The goal of the work. Improvement of outcomes of treatment of the wounded in the chest through the use of endovideosurgical technologies at the ІІ–ІV levels of care.
Materials and methods. Clinical and statistical analysis of the results of surgical treatment of 103 survivors of combat breast trauma in the area of ATO/OOS at II–IV levels of medical care in the period from 2014 to 2018 was conducted. Clinical and nosological structure, severity and nature of lesions. The control group included 54 (52.4%) victims, the experimental group — 49 (47.6%).
Results and Discussion. In combat chest injuries surgical management were used according to the principles: early and complete drainage of the pleural cavity; measures aimed at eliminating lungs as soon as possible; effective support for airway patency; elimination of pain; compensation for blood loss; sealing and stabilization of the chest wall; antimicrobial and maintenance therapy: 49 victims underwent various video-thoracoscopic operations (47.6%). 54 wounded patients underwent classic surgical interventions: pleural cavity drainage and various thoracotomy operations (52.4%).
Conclusions. The use of video-thoracoscopic surgical interventions in the complex treatment of thoracic wounded significantly reduces the development of postoperative complications, reduces the length of hospital stay of victims and contributes to the early return of military personnel to perform their duties.