Intraoperative use of a polymer mesh implant in common destructive pulmonary tuberculosis complicated by empyema with bronchopleural fistula

Abstract

An observation from practice is given intraoperative use of anterior mediastinal plastic surgery with a mesh implant for transsternal occlusion of the main bronchus in a patient with widespread destructive pulmonary tuberculosis complicated by pleural empyema with bronchopleural fistula.
 Patient M., 38 years old, has been suffering from pulmonary tuberculosis for 11 years. She was admitted to the department with a clinic of respiratory failure, dyspnea according to mMRC of the 3rd degree. CT scan of chest showed a picture of fibrous-cavernous pulmonary tuberculosis, pleural empyema on the left with bronchopleural fistula. The patient underwent transsternal occlusion of the left main bronchus with simultaneous plasty of the anterior mediastinum with a polymer mesh implant. Four months after stabilization of the process and patients status, pleuropneumonectomy was performed on the left. Control examination after 1.5 years showed clinical remossion of tuberculosis of a only lung.