Vac-therapy in the management of tension pneumomediastinum and subcutaneous emphysema

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Benian A.S.

Kafedra i klinika khirurgii Instituta poslediplomnogo obrazovaniia Samarskogo gosudarstvennogo meditsinskogo universiteta i Samarskoĭ oblastnoĭ klinicheskoĭ bol'nitsy im. M.I. Kalinina

Medvedchikov-Ardiia M.A.

Samarskaia oblastnaia klinicheskaia bol'nitsa im. M.I. Kalinina

Shcherbakov D.A.

All-Russian Centre of Eye and Plastic Surgery, Russian Ministry of Health, Ufa, Russia, 450075

Vac-therapy in the management of tension pneumomediastinum and subcutaneous emphysema

Authors:

Benian A.S., Medvedchikov-Ardiia M.A., Shcherbakov D.A.

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Journal: Pirogov Russian Journal of Surgery. 2020;(4): 77‑80

DOI: 10.17116/hirurgia202004177

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To cite this article:

Benian AS, Medvedchikov-Ardiia MA, Shcherbakov DA. Vac-therapy in the management of tension pneumomediastinum and subcutaneous emphysema. Pirogov Russian Journal of Surgery. 2020;(4):77‑80. (In Russ.)
https://doi.org/10.17116/hirurgia202004177

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Pneumomediastinum and subcutaneous emphysema are the main manifestations of gas syndrome in patients with tracheal injury. Traditional mediastinal decompression in case of tension emphysema is carried out through different types of cervical or transpleural mediastinotomy and subsequent passive drainage. Clinical observation of the use of VAC-therapy in the patient with injury of the membranous part of trachea followed by tension pneumomediastinum is presented. Cervicotomy with dissection of anterior mediastinum and installation of vacuum-assisted dressing were performed. Fast regression of subcutaneous emphysema and relief of pneumomediastinum were noted. There were no complications. The patient was discharged in 6 days after admission. Effectiveness of VAC-therapy in patients with tension subcutaneous emphysema and pneumomediastinum was confirmed.

Keywords:

pneumomediastinum

VAC-therapy

Authors:

Benian A.S.

Kafedra i klinika khirurgii Instituta poslediplomnogo obrazovaniia Samarskogo gosudarstvennogo meditsinskogo universiteta i Samarskoĭ oblastnoĭ klinicheskoĭ bol'nitsy im. M.I. Kalinina

Medvedchikov-Ardiia M.A.

Samarskaia oblastnaia klinicheskaia bol'nitsa im. M.I. Kalinina

Shcherbakov D.A.

All-Russian Centre of Eye and Plastic Surgery, Russian Ministry of Health, Ufa, Russia, 450075

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References:

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