METHOD FOR SURGICAL TREATMENT OF DESTRUCTIVE FORMS OF PULMONARY TUBERCULOSIS Russian patent published in 2006 - IPC A61B17/00 

FIELD: medicine, thoracic surgery, phthisiology.

SUBSTANCE: the present innovation deals with surgical treatment of destructive forms of pulmonary tuberculosis due to endoscopic technique. At the level of the third or the fourth rib it is necessary to make paravertebral incision of 4-5 cm length, isolate and resect a costal part at the length of about 4-6 cm. Then it is necessary to isolate a posterior periosteal folium against parietal pleura, dissect it along removed rib and exfoliate costal pleura. In the third or the fourth intercostal area along posterior-auxiliary line one should introduce a trocar into developed cavity to introduce a thoracoscope supplied with a video-camera. Then one should carry out extrapleural pneumolysis under video control followed by applying a netting out of polypropylene upon a lung to be fixed with the help of endosurgical instruments. The innovation enables to decrease traumatism, intra- and post-operational complications and, also, avoids the necessity for conducting thoracoplasty due to applying a reticular implant.

EFFECT: higher efficiency of therapy.

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