Shkvarkovs'kyj I. The use of greater omentum in prevention and treatment of the bronchial stump suture failure after pulmonectomy

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0402U000434

Thesis Registration Form

0402U000434.pdf

Applicant for

Specialization

  • 14.01.03 - Хірургія

22-01-2002

Specialized Academic Board

К 05.600.01

Essay

The object of research - bronchial stump suture incompetence following operations on the lungs and it's prevention by means of employing the greater omentum. Objectives - improving the resalts of surgical treatment of patient with malignant and suppurative pulmonary diseases at the expense ofelaborating a method of preventing and treater bronchial fistulas by emplaying the greater omentum. Reserch methods - histologic, roentgenologic, bronchoscopic, immunologic, microbiologic, cytologic, the method of anatomizotion and clinical observation. Novelty - a new method of bronchial stump plasty by means of the greater omentum on a vascular pedicle protected by Ukraine's Declaration patent has been elaborated. For the first time the course of regenerative processes in the bronchial wall with the participation of the greater omentum tissue has been studied under experimental condition and it's efficacy compared with conventional procedures of bronchial stump treatment has been proved. The question of selectin g optimal pathways for passing an omentum patch into the pleural cavity through artificially created esophageal opening has been studied in detail for fist time. The efficacy of transpleural reamputation of the bronchial stump with secondary closure and a possibility of treating persistent fistulas by mean of omentoplasty have been demonstrated. A significant increase of the level of immunoglobulins in the pleural exudate has been established for the first time. The clinical application of the elaborated method of bronchial stump plasty sutures for the purpose of preventing postoperative complications has proved it's high efficacy. Degree of introduction - the method has been introduced into practice. Sphere of application - surgery/

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