This is an automatically translated article.
In case hemodynamically stable, the wound is not complicated and there are images of foreign bodies in the lung and pleura, laparoscopic surgery through the chest wall is usually applied in combination with a small incision for treatment.
1. What is surgery to remove foreign bodies in the lung and pleura?
Foreign body in the lung, pleura is a possible condition after complicated trauma to the chest. Patients often lose a lot of blood, pneumothorax, open chest wounds should open the chest to stop bleeding, gas and foreign objects in the lungs.
In case hemodynamically stable, the wound is not complicated and there are images of foreign bodies in the pleura, lung, laparoscopic surgery through the chest wall is usually applied in combination with a small incision for treatment.
2. Indications and contraindications for laparoscopic surgery to remove foreign bodies in the lung, pleura
Trường hợp mủ trong khoang màng phổi chống chỉ định với mổ nội soi
Indications for laparoscopic surgery to remove foreign bodies in the lung and pleura in the following cases:
The patient's hemodynamic stability is stable. The injury has not caused much adhesion between the lung, chest wall and mediastinal components. Contraindications for laparoscopic surgery to remove foreign bodies of the lung, pleura in the following cases:
Trauma and chest wound for a long time Infection and pus in the pleural cavity, inflammation of the chest wall Large foreign body 10mm and in dangerous areas People Diseases with aetiology and comorbidities do not allow unilateral collapse of the lung
3. Steps of laparoscopic surgery to remove foreign bodies in the lung and pleura
Step 1: Prepare surgical tools including: thoracoscopy instrument with video, chest opener.
Step 2: Mark the position of the foreign body on the chest wall and draw the expected incision in the intercostal space closest to the position of the foreign body on the patient.
Step 3: Check the location and size of the foreign body to make the incision. After surgery, remove adhesions and clean the pleural area under the incision. Combined with supportive endoscopic instruments to remove adhesions, stop bleeding, clean the pleural cavity.
Step 4: Locate the foreign body and then use forceps to remove the foreign body in the lung.
Step 5: Stop bleeding and stop gas from the wound. Endoscopic nail clipping or resection of lung lobe and lung segment i in case of extensive parenchymal lesions.
Step 6: Insert pleural drainage and close the chest.
4. Monitoring and handling after laparoscopic surgery to remove foreign bodies in the lung, pleura
Sau mổ cần chụp X-Quang để đánh giá tình trang của bệnh nhân
4.1. Follow-up after laparoscopic foreign body removal, pleural
Blood fluid through drainage in the first 24 hours Assess chest radiograph after surgery Remove drainage when gas leak is over Perform pain relief and respiratory physiotherapy 4.2. Management of complications
When having difficulties in VATS surgery to remove pleural foreign bodies, the lungs need to perform classic widening of the chest immediately. Be proactive if you lose a lot of blood when removing the foreign body from the lung parenchyma close to the great blood vessel. Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in medical examination and treatment, patients can rest assured to visit. and hospital treatment.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.
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