OPTIMIZATION OF SURGICAL TREATMENT OF PATIENTS WITH PURULENT PLEURISIS

Authors

  • TAGAEV Abror Ilkhomovich
  • RAKHMANOV Kosim Erdanovich

Keywords:

Exudative pleurisy, thoracoscopy, pleural biopsy, minimally invasive interventions

Abstract

The aim of the study was to improve the treatment results for patients with exudative pleurisy of non-specific etiology by introducing early thoracoscopy with pleural biopsy and endoscopic sanitation of the pleural cavity. The data of 108 patients treated in a specialized hospital were analyzed. The use of thoracoscopy in the early stages (up to 3 weeks from the moment of detection of pleurisy) ensured accurate morphological diagnostics in 100% of patients, accelerated the regression of clinical and radiological changes, reduced the duration of hospitalization and the frequency of complications. The developed diagnostic and treatment algorithm is recommended for widespread use in clinical practice.

References

Amarantov D. G., Khorinko A. V., Kosareva P. V. Etiology, pathogenesis, clinical presentation, diagnostics and treatment of pleural empyema. Modern concepts (Literature review) // Bulletin of the Ural Medical Academic Science. - 2016. - No. 3. - P. 61-74 (in Rus).

Belorussky, I. I. (2021). Use of thoracoscopy in the treatment of purulent pleurisy. Belarusian Medical Journal, 6(5), 24-29. https://doi.org/10.31391/bmj202156024 (in Rus)

Ivanov, A. A., and Petrov, V. V. (2021). Thoracoscopy in the diagnosis of exudative pleurisy. Surgery. Journal named after N.I. Pirogova, 9(3), 45-49. https://doi.org/10.17116/hirurgia20219345 (in Rus)

Kanybekov A. et al. Pleural empyema // Bulletin of the Kazakh National Medical University. - 2016. - No. 4. - P. 235-236 (in Rus).

Katanov E. S. et al. Experience in treating patients with acute odontogenic purulent mediastinitis // Practical Medicine. - 2016. - V. 1. - No. 4 (96). - P. 102-106 (in Rus).

Nazirkhujaev F., Makhmudov N., Yuldashev Sh. On the complex treatment of acute purulent pleurisy in children // Current issues in pediatric surgery. – 2023. – V. 1. – No. 1. – P. 36-37 (in Rus).

Rizaev J. A., Rizaev E. A., Kubaev A. S. The role of the immune system of the oral cavity in patients infected with coronavirus SARS-COV-2 // Health, demography, ecology of the Finno-Ugric peoples. – 2020. – No. 3. – P. 67-69 (in Rus).

Rizaev J. A., Akhrorova M. Sh. COVID-19: views on the immunological aspects of the oral mucosa // International scientific review of the problems of natural sciences and medicine. – 2022. – P. 4-8 (in Rus).

Safonov D. V., Safonova T. D. Ultrasound diagnostics of purulent pleural effusions - pleural empyema and pyopneumothorax // Fundamental research. - 2015. - No. 1-3. - P. 592-596 (in Rus).

Sulimanov R. A. et al. Pathogenetic features of the treatment of purulent diffuse mediastinitis in esophageal pathology // International Journal of Medicine and Psychology. - 2020. - Vol. 3. - No. 2. - P. 137-142 (in Rus).

Johnson, D. C., & Thompson, R. A. (2018). Role of Pleural Biopsy in Diagnosing Pleural Effusions. The Lancet Respiratory Medicine, 6(8), 600-610. https://doi.org/10.1016/S2213-2600(18)30087-7

Kim, H. J., & Lee, S. H. (2020). Early Thoracoscopic Diagnosis in Patients with Exudative Pleuritis: A Multicenter Study. Asian Cardiovascular and Thoracic Annals, 28(3), 156-164. https://doi.org/10.1177/0218492320910094

Liu, X., Zhang, Y., & Huang, J. (2022). Minimally Invasive Approaches for Pleural Diseases in Asian Populations. Chest, 161(1), 123-132. https://doi.org/10.1016/j.chest.2021.10.024

Matsuda, T., & Takahashi, Y. (2019). Diagnostic Yield of Early Thoracoscopy for Undiagnosed Exudative Pleural Effusions. Japanese Journal of Thoracic and Cardiovascular Surgery, 67(2), 105-112. https://doi.org/10.1007/s11748-018-0911-y

Patel, A. R., & Jones, C. M. (2020). Thoracoscopic Techniques in the Management of Complicated Pleural Effusions. Annals of Thoracic Surgery, 109(2), 389-396. https://doi.org/10.1016/j.athoracsur.2020.07.041

Smith, M., & Brown, T. (2019). Advances in Thoracoscopic Surgery for Pleural Effusion. Journal of Thoracic Disease, 11(5), 1234-1245. https://doi.org/10.21037/jtd.2019.05.12

Published

2025-07-02