Open AccessSURGICAL ASPECTS OF DIAGNOSIS AND TREATMENT OF CHEST PATHOLOGY CAUSED BY CORONAVIRUS DISEASE COVID-19, ANALYSIS OF CLINICAL CASE
Author(s) -
V. Yatskyv,
B. Maksymyuk,
S. Frimet,
Ya. V. Hyrla,
S. Mereuca
Publication year - 2020
Publication title -
klìnìčna anatomìâ ta operativna hìrurgìâ
Language(s) - English
Resource type - Journals
eISSN - 1993-5897
pISSN - 1727-0847
DOI - 10.24061/1727-0847.19.4.2020.47
Subject(s) - medicine , pneumothorax , disease , pneumonia , intensive care medicine , pulmonologists , pleurisy , pandemic , pericarditis , serous fluid , general surgery , surgery , covid-19 , pleural effusion , pathology , infectious disease (medical specialty)
The COVID-19 pandemic has generated many challenges both for humanity in general, and for the systems of organizing medical care and many areas of specialized treatment, in particular surgical. The very dynamics of the pandemic, the lack of available specific treatment, various approaches to assessing statistical and clinical data in various countries today do not allow generally accepted conclusions to be drawn. Numerous publications on this topic, as a rule, contain information about personal experience of research, diagnosis, treatment and a review of the current literature. We analyzed 68 cases of chest diseases caused by COVID-19 in patients who received consultative, specialized surgical thoracic care in basic medical institutions of Chernivtsi region for the period January-September 2020. Bilateral lung lesions predominated – 70.6 % in older patients 42 years (66.2 %). Surgical interventions were performed in 65 (95.6 %) patients. The most common complication in the acute period was pneumothorax on the background of active viral pneumonia – 40 (58.8 %) patients, 6 (8.8 %) – patients with heart and pericardial lesions, 7 (10.3 %) – hemorrhagic, serous-fibrinous pleurisy. Based on own data in comparison with the histological and pathophysiological researches resulted in the available literature, surgical tactics, separate surgical receptions at patients with virus-induced complications, in particular: drainage of a pleural cavity, pericardium, videothoracoscopic techniques are proved. The algorithm of examinations and treatment tactics in the formation of intrapulmonary pseudocysts after coronavirus disease are presented. We analyzed 5 (7.4 %) cases in which there were complications of major diseases (cancer, nonspecific purulent-septic diseases) caused by COVID-19. Study of the effectiveness of the use of videothoracoscopic electric welding technologies in the destruction of the lung parenchyma caused by viral infections.