NEW TECHNOLOGIES IN THE TREATMENT OF A CHILD WITH PLEURAL EMPYEMA AFTER SEVERE CATATRAUMA

Cover Page
  • Authors: Bataev S.M.1,2, Chogovadze G.A.2, Molotov R.S.1,2, Afaunov M.V.1,2, Pilyutik S.F.2, Zurbaev N.Т.1,2, Ignatyev R.O.1,2, Fedorov A.K.1,2, Firsova M.V.2
  • Affiliations:
    1. Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU)
    2. Speranskij Children’s Municipal Hospital № 9
  • Issue: Vol 8, No 2 (2018)
  • Pages: 75-83
  • Section: CLINICAL OBSERVATIONS
  • URL: https://rps-journal.ru/jour/article/view/432
  • DOI: https://doi.org/10.30946/2219-4061-2018-8-2-75-83

Abstract


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.


About the authors

S. M. Bataev

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Author for correspondence.
Email: khassan-2@yandex.ru

Russian Federation

BATAEV Saidkhasan Magomedovich – MD, PhD, head of Department of the thoracic and abdominal surgery, Institute of pediatric surgery, Pirogov`s National University of Medical Research

123317, Moscow, Shmitovskiy proezd, 29

G. A. Chogovadze

Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

CHOGOVADZE George Aphanasievich – PhD, orthopedic-traumatologist, Speransky Children’s Clinical Hospital

Moscow


R. S. Molotov

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

MOLOTOV Ruslan Sergeevich  – Postgraduate of the Institute of pediatric surgery, Pirogov`s National University of Medical Research

Moscow

M. V. Afaunov

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

AFAUNOV Murat Vladimirovich  – PhD, senior researcher of the department of thoracic and abdominal surgery, I Institute of pediatric surgery, Pirogov`s National University of Medical Research

Moscow

S. F. Pilyutik

Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

PILYUTIK Sergey Fedorovich – Head of department resuscitation and intensive therapy Speransky Children’s Clinical Hospital

Moscow


N. Т. Zurbaev

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

ZURBAEV Nodari Temurovich – MD, PhD, chief researcher of Department of the thoracic and abdominal surgery, Institute of pediatric surgery, Pirogov`s National University of Medical Research; head of 5th surgical Department of Speransky Children’s Clinical Hospital

Moscow

R. O. Ignatyev

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

IGNATYEV Roman Olegovich – MD, PhD, head of Department of urology, Institute of pediatric surgery, Pirogov`s National University of Medical Research

Moscow

A. K. Fedorov

Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU);
Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

FEDOROV Alexander Kirillovich – PhD, senior researcher of the department of thoracic and abdominal surgery, Institute of pediatric surgery, Pirogov`s National University of Medical Research

Moscow


M. V. Firsova

Speranskij Children’s Municipal Hospital № 9

Email: fake@neicon.ru

Russian Federation

FIRSOVA Marina VladimirovnaAnesthesiologist

Moscow

References

  1. Барова Н. К., Тараканов В. А., Михалев О. Ю., Степкин М. А., Убилава И. А., Лесик Д. В. Лечение легочно-плевральных форм бактериальных деструкций легких у детей на современном этапе // Российский вестник детской хирургии, анестезиологии и реаниматологии. 2011; 4 (4): 62–66.
  2. Чучалин А. Г. Внебольничная пневмония у детей. Клинические рекомендации / А. Г. Чучалин. М., 2015. 64 с.
  3. Хаспеков Д. В., Ольхова Е. Б., Топилин О. Г., Сафин Д. А., Ткаченко Н. В., Соколов Ю. Ю. Современные методы диагностики и лечения деструктивной пневмонии у детей // Российский вестник детской хирургии, анестезиологии и реаниматологии. 2015; 5 (2): 7–12.
  4. Грона В. Н. Клинические проявления, диагностика и лечение бактериальной деструкции легких у детей / В. Н. Грона, Г. А. Сопов, А. В. Щербинин и др. // Здоровье ребенка. 2008. № 1. С. 114–119.
  5. Стальмахович В. Н., Кайгородова И. Н., Дюков А. А., Сапухин Э. В., Дмитриенко А. П. Видеоторакоскопия – эффективный метод лечения пиофибриноторакса при бактериальной деструкции легких у детей // Российский вестник детской хирургии, анестезиологии и реаниматологии. 2015; 5 (1): 57–60.
  6. Слепцов А. А., Саввина В. А., Эрдынеев Т. Э., Варфоломеев А. Р., Николаев В. Н., Зуев А. Л., Колмогоров В. В. Торакоскопическая санация плевральной полости при гнойно-воспалительных заболеваниях легких у детей // Российский вестник детской хирургии, анестезиологии и реаниматологии. 2015; 5 (1): 74–77.
  7. Aziz A., Healey J. M., Qureshi F., Kane T. D., Kurland G., Green M., Hackam D. J. Comparative analysis of chest tube thoracostomy and video assisted thoracoscopic surgery in empyema and parapneumonic effusion associated with pneumonia in children // Surgical Infections. 2008; 9 (3): 317–323. doi: 10.1089/sur.2007.025.
  8. Багненко С. Ф. Актуальные проблемы диагностики и лечения тяжелой закрытой травмы груди / С. Ф. Багненко, А. Н. Тулупов // Скорая медицинская помощь. 2009. № 102. С. 4–10.
  9. Морозов Д. А., Клюев С. А. Постспленэктомический гипоспленизм // Вестник РАМН. 2015: 70 (4); 413–418.
  10. Styrt B. Infection associated with asplenia: risks, mechanisms and prevention // Am. J. Med. 1990; 88: 33–42.
  11. Ali Y. M., Lynch N. J., Rajakumar K., Kadioglu A., Stover C. M., Schwaeble W. J. The lectin path way of complement activation is a critical component of the innate immune response to pneumococcal infection // PLoS Pathogens. 2012; 8 (7): 1–11. doi: 10.1371/journal.ppat.1002793.
  12. Waghorn D. J. Overwhelming infection in asplenic patients: current best practice preventive measures are not being followed // J. Clin. Pathol. 2001; 54: 214–218. doi: 10.1136/jcp.54.3.214.
  13. Способ лечения эмпиемы плевры и фибриноторакса: пат. 2610209 Российской Федерации / Батаев С. М., Игнатьев Р. О., Зурбаев Н. Т., Молотов Р. С., Федоров А. К., Афаунов М. В., Богданов А. М. Заявитель и патентообладатель Батаев Саидхасан Магомедович. ЕДРИД. 2017 г. Процитировано: дата охранного документа 08.02.2017 г. Доступно: https://edrid.ru/rid/217.015.9af9.html.
  14. Liu J, Ko JH, Secretov E, Huang E, Chukwu C, West J, Piserchia K, Galiano RD. Comparing the hydrosurgery system to conventional debridement techniques for the treatment of delayed healing wounds: a prospective, randomised clinical trial to investigate clinical efficacy and cost-effectiveness. Int Wound J. 2015 Aug;12 (4):456–61. doi: 10.1111/iwj.12137.Epub 2013 Oct 31

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