COMPARATIVE ANALYSIS OF THE RESULTS OF USE OF THE DOMESTIC BIOCOMPATIBLE IMPLANT FOR ACHIEVEMENT OF HEMOSTASIS AND AEROSTASIS IN VIDEOTORASCOSCOPIC INTERVENTIONS

O.D. ESHONKHODJAEV, U.N. BOBAEV

Abstract

Despite advancesin surgical technology, the occurrence of prolonged air leakage and problems of hemostasis following various type lung surgeries remain frequent com-plications. In this regard, there is a need to develop new forms of domestic composite materials that contribute to the elimination of pneumorrhea and parenchymal bleed-ing from lung tissue during video-assisted thoracoscopy (VATS) with experimental and     41Shoshilinch tibbiyot axborotnomasi, 2020, 13-tom, 1–2-sonmorphological substantiation of both the safety of their use and effectiveness in terms of achieving complete tightness of the damaged area after the application of a biological implant. The research material was the new composite material «Geprocel» in the form of a gel based on local raw materials to achieve aerostasis in case of lung damage. Studies have shown that with wound damage to the lung tissue, the application of a composite material in the form of a gel during VATS interventions can improve the tightness of primary sutures from 71.4% to 85.7%, respectively, reduce the likelihood of additional sutures from 28.6% to 14.3%, and generally improve the efficiency of minimally invasive surgeries with a decrease in the frequency of postoperative manifestations of aero- and hemostasis problems from 19.0% to 9.1%