Aerostasis insufficiency of a machine stitch of a lung: prevention and treatment of complications

Written by Shapovalov A.S., Polezhaev A.A., Belov S.A.

  UDK: 616.24–089.819.84–06-084.454.1 | DOI: 10.17238/PmJ1609-1175.2019.2.84–87 | Pages: 84–87 | Full text PDF | Open PDF 


Objective: Aerostasis insufficiency of a stitch of a lung remains an unsolved problem of thoracic surgery. When residual air pockets resistant to the treatment and associated with aerostasis insufficiency occur it is rational to remove them with the apposition of visceral pleura to parietal or any other transposed tissue.
Methods: The effectiveness of methods of combined aerostasis was compared based on the results of surgical treatment of 227 thoracic patients (in 97.3 % – tuberculosis), aged from 18 to 65 y.o. The effectiveness of osteoplastic thoracoplasty with a mesh implant was studied based on the results of surgical treatment of 80 patients aged from 18 to 57 y.o.
Results: The combination of a machine stitch of a lung and additional seal with latex glue demonstrated the highest effectiveness. The worst efficiency was observed with additional strengthening of the machine stitch of the lung with manual stitch, at the same time, the use of glue in addition to the manual stitch led to more than double the daily aerostatic efficiency.
Conclusions: Additional processing of the lung resection line with latex glue to improve the effectiveness of aerostasis. Osteoplastic thoracoplasty with a mesh implant prevents the formation of pulmonary hernia, and also reduces the intensity and duration of pain in the postoperative period.

Links to authors:

A.S. Shapovalov1, A.A. Polezhaev2, S.A. Belov1
1 Primorskiy Regional Tuberculosis Dispensary (2 Pyatnadtsataya St. Vladivostok 690041 Russian Federation),
2 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690002 Russian Federation)

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