Surgical management and outcome analysis of stage III pediatric XXXX .

@entity1 @entity39 @entity3509 @entity292 @entity764 @entity86 @entity378 @entity130
AIM: Report of 125 pediatric @entity1 of @entity3509 treated by open decortication, highlighting the presentation, delay in referral, operative findings, the response to surgical intervention and follow-up. MATERIALS AND METHODS: All the @entity1 who underwent open decortication for stage III @entity3509 during the study period were included. Preoperative workup included hemogram, serum protein, chest radiographs and contrast-enhanced computed tomographic (CECT) scan of the chest. RESULTS: One hundred and twenty-five @entity1 (81 males, 44 females) (age 3 months-12 years, mean 4.9 years) were operated during a 4.5-year period. Among them, two @entity1 underwent bilateral thoracotomies. Also, 81.6% @entity1 were referred 3 weeks after the onset of disease (mean duration 9 weeks). @entity764 ( @entity764 ) had been inserted in (119) 95% cases. Thickened pleura, multiloculated pus and lung involvement were invariably seen on CECT scan. @entity292 was present in 10 @entity1 and @entity3509 in 2. Decortication, removal of necrotic tissue and closure of air leaks was performed in all the @entity1 . @entity39 was seen in (35) 27.5% cases. Mean duration of @entity86 was 7 days. Follow-up ranged from 3 months to 4 years (mean 12 months). There was no mortality. Six @entity1 had proven @entity378 . CONCLUSIONS: The duration of the disease had a direct relationship with the thickness of the @entity130 to the underlying lung. Delayed referral causes irreversible changes in the lung prolonging recovery. Only 18% presented within the early period of the disease. Meticulous open surgical debridement gives gratifying results. The status of the lung at the end of surgery is a major prognostic factor.
