POSTPNEUMONIC EMPYEMA IN CHILDREN TREATED BY EARLY DECORTICATION

We performed early decortication in 32 cases of postpneumonic empyema during the period of February 1991 to December 1995. Twenty of them we re male and 12 of them were female. We evaluated these cases retrospec tively. Decortication was saved for the patients where antimicrobial t herapy and closed-tube drainage had failed to achieve a cure and was p erformed on the 10-15th day after the diagnosis was established. Indic ations for the decortication were persistant fever (9), pulmonary air leakage (7), localized effusion (7), persistant respiratory distress ( 5) and pleural thickening without resolution (28). Decortication was p erformed through the standard posterolateral thoracotomy. Patients wer e discharged on the 8th postoperative day with minimal morbidity and n o mortality. Because of the simplicity of the procedure (short hospita lization periods, low mortality and morbidity rates) good results were achieved with early decortication.