[Surgical treatment of bronchial asthma].
Methods of surgical treatment of bronchial asthma (BA) are classified as first generation (glomectomy, gangliectomy, vagotomy, pulmonary roots denervation), second generation (implantation of neurostimulators of sinocarotid, diaphragmal nerves, vagus, sympathic trunks), third generation (implants of programmed microchips). 7-year experience of surgical treatment with second generation methods in 125 patients with BA and experience of third generation methods use are summarized. Methods of second and third generations are most promising, permit to prevent and to cure asphyxia attack without drugs--with electrostimulation of vegetative system structures by impulse current (30-150 Hz, 0.01-0.1 ms, 0.5-2.0 V). New methods increase remission period more than 2 times, reduce drug daily requirement not less than 2 times. New methods can be used with traditional drug therapy and don't lead to dangerous for life complications. From first generation methods of BA's surgical treatment, only glomectomy and pulmonary roots denervation can be performed on serious demand.
Gudovskiĭ
L M
LM
Karashurov
S E
SE
Karashurov
E S
ES
Volkov
A A
AA
Parshin
V D
VD
D000328:Adult; D000368:Aged; D001249:Asthma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013510:Pulmonary Surgical Procedures / Q000379:methods*