METHOD OF AFFECTING PHRENIC NERVE IN INTEGRATED TREATMENT OF DESTRUCTIVE PULMONARY TUBERCULOSIS USING PARASTERNAL MEDIASTINOPLEUROSCOPY APPROACH Russian patent published in 2024 - IPC A61B17/94 A61B17/00 A61B1/313 A61B17/122 A61B17/32 

FIELD: medicine.

SUBSTANCE: invention relates to thoracic surgery, phthisiology. Skin and subcutaneous fat are incised 3–4 cm along the parasternal line on the right in the third or fourth intercostal space, and/or on the left, in the second or third intercostal space. Muscles are stupidly separated, and the parietal pleura is opened. Mediastinoscope with a light guide is introduced into the formed channel. Phrenic nerve is visualized, traced to branching at the diaphragm, where phrenicotripsy with coagulation with an endoscopic electrocoagulator or phrenicotripsy with coagulation with an ultrasonic instrument or phrenic nerve transection is performed through a mediastinoscope canal.

EFFECT: method eliminates the possibility of damaging nerves and vessels of the neck and developing complications associated with disturbed innervation of the heart, lungs and abdominal organs.

1 cl, 1 dwg, 2 ex