Surgical tactics of treatment of patients with the spontaneous pheumothorax


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Abstract

The results of treatment of 230 patients with spontaneous pheumothorax were analyzed. The comparative estimation of efficiency of various methods of treatment of the specified pathology is spent; the algorithm of conducting patients with small, average and big spontaneous pheumothorax is developed. Indications to videothoracoscopic interventions are defined. Application of the developed algorithm has allowed to reduce number of complications by 10%, quantity of relapses on 5,5%; to reduce terms of full rehabilitation on 5,6±1,0 days.

About the authors

Voronezh State Medical Academy Burdenko
Lipetsk Regional Hospital

Author for correspondence.
Email: 0764@mail.ru
доктор медицинских наук, профессор кафедры хирургии ИПМО Воронежской государственной медицинской академии им. Н.Н.Бурденко.

Voronezh State Medical Academy Burdenko
Lipetsk Regional Hospital

Email: mike3009@yandex.ru
врач-хирург Липецкой областной клинической больницы.

References

  1. Bisenkov L.N., Gridnev A.V., Kobak M.E. i dr. Khirurgicheskaia taktika pri spontannom pnevmotorakse.[Surgical Management of spontaneous pneumothorax]. Khirurgiia 1996; 2: 74-77.
  2. Bulynin V.I., Red'kin A.N., Levteev V.E. Torakoskopicheskie vmeshatel'stva pri spontannom pnevmotorakse.[Thoracoscopic intervention in spontaneous pneumothorax]. Khirurgiia 1999; 4: 50-51.
  3. Varlamov V.V., Kochorov S.D. Lechenie spontannogo
  4. pnevmotoraksa.[Treatment of spontaneous
  5. pneumothorax]. Khirurgiia 1991; 6: 112-115.
  6. Vishnevskii A.A., Mazhorov V.A., Golovteev V.V. i dr. Primenenie antibakterial'nogo kleiashchego sredstva dlia obespecheniia aerostaza i obliteratsii plevral'noi polosti pri spontannom pnevmotorakse.[The use of antibacterial adhesive for aerostasis and obliteration of the pleural cavity for spontaneous pneumothorax]. Grudnaia i serd sosud khir 1993; 3: 42-45.
  7. Dzhamal Iu.A. Khirurgiia malykh dostupov v korrektsii spontannogo pnevmotoraksa:[Minimal access surgery for the correction of spontaneous pneumothorax]. Avtoref. dis.... kand. med. nauk. M 2000.
  8. Makarov A.V., Get'man V.G., Vereshchako R.I. Opyt lecheniia nespetsificheskogo spontannogo pevmotoraksa.[Experience in the treatment of non-specific spontaneous pevmotoraksa]. Grudnaia i serd sosud khir 1994; 1: 48-50.
  9. Motus I.Ia., Neretin A.V. Variant khirurgicheskogo endoskopicheskogo vmeshatel'stva pr1.[Option surgical endoscopic intervention pr1] .
  10. Bisenkov L.N., Gridnev A.V., Kobak M.E. i dr. Khirurgicheskaia taktika pri spontannom pnevmotorakse.[Surgical Management of spontaneous pneumothorax]. Khirurgiia 1996; 2: 74-77.
  11. Bulynin V.I., Red'kin A.N., Levteev V.E. Torakoskopicheskie vmeshatel'stva pri spontannom pnevmotorakse.[Thoracoscopic intervention in spontaneous pneumothorax].Khirurgiia 1999; 4: 50-51.
  12. Varlamov V.V., Kochorov S.D. Lechenie spontannogo pnevmotoraksa.[Treatment of spontaneous pneumothorax]. Khirurgiia 1991; 6: 112-115.
