Open AccessNEW TECHNOLOGIES IN THE TREATMENT OF A CHILD WITH PLEURAL EMPYEMA AFTER SEVERE CATATRAUMA
Author(s) -
S.M. Bataev,
S.M. Bataev,
Г. А. Чоговадзе,
Г. А. Чоговадзе,
R. S. Molotov,
R. S. Molotov,
М В Афаунов,
Р О Игнатьев,
S. F. Pilyutik,
С Ф Пилютик,
N. Т. Zurbaev,
М В Афаунов,
R.O. Ignatyev,
N. Т. Zurbaev,
A. K. Fedorov,
A. K. Fedorov,
Maiia V. Firsova,
Maiia V. Firsova
Publication year - 2018
Publication title -
rossijskij vestnik detskoj hirurgii, anesteziologii i reanimatologii
Language(s) - English
Resource type - Journals
eISSN - 2587-6554
pISSN - 2219-4061
DOI - 10.30946/2219-4061-2018-8-2-75-83
Subject(s) - medicine , empyema , surgery , pleuropneumonia , argon plasma coagulation , pleural empyema , sepsis , pleural cavity , lung , hemothorax , splenectomy , soft tissue , radiology , spleen , pneumothorax , endoscopy
Observation of successful treatment of a 12‑yearold child with severe catatrauma obtained at falls from over 50 m is presented. It was required to perform a number of surgeries including splenectomy during treatment. A pneumococcal empyema of the left lung that determined the patient’s severity developed against the background of a traumatic disease. The child underwent two procedures of thoracoscopic pleural cavity sanation. VersaJet hydrosurgical system was used to debride and decorticate the lungs. Plasma Jet surgical system of argon plasma coagulation was used to arrest the bleeding caused by rib fractures and air stasis. It was found out for the first time that the techniques could be combined. This enabled to achieve a favorable treatment result for a child with a severe injury to the brain, multiple injuries to the skeletal bones and soft tissues complicated with destructive pleuropneumonia and sepsis.