METHOD FOR TEMPORARY DISCONNECTION OF BILIO-PLEURO-PULMONARY FISTULAE Russian patent published in 2022 - IPC A61B17/24 A61M39/24 A61B1/267 A61F2/04 A61M1/00 A61M27/00 

FIELD: medicine.

SUBSTANCE: invention relates to the field of medicine, namely, to thoracic surgery. At the first stage, the localisation of the draining bronchus is established from the data of search and debridement fibreoptic bronchoscopy. Then endoscopic valvular bronchial blocking of the fistulous tract is performed during fibreoptic bronchoscopy, under local instillation anaesthesia of the nasopharynx, larynx, and tracheobronchial tree with Sol.Lidocaini 2% 8.0 ml, under medical sedation. The endobronchial valve put on the distal end of the endoscope herein is set tightly using endoscopic biopsy forceps in the lobar or segmental bronchus draining the cavity of the biliary empyema. At the second stage, the right pleural cavity is drained. For this, after disinfecting and performing anaesthesia of the lateral chest wall, a drainage tube is set at a point pre-established under X-ray control in the pleural cavity between the ribs by a puncture method using the Seldinger technique. On the first day after draining, a pleural drainage is connected to the active aspiration system in the evacuation mode at 20 cm w.c. Starting from the second day, passive Bulau drainage of the pleural cavity is performed. For this, a kit for catheterising subclavian and jugular veins is used.

EFFECT: possibility of achieving clinical stabilisation of the condition of patients with bilio-pleuro-pulmonary fistulae after surgical intervention on the liver and preparing them for successful radical surgical intervention under endotracheal anaesthesia.

1 cl, 2 ex, 3 dwg