Thoracoscopy and Video-Assisted Thoracoscopy in Diagnostics of Pneumothoraxes, Traumatic Defeats of Thorax with Pneumothoraxes
DOI:
https://doi.org/10.53933/sspmpm.v3i4.112Keywords:
sternum injuries, pneumothorax, thoracoscopy, video-assisted thoracoscopy, diagnostics, pharmacotherapy, medicinal products, system of legal relations , COVID-19Abstract
In modern conditions, it is necessary to carry out interdisciplinary clinical and pharmacological, organizational and pharmaceutical researches on the correctness of diagnosis, treatment, pharmacotherapy and the appointment of life-necessary, effective, safe and high-quality medicines. This is due to the fact that the system of legal relations "doctor-patient-pharmacist" during the pandemic of COVID-19 and associated diseases (cardiovascular, oncological, tuberculosis, type I and II diabetes, asthma, HIV/AIDS, drug addiction, alcoholism, psychoneurological, injuries resulting from traffic accidents and combat operations, pain of various genesis and others) showed the need to improve the health care sector in each country, in general, and the work of a separate health care institution, doctor, nurse and pharmacist , in particular, that is, access to medical services and provision of medicines to patients.
The analysis of the anonymous results of diagnostics among 1368 patients and in 160 victims with closed chest trauma was carried out. There were 425 patients with spontaneous pneumothorax. Thoracoscopy or video thoracoscopy was used to verify nosologies. During the thoracoscopic examination, bullous emphysema of the lungs was found among 336 patients (79%) with pneumothorax, tuberculosis was diagnosed among 47 people (11%), lung cancer in 6.8% – 29 people; silicosis – 2.4% (10 people); sarcoid – 0.7% (3 people). According to the results of histopathological examination of biopsies obtained during thoracoscopy, tuberculous exudative pleurisy was found in 563 patients, lung cancer was the cause of the exudate in 133 cases, pleural mesothelioma was diagnosed in 98 cases, exudative pleurisy was caused by a nonspecific inflammatory process of the lungs in 149 patients. Video-Assisted Thoracoscopy is recommended to be used in patients with closed chest trauma with multiple rib fractures, complicated by small hemothorax, pneumothorax, to diagnose possible damage to the diaphragm, lungs, and pericardium.
References
Attacks on health care in the context of COVID-19. WHO. 30.07.2020. URL: https://www.who.int/news-room/feature-stories/detail/attacks-on-health-care-in-the-context-of-covid-19
What has the pandemic revealed about the US health care system - and what needs to change? MIT. 05.01.2021. URL: https://news.mit.edu/2021/what-has-pandemic-revealed-about-us-health-care-what-needs-change-0405
O’Reilly-Shah V.N., Gentry K.R., Cleve W.V. et al. The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action. Anesth. Analg. 12.05.2020. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219836/ DOI: https://doi.org/10.1213/ANE.0000000000004945
Carvalho M., Almeida I.F. The Role of Pharmaceutical Compounding in Promoting Medication Adherence. Pharmaceuticals (Basel). 2022 Sep; Vol. 15. No 9. Р. 1091. URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9503326/ DOI: https://doi.org/10.3390/ph15091091
Shapovalov (Jr.) V., Shapovalova V., Shapovalov V. Development of forensic and pharmaceutical researches within the organization of pharmaceutical business, drug technology and pharmaceutical law in Ukraine concerning the turnover of controlled drugs and substances. Health of Society. 2021. Vol.10. No 3. Р. 98-106. DOI: https://doi.org/10.22141/2306-2436.10.3.2021.246351 DOI: https://doi.org/10.22141/2306-2436.10.3.2021.246351
Shapovalova V. Pharmacotherapy of Depressive Disorders in Conditions of Coronavirus Disease: Pharmacoeconomic Experimental Study. SSP Modern Pharmacy and Medicine. 2023. Vol. 3. No 3. P. 1-11. DOI: https://doi.org/10.53933/sspmpm.v3i3.101 DOI: https://doi.org/10.53933/sspmpm.v3i3.101
Shapovalova V. Interdisciplinary pharmacoeconomic research concerning the pharmacotherapy of Аlcoholic Hepatitis in conditions of COVID-19 pandemic. SSP Modern Pharmacy and Medicine. 2023. Vol .3. No. 2. P. 1-10. URL: https://doi.org/10.53933/sspmpm.v3i2.87. DOI: https://doi.org/10.53933/sspmpm.v3i2.87
Lallanilla M. COVID cases up 55% in New York, doctors warn of new variants. Nypost. 08.08.2023. URL: https://nypost.com/2023/08/08/covid-19-cases-jump-in-new-york-free-tests-are-hard-to-find/
