Method of Programmed Intrapleural Sanation in the Combined Treatment of Pleural Empyema


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Abstract

Relevance Drainage of the pleural cavity with constant aspiration and antiseptic lavage is the method of choice in the treatment of acute pleural empyema. For the active aspiration and creation of the negative pressure in the pleural cavity, we used an aspiratorirrigator AMP-01. The purpose of the study The effectiveness of using the new method of programmed intrapleural sanation in patients with acute pleural empyema was studied. Matherials and methods The results of the treatment of 34 patients with pleural empyema in the age from 23 to 48 years old are presented. Results and their discussion On the basis of clinical, laboratory and bacteriological methods of investigation, we found that recovery was achieved in 10 (90.9%) patients of the study group; one patient (9.1%) had a large bronchial fistula. In 3 cases out of 11, small residual cavities (till 50 ml) were formed, which subsequently closed on their own. In the control group, recovery was observed in 17 (73.9%) patients. Fractional drainage of the pleural cavity in 6 (26.1%) patients of the same group was ineffective in the combined treatment. As the result, these patients were transferred to a Specialized Thoracic Department of the Regional Hospital for operative therapy. Besides, in 7 cases out of 23 small residual cavities were formed, which subsequently closed on their own. Conclusion Thus, the developed method allows performing sanation of the pleural cavity more effectively, which improved the results of the treatment and reduced the rehabilitation time for this group of patients

About the authors

Pokrovskaia CRH, 1 Bol''Nichnaia Str., Orel Oblast, 303170, Russian Federation

Author for correspondence.
Email: xxpokrovxx@rambler.ru
Candidate of Medicsl Science, Deputy Chief Physician for Medical Work of the Pokrovsky Central District Hospital of the Orlov Region

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: surgery-v@yandex.ru
MD, Professor, Corresponding Member of the RANH, Head of the Department of General Surgery, Director of the Institute of Surgical Infection of Voronezh State Medical Academy named after N.N. Burdenko, Honored Inventor of the Russian Federation, Chairman of the Voronezh Branch of the Russian Society of Surgeons

N.N. Burdenko Voronezh State Medical Academy, 10 Studencheskaia Str., Voronezh, 394036, Russian Federation

Email: olgashv@mail.ru
Candidate of Physical and Mathematical Sciences, Associate Professor of the Department of Physics, Mathematics and Medical Informatics of Voronezh State Medical Academy named after N.N. Burdenko

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