METHOD FOR SURGICAL TREATMENT OF BRONCHIAL FISTULA FOLLOWING PULMONARY TUBERCULOSIS SURGERY Russian patent published in 2018 - IPC A61B17/24 A61B17/08 

FIELD: medicine.

SUBSTANCE: during surgical treatment of bronchopleural fistula caused by pulmonary tuberculosis surgery, a bronchoscope is injected into the trachea. The fistula is visualized. Two trocars are placed on the chest. A thoracoscope is placed into the first trocar to visualize the fistula. A conductor for an ASD occluder is inserted through the bronchoscope channel. It is visualized through a thoracoscope and pulled out through the fistula opening and the second trocar. An ASD-occluder is attached, which is pulled into the pleural cavity with the conductor until the fistula is closed. The standing of the larger disk of the ASD occluder is monitored through the thoracoscope. The standing of the smaller disk - through the bronchoscope. The conductor is disconnected from the ASD occluder and removed. Instead of the first trocar, a drainage is installed. A micro irrigator is installed through the second skin incision to rinse the pleural cavity.

EFFECT: method allows to increase the effectiveness of bronchial fistula treatment, to reduce the risk of intra- and postoperative complications due to atraumatic installation of the device under direct visual control.

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