PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
https://doi.org/10.21292/2075-1230-2019-97-2-33-37
Abstract
The objective of the study: to optimize aerostasis methods in case of pulmonary resections.
Subjects and methods. The efficacy of combined aerostasis methods was compared upon surgery results in 227 patients with pulmonary diseases (97.4% – pulmonary tuberculosis) in the age from 18 to 65 years old.
Results. Machine stitch is a reliable way to seal the lung resection margin providing aerostasis in 24 hours after surgery in 63.6% (95% CI 50.4-75.1%) of the patients, while 38.2% of them suffered from concurrent emphysema.
In case of bleeding from machine stitching of lung resection line, it is advisable to add manual stitching with consequent latex tissue adhesive (the frequency of aerostasis (in 24 hours) increases from 40.7 to 90.9%; χ2 = 30.6; p2-4 < 0.01).
In pulmonary resections, use of latex tissue adhesive for additional sealing of machine stitch with a positive hydrostatic test result allowed achieving aerostasis in 24 hours in 95.2% given the high frequency (31.7%) of concurrent pulmonary emphysema.
About the Authors
A. S. Shapovalov
Primorsky Regional TB Dispensary
Russian Federation
Russian Federation
Aleksey S. Shapovalov Surgeon of Thoracic Department.
2, Pyatnadtsataya St., Vladivostok, 690041
A. A. Polezhaev
Pacific State Medical University
Russian Federation
Russian Federation
Aleksandr A. Polezhaev Doctor of Medical Sciences, Professor of Surgery School of Pacific State Medical University.
2, Ostryakova Ave., Vladivostok, 690950.
S. A. Belov
Primorsky Regional TB Dispensary
Russian Federation
Russian Federation
Sergey A. Belov Candidate of Medical Sciences, Surgeon of Thoracic Department.
2, Pyatnadtsataya St., Vladivostok, 690041
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Review
For citations:
Shapovalov A.S., Polezhaev A.A., Belov S.A. PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY. Tuberculosis and Lung Diseases. 2019;97(2):33-37. (In Russ.) https://doi.org/10.21292/2075-1230-2019-97-2-33-37
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