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[Late results of surgical treatment of bronchiectasis in children]
Insights
Postoperative infection in pediatric bronchiectasis surgery can be reduced. Treating the bronchial stump with the "Skalpel-l" laser improves long-term surgical outcomes in children.
Area of Science:
- Pediatric Surgery
- Pulmonology
- Medical Technology
Background:
- Postoperative complications in pediatric bronchiectasis surgery can arise from infection at the bronchial stump.
- This infection can diminish the long-term efficacy of surgical interventions for bronchiectasis.
Purpose of the Study:
- To investigate the efficacy of laser treatment for the bronchial stump in pediatric bronchiectasis surgery.
- To evaluate the impact of laser therapy on reducing postoperative complications and improving long-term outcomes.
Main Methods:
- Treatment of the resected bronchus stump using the "Skalpel-l" laser.
- Coagulation of the mucous membrane at the bronchial stump.
Main Results:
- Laser treatment resulted in mucous membrane coagulation.
- Significant improvement in long-term outcomes for patients undergoing bronchiectasis surgery.
- Reduced incidence of early postoperative complications.
Conclusions:
- Laser treatment of the bronchial stump is an effective method to improve outcomes in pediatric bronchiectasis surgery.
- This technique helps mitigate postoperative complications and enhance long-term results.
Abstract:
Among the causes of early postoperative complications in children after surgery for bronchiectasia is infection of the prehilar region due to spread of the infection from the bronchial mucosa; it remains on the stump of the bronchus after application of the and instruments during operations on the lungs. Some cases with diminished efficacy of operative treatment of bronchiectasia in the late-term periods are also attributed to this cause. Treatment of the end of the stump of the resected bronchus with the beam of the "Skalpel-l" laser leads to coagulation of the mucous membrane and considerable improvement of the late-term results of operative management of bronchiectasia in patients who had no complications in the early postoperative period.