Wells C.R., Galvani A.P. The globa l impact of disproportionate vaccination coverage on COVID-19 mortality. The Lancet. 2022. Vol. 22. Р. 1254-1255 URL: https://www.thelancet.com/pdfs/journals/laninf/PIIS1473-3099(22)00417-0.pdf DOI: https://doi.org/10.1016/S1473-3099(22)00417-0
Shapovalova V. Forensic and pharmaceutical risks in the organization of pharmacotherapy of covid, post-covid and long-covid disorders. COVID-19 and vaccination practice standards. SSP Modern Pharmacy and Medicine. 2022. Vol. 2. No. 4. P. 1-24. URL: https://doi.org/10.53933/sspmpm.v2i4.69 DOI: https://doi.org/10.53933/sspmpm.v2i4.69
Shapovalova V. An Innovative multidisciplinary study of the availability of coronavirus vaccines in the world. SSP Modern Pharmacy and Medicine. 2022. Vol. 2. N. 2. P. 1–17. URL: https://doi.org/10.53933/sspmpm.v2i2.45 DOI: https://doi.org/10.53933/sspmpm.v2i2.45
Shapovalov V. Multidisciplinary study of medical errors in the system of legal relations between "Doctor-Patient-Pharmacist-Advocate" during the circulation of drugs. SSP Modern Pharmacy and Medicine. 2023. Vol. 3. No. 2. P.1-11. URL: https://doi.org/10.53933/sspmpm.v3i2.88
Lung Damage May Persist Long After COVID-19 Pneumonia. RSNA. 29.03.2022. URL: https://www.rsna.org/news/2022/march/lung-damage-after-covid
Suran M. Autopsies Reveal Lung Damage Patterns From COVID-19. JAMA. 2021. Vol. 326. No. 24. Р. 2463. URL: https://jamanetwork.com/journals/jama/fullarticle/2787569 DOI: https://doi.org/10.1001/jama.2021.22070
Shapovalov V. Multidisciplinary study of medical errors in the system of legal relations between "Doctor-Patient-Pharmacist-Advocate" during the circulation of drugs. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.2. P.1-11. URL: https://doi.org/10.53933/sspmpm.v3i2.88. DOI: https://doi.org/10.53933/sspmpm.v3i2.88
Nekrasov V. Death on the road: what the official statistics on road accidents in Ukraine hide. EPRavda. 03.09.2018. URL: https://www.epravda.com.ua/publications/2018/09/3/640036/
Road accidents in Ukraine: how many people are injured and killed on the roads. Analytical portal "Slovo i dilo". 21.07.2021. URL: https://www.slovoidilo.ua/2021/07/21/infografika/suspilstvo/dtp-ukrayini-skilky-lyudej-travmuyetsya-hyne-dorohax
Zozulya I.S., Volosovets A.O., Zozulya A.I. Anesthesiology and intensive care: emergency medicine. Ukraine medical journal. 2021. No. 4 (144). P. 20-25. URL: https://umj.com.ua/uk/stattia-214030-travma-travmatichnij-shok-diagnostika-ta-nadannya-nevidkladnoyi-dopomogi
Osadchii A.I. COVID-19: dangerous complications. Ukrainian medical journal. 12.02.2021. URL: https://umj.com.ua/uk/publikatsia-198900-covid-19-nebezpechni-uskladnennya
Gudzenko A.A., Shapovalov V.V., Shapovalova V.А. et al. Organizational and legal, forensic and pharmaceutical researches of pharmaceutical provision for mental disorders of victims in the emergencies at regional level. Likars’ka Sprava. 2018. Vol. 7-8. P. 149-157. URL: https://doi.org/10.31640/JVD.7-8.2018(24). DOI: https://doi.org/10.31640/VD.7-8.2018(24) DOI: https://doi.org/10.31640/JVD.7-8.2018(24)
Shapovalova V. Alcoholic Hepatitis: An experimental meta-analysis. SSP Modern Pharmacy and Medicine. 2023. Vol. 3. No. 1. P. 1-11. URL: https://doi.org/10.53933/sspmpm.v3i1.77. DOI: https://doi.org/10.53933/sspmpm.v3i1.77
Shapovalov V., Gudzenko A., Shapovalova V. et al. Concerning the importance of forensic and pharmaceutical researches to improve patients’ accessibility to medicines. Pharmacia. 2017. Vol. 65. No. 2. Р. 23-29. URL: http://bsphs.org/wp-content/uploads/2017/07/Shapovalov.pdf.
Hayduchok I. Pharmacotherapy of systemic vasculitis combined with cryoglobulinemic syndrome using pharmacoeconomic approaches. Global Journal of Health Science. 2021. Vol.13. No.7. P.78-88. URL: https://doi.org/10.5539/gjhs.v13n7p78. DOI: https://doi.org/10.5539/gjhs.v13n7p78
Smirnov S., Okseniuk, O. (2023). Modern Educational, Scientific and Industrial Process in a Temporarily Relocated Institution of Higher Education: Challenges, Features of Organization, Prospects for Development and Innovations. SSP Modern Pharmacy and Medicine. 2023. Vol.3. No.3. P.1-11. URL: https://doi.org/10.53933/sspmpm.v3i3.107 DOI: https://doi.org/10.53933/sspmpm.v3i3.107
UKHSA unveils VDEC in ‘step change’ for UK’s growing vaccine capabilities. GOV.UK. 07.08.2023. URL: https://www.gov.uk/government/news/ukhsa-unveils-vdec-in-step-change-for-uks-growing-vaccine-capabilities
Gallagher J. Porton Down: Can this laboratory help stop the next pandemic? BBC. 08.08.2023. URL: https://www.bbc.com/news/health-66396585
Hetman V.G. Clinical thoracoscopy. Kyiv: "Health". 1995. P. 35-39.
