chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Tastepe, I; Demircan, S; Topcu, S; Ozdulger, A; Gulhan, E; Bozkurt, D
    To describe the role of decortication and the outcome of the surgical treatment in childhood chronic pleural empyema, the charts of 100 children underwent decortication for the treatment of empyema were reviewed. The preoperative diagnoses were pneumonia in 46 patients, loculated empyema in 26, tuberculous empyema in 11, hydatid cyst in eight. Indications of decortication were severe pleural thickenning in 54 cases, trapped lung in 36 cases, loculated empyema in eight cases and bronchopleural fistula in two cases. Operations performed were decortication in 90 patients and pulmonary resection and decortication in 10. Morbidity occurred in 23 patients and one patient died. Success rates of decortication in the treatment of nonspecific and tuberculous empyema were 96,6% (86/89) and 90,9% (10/11), respectively. Decortication is a well-tolerated and succesfull procedure in childhood chronic pleural empyema.
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    Surgical treatment in nonspecific chronic pleural empyema
    (Monduzzi Editore, 1997) Soysal, O; Topcu, S; Gulhan, E; Tastepe, I; Ozdulger, A; Demircan, S; Balci, D
    The charts of the patients with nonspecific empyema underwent surgery between 1974-1994 were reviewed. Seven hundreds thirty-nine operations were performed in 682 patients. Indications of surgery were pleural thickenning in 423 (57,2%) operations, to close a persistent pleural space in 233 (31,5%), destroyed lung plus empyema in 26 (3,6%) and revision of the first operation in 57 (7,7%). Operations performed were decortication in 412 (55,8%), thoracomyoplasty in 287 (38,8%), decortication and pulmonary resection in 26 (3,6%), decortication and thoracomyoplasty in 11 (1,5%) and Eloesser flap in three operations. Postoperative hospital stay was 23 days median. Overall morbidity and mortality rates were 22,5% and 7,2%, respectively. Timing of surgery, selection of the correct surgical procedure and preoperative medical control of the pulmonary disease are important points of the success of the surgical treatment of empyema. Morbidity and mortality rates are acceptable.