METHOD FOR SURGICAL TREATMENT OF BULLOUS PULMONARY DISEASE COMPLICATED BY SPONTANEOUS PNEUMOTHORAX IN CHILDREN Russian patent published in 2025 - IPC A61B17/94 A61B17/24 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, particularly to paediatric surgery. Thoracoport is introduced into 8th intercostal space along a middle axillary line on the side of the lesion. Thoracoscope is used to detect a bullous-modified segment or segments of the lung tissue, and a level of the lower border of the pleurectomy is determined. In case of a lesion in the apical and/or posterior segments of the lung, the lower border of the pleurectomy is determined at level of 6th intercostal space, and in case of involvement in anterior, and/or lateral, and/or medial segments of lung lower border of pleurectomy is determined at level of 8 intercostal space. Further, in 6th intercostal space along a posterior axillary line on the side of the lesion, a skin incision is made, subcutaneous fat and muscles are separated. Through the formed approach, a guide tunnel is introduced into the pleural cavity, having a T-shaped handle and a body curved at angle of 30° relative to the longitudinal axis of the handle, so that the concave part of the body faces the lung. End of the guide tunnelliser is brought under the parietal pleura in a projection of the skin incision; a free edge of the parietal pleura is pried off with it and separated in stages. Guide tunnelliser is moved subpleurally in the direction from the chest to the lung and at the same time advancing in the direction of the pleurectomy border. Separated pleura is removed, and atypical lung resection is performed within healthy tissues.

EFFECT: method enables reducing the length of the operation in the surgical management of spontaneous primary pneumothorax in bullous pulmonary disease in children, improving the safety of the manipulation, preventing the development of recurrent spontaneous pneumothorax and respiratory disorders in the postoperative period.

1 cl, 4 dwg, 2 ex