47 — 7 (45) 2022 — Eshonxodjayev O.Dj., Ismatov J.K., COMPARATIVE ANALYSIS OF THE RESULTS OF THE VIDEO-ASSISTED THORACOSCOPIC INTERVENTIONS FOR BULLOUS LUNG DISEASE USING VARIOUS METHODS OF PLEURODESIS

COMPARATIVE ANALYSIS OF THE RESULTS OF THE VIDEO-ASSISTED THORACOSCOPIC INTERVENTIONS FOR BULLOUS LUNG DISEASE USING VARIOUS METHODS OF PLEURODESIS

Eshonxodjayev O.Dj., RSSPMCS named after Acad

Ismatov J.K., Bukhara Regional Multidisciplinary Medical Center

Resume

The latest guidelines from the British Society of Thoracic Surgeons for the management of primary spontaneous pneumothorax indicated that after the first recurrence, treatment should include surgery (bullectomy followed by a pleural adhesion induction procedure). Thus, a surgical approach is considered the best treatment to minimize the risk of recurrence in patients who have experienced primary spontaneous pneumothorax. The aim of the study was to improve the results of video-assisted thoracoscopic surgical interventions for bullous lung disease based on a clinical and experimental evaluation of the effectiveness of optimized combined pleurodesis techniques. Clinical studies were carried out at the RSSPMCS named after Acad. V.Vakhidov and the Bukhara Regional Diversified Medical Center for 2015-2021. The comparison group consisted of 92 patients operated on at the Bukhara Regional Multidisciplinary Medical Center (2015-2021). The main group consisted of 26 patients operated on at the RSSPMCS named after Acad. V.Vakhidov (2018-2021) and 92 patients operated on in the Bukhara Regional Multidisciplinary Medical Center (2018-2021). In both groups, patients aged 20-44 years prevailed. The incidence among men was also higher than among women and was representative between groups. The clinical efficacy of the proposed method of chemical pleurodesis in bullous lung disease complicated by rupture has been proven in terms of improving and accelerating postoperative rehabilitation, reducing the incidence of specific complications and relapses of the disease. Also, the technical advantages of carrying out the developed technique of video-assisted thoracoscopic pleurodesis in terms of simplifying and reducing the operation time, as well as the clinical significance of the drug effect on the pleural cavity in terms of manifestations of the inflammatory process and antibacterial effect are determined.

Key words: pleurodesis, videothoracoscopic, bullous lung disease, FarGALS

First page

231

Last page

236

For citation: Eshonxodjayev O.Dj., Ismatov J.K., COMPARATIVE ANALYSIS OF THE RESULTS OF THE VIDEO-ASSISTED THORACOSCOPIC INTERVENTIONS FOR BULLOUS LUNG DISEASE USING VARIOUS METHODS OF PLEURODESIS //New Day in Medicine 7(45)2022 231-236 https://l.clck.bar/09418

LIST OF REFERENCES:

  1. Bertolaccini L, Pardolesi A, Brandolini J, Solli P. Uniportal video-assisted thoracic surgery for pneumothorax and blebs/bullae. J Vis Surg. 2017; 3:107.
  2. Deslée G, Mal H, Dutau H, Bourdin A, Vergnon JM, Pison C, et al. Lung volume reduction coil treatment vs usual care in patients with severe emphysema: the REVOLENS randomized clinical trial. JAMA 2016;315(2):175–84
  3. Hoyert DL, Xu JQ. Deaths: preliminary data for 2011. Natl Vital Stat Rep 2012; 61(6):1-51
  4. Ismatov D.K., Eshonkhodzhaev O.J., Kamdamov B.Z., Kikmatov J.S. (2021). Improvement of the results of combined pleurodesis with videothoracoscopic interventions in patients with bullous lung disease. 中华劳动卫生职业病杂志2021年月第39卷第7期chin J Ind Hyg Occup Dis, 2021,, Vol.39(13), 530–539. https://doi.org/10.5281/zenodo.5651067
  5. Khikmatov, J. S., Khudaibergenov, S. N., Khamdamov, B. Z., & Ismatov, J. K. (2021). Bronchiectasis (literature review). Scientific progress, 2(7), 94-108. URL: https://cyberleninka.ru/article/n/bronchiectasis-literature-review
  6. Migliore M. VATS surgery for anatomical lung resection: a different approach for every surgeon. Video-assist Thorac Surg 2016;1:31
  7. Song K.S., Keum D., Kim J.B. Chemical pleurodesis using doxycycline and viscum album extract. Korean J. Thorac Cardiovasc Surg. 2017 Aug; 50(4):281-86. doi:10.5090/kjtcs.2017.50.4.281
  8. Tomashefski J.F. Dail and Hammar’s pulmonary pathology volume I: nonneoplastic lung disease; 2008.
  9. Vannucci F. Uniportal Bullectomy for Emphysematous Bullous Lung Disease. Atlas of Uniportal Video Assisted Thoracic Surgery. Springer, Singapore. 2019; 87-93.
  10. Vogelmeier CF, et al. Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report. GOLD executive summary. Am J Respir Crit Care Med. 2017; 195(5):557–582.
  11. Жестков К.Г., Барский Б.Г., Атюков М.А., Пичуров А.А. Национальные клинические рекомендации по лечению спонтанного пневмоторакса. Москва, РФ; 2014. 23 с.
  12. Очилов М.Э. и др. Ўпканинг буллёз эмфиземаси ва спонтан пневматораксда замонавий тиббий технологияларнинг роли (амалиётда кузатилган ҳолат).“ //Ўзбекистон хирургияси” журнали. – 2016.
  13. Худайбергенов , Ш.Н., О.Дж. Эшонходжаев, Ж.К. Исматов, and Ж.С. Ҳикматов. 2021. “Улучшение Результатов Комбинированного Плевродеза При Видеоторакоскопических Вмешательствах У Больных С Буллезной Болезнью Легких”. CENTRAL ASIAN JOURNAL OF MEDICAL AND NATURAL SCIENCES, November, 343-48. https://doi.org/10.47494/cajmns.vi0.441.

file

download