PAEDIATRIC SURGERY.UKRAINE.2018.4(61):42-45; doi 10.15574/PS.2018.61.42

Kelemen I. Ya., Savula M. M., Didyk V. S.
SHEI «Uzhgorod National University», Uzhgorod, Ukraine
Andrii Novak Zakarpattia Oblast Clinical Hospital, Uzhgorod, Ukraine

Objective: to implement endobronchial occlusion in the comprehensive treatment of patients with purulent-destructive pulmonary diseases, to evaluate and improve the management of a such group of patients.

Materials and methods. In total 130 patients with purulent-destructive pulmonary and mediastinal diseases of different severity and complications were treated. The patients with destructive pneumonia and pleuritis complicated with pleural empyema prevailed and made up 94 (72.3%) cases; solitary and multiple lung abscesses accounted for 26–20%, pulmonary gangrenous lesions – 10–7.7%. Bronchial occlusion (provided to 10 patients) was preceded by multiple therapeutic bronchoscopies of the affected bronchopulmonary areas and intrapleural hydrolavages with variable vacuum pressure. Temporary bronchial occlusion was performed using a bronchoobturator, the endobronchial valve «MEDLANG».

Results and conclusions. All patients were discharged recovered. There were no fetal outcomes. The proposed method is the most efficient comprehensive treatment of patients with severe forms of purulent-destructive lung lesiones, significantly improves recovery indices, reduces the length of hospital stay and contributes to the rapid recovery of performance capability.

Key words: pulmonary gangrene, bronchopleural fistula, video-assisted thoracoscopy, valve bronchial occlusion.

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Article received: Jun 12, 2018. Accepted for publication: Nov 05, 2018.