The thoracoscopy

The thoracoscopy (synonym of pleuroscopy) is the method of endoscopic examination of pleural cavity with the special tool - thoracoscope use in intensive chest wall. Thoracoscopy performed by a physician. The nurses prepares the patient and tools: thoracoscope - optical device (sterilized in pairs formalin) mounted at the distal end of the electric light bulb, trocar and tools for biopsy. The set includes two thoracoscope - line and side optics. Thoracoscopy is conducted after the imposition of artificial pneumothorax (see artificial Pneumothorax). 30 minutes before the study, the patient is injected subcutaneously 1.0 ml of 2% solution of omnopon and 0.5 ml of 0.1% solution of atropine. The patient on the healthy side with enclosed flat pillow and thrown over the head. Puncture chest wall produce III or IV intercostal space on the back or on the anterior axillary line. Local infiltration anaesthesia 1% solution novokaina.
When thoracoscopy explore the parietal and visceral the pleura, determine the existence and nature of pleural cicatrices, the degree of spadenia light, the presence of tumors, etc Thoracoscopy can be combined with the introduction of antibiotics in the pleural cavity, washing oral antiseptics, blowing pleural growths (see Thoracoscopic), biopsy.
Contraindications: adhesions, preventing the imposition of pneumothorax, purulent contents of the pleural cavity.