METHOD FOR PREVENTING INFECTIOUS COMPLICATIONS FOLLOWING VIDEO THORACOSCOPY

摘要

The method for preventing the infectious complications following video thoracoscopy comprises video thoracoscopy providing all the required intraoperative procedures, the complete evacuation of the fluid from the pleural cavity, biopsy or puncture in avascular areas of the pathologic lesions, the use of the endoscopic containers for the removal of the resected tissues, the careful mechanical sanitization of the pleural cavity, the control of hemostasis and the leakage test with "water assay", and drainage of the pleural cavity at the end of the surgery. Preoperatively, 500 mg of Levofloxacin is administrated in one hour prior to the surgery. The surgical field is treated and covered with Loban antibacterial film. Intraoperatively, the pleural cavity is sanitized with Decasan solution in a volume of 1000 mL. Then Amicacin is instilled into the pleural cavity at a dose of 1000 mg. At the end of the surgery, the sanitization fibrobronchoscopy is provided. Postoperatively, Levofloxacin is used intravenously at a dose of 500 mg twice a day for the term of the drainage and for two days following the removal of the drainage.