RESUMO
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.
Assuntos
Traumatismos Abdominais/cirurgia , Traumatismos Cranianos Penetrantes/cirurgia , Hemotórax/cirurgia , Pneumotórax/cirurgia , Traumatismos Torácicos/cirurgia , Ferimentos por Arma de Fogo/cirurgia , Traumatismos Abdominais/diagnóstico , Traumatismos Abdominais/diagnóstico por imagem , Traumatismos Abdominais/patologia , Eletrocoagulação/instrumentação , Eletrocoagulação/métodos , Serviço Hospitalar de Emergência , Traumatismos Cranianos Penetrantes/diagnóstico , Traumatismos Cranianos Penetrantes/diagnóstico por imagem , Traumatismos Cranianos Penetrantes/patologia , Hemotórax/diagnóstico , Hemotórax/diagnóstico por imagem , Hemotórax/patologia , Hospitais , Humanos , Pneumotórax/diagnóstico , Pneumotórax/diagnóstico por imagem , Pneumotórax/patologia , Traumatismos Torácicos/diagnóstico , Traumatismos Torácicos/diagnóstico por imagem , Traumatismos Torácicos/patologia , Cirurgia Torácica Vídeoassistida/instrumentação , Cirurgia Torácica Vídeoassistida/métodos , Índices de Gravidade do Trauma , Ucrânia , Ultrassonografia , Ferimentos por Arma de Fogo/diagnóstico , Ferimentos por Arma de Fogo/diagnóstico por imagem , Ferimentos por Arma de Fogo/patologiaRESUMO
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.
Assuntos
Cavidade Pleural/cirurgia , Derrame Pleural/cirurgia , Pleurisia/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Humanos , Dor/fisiopatologia , Dor/prevenção & controle , Medição da Dor , Cavidade Pleural/inervação , Cavidade Pleural/patologia , Derrame Pleural/patologia , Pleurisia/patologia , Cirurgia Torácica Vídeoassistida/instrumentaçãoRESUMO
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.
Assuntos
Hemotórax/cirurgia , Pleura/cirurgia , Cavidade Pleural/cirurgia , Derrame Pleural/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Exsudatos e Transudatos/química , Exsudatos e Transudatos/citologia , Feminino , Hemotórax/patologia , Humanos , Tempo de Internação , Masculino , Duração da Cirurgia , Dor/prevenção & controle , Pleura/patologia , Cavidade Pleural/patologia , Derrame Pleural/patologia , Período Pós-Operatório , Estudos Retrospectivos , Resultado do TratamentoRESUMO
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.
Assuntos
Neoplasias do Mediastino/cirurgia , Neoplasias/cirurgia , Neurofibroma/cirurgia , Teratoma/cirurgia , Procedimentos Cirúrgicos Torácicos/métodos , Adulto , Eletrocoagulação , Feminino , Humanos , Masculino , Neoplasias do Mediastino/diagnóstico , Neoplasias do Mediastino/diagnóstico por imagem , Neoplasias do Mediastino/patologia , Mediastino/diagnóstico por imagem , Mediastino/patologia , Mediastino/cirurgia , Neoplasias/diagnóstico , Neoplasias/diagnóstico por imagem , Neoplasias/patologia , Neurofibroma/diagnóstico , Neurofibroma/diagnóstico por imagem , Neurofibroma/patologia , Estudos Retrospectivos , Teratoma/diagnóstico , Teratoma/diagnóstico por imagem , Teratoma/patologia , Tomografia Computadorizada por Raios XRESUMO
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.
Assuntos
Algoritmos , Pneumonectomia/métodos , Tuberculose Resistente a Múltiplos Medicamentos/cirurgia , Tuberculose Pulmonar/cirurgia , Humanos , Período Pós-Operatório , Análise de Sobrevida , Resultado do Tratamento , Tuberculose Resistente a Múltiplos Medicamentos/mortalidade , Tuberculose Resistente a Múltiplos Medicamentos/patologia , Tuberculose Pulmonar/mortalidade , Tuberculose Pulmonar/patologiaRESUMO
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.
