A 15 year review of the causes of thoracotomy in Amirkola children’s hospital

Soheil Osia, Rosemina Sadat Molaie, Abbas Hadipoor

Abstract


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Introduction: A wide spectrum of pathologies can cause thoracotomy in the pediatric population. The aim of this study was to determine the frequency of causes of thoracotomy in Amirkola Children's Hospital.

Methods: This cross sectional study was done on all patients that underwent thoracotomy in Amirkola Children's Hospital. All information was obtained from the patient medical records that underwent thoracotomy between 2001- 2016. The causes of thoracotomy were considered.

Results: Esophageal atresia type C with 37 cases (61.7%) was the most common cause of thoracotomy among children. In the study of associated diseases, 5 cases (8.3%) of patients were suffered from Imperforate Anus. 44 cases (%88) of infants and only 6 cases (%12) of non-infants had congenital anomalies, and all 4 patients (100%) of non-infants had mediastinal masses. Five cases (83.3%) of non-infants and only one case (16.7%) of infants underwent thoracotomy because of infectious disease (p <0.001). No significant relationship was found between the causes of thoracotomy and gender (p = 0.41).

Conclusion: Based on the results of this study, esophageal atresia type C is the most common cause of thoracotomy in infants. Additionally, congenital anomalies in infants and the mediastinal mass and infectious disease were more common in children.


Keywords


Thoracotomy, Children, Atresia, Mediastinal Mass, Congenital Anomalies

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DOI: https://doi.org/10.22037/irjps.v4i1.20987

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