105 -4 (78) 2025 - Julbekov K.I., Ruziboyev S.A. - SURGICAL TACTICS IN COAGULATED HEMOTHORAX

SURGICAL TACTICS IN COAGULATED HEMOTHORAX

Julbekov K.I. - Samarkand Branch of the Republican Scientific Center for Emergency Medical Care

Julbekov K.I. - Samarkand State Medical University

Resume

This article addresses one of the most pressing issues in modern thoracic surgery and traumatology — the diagnosis and treatment of clotted hemothorax (CH). With the increasing number of patients suffering from chest injuries, the frequency of complications, including post-traumatic clotted hemothorax, also rises. CH is diagnosed in 3.8–12% of patients with hemothorax. CH presents a complex clinical condition characterized by the formation of dense blood clots, fibrous overlays, and adhesions that impair respiratory function and contribute to the development of sclerotic changes in the lungs. The traditional treatment method is thoracotomy, but due to its traumatic nature and prolonged rehabilitation, less invasive alternatives are being sought. With the advancement of endoscopic thoracic surgery (particularly video-assisted thoracoscopic surgery — VATS), new opportunities for minimally invasive evacuation of clotted blood and pleural cavity sanitation have emerged. These procedures reduce surgical trauma and significantly accelerate patient recovery, especially when performed early. Thus, improving diagnostic accuracy and introducing minimally invasive techniques in CH management is a key priority in modern thoracic surgery.

Keywords: clotted hemothorax, traumatic hemothorax, video-assisted thoracoscopic surgery, thoracotomy, pleural cavity, endoscopic thoracic surgery, minimally invasive surgery, post-traumatic complications.

First page

610

Last page

614

For citation:Julbekov K.I., Ruziboyev S.A. - SURGICAL TACTICS IN COAGULATED HEMOTHORAX//New Day in Medicine 4(78)2025 610-614 https://newdayworldmedicine.com/en/new_day_medicine/4-78-2025

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