Diagnostics and surgical treatment of posttraumatic hemopneumothorax

There analyzed the results of examination and surgical treatment for 349 injured with closed thoracic trauma (238) and injury (111). I group of comparison included 138 (39,5%) patients who were made examination and traditional treatment without using videothoracoscopy (VTS).II group included 211 (60,5%) patients, who were performed VTS at the stage primary diagnostics and surgical treatment. Authors demonstrated that VTS allows estimating the volume and character of intrapleural complications of thoracic injury, to select optimal surgical approach, to provide early activization of injured patients. To extend indications to VTS allows avoiding thoracotomy in 37,0%,diminishing the frequency of postoperative complications from 25,4% to 10,9%, reducing in-patient treatment time from 8,1±0,36 to 7,1±0,27.