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...

Full description

Saved in:
Bibliographic Details
Main Authors: A. S. Shapovalov, A. A. Polezhaev, S. A. Belov
Format: Article
Language:Russian
Published: New Terra Publishing House 2019-03-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1239
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849771811618684928
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.
format Article
id doaj-art-3afd129e16ba404c8a2a993a04a8c1aa
institution DOAJ
issn 2075-1230
2542-1506
language Russian
publishDate 2019-03-01
publisher New Terra Publishing House
record_format Article
series Туберкулез и болезни лёгких
spelling doaj-art-3afd129e16ba404c8a2a993a04a8c1aa2025-08-20T03:02:30ZrusNew 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. Belov2Primorsky Regional TB DispensaryPacific State Medical UniversityPrimorsky Regional TB DispensaryThe 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/1239insufficient aerostasissuturing deviceadhesive sealinglung suture
spellingShingle A. S. Shapovalov
A. A. Polezhaev
S. A. Belov
PREVENTION AND MANAGEMENT OF INSUFFICIENT AEROSTASIS IN PULMONARY SURGERY
Туберкулез и болезни лёгких
insufficient aerostasis
suturing device
adhesive sealing
lung suture
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 insufficient aerostasis
suturing device
adhesive sealing
lung suture
url https://www.tibl-journal.com/jour/article/view/1239
work_keys_str_mv AT asshapovalov preventionandmanagementofinsufficientaerostasisinpulmonarysurgery
AT aapolezhaev preventionandmanagementofinsufficientaerostasisinpulmonarysurgery
AT sabelov preventionandmanagementofinsufficientaerostasisinpulmonarysurgery