  13. Vishnevskii A.A., Mazhorov V.A., Golovteev V.V. i dr. Primenenie antibakterial'nogo kleiashchego sredstva dlia obespecheniia aerostaza i obliteratsii plevral'noi polosti pri spontannom pnevmotorakse.[The use of antibacterial adhesive for aerostasis and obliteration of the pleural cavity for spontaneous pneumothorax]. Grudnaia i serd sosud khir 1993; 3: 42-45.
  14. Dzhamal Iu.A. Khirurgiia malykh dostupov v korrektsii spontannogo pnevmotoraksa:[Minimal access surgery for the correction of spontaneous pneumothorax]. Avtoref. dis.... kand. med. nauk. M 2000.
  15. Makarov A.V., Get'man V.G., Vereshchako R.I. Opyt lecheniia nespetsificheskogo spontannogo pevmotoraksa.[Experience in the treatment of non-specific spontaneous pevmotoraksa]. Grudnaia i serd sosud khir 1994; 1: 48-50.
  16. Motus I.Ia., Neretin A.V. Variant khirurgicheskogo endoskopicheskogo vmeshatel'stva pri spontannom pnevmotorakse.[Option surgical endoscopic intervention in spontaneous pneumothorax]. Grudnaia i serd sosud khir 1999; 5: 73-76.
  17. Nagaev A.S., Perepelitsin V.N., Tsepaev G.N. i dr. Taktika videotorakoskopicheskogo lecheniia spontannogo pnevmotoraksa.[Tactics VATS treatment of spontaneous pneumothorax]. Endoskop khir 1997; 1: 78-79.i spontannom pnevmotorakse. Grudnaia i serd sosud khir 1999; 5: 73-76.
  18. Nagaev A.S., Perepelitsin V.N., Tsepaev G.N. i dr. Taktika videotorakoskopicheskogo lecheniia spontannogo pnevmotoraksa.[Tactics VATS treatment of spontaneous pneumothorax]. Endoskop khir 1997; 1: 78-79.
  19. Pis'mennyi A.K., Fedorin I.M., Muryshkin E.V. Problema vybora khirurgicheskoi taktiki pri spontannom pnevmotorakse.[The problem of the choice of surgical approach with spontaneous pneumothorax]. Grudnaia i serd sosud khir 2001; 5: 47-50.
  20. Shipulin P.P., Martyniuk V.A. Torakoskopicheskaia khirurgiia spontannogo pnevmotoraksa.[Thoracoscopic surgery spontaneous pneumothorax]. Grudnaia i serd sosud khir 1999; 4: 49-52.
  21. Iasnogorodskii O.O., Shulutko A.M., Saakian N.A. Videotorakoskopicheskie i videosoprovozhdaemye vmeshatel'stva v korrektsii spontannogo pnevmotoraksa.[VATS and videosoprovozhdaemye intervention in the correction of spontaneous pneumothorax]. Endoskop khir 2000; 5: 16-20.
  22. Ayed A.K.Dvustoronniaia video-pomoshch' torakoskopicheskoe khirurgii dlia dvustoronnego pnevmotoraksa. [Bilateral video-assisted thoracoscopic surgery for bilateral spontaneous pneumothorax]. Chest 2002; 122:-2237.
  23. Baumann M.H., Strange C., Heffner J.E. et al. Upravlenie spontannogo pnevmotoraksa. [Management of spontaneous pneumothorax]. Chest 2001; 119: 590-602.
  24. Yablonsky P.K., Pischik V. G., Atiukov M.A. et al. Video Assisted torakoskopiia (VATS) protiv otkrytoi torakotomii dlia spontannogo pnevmotoraksa. [Videoassisted thoracoscopy (VATS) versus open thoracotomy for spontaneous pneumothorax]. Eur Respir J 2002; 20: 38:537.
  25. Yeoh J. H., Ansari S., Campbell I.A.Upravlenie spontannogo pnevmotoraksa obsledovaniia Welsh. [Management of spontaneous pneumothorax Welsh survey]. Postgrad Med J; 76: 898: 496-499.

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