Recent developments in surgical treatment of pulmonary tuberculosis

Butler, Ethan Flagg

doi:10.1016/s0002-9610(41)90022-3

Cited by 1 publication

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References 14 publications

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“…The early period for the surgical treatment of TB is reflected in the three decades of the nineteenth century, when collapse therapy was performed by open surgical pneumothorax with a high rate of asphyxia-associated death. 5 Induced pneumothorax was widely practiced in the pre-antibiotic era in more than 100,000 patients with pulmonary TB over a period of quarter century starting in 1882 until the early 20 th century. 6 Lobectomy, open drainage, and instillation of antiseptics into cavities was tried in the beginning of 20 th century.…”

Section: Evolution Of Surgical Treatment Of Pulmonary Tbmentioning

confidence: 99%

Surgical Treatment of Complications of Pulmonary Tuberculosis, including Drug-Resistant Tuberculosis

Madansein

Parida

Padayatchi

et al. 2015

International Journal of Infectious Diseases

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Surgery for drug-resistant tuberculosis has been shown to be safe and effective, with similar level of mortalities associated with surgical intervention observed with that for lung cancer. While surgery has been an option to treat TB in the pre-antibiotic era, it is now increasingly used to treat complications of pulmonary TB, particularly in patients with drug-resistant TB who do not respond to medical treatment. The two most frequent indications for lung resection in drug- resistant TB, are i) failed medical treatment with persistent sputum positivity or ii) patients who have had medical treatment and are sputum negative, but with persistent localized cavitary disease or bronchiectasis. Massive hemoptysis is a potentially life-threatening complication of TB. Lung resection is potentially curative in patients with massive hemoptysis and cavitary or bronchiectatic disease. Bronchial artery embolization in these patients has a high success rate but bears also the risk of recurrence. Lung resection can be safely undertaken in selected patients with HIV co-infection and pulmonary complications of TB. Ambulatory drainage is a novel, safe, affordable and effective method of draining a chronic TB associated empyema thoracis. We review here the current surgical treatment of the complications of pulmonary TB and discuss the experience from the Durban Cardiothoracic Surgery Unit for the surgical treatment of patients with complicated pulmonary TB.

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Section: Evolution Of Surgical Treatment Of Pulmonary Tbmentioning

confidence: 99%