ENDOSURGICAL TECHNOLOGY FOR CHEST WOUNDS
| Autor: | O. V. Voskresensky, M. M. Abakumov |
|---|---|
| Jazyk: | ruština |
| Rok vydání: | 2016 |
| Předmět: | |
| Zdroj: | Неотложная медицинская помощь, Vol 0, Iss 1, Pp 45-53 (2016) |
| Druh dokumentu: | article |
| ISSN: | 2223-9022 2541-8017 |
| Popis: | BACKGROUND Penetrating chest injuries are a common cause of hospitalization for young patients.Various types of thoracotomy prevails over the other surgical approaches performed both under absolute and relative indications, depending on the location of wounds.PURPOSE To analyze the tactics and evaluate the possibility of thoracoscopy in order to reduce the number of unreasonable thoracotomies and reduce trauma due to surgical intervention.MATERIAL AND METHODS We studied 596 medical histories of victims who had been operated in 2002–2012. Thoracoscopy was performed in 236 patients, traditional tactics was applied in 360 victims. Wounds in the diaphragmatic area of the chest were in 210 victims, in the “heart” area — in 172 patients, in the intersection of these two zones — 44 cases, in the projection of the lung peripheral part — 49 cases and paravertebral area of the chest — in 52 patients. Typical thoracotomy (TT) was performed in 27% of cases, atypical thoracotomy (AT) — 42.5%, and drainage of the pleural space (DPS) — 30.3% of cases.RESULT Thoracoscopy (TS) could be carried out in 42.2% of patients who had undergone TT, and in 79.4% of patients who had undergone AT. Overall performance of the TS was possible in 70% of patients with penetrating chest wounds (PCW). Absolute contraindications for TS occurred in 29.1% of the victims. |
| Databáze: | Directory of Open Access Journals |
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