Thoracoscopy (synonym pleuroscopy) is a method of endoscopic examination of the pleural cavity with a special instrument - a thoracoscope introduced through a puncture of the chest wall. Thoracoscopy is performed by a doctor. The nursing staff prepares the patient and the instrumentation: a thoracoscope, an optical instrument (sterilized in formalin vapors) with a light bulb mounted on its distal end, a trocar and biopsy instruments. The set includes two thoracoscopes - with straight and side optics. Thoracoscopy is carried out after the imposition of an artificial pneumothorax (see. Pneumothorax artificial ). In 30 minutes Before the examination, a patient is injected subcutaneously with 1.0 ml of a 2% solution of omnopon and 0.5 ml of a 0.1% solution of atropine. The position of the patient on a healthy side with a flat pillow under his arm and his arm thrown over his head. The puncture of the chest wall is made in the III or IV intercostal space on the posterior or anterior axillary line. Local anesthesia infiltration with 1% novocaine solution.
When thoracoscopy examines the parietal and visceral pleura , determine the presence and nature of pleural adhesions, the degree of collapse of the lung, the presence of a tumor, etc. Thoracoscopy can be combined with the introduction of antibiotics into the pleural cavity, washing the cavity with antiseptics, perezhaniem pleural adhesions (see. .
Contraindications: adhesions that prevent the imposition of pneumothorax, purulent contents of the pleural cavity.