Preview

User

Not a user? Register with this site Forgot your password?

Grekov's Bulletin of Surgery

Advanced search

Endoscopic technologies in treatment of patients with purulent diseases of lungs and pleura

https://doi.org/10.24884/0042-4625-2018-177-6-36-39

Abstract

The objective of the study is to evaluate the efficacy of valvular bronchoblocation in the treatment of patients with purulent diseases of the lungs and pleura.
Material and methods. 28 patients aged 15 to 66 years with bronchopleural fistulas were treated.
Results. Positive dynamics was observed in 23 patients during the first 10–15 hours after blocking (cessation or reduction of air leakage through drainage or into the residual pleural cavity). In four patients, it was possible to stop the purulent-inflammatory process in the pleural cavities and perform thoracomyoplasty with good clinical results. In the presence of an inconsistency of the stump of the bronchus in 4 out of 5 patients, it was possible to effectively close the fistula and eliminate the residual pleural cavity.
Conclusion. The use of valvular bronchoblocation in patients with acute purulent diseases of the lungs and the pleura allows achieving good results.
 
The objective of the study is to evaluate the efficacy of valvular bronchoblocation in the treatment of patients with purulent diseases of the lungs and pleura.Material and methods. 28 patients aged 15 to 66 years with bronchopleural fistulas were treated.Results. Positive dynamics was observed in 23 patients during the first 10–15 hours after blocking (cessation or reduction of air leakage through drainage or into the residual pleural cavity). In four patients, it was possible to stop the purulent-inflammatory process in the pleural cavities and perform thoracomyoplasty with good clinical results. In the presence of an inconsistency of the stump of the bronchus in 4 out of 5 patients, it was possible to effectively close the fistula and eliminate the residual pleural cavity.Conclusion. The use of valvular bronchoblocation in patients with acute purulent diseases of the lungs and the pleura allows achieving good results.
 

About the Authors

E. A. Drobiazgin
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


Yu. V. Chikinev
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


M. S. Anikina
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


I. E. Sudovykh
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


K. I. Shcherbina
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


V. F. Khusainov
State Budgetary Educational Institution of Higher Professional Education «Novosibirsk State Medical University» of the Ministry of Healthcare of the Russian Federation.
Россия


References

1. Gacanov A. M., Pinchuk T. P., Danielyan Sh. N., Tarabrin E. A. Effectivnost’ klapannoi bronkhoblacatsii pri bronkhoplevral’nykh fistulakh. Khirurgiya. 2014. № 2. P. 22–24. (In Russ.)

2. Hatz R. A., Klotz L. V. Consequences of pneumonectomy in the early and late phases // Chirurg. 2013. Vol. 84, № 6. P. 497–501.

3. Lazarus D. R., Casal R. F. Persistent air leaks : a review with an emphasis on bronchoscopic management // J. Thorac. Dis. 2017. Vol. 9, № 11. P. 4660–4670.

4. Uehara H., Kawamura M. Management of Postoperative Wound Infection and Empyema // Kyobu Geka. 2017. Vol. 70, № 8. P. 656–661.

5. Boudaya M. S., Smadhi H., Zribi H. et al. Conservative management of postoperative bronchopleural fistulas // J. Thorac. Cardiovasc. Surg. 2013. Vol. 146, № 3. P. 575–579.

6. Fruchter O., El Raouf B. A., Abdel-Rahman N. et al. Efficacy of bronchoscopic closure of a bronchopleural fistula with amplatzer devices : long-term follow-up // Respiration. 2014. Vol. 87, № 3. P. 227–233.

7. Klotz L. V., Gesierich W., Schott-Hildebrand S. et al. Endobronchial closure of bronchopleural fistula using Amplatzer device // J. Thorac. Dis. 2015. Vol. 8, № 8. P. 1478–1482.

8. Endobronchial Valves for Challenging Air Leaks / M. F. Reed, C. R. Gilbert, M. D. Taylor, J. W. Toth // Ann. Thorac. Surg. 2015. Vol. 100, № 4. P. 1181–1186.

9. Keshishyan S., Revelo A. E., Epelbaum O. Bronchoscopic management of prolonged air leak // J. Thorac. Dis. 2017. Vol. 9, № 10. P. 1034–1046.

10. Mahajan A. K., Khandhar S. J. Bronchoscopic valves for prolonged air leak : current status and technique // J. Thorac. Dis. 2017. Vol. 9, № 2. Р. 110–115.

11. Management of Persistent Air Leaks / K. C. Dugan, B. Laxmanan, S. Murgu, D. K. Hogarth // Chest. 2017. Vol. 152, № 2. P. 417–423.

12. Levin A. V., Tseimach E. A., Zimonin P. E., Askolonova O. Yu., Levin L. A. Primenenie endobronkhial’nogo klapana v kompleksnom lechenii bol’nykh ogranichennym fibrozno-kavernoznym tuberkulezom legkikh. Problemy klinicheskoy meditsiny. 2013. Vol. 31, № 2. P. 60–64. (In Russ.).

13. Imamura F., Okamoto N., Inoue T. et al. Pneumothorax triggered by the combination of gefitinib and amrubicin and treated with endobronchial silicone spigots // Respir. Med. Case Rep. 2015. Vol. 15, № 7. P. 42–44.


Review

For citations:

Drobiazgin E.A., Chikinev Yu.V., Anikina M.S., Sudovykh I.E., Shcherbina K.I., Khusainov V.F. Endoscopic technologies in treatment of patients with purulent diseases of lungs and pleura. Grekov's Bulletin of Surgery. 2018;177(6):36-39. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-6-36-39

Views: 894

JATS XML


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0042-4625 (Print)
ISSN 2686-7370 (Online)

197022, St. Petersburg, Russian Federation
6-8 Lev Tolstoy str.
Tel./fax: +7 (812)338-70-07
email: nauka@spb-gmu.ru

 

Processing of personal data
supported by NEICON (Elpub lab)