Safonov V.E., Kravchenko K.V., Bondarevskyi A.O. et al. The use of video thoracoscopy in the diagnosis and treatment of diseases of the chest organs. 2011. P. 181-184. URL: http://dspace.nbuv.gov.ua/bitstream/handle/123456789/75322/55-Safonov.pdf?sequence=1
Melnyk V.M., Opanasenko M.S., Tereshkovich O.V. et al. Diagnosis and treatment of chest injuries. Kyiv: State institution "National Institute of Phthisiology and Pulmonology named after Yanovsky F.G. National Academy of Sciences of Ukraine". 2015. 27 p.
McKnight C.L., Burns B. Pneumothorax. Ncbi.nlm.nih. 15.02.2023. URL: https://www.ncbi.nlm.nih.gov/books/NBK441885/
Tension pneumothorax: symptoms and methods of treatment. Medical portal ITMED. 2023. URL: https://itmed.org/articles/napruzhenyy-pnevmotoraks-symptomy-ta-metody-likuvannya/
Martynyuk V.A., Grubnyk V.V., Shipulin P.P. Video thoracoscopic operations for diseases of the chest organs. Hospital surgery. 2000. No. 3. P. 150-154.
Savula M.M., Ladny O.Ya., Kravchenko N.S. et al. Differential diagnosis of lung and pleural diseases. Ternopil: "Ukrmedknyga". 2000. P. 196-216.
Ludwig C., Koryllos A. Management of chest trauma. Journal of Thoracic Disease. 13.04.2017. Vol 9, Supplement 3. URL: https://jtd.amegroups.org/article/view/12949/html DOI: https://doi.org/10.21037/jtd.2017.03.52
Perelman M.I. Thoracic surgery and its prospects. Pulmonology. 1995. No. 2. P. 6-16.
Sekimura A., Funasaki A., Iwai S. et al. Thoracoscopic small pulmonary nodule detection using computed tomography-guided cutaneous marking and pleural marking. Ournal of Thoracic Disease. JTD. 2019. Vol. 11. No. 7. URL: https://jtd.amegroups.org/article/view/29944/html DOI: https://doi.org/10.21037/jtd.2019.06.68
Petrenko V.I. Epidemiology of tuberculosis. The art of healing. 2003. No. 4. P. 42-46.
Yatskyv V.V., Frimet S.E., Slyvka V.P. Modern methods of surgical treatment of bullous lungs emphysema. Clinical anatomy and operative surgery. 2018. Vol. 17. No 4. P. 93-88. URL: http://kaos.bsmu.edu.ua/article/view/1727-0847.17.4.2018.15 DOI: https://doi.org/10.24061/1727-0847.17.4.2018.15
Boutin C. Monnet I. Ruffie P. Astoul P. Malignant mesothelioma: clinical and therapeutic study. Revue des Maladies respiratoires. 1999. No.16. Р. 1317-1326. URL: https://pubmed.ncbi.nlm.nih.gov/10897853/
Kostyk O.P., Sahelashvili-Bil O.I., Sahelashvili M.I. et al. Diagnosis of multidrug-resistant tuberculosis by the molecular genetic method. Ukrainian medical news. 2022. Vol. 14. No. 1-2 (90-91). P. 37-38. URL: https://umv.com.ua/index.php/journal/article/view/27/27
Kostyk O.P., Volnytska Kh.I., Rudnytska N.D. et al. Interleukins in serum and bronchoalveolar lavage in patients with chronic obstructive pulmonary disease or bronchial asthma after pulmonary tuberculosis or pneumonia. Tuberculosis, Lung Diseases, HIV Infection. 2023. No 1. P. 11-15. URL: http://tubvil.com.ua/article/view/275397/270788 DOI: https://doi.org/10.30978/TB-2023-1-11
Nevzghoda O. Interdisciplinary study of health disorders associated with comorbid addictions. SSP Modern Pharmacy and Medicine. 2023. Vol. 3. No. 3. P.1-13. URL: https://doi.org/10.53933/sspmpm.v3i3.109 DOI: https://doi.org/10.53933/sspmpm.v3i3.109
Nevzhoda A., Nevzhoda O. Immunological criteria of autoaggression of bronchial asthma: markers for prediction of the course and selection of adequate pharmacotherapy. SSP Modern Pharmacy and Medicine. 2023. Vol. 3. No 1. P. 1-7. URL: https://doi.org/10.53933/sspmpm.v3i1.84/ DOI: https://doi.org/10.53933/sspmpm.v3i1.84
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