THE ROLE OF NON-INVASIVE AND MINI-SURGICAL TECHNOLOGIES IN IMPROVING THE QUALITY OF EXAMINATION AND TREATMENT OF VICTIMS WITH BREAST TRAUMA
The paper presents the results of using thoracoscopy data under local anesthesia during routine drainage of the pleural cavity and ultrasound examination of the chest with injuries (open, closed) of the chest organs. Data on 361 victims and 408 patients were analyzed retrospectively. Thoracoscopy under local anesthesia and ultrasound examination of the pleural cavities were performed at different times after injury. The use of minisurgical technologies (primary thoracoscopy under local anesthesia) for breast injury has reduced the overall mortality rate from 15 to 9%. Ultrasound examination in the verification of breast injuries has a sensitivity of 93-100%, specificity is 78-90%. These studies allow us to conclude about the possibility and expediency of using ultrasound scanning as a "routine" type of diagnosis in a complex of therapeutic and diagnostic measures for breast injury for subsequent control of the development of the pathological process in the pleural cavities during traumatic illness during treatment, using conservative methods and surgical aids, limited in scope. The latter can and should be performed by thoracoscopic access (the combination of drainage of the pleural cavity with "indicative" thoracoscopy is an obligatory component of the performed therapeutic and diagnostic algorithm, which allows determining the further tactics of examination and treatment in a matter of minutes), which is decisive for the subsequent necessary actions.