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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Format: | Article |
Language: | Russian |
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New Terra Publishing House
2019-03-01
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Series: | Туберкулез и болезни лёгких |
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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. |
first_indexed | 2024-03-12T03:29:41Z |
format | Article |
id | doaj.art-3afd129e16ba404c8a2a993a04a8c1aa |
institution | Directory Open Access Journal |
issn | 2075-1230 2542-1506 |
language | Russian |
last_indexed | 2024-03-12T03:29:41Z |
publishDate | 2019-03-01 |
publisher | New Terra Publishing House |
record_format | Article |
series | Туберкулез и болезни лёгких |
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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