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Awake video-assisted thoracic surgery in acute infectious pulmonary destruction.
Ann Transl Med
May 2015
1 Department of Thoracic Surgery, First Pavlov State Medical University, Saint-Petersburg, Russia ; 2 Department of Thoracic Surgery, City Hospital Nº1, Saint-Petersburg, Russia.
Background: Many of thoracic minimally invasive interventions have been proven to be possible without general anesthesia. This article presents results of video-assisted thoracic surgery (VATS) application under local anesthesia in patients with lung abscesses and discusses its indications in detail.
Methods: The study involved prospective analysis of treatment outcomes for all acute infectious pulmonary destruction (AIPD) patients undergoing VATS under local anesthesia and sedation since January 1, 2010, till December 31, 2013.
[Effectiveness of collagen plasty in complex treatment of localized pyopneumothorax].
Vestn Khir Im I I Grek
April 2005
The work is based on an analysis of results of treatment of 25 patients with localized pleuro-pulmonary cavities by the methods of minor surgery. During abscessoscopy collagen was placed on the wound surface, the surface was filled with fibronectin and followed by active aspiration within 12-24 hours. In 20 (80%) patients the lung was expanded earlier.
View Article and Find Full Text PDFExamined were 70 patients with an uncomplicated pulmonary abscess. It was established that a giant abscess had developed against the background of chronic bronchitis with valvular mechanism of impairement in bronchial patency and increased pressure in the cavity of an abscess. Therefore, the performance of decompression by means of transthoracic drainage was required.
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