Surgical tactics for the treatment of subpleural and intra-pulmonary hematomas as a result of pneumonia caused by COVID-19

DOI: https://doi.org/10.32902/2663-0338-2023-1-25-31

Abstract

BACKGROUND. In December 2019, cases of pneumonia of unknown etiology were detected in Wuhan (China), and later a new type of coronavirus was identified – SARS-CoV-2. In March 2020, spread of the SARS-CoV-2 was officially recognized as a pandemic.

OBJECTIVE. To demonstrate to the doctors of the thoracic surgery and pulmonology departments our experience in the tactics of treating subpleural and intrapulmonary hematomas, which is a consequence of a coronavirus infection, and determining the need for surgical intervention.

MATERIALS AND METHODS. From the beginning of the COVID-19 pandemic on the basis of the clinical department of the surgical treatment of tuberculosis and non-specific diseases complicated by purulent-septic infections of the SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine” treated 11 patients with spontaneous hematomas of post-COVID genesis, of which subpleural hematomas accounted for 9 cases (81.8 %), and intrapulmonary – 2 (18.2 %). The distribution by gender was as follows: 7 (63.6 %) women were treated, and 4 (36.4 %) men. The age of the patients ranged from 28 to 70 years, the average age was 45 years. This group of patients had the following associated pathologies: chronic obstructive pulmonary disease – 3 (27.3 %), hypertension – 3 (27.3 %), diabetes – 2 (18.2 %), chronic renal failure – 1 (9.0 %), ischemic heart disease – 2 (18.2 %).

CONCLUSIONS. Lack of timely diagnosis and surgical treatment of subpleural and intrapulmonary hematomas often leads to the addition of secondary infection, which complicates the treatment process.

Keywords: SARS-CoV-2, viral pneumonia, COVID-19, pneumothorax, VATS, hematoma

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Published
2023-03-29
How to Cite
Opanasenko, M., Bilokon, S., Konik, B., Tereshkovych, O., Shalagay, S., Levanda, L., Kalenychenko, M., Bychkovskyi, V., Stepaniuk, A., Lysenko, V., & Shamray, M. (2023). Surgical tactics for the treatment of subpleural and intra-pulmonary hematomas as a result of pneumonia caused by COVID-19. Infusion & Chemotherapy, (1), 25-31. https://doi.org/10.32902/2663-0338-2023-1-25-31
Issue
No. 1 (2023): INFUSION & CHEMOTHERAPY
Section
ORIGINAL STUDIES

Author Biographies

M.S. Opanasenko, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Opanasenko Mykola Stepanovych
Head of the department of thoracic surgery and invasive diagnostic methods
MD, professor.
10, M. Amosova st., Kyiv, 03038, Ukraine.

S.M. Bilokon, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Bilokon Sergii Mykolaiovych
Junior researcher of the department of thoracic surgery and invasive diagnostic methods
10, M. Amosova st., Kyiv, 03038, Ukraine.

B.M. Konik, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Konik Bohdan Mykolaiovych
Head of the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

O.V. Tereshkovych, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Tereshkovych Oleksandr Volodymyrovych
Senior Researcher of the department of thoracic surgery and invasive diagnostic methods
MD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

S.M. Shalagay, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Shalagaу Sergii Mykhailovych
Researcher of the department of thoracic surgery and invasive diagnostic methods
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

L.I. Levanda, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Levanda Larysa Ivanivna
Head of the department of anesthesiology
10, M. Amosova st., Kyiv, 03038, Ukraine.

M.I. Kalenychenko, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Kalenychenko Maksym Ivanovych
Researcher of the department of thoracic surgery and invasive diagnostic methods
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

V.B. Bychkovskyi, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Bychkovskyi Viktor Borysovych
Endoscopist of the department of endoscopy
PhD.
10, M. Amosova st., Kyiv, 03038, Ukraine.

A.M. Stepaniuk, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Stepaniuk Aliona Mykolaivna
Surgeon in the department of surgical treatment of tuberculosis and non-specific diseases of the lungs complicated by purulent-septic infections
10, M. Amosova st., Kyiv, 03038, Ukraine.

V.I. Lysenko, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Lysenko Volodymyr Ihorovych
Junior researcher of the department of thoracic surgery and invasive diagnostic methods
10, M. Amosova st., Kyiv, 03038, Ukraine.

M.Yu. Shamray, SI “National Institute of Phthisiology and Pulmonology named after F.G. Yanovsky of the NAMS of Ukraine”, Kyiv, Ukraine

Shamray Maksym Yuriiovych
Anesthetist of the department of anesthesiology
10, M. Amosova st., Kyiv, 03038, Ukraine.

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