Proceedings of the International scientific and practical conference ―Synergy of Modern Science and Education‖ (February 2-4, 2026) / Publisher website: www.naukainfo.com. – New York, USA, 2026. - 324 p.

109 Wounded and injured patients with PTP were conditionally divided into two comparable groups depending on the surgical treatment method used. The main group consisted of 34 patients who were treated from 2014 to 2019, who were selectively subjected to one of the following operations: intrapleural pericardiotomy with pericardioscopy, thoracoscopic pericardial fenestration, or subtotal pericardial resection. The observation group consisted of 31 patients treated from 2020 to 2025. As a surgical method of treating these wounded, exclusively subtotal pericardial resection by left-sided thoracotomy was used. The studied groups were comparable in terms of gender, age, presence of cardiac tamponade, as well as the number of wounded and victims with the most severe form of PTP - purulent pericarditis. Statistical processing of the obtained results was carried out using the standard application package Microsoft Office Excel 2010 and StatSoft Statistica 6.0. The easiest to perform and safest of all pericardial interventions is subxiphoid extrapleural pericardiotomy. It was performed in 29.24% of patients. Pict. 1. Subxiphoid extrapleural pericardiotomy. Endovideothoracoscopic pericardial puncture