Bilov O. Hemithorax correction using pleural plasty after lung resection in consumptive patients

This thesis deals with the increase of efficiency of pleural plasty after lung resection in consumptive patients with the usage of developed method of hemithorax correction - pleurocollagenoplasty. It was established that the main cause of complications development after lung resection with hemithorax correction is the formation of a narrow paravertebral cavity, which is not filled with the lung subjected to resection as well as high traumatism of surgical intervention. In the experiment carried out a possibility of application of a collagen sponge for the extra-pleural cavity plombage and mature connective tissue formation at the end of the 2-nd month after surgical intervention was demonstrated. A new method of hemithorax correction based on making of artificial cupula of the pleura after lung resection, preventing displacement of the lung and plombage of the formed extra-pleural cavity with plates of collagen sponge, was worked out and introduced into clinical practice. Introduction into clinical practice of a new method of hemithorax correction made it possible to reduce the time of surgical intervention, to decrease the volume of blood loss and post-operative exudates, to decrease the number of introduced narcotic analgesics, to better functional state of patients in the post-operative period. The developed method of hemithorax correction reduces the number of post-operative complication by 14,6 times, shortened lethality from 5,5% to 0%, increased efficacy of lung resection by 25,9%.