THE RESULTS OF VIDEO-ASSISTED THORACOSCOPIC INTERVENTIONS FOR BULLOUS LUNG DISEASE USING VARIOUS METHODS OF PLEURODESIS

Abstract

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 2015-2021. The comparison group consisted of 92 patients operated on at the Bukhara Regional Multidisciplinary Medical Center (2015-2021). The main group consisted of 26 patients operated on at the RSSPMCS named after Acad. V.Vakhidov (2018-2021) and 92 patients operated on in the Bukhara Regional Multidisciplinary Medical Center (2018-2021). In both groups, patients aged 20-44 years prevailed. The incidence among men was also higher than among women and was representative between groups. 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 thoracoscopic pleurodesis 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.