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Abstract: Poster Presentations |

ROLE OF TEMPORARY BRONCHIAL ENDOSCOPIC OCCLUSION IN SURGICAL PULMONOLOGY FREE TO VIEW

Ia N. Babilashvili, MD*; Paata Gvetadze, MD
Author and Funding Information

Tbilisi State Medical University, Tbilisi, Georgia


Chest


Chest. 2008;134(4_MeetingAbstracts):p139004. doi:10.1378/chest.134.4_MeetingAbstracts.p139004
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Abstract

PURPOSE: The work describes our experience of application of Temporary Bronchial Endoscopic Occlusion to 188 children of age under 15 with various lung pathologies.

METHODS: The method: at a time of bronchoscopy, under general anesthesia, damaged bronchial lobe is occluded with special foam rubber ball with the diameter 2–3 times greater than the one of the bronchus, to ensure tight adhesion and prevent its migration. As a result of occlusion of the bronchial opening the damaged lobe is not supplied with air and air is not discharged into the cave of pleura. Healthy lung lobes can expand –pneumatothorax is closed. Through repeated bronchoscopy foam rubber ball is removed.

RESULTS: Temporary Bronchial Endoscopic Occlusion was applied as a supplementary method in case of surgical treatment of pneumonia complicated by an abscess in 40 patients. Unlike the standard methods, after opening and sanitation of the lung, temporary occlusion performed immediately after completion of operation ensures impermeability. Temporary Bronchial Occlusion was also successfully applied as pre-surgical preparation method for various purposes.

CONCLUSION: Experience showed that Temporary Bronchial Endoscopic Occlusion is characterized with wide range of opportunities not only in treatment of pleuro-pulmonary suppurative diseases it is highly effective for elimination of number of urgent situations for preparation before surgery.

CLINICAL IMPLICATIONS: Major group consisted of 127 children with pyopneumothorax; their treatment with puncture and drainage method did not yield any results. In 110 cases stable expansion of the lung occurred after the initial occlusion. 17 children required secondary occlusion by the reason of pneumtothorax recurrence after removal of the bronchial blocker. In 4 cases the necessity of surgical treatment emerged. 2 cases were lethal, by the reason of progressing of the pyoseptical process.

DISCLOSURE: Ia Babilashvili, No Financial Disclosure Information; No Product/Research Disclosure Information

Wednesday, October 29, 2008

1:00 PM - 2:15 PM


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