SURGICAL TREATMENT OF POSTOPERATIVE INTRAPLEURAL BLEEDING
Keywords:
postoperative intrapleural bleeding, coagulated hemothorax, hemostasis, video-assisted thoracoscopy.Abstract
to improve the tactics of postoperative treatment of intrapleural bleeding. Material and methods:
analyzed the results of treatment of 334 patients with postoperative intrapleural complications, operated on at the
Central State Clinical Hospital at the Regional Clinical Hospital No. 1 named after. prof. S.V. Ochapovsky (Krasnodar) in
2003-2008 and in the department of surgery of the lungs and mediastinum of the RSCS named. Acad. V. Vakhidov in 1999-
2018. The tactics of management of patients with intrapleural complications differed in the range of new technologies
implementation. Results: postoperative bleeding was observed in 123 patients, including 72 (58.53%) with intrapleural
bleeding, 39 (31.7%) with coagulated hemothorax, and 12 (9.7%) with parietal hematoma. 67 patients were operated
on the 1 st day after the development of the complication, satisfactory results were observed in 66 (98.5%) of them, an
attempt to conservative hemostasis and repeated intervention on the 2nd day increased the number of unsatisfactory
results by almost 4 times , 5 to 5.6%. Conclusion: Minimally invasive interventions have several advantages in eliminating
postoperative intrapleural hemorrhages: low invasiveness, reduce the length of stay of patients in the hospital and thereby
reduce the material costs. The use of PTS in coagulated hemothoraxes is the method of choice.
