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

S. M. Bataev; G. A. Chogovadze; R. S. Molotov; M. V. Afaunov; S. F. Pilyutik; N. Т. Zurbaev; R. O. Ignatyev; A. K. Fedorov; M. V. Firsova

doi:10.30946/2219-4061-2018-8-2-75-83

Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care ›› 2018, Vol. 8 ›› Issue (2) : 75 -83. DOI: 10.30946/2219-4061-2018-8-2-75-83

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

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Research institute of pediatric surgery of Pirogov Russian National Research Medical University (RNRMU)

Speranskij Children’s Municipal Hospital № 9

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

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

Moscow

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

Moscow

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

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

Moscow

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

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

Moscow

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

FIRSOVA Marina Vladimirovna – Anesthesiologist

Moscow

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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.

Keywords

catatrauma / empyema / thoracoscopy / argon plasma coagulation / hydrosurgical debridement / children

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S. M. Bataev, G. A. Chogovadze, R. S. Molotov, M. V. Afaunov, S. F. Pilyutik, N. Т. Zurbaev, R. O. Ignatyev, A. K. Fedorov, M. V. Firsova. NEW TECHNOLOGIES IN THE TREATMENT OF A CHILD WITH PLEURAL EMPYEMA AFTER SEVERE CATATRAUMA. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 2018, 8(2): 75-83 DOI:10.30946/2219-4061-2018-8-2-75-83

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