METHOD FOR COMBINED PERICARDIAL CAVITY DRAINAGE Russian patent published in 2019 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to thoracic surgery, and can be used for pericardial cavity drainage. Linear incision is made along the midline of the abdomen in the subxyfoidal region. Diaphragm is sagittally dissected immediately under pericardium by 2 cm. Aponeurosis is incised and the peritoneal sac is incised. Pericardial peritoneal anastomosis is formed by superimposing circular interrupted sutures between pericardium and peritoneum. Drainage is inserted through the counter-aperture into a pericardial cavity. Before the above manipulations through the incision in the subxyfoidal area, pericardiotomy is performed in the lower pole of the pericardial sac with excising an oval window with the size of up to 6 cm in the largest diameter. Exudate is removed from pericardial cavity. Pericardioscopy is performed to assess the condition of the pericardial wall, the presence of pathological formations. Performing transpericardial formation of pericardio-pleural anastomosis by resection of left pericardial wall. Drain tube is inserted into the pleural cavity through separate access to the VIII intercostal space along the posterior axillary line to the left.

EFFECT: method enables pericardial cavity drainage, eliminated pain syndrome, adequate bidirectional drainage of pericardial exudate, as well as reduce the risk of recurrent exudative pericarditis due to developing adhesive process in the abdominal and left pleural cavities by a combination of accesses and access to the pleural cavity through the pericardial cavity, combined formation of anastomosis between the cavity of the pericardium and other cavities – pleural and abdominal cavities.

1 cl, 1 dwg, 1 ex