On the desirability of initiating an examination of victims of chest trauma with thoracoscopy

D. A. Zaitsev; K. N. Movchan; V. V. Lyshenko; R.M. Gedgafov R.M. Gedgafov R.M. Gedgafov; K. I. Rusakevich; A. S. Slobodkina; A. N. Voytsitskiy

doi:10.17816/brmma623697

Bulletin of the Russian Military Medical Academy ›› 2017, Vol. 19 ›› Issue (4) : 23 -28. DOI: 10.17816/brmma623697

Clinical Trials

research-article

On the desirability of initiating an examination of victims of chest trauma with thoracoscopy

Author information +

History +

PDF

Abstract

The experience of examination and treatment of330 victims with lesions of the chest is generalized. Medical care was provided in one of the city's multidisciplinary hospitals in Staint Petersburg, in which there are no posts for specialists in the field of thoracic surgery. An algorithm for therapeutic and diagnostic measures based on mandatory primary thoracoscopy under local anesthesia in cases of drainage of the pleural cavity performed according to indications is developed. It has been demonstrated that navigation ultrasound tomography can play a special role in increasing the effectiveness of thoracoscopic manipulations in the provision of medical care to victims with chest trauma. It is proved that the results of rendering medical assistance to victims with chest trauma essentially depend on the quality of treatment of patients after the completion of the hospital stage of medical provision of the population. The use of combined variants of restorative treatment of victims with lesions of the chest justifies itself. It is advisable to attach special importance to the pulmonological support of the technologies of thoracic surgery, which should be considered not as competing but as complementary components of the treatment and diagnostic process.

Keywords

trauma of the chest / thoracic surgery / thoracoscopy / thoracotomy / pleural cavity drainage / ultrasound diagnostics / pneumothorax / hemothorax

Cite this article

Download citation ▾

D. A. Zaitsev, K. N. Movchan, V. V. Lyshenko, R.M. Gedgafov R.M. Gedgafov R.M. Gedgafov, K. I. Rusakevich, A. S. Slobodkina, A. N. Voytsitskiy. On the desirability of initiating an examination of victims of chest trauma with thoracoscopy. Bulletin of the Russian Military Medical Academy, 2017, 19(4): 23-28 DOI:10.17816/brmma623697

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Абакумов, М.М. Множественные и сочетанные ранения шеи, груди, живота / М.М. Абакумов. - М.: БИНОМ-Пресс, 2013.688 с.

[2]	Балабанова, О.В. Возможности эндовидеоторакоскопии в диагностике и лечении гемоторакса при травме груди: дисс. ...канд. мед. наук / О.В. Балабанова. - СПб., 2008. - 170 с.

[3]	Тулупов, А.Н., Торакоабдоминальная травма / А.Н. Тулупов, ГИ. Синенченко. - СПб.: Фолиант, 2016. - 312 с.

[4]	Цыбуляк, Г.Н. Частная хирургия механических повреждений /ГН. Цыбуляк // - СПб.: Гиппократ, 2011. - 570 с.

[5]	Яблонский, П.К. Отчет Главного внештатного специалиста по торакальной хирургии Минздрава России / П.К. Яблонский.СПб.: Б.и. - 2014. - 51 с.

[6]	Freixinet, Gilart J. Chest urgent traumaticale / J. Freixinet Gilart [et al.] // Chest trauma. - 2011. - Suppl. 47. - Р 9-14.

[7]	Mineo, T.C. Changing indications for thoracoscopy in blunt chest trauma after the advent of videothoracoscopy / T.C. Mineo // Trauma. - 2009. - Vol. 47, № 6. - P. 1088-1091.