Changing Trend of Surgery in Pulmonary Tuberculosis

Das, Sumanta

doi:10.4172/2161-105x.1000225

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…В Российской Федерации в настоящие время сохраняется высокий уровень числа пациентов с распространённым деструктивным туберкулёзом лёгких [1][2][3], в том числе с множественной и широкой лекарственной устойчивостью (МЛУ/ШЛУ) возбудителя, что представляет высокую эпидемиологическую опасность для населения [4,5]. В связи с лекарственной устойчивостью микобактерий туберкулёза (МБТ) в сочетании с необратимыми патоморфологическими изменениями лёгочной ткани возрастает роль хирургических методов лечения [6,7]. Однако зачастую изза низких респираторных показателей у данной группы пациентов использование резекционных вмешательств ограничено, так как приводит к ещё большему снижению дыхательной поверхности и к развитию дыхательной и сердечно-лёгочной недостаточности.…”

Section: Introductionunclassified

Dynamics of respiratory indicators in patients with bilateral destructive tuberculosis after surgical treatment using staged bilateral extrapleural pneumolysis with silicone plombage

Donchenko,

Chushkin,

Tarasov

et al. 2024

vmirvz

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Introduce. Patients with a high prevalence of the process and extensive destruction of the pulmonary parenchyma have reduced lung reserves, which limits the use of resection interventions.Objective. To study the dynamics of respiratory function indicators in patients with bilateral widespread destructive tuberculosis during surgical treatment using staged bilateral extrapleural pneumolysis with silicone plombage (ESP).Object and methods. The main group consisted of 11 patients who underwent surgical treatment using staged bilateral ESP. The comparison group included 8 patients with bilateral widespread destructive pulmonary tuberculosis who underwent consecutive bilateral lung resections with a volume of more than 3 segments. The dynamics of respiratory function indicators were studied 3–5 weeks after surgery.Results. In the main group, after stage-by-stage surgical treatment, the FVC index decreased by 0.9 ± 0.6 liters, while in the comparison group by 1.3 ± 0.7 liters (p < 0.01). The index of FEV1 in patients of the main group decreased by 0.5 ± 0.5 liters, and in the comparison group by1 ± 0.3 liters (p < 0.01).Conclusion. Staged surgical treatment with the use of bilateral ESP is accompanied by a significantly smaller decrease in functional parameters and can be used in patients with widespread bilateral destructive tuberculosis with low respiratory function.

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Section: Introductionunclassified

Dynamics of respiratory indicators in patients with bilateral destructive tuberculosis after surgical treatment using staged bilateral extrapleural pneumolysis with silicone plombage

Donchenko,

Chushkin,

Tarasov

et al. 2024

vmirvz

View full text Add to dashboard Cite

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Dynamics of ventilation parameters in patients with bilateral destructive tuberculosis after staged surgical treatment using extrapleural pneumolysis with silicone plombage and contralateral lung resection

Donchenko,

Chushkin,

Krasnikova

et al. 2024

Science and Innovations in Medicine

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AimTo study the dynamics of respiratory function indicators in patients with bilateral widespread destructive tuberculosis during staged surgeryt using extrapleural pneumolysis with silicone plombageon the side of the smallest lesion Material and methods.The main group consisted of 14 patients with widespread bilateral destructive tuberculosis who underwent extrapleural pneumolysis with silicone plombage (ESP) in combination with lung resection on the opposite side. The control group included 29 patients who underwent lung resection operations on both sides. All patients underwent spirometry before and 3-5 weeks after each stage of surgery: FVC (functional vital capacity of the lungs) and FEV1 (volume of forced exhalation in 1 second) were determined. Results.The dynamics of the spirometric study after staged surgery in the ESP group was a decrease in FVC by 1.050.47, FEV1 by 0.950.6 l, and in the comparison group by 1.740.76 l and 1.330.5 l, respectively (p0.05). Conclusion.Staged surgery with the use of ESP is accompanied by a significantly smaller decrease in functional parameters and can be used in patients with widespread bilateral destructive tuberculosis with low respiratory function.

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Changing Trend of Surgery in Pulmonary Tuberculosis

Abstract: Pulmonary tuberculosis is one disease that has created, nurtured & modified thoracic surgery.With the invention of effective antitubercular drugs, role of surgery in pulmonary TB declined over decades, but with appearance of MDR/XDR TB -role of surgery is again becoming important.

Cited by 2 publications

References 12 publications

Dynamics of respiratory indicators in patients with bilateral destructive tuberculosis after surgical treatment using staged bilateral extrapleural pneumolysis with silicone plombage

Dynamics of respiratory indicators in patients with bilateral destructive tuberculosis after surgical treatment using staged bilateral extrapleural pneumolysis with silicone plombage

Dynamics of ventilation parameters in patients with bilateral destructive tuberculosis after staged surgical treatment using extrapleural pneumolysis with silicone plombage and contralateral lung resection

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