Feasibility of a simple drainage system in Cameroonian children after thoracotomy and decortication for empyema thoracis

Nonga, Bernadette Ngo; Jemea, Bonaventure; Tambo, Faustin Mouafo; Kamgaing, Nelly; Bahebeck, Jean; Sosso, Maurice Aurélien

doi:10.4103/0189-6725.93298

Cited by 5 publications

(6 citation statements)

References 9 publications

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“…A simple surgical drainage system (Figures 5 and 6 ) was used in the postoperative period. In our experience, air leaks resulting from decortication usually resolved by the 2nd postoperative day in many of these patients, as we have already published [ 10 ]. A formal system for postoperative pleural drainage is not readily available in Cameroon and our hospital was not equipped with a wall suction device.…”

Section: Methodssupporting

confidence: 52%

Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting

Nonga

Bang

Jemea

et al. 2018

Surgery Research and Practice

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Background Surgery for pulmonary aspergilloma (PA), especially complex forms, is greatly challenging in a resource-poor setting such as Cameroon. We report our experience of surgical management of PA in this environment. Method We prospectively assessed patients who underwent surgery for PA from January 2012 to May 2015, at the University Hospital Center of Yaoundé. Records were reviewed for demographics, history and physical examinations, radiological findings, surgical procedures, and outcomes. The study has received approval from the institutional ethics committees. Results In total, 20 patients (17 males and 3 females (sex ratio, 5.66); mean age, 30 years; range, 23–65 years) with a past history of tuberculosis were assessed. The median follow-up was 21.5 months. The primary symptom was hemoptysis, followed by cough and chest pain. All patients underwent surgical treatment and lung resection. Postoperative complications (bleeding, air leak, empyema, and severe anemia) occurred in 4 patients and 1 patient died. Although 3 patients were lost to follow-up, the survival rate was 80% with improvement of the preoperative symptoms. Conclusion Although surgery for complex aspergilloma is very challenging in environments such as ours, we believe that it is the best treatment modality for symptomatic diseases in our setting.

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Section: Methodssupporting

confidence: 52%

Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting

Nonga

Bang

Jemea

et al. 2018

Surgery Research and Practice

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“…[ 1 2 4 6 7 ] Massive purulent pericarditishave become a rare disease, since we have reported 41 cases oflife-threateningempyema in children treated surgically by decortication and none was complicated with pericarditis. [ 8 ] Pericarditis itself is not uncommon in Africa, most of these infections are chronic and secondary to tuberculosis, the main risk factor remains immunodepression as found in acquired immunodeficiency syndrome.…”

Section: Discussionmentioning

confidence: 99%

Human immunodeficiency virus infection in a child revealed by a massive purulent pericarditis mistaken for a liver abscess due to Staphylococcus aureus

Bernadette¹,

Kamgaing²,

Monebenimp³

et al. 2015

Afr J Paediatr Surg

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Massive purulent andacute pericarditis in children is a life-threatening disease associated with high mortality. It has been described tocomplicate usuallya bronchopulmonary infectionbut is currently uncommon in the era of antibiotics. Acute and massive purulent pericarditis has been rarely reported in children in association with human immunodeficiency virus (HIV) infection. This is a case of a10-year-old boy who presented with signs of sepsis and cardiac tamponade due to a massive staphylococcal purulent pericarditis complicating an unknown HIV infection. The child underwent pericardiectomy, intensive treatment, and survived this life-threatening disease.

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“…There was bleeding of moderate volume due to the decortication. Only one drain was left in place, and the simple drainage system that we have reported was used, which uses respiratory movements and gravity [ 5 ]. The drainage system was left open on the first day and converted to a closed system 3 days after the surgery.…”

Section: Case Presentationmentioning

confidence: 99%

Unusual Life-Threatening Pneumothorax Complicating a Ruptured Complex Aspergilloma in an Immunocompetent Patient in Cameroon

Nonga

Jemea

Pondy

et al. 2018

Case Reports in Surgery

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An aspergilloma is a well-recognized lesion of the lung caused most of the time by the fungus Aspergillus fumigatus. Its main complication is hemoptysis and has been very rarely associated with tension pneumothorax. We present the case of a 47-year-old man with a history of treated and healed tuberculosis, which was successfully managed in our service for a ruptured right upper lobe complexed aspergilloma, complicated by a massive and tension pneumothorax. The patient underwent thoracotomy and lung resection with quick recovery. Conclusively, although rare, an aspergilloma may rupture and cause a life-threatening air leakage.

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Feasibility of a simple drainage system in Cameroonian children after thoracotomy and decortication for empyema thoracis

Abstract: Thoracotomy and decortication in children with empyema can be safely done in Cameroon using a simple drainage system with good results compared to those in the literature.

Cited by 5 publications

References 9 publications

Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting

Complex Pulmonary Aspergilloma: Surgical Challenges in a Third World Setting

Human immunodeficiency virus infection in a child revealed by a massive purulent pericarditis mistaken for a liver abscess due to Staphylococcus aureus

Unusual Life-Threatening Pneumothorax Complicating a Ruptured Complex Aspergilloma in an Immunocompetent Patient in Cameroon

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