FIELD: medicine; vascular surgery.
SUBSTANCE: in the conditions of the operating room under medical sedation under the control of ultrasound navigation, the point of introduction of the braunula is determined. Produce percutaneous puncture of lymphatic malformation to obtain the contents of the cavity. Then passive drainage of the cavity is carried out under the control of ultrasound navigation. Further, a hemoblock is injected through the braunula into the cavity of lymphatic malformation with a cavity volume of up to 100 ml, in a volume of 50% of the cavity volume, and with a cavity of more than 100 ml, a hemoblock is injected in a volume of 25% of the cavity volume. Then, under ultrasound control, the exposure is maintained, after which, by means of passive aspiration, the drug is removed from the cavity of the lymphatic malformation, the braunula is removed from the cavity of the lymphatic malformation, an antiseptic bandage is applied at the injection site, followed by kinesiotaping to achieve a lymphatic drainage effect. In a particular case, if necessary, perform a puncture of adjacent non-communicating cavities with lymphatic malformation. In a particular case, under ultrasound control, exposure is maintained for 2 minutes with a volume of lymphatic malformation up to 100 ml. In a particular case, under ultrasound control, exposure is maintained for 3 minutes with a volume of lymphatic malformation of more than 100 ml.
EFFECT: improving the results of sclerotherapy, in the form of reducing the size of malformations and reducing the risk of postoperative complications.
4 cl, 8 dwg, 3 tbl, 1 ex
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Authors
Dates
2023-09-26—Published
2021-11-24—Filed