A less traumatic and safe way was sought for the superlobular bronchus and artery occlusion that permits the hemostatic effect to be quickly achieved, the risk and duration of the operation to be minimized. The approach consists in the use of transsternal approach instead of a conventional intercostal approach in 5 patients with superlobular fibrotic cavernous pulmonary tuberculosis, its positive effects being lessening of traumatic harm, improving of safety of operation, together with reduction of intraoperative time.
Causes of development of bronchial fistulas have been studied together with the policy of treating thereof in 47 patients with prior pneumonectomy for lung cancer, tuberculosis and chronic nonspecific lung diseases. It has been ascertained that the principal risk factors for the inadequacy of the bronchus stump are localization of the process, general well-being of the patient technical errors. Differentiated surgical treatment options permitted achieving a clinical effect in 63.8 percent of patients.
Some aspects of diagnosis were studied together with treatment options for different disorders of the sternum, its fractures, and sternotomy-related complications in a series of 35 patients, with n = 9, 19 and 7 respectively. It has been ascertained that individualization of modalities of treatment permits securing a clinical effect in a major proportion of patients presenting with pathologies of seldom-occurring localizations.