METHOD FOR TEMPORARY COMPRESSION OF THE SUBCLAVIAN ARTERY BY THORACOSCOPIC CLIPPING Russian patent published in 2022 - IPC A61B17/94 A61B17/12 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular, to emergency surgery. Points of installation of ports for thoracoscopic approach are marked on the chest. Port A — for the thoracoscope and inert gas supply — intercostal space V along the anterior axillary line. Port B — for the clipper — intercostal space III 1.5 cm lateral to the midclavicular line. Port C — for the dissector — intercostal space V along the midaxillary line. Next, skin incisions are made at the marked points, followed by piercing the chest with a trocar and installing the ports. The ports are installed in the following order: A, B, C. The corresponding thoracoscopic tools are inserted into the ports. The subclavian artery is isolated under the control of the thoracoscope, followed by applying a "bulldog"-type direct arterial clip or a non-invasive clamp onto the isolated subclavian artery in the first region thereof distal to the point of separation of the vertebral artery. The estimated external bleeding from the damaged branches of the subclavian artery is then verified. If the surgical intervention has been performed correctly, the continuing external bleeding will be stopped.

EFFECT: shorter time of surgery and lower risk of complications in the postoperative period.

1 cl, 3 dwg