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Related Experiment Videos

[Rethoracotomies and repeat operations on the lungs]

E A Vagner, V I Il'chishin, S V Volkov

    Vestnik Khirurgii Imeni I. I. Grekova
    |March 1, 1992
    PubMed
    Summary

    This study on 148 rethoracotomies highlights managing postoperative complications like coagulated haemothorax. Novel methods for exudate viscosity and preoperative detoxification reduced mortality after lung surgeries.

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    Area of Science:

    • Thoracic Surgery
    • Surgical Complications
    • Critical Care Medicine

    Background:

    • Rethoracotomy presents significant postoperative challenges, including coagulated haemothorax.
    • Effective management of pleural exudate and systemic toxicity is crucial for patient outcomes.

    Purpose of the Study:

    • To analyze complications following 148 rethoracotomies.
    • To evaluate the efficacy of xenospleen perfusion for coagulated haemothorax.
    • To assess preoperative detoxification methods for improving survival rates.

    Main Methods:

    • Review of 148 rethoracotomy cases.
    • Application of xenospleen perfusion in the early postoperative period.
    • Development of a method to determine exudate viscosity for infectivity control.

    Related Experiment Videos

  • Clinical application of ultraviolet irradiation (UVI) of blood, hemocarbosorption, and xenohemosorption for preoperative detoxification.
  • Main Results:

    • Complications associated with rethoracotomy were systematically described.
    • Xenospleen perfusion demonstrated utility in managing coagulated haemothorax post-pulmonectomy.
    • The novel viscosity determination method provided objective control of pleural exudate infectivity.
    • Preoperative detoxification strategies significantly reduced lethality following rethoracotomies and reoperations.

    Conclusions:

    • Xenospleen perfusion is a viable option for treating coagulated haemothorax.
    • Objective assessment of pleural exudate is achievable with the described viscosity method.
    • Preoperative detoxification methods are essential for improving survival after complex thoracic procedures.