Assessment of thethe application of video-assistedmini-thoracotomy in patients withchest injuries complicated withpneumothorax and hemothorax inthe city clinical hospital

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Abstract

After the application of video-assisted mini-thoracotomy in 85 patients with chest injuries, aged from 15 to 92 the analysis has been done. The patients were divided into 3 groups, depending on the complication of the injury. 43 patients with posttraumatic pneumothorax, amounting to 50.6%, entered Group 1. 12 patients with posttraumatic hemothorax with suppressed or ongoing haemorrhage, amounting to 14,1%, entered Group 2. Group 3 enlisted 30 patients, amounting to 35,3%, being operated a week after they were taken into hospital. Mini-thoracotomy was applied to all patients with lateral incision of 6-8 cm long, 41% of patients had lengthened incisions up to 12cm because of technical difficulties. Thoracoscopy was carried out with standard equipment, rigid thorascope being used on 54 patients, amounting to 63,5%. 5 patients (5,9%) with severe concomitant injuries died. The effectiveness of video-assisted mini-thoracotomy for patients with chest injuries has been underlined.

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A N Titov

A N Titov

References

  1. Воскресенский О.В., Даниелян Ш.Н., Барчуладзе П.О. Эндоскопические технологии в диагностике и лечении ранений груди и их осложнений // Скорая медицинская помощь. - 2009. - №. 3. - С. 69 - 74
  2. Абакумов М.М., Шарифуллин Ф.А., Пинчук Т.П. и др. Диагностика и лечение легочных кровоизлияний при закрытой травме груди// Хирургия. - 2011. - №4. - С. 17 - 24
  3. Жестков К.Г., Архипов Д.М., Воскресенский О.В., и др. Хирургическая тактика на основе применения торакоскопии при ранениях органов грудной клетки // Эндоскопическая хирургия. - 2002. - №3. - С. 16
  4. Додонкин С.В. Оптимизация миниторакотомных доступов при видеоассистированных операциях в лечении неспецифической спонтанного пневмоторакса. Автореф. дис. … канд. мед. наук. - М., 2008. - 39 с.
  5. Шнитко С.Н. Особенности анестезиологического обеспечения и техники выполнения видеоторакоскопических оперативных вмешательств// Медицинские новости. - 2003. - №12. - С. 22 - 26.

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Copyright (c) 2012 Titov A.N., Titov A.N.

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