MINIMALLY INVASIVE TECHNIQUES IN THE INTEGRATED TREATMENT OF THOSE SUFFERING FROM SEVERE CONCURRENT INJURY WITH DOMINATING CHEST TRAUMA
https://doi.org/10.21292/2075-1230-2016-94-7-47-55
Abstract
Treatment outcomes of 226 patients have been analyzed. Treatment and diagnostic algorithm has been developed for the management of patients with severe concurrent injury and dominating chest trauma. The indications for the following interventions have been formulated: emergency thoracotomy, emergency and urgent video-assisted thoracoscopy, local fibrinolytic therapy in case of clotted hemothorax and post-traumatic pleural empyema, valve bronchial block in tension and continuously persistent pneumothorax, osteosynthesis of fragmentary costal fractures. Using minimally invasive treatment techniques allowed decreasing the number of surgeries in the patients and increasing the number of recovered patients when discharged from the hospital.
About the Authors
E. A. Tseymakh
Altaisky State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Prorector in Research, Head of Surgery and Topographic Anatomy Department,
40, Lenin Ave., Barnaul, Altrai Kray, 656038
A. V. Bondarenko
Altaisky State Medical University
Russian Federation
Russian Federation
Doctor of Medical Sciences, Professor, Professor of Traumatology, Orthopedics and Military Surgery Department,
40, Lenin Ave., Barnaul, Altrai Kray, 656038
A. A. Menshikov
Regional Clinical Emergency Care Hospital
Russian Federation
Russian Federation
Candidate of Medical Sciences, Registrar of the 2nd Traumatology Department,
73, Komsomolsky Ave., Barnaul, 656038
A. V. Levin
Novosibirsk Tuberculosis Research Institute
Russian Federation
Russian Federation
Doctor of Medical Sciences, Senior Researcher,
81a, Okhotskaya St., Novosibirsk, Novosibirsk Region, 630040
P. E. Zimonin
Altai Kray TB Dispensary
Russian Federation
Russian Federation
Endoscopist of Pulmonary Surgery Department,
110, Zmeinogorstky Tr., Barnaul, Altrai Kray, 656045
A. V. Kazartsev
Altaisky State Medical University
Russian Federation
Russian Federation
Assistant of Department of Pathologic Anatomy and Clinical Pathology,
40, Lenin Ave., Barnaul, Altrai Kray, 656038
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Review
For citations:
Tseymakh E.A., Bondarenko A.V., Menshikov A.A., Levin A.V., Zimonin P.E., Kazartsev A.V. MINIMALLY INVASIVE TECHNIQUES IN THE INTEGRATED TREATMENT OF THOSE SUFFERING FROM SEVERE CONCURRENT INJURY WITH DOMINATING CHEST TRAUMA. Tuberculosis and Lung Diseases. 2016;94(7):47-55. (In Russ.) https://doi.org/10.21292/2075-1230-2016-94-7-47-55
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