85 -5 (79) 2025 - Ismatov J.K. - COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF PLEURODESIS METHODS IN VIDEOTHORACOSCOPIC TREATMENT OF BULLOUS LUNG DISEASES

COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF PLEURODESIS METHODS IN VIDEOTHORACOSCOPIC TREATMENT OF BULLOUS LUNG DISEASES

Ismatov J.K. - Bukhara State Medical Institute named after Abu Ali ibn Sina

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 2015-2024. 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 thoracoscopicpleurodesis 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

432

Last page

435

For citation:Ismatov J.K. - COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF PLEURODESIS METHODS IN VIDEOTHORACOSCOPIC TREATMENT OF BULLOUS LUNG DISEASES//New Day in Medicine 5(79)2025 432-435 https://newdayworldmedicine.com/en/new_day_medicine/5-79-2025

List of References

  1. Agarwal R, Khan A, Aggarwal AN, et al. Efficacy & safety of iodopovidonepleurodesis: a systematic review & meta-analysis. Indian J Med Res. 2012; 135:297–304.
  2. Bertolaccini L, Pardolesi A, Brandolini J, Solli P. Uniportal video-assisted thoracic surgery for pneumothorax and blebs/bullae. J Vis Surg. 2017;3:107.
  3. 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
  4. Guo Y, Tang K, Bilaceroglu S, et al. Iodopovidone is as effective as doxycycline in producing pleurodesis in rabbits. Respirology. 2010;15:119-25.
  5. Hoyert DL, Xu JQ. Deaths: preliminary data for 2011. Natl Vital Stat Rep 2012; 61(6):1-51
  6. Hikmatov J.S. (2023). Use of the Mos SF-36 questionnaire in the assessment of quality of life in surgery. Journal of applied medical sciences, 6(4), 49-55.
  7. Ismatov D.K., Eshonkhodzhaev O.J., B.Z.Kamdamov, &J.S.Kikmatov. (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 IndHygOccup Dis, 2021,, Vol.39(13), 530–539. https://doi.org/10.5281/zenodo.5651067
  8. 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
  9. Migliore M. VATS surgery for anatomical lung resection: a different approach for every surgeon. Video-assist ThoracSurg 2016;1:31
  10. Sakakura N, Mizuno T, Kuroda H, Sakao Y, Uchida T. Surgical treatment of empyema after pulmonary resection using pedicle skeletal muscle plombage, thoracoplasty, and continuous cavity ablution procedures: a report on three cases. J Thorac Dis. 2016 Jun;8(6):1333-39. doi: 10.21037/jtd.2016.04.04

    file

    download