CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY

Results of 163 thoracoscopic examinations for thoracic trauma are presented. In all cases, the the cause of the injury was stabbing. Among the patients, there were 147 men (90.2 %) and 17 women (9.8 %). Thoracoscopy was performed under local anesthesia or endotracheal anesthesia (predominantly), in...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	S. L. Lobanov, Y. S. Lobanov, Y. S. Khanina, L. S. Lobanov
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	thoracoscopy thoracic trauma Science Q
Acceso en línea:	https://doaj.org/article/ebe59f3060a0430793d236909b7267fa
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ebe59f3060a0430793d236909b7267fa
record_format	dspace
spelling	oai:doaj.org-article:ebe59f3060a0430793d236909b7267fa2021-11-23T06:14:39ZCHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY2541-94202587-959610.12737/article_5a0a8c5a1521f7.34796360https://doaj.org/article/ebe59f3060a0430793d236909b7267fa2017-11-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/484https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Results of 163 thoracoscopic examinations for thoracic trauma are presented. In all cases, the the cause of the injury was stabbing. Among the patients, there were 147 men (90.2 %) and 17 women (9.8 %). Thoracoscopy was performed under local anesthesia or endotracheal anesthesia (predominantly), in a semi-lateral position on the healthy side with a reliable fixation of the patient, which is necessary, since it sometimes there is need to change the position of the table. The first thoracoport was usually introduced into the 5th intercostal space. After the revision of the pleural cavity, according to the indications, places of additional punctures and the introduction of appropriate instruments were determined. For evacuation of blood from the pleural cavity an electric pump was used. For hemostasis, electrocoagulation was commonly applied, and in a number of cases we used the haemostatic sponge. To stop bleeding from the lung tissue, as well as for aerostasis, the Roeder loop was used. After thoracoscopy, the question of further tactics was resolved. With ineffective thoracoscopy, thoracotomy was required. In case of successful thoracoscopy, the operation was finished with draining the pleural cavity through the most adequately located punctures. Thoracoscopy is an effective method of determining further tactics in this pathology. With a trauma in the "danger zone", 41 of 62 patients managed to avoid conversion. In many cases thoracoscopy allows to perform hemostasis, aerostasis and other curative measures. It also can reduce the amount of thoracotomy by 2-2.5 timesS. L. LobanovY. S. LobanovY. S. KhaninaL. S. LobanovScientific Сentre for Family Health and Human Reproduction Problemsarticlethoracoscopythoracic traumaScienceQRUActa Biomedica Scientifica, Vol 2, Iss 6, Pp 134-136 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	thoracoscopy thoracic trauma Science Q
spellingShingle	thoracoscopy thoracic trauma Science Q S. L. Lobanov Y. S. Lobanov Y. S. Khanina L. S. Lobanov CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
description	Results of 163 thoracoscopic examinations for thoracic trauma are presented. In all cases, the the cause of the injury was stabbing. Among the patients, there were 147 men (90.2 %) and 17 women (9.8 %). Thoracoscopy was performed under local anesthesia or endotracheal anesthesia (predominantly), in a semi-lateral position on the healthy side with a reliable fixation of the patient, which is necessary, since it sometimes there is need to change the position of the table. The first thoracoport was usually introduced into the 5th intercostal space. After the revision of the pleural cavity, according to the indications, places of additional punctures and the introduction of appropriate instruments were determined. For evacuation of blood from the pleural cavity an electric pump was used. For hemostasis, electrocoagulation was commonly applied, and in a number of cases we used the haemostatic sponge. To stop bleeding from the lung tissue, as well as for aerostasis, the Roeder loop was used. After thoracoscopy, the question of further tactics was resolved. With ineffective thoracoscopy, thoracotomy was required. In case of successful thoracoscopy, the operation was finished with draining the pleural cavity through the most adequately located punctures. Thoracoscopy is an effective method of determining further tactics in this pathology. With a trauma in the "danger zone", 41 of 62 patients managed to avoid conversion. In many cases thoracoscopy allows to perform hemostasis, aerostasis and other curative measures. It also can reduce the amount of thoracotomy by 2-2.5 times
format	article
author	S. L. Lobanov Y. S. Lobanov Y. S. Khanina L. S. Lobanov
author_facet	S. L. Lobanov Y. S. Lobanov Y. S. Khanina L. S. Lobanov
author_sort	S. L. Lobanov
title	CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
title_short	CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
title_full	CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
title_fullStr	CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
title_full_unstemmed	CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY
title_sort	choosing therapeutic tactics for open chest wounds: the value of thoracoscopy
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/ebe59f3060a0430793d236909b7267fa
work_keys_str_mv	AT sllobanov choosingtherapeutictacticsforopenchestwoundsthevalueofthoracoscopy AT yslobanov choosingtherapeutictacticsforopenchestwoundsthevalueofthoracoscopy AT yskhanina choosingtherapeutictacticsforopenchestwoundsthevalueofthoracoscopy AT lslobanov choosingtherapeutictacticsforopenchestwoundsthevalueofthoracoscopy
_version_	1718416982581182464

CHOOSING THERAPEUTIC TACTICS FOR OPEN CHEST WOUNDS: THE VALUE OF THORACOSCOPY

Ejemplares similares