title: Advantages and disadvantages of Seldniger transthoracic drainage in purulent-destructive diseases of the lung and pleura in childhood.
abstract: BACKGROUND
  Suppurative-destructive diseases of the lung and pleura are prevalent kind of diseases occurring in children. They represent 9.1% of thoracic surgical diseases in this age. In such diseases, the pleural drainage is the most commonly used at present time. One of the methods is the transthoracic drainage by Seldinger.
  
  
  METHODS
  Over the period of 13 years (2000-2012), 101 children with different forms of acute purulent destructive processes of the lung and pleura were treated in the Department of Pediatric Surgery of the University Hospital "St. George "- Plovdiv. We used percutaneous (transthoracic) drainage (Seldinger method) in the case of three children with lung abscess complicated pleuropneumonia with empyema.
  
  
  RESULTS
  We achieved positive effect in treatment with all three children, without introducing additional operating procedures.
  
  
  CONCLUSIONS
  There is still no consensus regarding the surgical treatment of various forms of acute suppurative-destructive diseases of the lungs and pleura (ASDDLP). Some authors attach great importance to the puncture method of treating ASDDLP, whilst they recommend the application of another treatment in case of failure.
authors: B
authors: B
authors: Ivanov
authors: P
authors: P
authors: Stefanova
mesh_terms: D000208:Acute Disease; D002648:Child; D004322:Drainage / Q000009:adverse effects / Q000379:methods*; D016724:Empyema, Pleural / Q000150:complications / Q000601:surgery; D006801:Humans; D008168:Lung / Q000473:pathology / Q000601:surgery*; D008169:Lung Abscess / Q000150:complications / Q000601:surgery; D008171:Lung Diseases / Q000150:complications / Q000601:surgery*; D010994:Pleura / Q000473:pathology / Q000601:surgery*; D010995:Pleural Diseases / Q000150:complications / Q000601:surgery*; D011001:Pleuropneumonia / Q000150:complications / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D019616:Thoracic Surgical Procedures / Q000009:adverse effects / Q000379:methods*