ABSTRACT
Differentiated tactics of diagnostic videothoracoscopy (VTHS) in a pleural exudate syndrome, which ought to be treated with hydrothorax elimination and artificial pneumothorax creation, was proposed. Further roentgenological investigation permits to create a plan for the operation conduction and a certain anesthesia application. Criteria for the operation planning and the anesthesiological support choice were elaborated. Results of VTHS conduction in 261 patients in Department of Thoracic Surgery were analyzed. The differentiated tactics for the VTHS performance application have had saved the patients from the unnecessary endotracheal narcosis conduction, and reduced a pharmacological load on a patient, as well as a rate of contraindications for the operation usage and the stationary treatment duration.
Subject(s)
Hydrothorax/surgery , Lung Neoplasms/surgery , Pleural Effusion/surgery , Pleurisy/surgery , Thoracic Surgery, Video-Assisted/methods , Tuberculosis, Pulmonary/surgery , Anesthesia, General , Female , Humans , Hydrothorax/diagnostic imaging , Hydrothorax/pathology , Lung Neoplasms/diagnostic imaging , Lung Neoplasms/pathology , Male , Pleura/diagnostic imaging , Pleura/pathology , Pleura/surgery , Pleural Effusion/diagnostic imaging , Pleural Effusion/pathology , Pleurisy/diagnostic imaging , Pleurisy/pathology , Pneumothorax, Artificial/instrumentation , Pneumothorax, Artificial/methods , Precision Medicine , Retrospective Studies , Syndrome , Thoracic Surgery, Video-Assisted/instrumentation , Tomography, X-Ray Computed , Treatment Outcome , Tuberculosis, Pulmonary/diagnostic imaging , Tuberculosis, Pulmonary/pathologyABSTRACT
The results of examination and treatment of 17 patients for relaxation of the diaphragm were analyzed. There was proved the efficacy of application of the biological tissues welding while operative treatment of patients, using a duplicature method. While the biological welding application a reduction of the intervention total duration time was noted, and of intraoperative blood loss - by 17%, and a need for analgetic preparations - in 1.3 times. Minimal irritation impact of biological welding on parietal pleura and the pain intensity reduction was established.
