SURGICAL TREATMENT OF POSTOPERATIVE INTRAPLEURAL BLEEDING

Authors

  • Sh.N. Hudaybergenov Republican Specialized Scientific and Practical Medical Center of Surgery them. Acad. V. Vakhidova, Tashkent Medical Academy
  • O.T. Irisov Republican Specialized Scientific and Practical Medical Center of Surgery them. Acad. V. Vakhidova, Tashkent Medical Academy

Keywords:

postoperative intrapleural bleeding, coagulated hemothorax, hemostasis, video-assisted thoracoscopy.

Abstract

to improve the tactics of postoperative treatment of intrapleural bleeding. Material and methods:
analyzed the results of treatment of 334 patients with postoperative intrapleural complications, operated on at the
Central State Clinical Hospital at the Regional Clinical Hospital No. 1 named after. prof. S.V. Ochapovsky (Krasnodar) in
2003-2008 and in the department of surgery of the lungs and mediastinum of the RSCS named. Acad. V. Vakhidov in 1999-
2018. The tactics of management of patients with intrapleural complications differed in the range of new technologies
implementation. Results: postoperative bleeding was observed in 123 patients, including 72 (58.53%) with intrapleural
bleeding, 39 (31.7%) with coagulated hemothorax, and 12 (9.7%) with parietal hematoma. 67 patients were operated
on the 1 st day after the development of the complication, satisfactory results were observed in 66 (98.5%) of them, an
attempt to conservative hemostasis and repeated intervention on the 2nd day increased the number of unsatisfactory
results by almost 4 times , 5 to 5.6%. Conclusion: Minimally invasive interventions have several advantages in eliminating
postoperative intrapleural hemorrhages: low invasiveness, reduce the length of stay of patients in the hospital and thereby
reduce the material costs. The use of PTS in coagulated hemothoraxes is the method of choice.

Downloads

Published

2020-07-16

How to Cite

Hudaybergenov, S., & Irisov, O. (2020). SURGICAL TREATMENT OF POSTOPERATIVE INTRAPLEURAL BLEEDING. Toshkent Tibbiyot Akademiyasi Axborotnomasi, (1), 117-121. Retrieved from https://mail.journals.tma.uz/index.php/ttaa/article/view/201

Issue

Section

Clinical Medicine