PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY

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.R...

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Main Authors: A. S. Shapovalov, A. A. Polezhaev, S. A. Belov
Format: Article
Language:Russian
Published: New Terra Publishing House 2019-03-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1239
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author A. S. Shapovalov
A. A. Polezhaev
S. A. Belov
author_facet A. S. Shapovalov
A. A. Polezhaev
S. A. Belov
author_sort A. S. Shapovalov
collection DOAJ
description 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.
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spelling doaj.art-3afd129e16ba404c8a2a993a04a8c1aa2023-09-03T13:29:13ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062019-03-01972333710.21292/2075-1230-2019-97-2-33-371239PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERYA. S. Shapovalov0A. A. Polezhaev1S. A. Belov2ГБУЗ «Приморский краевой противотуберкулезный диспансер»ФГБОУ ВО «Тихоокеанский государственный медицинский университет» МЗ РФГБУЗ «Приморский краевой противотуберкулезный диспансер»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.https://www.tibl-journal.com/jour/article/view/1239недостаточность аэростазасшивающие аппаратыклеевая герметизацияшов легкого
spellingShingle A. S. Shapovalov
A. A. Polezhaev
S. A. Belov
PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
Туберкулез и болезни лёгких
недостаточность аэростаза
сшивающие аппараты
клеевая герметизация
шов легкого
title PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
title_full PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
title_fullStr PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
title_full_unstemmed PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
title_short PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
title_sort prevention and management of insufficient aerostasis in pulmonary surgery
topic недостаточность аэростаза
сшивающие аппараты
клеевая герметизация
шов легкого
url https://www.tibl-journal.com/jour/article/view/1239
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AT aapolezhaev preventionandmanagementofinsufficientaerostasisinpulmonarysurgery
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