METHOD OF SURGICAL TREATMENT OF POSTPNEUMONECTOMY SYNDROME Russian patent published in 2011 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to thoracic surgery, can be applied in treatment of postpneumonectomy syndrome. Essence of method lies in the following: operation is performed 1-3 years after pneumonectomy. On the side of earlier performed pneumonectomy 8 cm long cut is made paravertebrally parallel to medial edge of scapula from the level of spinous process of third thoracic vertebra. Layer-by layer transected are skin, subcutaneous adipous cellular tissue, part of trapezius muscle, latissimus dorsi and greater rhomboid muscle. Partially cut muscles and scapula are separated from external surface of ribs in projection of future removal of bone frame and are taken apart and outwards by means of wide hooks, with formation of operation field cavity for surgical manipulations between greater skeletal muscles and rib frame. Into it installed is videothoracoscope and further manipulations are performed under its control. Fibres of back-straightening muscle are separated in layers, opening access to posterior rib segments and successively partial ablation of V, IV, III, II and I ribs is performed. After that, into extrapleural cavity through micro-irrigator slowly absorbable filling material is introduced. Wound is sutured hermetically. In post-operation period exudate is removed from pleural cavity. Into extrapleural cavity solutions of antibiotics are introduced daily. After 1-1.5 months microirrigator is removed.

EFFECT: application of claimed invention makes it possible to eliminate postpneumonectomy syndrome, prevent over-stretching of remaining single lung, reduce risk of tuberculosis recurrence.

1 ex, 10 dwg