METHOD FOR SURGICAL TREATMENT OF CAVITARY FORMS OF PULMONARY TUBERCULOSIS Russian patent published in 2022 - IPC A61B17/00 A61B17/88 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to thoracic surgery. Ribs are resected from paravertebral access. The number of resected ribs is preliminarily determined by the location of the lung decay cavity. The third and fourth or third to fifth ribs are resected in the direction from the costovertebral joint to the sternum so that the remaining segment of the next resected rib is longer than the previous one. Perform extrapleural pneumolysis of the apex of the lung. Next, the first and second ribs are removed. Then, a mesh implant made of a non-absorbable monofilament polypropylene suture is placed on the apex of the lung. One end of the mesh implant is fixed in the region of the sternocostal articulation of the third rib with a suture covering the said rib along the perimeter. The mesh implant is placed over the apex of the lung along the mediastinum, ensuring the tension of the implant along the length. The second end of the mesh implant is fixed to the second intact rib in the region of the costovertebral joint with a suture covering the rib along the perimeter. Then the mesh implant is fixed to the pleura and intercostal muscles, ensuring its tension in width.

EFFECT: method allows to increase the efficiency, reliability and safety of surgical treatment of cavitary forms of pulmonary tuberculosis, reduce injuries and expand the scope.

2 cl, 10 dwg, 3 ex