Thoracic laparoscopic surgery for blood spill – pleural gas overflow

Blood spills – pleural effusion is quite dangerous and often occurs in young people. If not handled properly and promptly, this situation will become more and more serious. In the ways of treating pleural gas overflow, thoracic laparoscopic surgery is the best way to effectively and definitively address this condition.

1. What is a pleural effusion? Causes of pleural gas overflow

Blood spill – a naturally developed pleural gas spill (TKMB TPP) is a condition in which gas blood accumulates in the pleural cavity. This is caused by chest injuries, chest wounds, bleeding from broken ribs, lung mesenterosis, or inter-rib arteries. When the balloons in the lungs rupture, a spill of blood – overflow of gas will appear. This condition usually occurs in young, healthy patients and without lung pathology.

Blood spills – moderate and low-level pleural gas spills will be difficult to diagnose, in this case it is necessary to rely on ultrasound results and CT Scanner to determine. As for blood spills – pleural spills in large quantities can be diagnosed clinically, with severe cases like this, a pleural spill and timely surgery is required.

CT scan of baby's lungs

CT scan diagnoses pleural blood spill

2. How to handle blood spills – pleural effusion?

First, the doctor will prescribe pleural circulation to >1000ml or 200 ml/h for 3 consecutive hours. If pleural conduction is correct and ineffective, a CT Scanner after 3 days is still blood in the pleural cavity. Finally, pleural conduction remains into the gas after 7 days.

However, pectoral conductal placement is only a temporary and commonly used way of dealing with mild cases. After placing chest drainage, it is necessary to wait for the lungs to hatch and after the gas detector is expired for at least 2 days to be drained. Therefore, the hospitalization period will be prolonged, and this method has a high recurrence rate.

Thoracic laparoscopic surgery is a treatment for severe epidemics. When the patient has a stable general and hemolysis condition, the doctor may allow thoracic endoscopy. This is a less invasive treatment in thoracic diseases, which relieves post-surgery pain and shortens the post-surgery period. Not only helps reduce the incidence of recurrence of the disease, but also brings aesthetic efficiency.

Laparoscopic surgery for double intestine treatment

Thoracic laparoscopic surgery is a less invasive treatment

3. Cases where thoracic endoscopic surgery is not possible

Thoracic laparoscopic surgery is a less invasive and quite benign method so there are no cases of absolute contraincress to this method. However, in cases where the patient has a general condition or severe coordinated disease, the doctor and family should carefully remind before conducting thoracic laparoscopic surgery.

4. What should be prepared for thoracic laparoscopic surgery?

Pre-surgery preparation is not only important for each patient, but also needs to prepare well for their work. In addition, surgical support facilities must also meet the requirements required for this method. The following are the specific jobs that need to be prepared before conducting thoracic laparoscopic surgery:

4.1 Implementer

  • Trained in thoracic laparoscopic surgery.
  • Master the principles of first aid, initial handling.
  • Explain to the patient and his family the condition and possible risks during surgery and after surgery.

4.2 Media

The instruments, operating room specializing in thoracic cardiovascular surgery and equipped with endoscopic apparatus.

4.3 Patients

  • Well explained about the disease, risks during and after surgery.
  • Agree to surgery and sign a surgical commitment
  • Medical records: Prepared in accordance with regulations of the Ministry of Health.

physician

Patients are consulted and signed a pre-surgery commitment

4.4 Steps to perform thoracic laparoscopic surgery

Step 1: Check the dossier, ensure all documents as prescribed by the Ministry of Health.

Step 2: Check the patient for the right person (name, age,…), the right disease.

Step 3: Perform the technique:

  • The patient lies in an inclined position, prescribing pillows under his back.
  • Body anesthesia, intt management of selective ventilation of one lung.
  • Place Trocar: Place two or three trocars. After that, put a regular trocar in the DLMP hole.
  • Damage assessment: Number of blood clots, source of bleeding, held or bleeding.
  • Use Pince en coeur to remove all blood clots, sucking out blood deposited through endoscopy.
  • Hem bleeding with electric combustion or hem bleeding (if the lesion is still bleeding), stitching the torn lung tissue …
  • Hatch the lungs, check the gas from the tissue if needing strengthening.
  • Put pleural conduction (one or two depending on the case).
  1. Follow-up after thoracic laparoscopic surgery

Patients after surgery need to monitor the following parameters to be able to handle in a timely manner:

  • The amount of blood, the gas released according to the flow.
  • Monitor for complications.
  • Take care of the flow, ensuring "er8th, closed, one-way, continuous suction".

The following are the possible complications after surgery and how to handle each case:

  • Bleeding: Bleeding a lot must be checked again, stopping the bleeding.
  • Prolonged gas leakage: if more than 7 days must be re-operated.
  • Infection: Antibiotic therapy if pleural residue is available. If there is pleural pus, it must be re-operated and cleaned.

The above is a detailed introduction of blood spill – pleural gas overflow and laparoscopic surgery to treat this condition. Since this is the gentlest and most effective method, it is often chosen by doctors to treat patients. However, it is necessary to perform in reputable medical facilities to avoid unfortunate complications from occurring.

Any questions that need to be answered by a specialist as well as customers wishing to see and treat at Share99 International Health Hub, you can contact Share99 Health System nationwide or register online HERE.

SEE MORE:

  • Common lesions in chest injuries
  • First aid for chest injuries under the guidance of the Ministry of Health
  • Identify the differences of angina pains of each type of disease

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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