Republican Specialized Scientific-Practical Medical Center of Surgery named of academician V.Vakhidov
The results of examination and treatment of 327 patients with postoperative intrapleural complications operated in CTS at the Regional Clinical Hospital № 1 named after S.V. Ochapovsky (Krasnodar) and in the Department of Surgery of the lungs and mediastinum RSCS named after acad. V.Vahidov.The authors have identified certain risk factors for postoperative intrapleural complications and developed specific directions on the possibilities of prevention and treatment.
The frequency of development of intrapleural complications in groups of patients operated on before and after 2006 y. was analysed.
In general, the introduction of complex treatment and prevention of specific measures for the prevention of postoperative intrapleural complications, including nebulizer therapy and low intensive laser therapy at all stages of treatment, intraoperative use of caustic argon to ensure adequate hemostasis and early connection of centralized or individual active aspiration system helped to reduce the overall incidence complications from 4.9% (225 patients) to 2.1% (102 patients).