ABSTRACT
The results of examination and treatment of 36 injured persons with complicated penetrating thoracic woundings in tertiary centres were analyzed. Own experience of the pulmonary woundings surgical treatment, using application of videothoracoscopic and welding-coagulating equipment, was summarized.
Subject(s)
Abdominal Injuries/surgery , Head Injuries, Penetrating/surgery , Hemothorax/surgery , Pneumothorax/surgery , Thoracic Injuries/surgery , Wounds, Gunshot/surgery , Abdominal Injuries/diagnosis , Abdominal Injuries/diagnostic imaging , Abdominal Injuries/pathology , Electrocoagulation/instrumentation , Electrocoagulation/methods , Emergency Service, Hospital , Head Injuries, Penetrating/diagnosis , Head Injuries, Penetrating/diagnostic imaging , Head Injuries, Penetrating/pathology , Hemothorax/diagnosis , Hemothorax/diagnostic imaging , Hemothorax/pathology , Hospitals , Humans , Pneumothorax/diagnosis , Pneumothorax/diagnostic imaging , Pneumothorax/pathology , Thoracic Injuries/diagnosis , Thoracic Injuries/diagnostic imaging , Thoracic Injuries/pathology , Thoracic Surgery, Video-Assisted/instrumentation , Thoracic Surgery, Video-Assisted/methods , Trauma Severity Indices , Ukraine , Ultrasonography , Wounds, Gunshot/diagnosis , Wounds, Gunshot/diagnostic imaging , Wounds, Gunshot/pathologyABSTRACT
The results of examination and treatment of 47 patients with pleural effusion of various origins on partialy obliteration pleural cavity was analysed. The efficiency SITS-technology (single-incision thoracoscopic surgery) use in the diagnosis and treatment of patients was proved. When using SITS-technology pleural exudation severity and duration decreased to (27 ± 9)%. Reduce operation trauma and pain intensity and better cosmetic effects with SITS-technology interventions was established.
Subject(s)
Pleural Cavity/surgery , Pleural Effusion/surgery , Pleurisy/surgery , Thoracic Surgery, Video-Assisted/methods , Humans , Pain/physiopathology , Pain/prevention & control , Pain Measurement , Pleural Cavity/innervation , Pleural Cavity/pathology , Pleural Effusion/pathology , Pleurisy/pathology , Thoracic Surgery, Video-Assisted/instrumentationABSTRACT
The results of examination and treatment of 71 patients for pleural exudates (PE) of various origin were analyzed. The efficacy of application of a one-ported thoracoscopy in diagnosis and treatment of a PE in patients with noncomplicated course of intrathoracic pathological processes was proved. The reduction of the PE quantity by (15 ± 4)% and duration of exudation by (15 ± 9)% was noted after performance of a one-ported thoracoscopic interventions, reduction of operative trauma and subjective sensation of pain, as well as best cosmetic effect.
Subject(s)
Hemothorax/surgery , Pleura/surgery , Pleural Cavity/surgery , Pleural Effusion/surgery , Thoracic Surgery, Video-Assisted/methods , Exudates and Transudates/chemistry , Exudates and Transudates/cytology , Female , Hemothorax/pathology , Humans , Length of Stay , Male , Operative Time , Pain/prevention & control , Pleura/pathology , Pleural Cavity/pathology , Pleural Effusion/pathology , Postoperative Period , Retrospective Studies , Treatment OutcomeABSTRACT
Results of surgical treatment of 18 patients in a thoracic surgery clinic for benign tumors of mediastinum are presented. The symptoms of benign tumors, efficacy of application of welding technologies in operative intervention were analyzed.
Subject(s)
Mediastinal Neoplasms/surgery , Neoplasms/surgery , Neurofibroma/surgery , Teratoma/surgery , Thoracic Surgical Procedures/methods , Adult , Electrocoagulation , Female , Humans , Male , Mediastinal Neoplasms/diagnosis , Mediastinal Neoplasms/diagnostic imaging , Mediastinal Neoplasms/pathology , Mediastinum/diagnostic imaging , Mediastinum/pathology , Mediastinum/surgery , Neoplasms/diagnosis , Neoplasms/diagnostic imaging , Neoplasms/pathology , Neurofibroma/diagnosis , Neurofibroma/diagnostic imaging , Neurofibroma/pathology , Retrospective Studies , Teratoma/diagnosis , Teratoma/diagnostic imaging , Teratoma/pathology , Tomography, X-Ray ComputedABSTRACT
The impact of preoperative patients state in multiresistent pulmonary tuberculosis on results of their surgical treatment was investigated. The actions sequence with determination of optimal kind and volume of surgical intervention, depending on clinico-anatomical peculiarities of pathological process, was regulated. Algorithm of surgical treatment organization in patients, suffering multiresistent pulmonary tuberculosis, was elaborated and introduced, concerning the term and volume of preoperative examination and preparation determination, sequence of actions for determination of kind and technique of the operative intervention performance, as well as postoperative treatment issues. Application of the algorithm elaborated have guaranteed a reconvalescence of 97.6% patients with absent lethality.
Subject(s)
Algorithms , Pneumonectomy/methods , Tuberculosis, Multidrug-Resistant/surgery , Tuberculosis, Pulmonary/surgery , Humans , Postoperative Period , Survival Analysis , Treatment Outcome , Tuberculosis, Multidrug-Resistant/mortality , Tuberculosis, Multidrug-Resistant/pathology , Tuberculosis, Pulmonary/mortality , Tuberculosis, Pulmonary/pathologyABSTRACT
The results of treatment of 40 patients, suffering multiresistant pulmonary tuberculosis (MRPT), were analyzed. There was proved the efficacy of the tissues biological welding while performing video-assisted segmentectomy. The duration of postoperative treatment for the patients have reduced down to (15.7 ± 3.8) days. Clinical aprobation was conducted, concerning application of a welding complex EK300 M1 in automatic regimen while pulmonary surgery performance. Application of the algorithm elaborated, concerning providing of surgical aid for patients, suffering MRPT, guarantees a curative outcome in 97.6% of them.
