Section of the method is combined with blunt dissection TKA it with tweezers, which allows the surgeon to enter into stubble -sectoral cavity finger detect and remove existing between the control lungs and chest wall adhesions and install the drain pipe. This method is associated with a vast vmeshatelst tion than the method of introducing the drainage through the trocar, but the not less it is likely to be more secure.
When administered drainage operative by produce time Res skin length 3-4 cm parallel intercostobrachial selected mu gap. Then cut deepen crossing location with fluoropyridinium over intercostal muscle fascia. The fascia is dissected with care so as not to touch the muscle. After dissection of the fascia, using a blunt-ended hemostatic forceps, push the muscle fibers apart to reveal the intercostal space. Then cut through the intercostal face.
Enlarging the opening and examination of the pleural cavity with the index finger (A). Using a hemostat forceps large administered Dre nazh into the pleural cavity (B).
The incision should be directly above the top edge of the rib over which the drainage will pass. Then krovoosta navlivayuschim forceps pierce parietal pleura and Uwe lichivayut hole entering finger into it. The physician must palpate the corresponding conductive portion of the pleural cavity in order to identify adhesions. Then, enter the pleural cavity drainage to survive fifth distal end. Drainage administered via krovoosta navlivayuschego tweezers immediately after hatching paltsayu last hole in the drainage must be at least 2 cm away from the chest wall into the interior plevu ral cavity. The drainage is fixed, and the incision is treated “as in the case of the introduction of drainage using a trocar.