FIELD: medicine, thoracic surgery.
SUBSTANCE: one should fulfill standard thoracocentesis, introduce, additionally, a stylet into III-IV intercostals area, its length being not less than 70 cm and direct it under thoracoscope control through costo-diaphragmatic sinus right up to diaphragm into the lowest site of empyemic cavity. Then it is necessary to perforate patient's thorax from inside outwards and after that put a trocar's case onto a stylet's sharp end. The stylet should be removed and through trocar's case tubular drainage should be applied. The innovation suggested enables to carry out adequate and complete drainage of acute empyema of pleural cavity due to applying the drainage in the lowest and hard-to-reach area of empyemic cavity and, also, provide the safety of drainage due to visual control.
EFFECT: higher efficiency of draining.
3 ex
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Authors
Dates
2007-01-10—Published
2005-06-23—Filed