RETROSPECTIVE STUDY OF THORACOTOMY IN PULMONARY TUBERCULOSIS PATIENTS IN TERTIARY HEALTHCARE CENTRE OF SOUTH GUJARAT.

Author:

Chhabra Arjun1,Kansal Sandeep2,Chokshi Jay3

Affiliation:

1. Third year Resident Doctor, Department of General Surgery, New Civil Hospital,Surat.

2. Additional Professor, Department of General Surgery, New Civil Hospital, Surat.

3. Assistant Professor,Department of General Surgery,New Civil Hospital,Surat.

Abstract

Background: Pulmonary Tuberculosis is one of the most prevalent infections in India and contributes significantly to morbidity and mortality.While most patients with TB can be successfully treated with anti-tuberculosis chemotherapy, Thoracic surgery is an important adjuvant strategy for these patients especially the one with MDR/XDR. Aim: To compare VATS and conventional open thoracotomy with decortication in pulmonary TB patient's requiring surgery. Methodology: A Retrospective study was conducted on a sample size of 10 patients who presented with features of pulmonary TB, mainly referred from TB OPD with chest X-ray/ HRCT thorax findings. Results: There was significant association was found among Both methods and various variables like Duration of hospital stay, back to routine work after surgical procedure and VAS score for pain assessment. Conclusion: This study suggests that VATS, a minimally invasive procedure with its implied decreased perioperative morbidity and better functional outcome, should be preferred over the traditional OT procedure whenever feasible to do so.

Publisher

World Wide Journals

Subject

Aquatic Science,Ecology, Evolution, Behavior and Systematics,Law,Economics and Econometrics,Finance,Law,Computer Science Applications,General Business, Management and Accounting,Religious studies,Linguistics and Language,Psychology (miscellaneous),Communication,Language and Linguistics,Psychiatry and Mental health,Public Administration,Education,Marketing,Economics and Econometrics,Business and International Management

Reference15 articles.

1. Global Tuberculosis Report 2018. World Health Organization. Available online: https://www.who.int/tb/publications/global_report/en/

2. Tuberculosis in Russian Federation in 2012\2013\2014. Analytical Review of Statistic Indicators Applied in Russian Federation and in the World. Moscow, 2015:312-8.

3. Krasnov D, Krasnov V, Skvortsov D, et al. Thoracoplasty for Tuberculosis in the Twenty-first Century. Thorac Surg Clin 2017;27:99-111. 10.1016/j.thorsurg.2017.01.003

4. Kalabuha IA, Savenkov YF, Stashenko OD, et al. Modern Collapse Surgery and Collapse Therapy for Pulmonary Tuberculosis. Dnipro-VAL 2013 – Dnipropetrovsk: 133.

5. Giller GV. Efficiency of extrapleural thoracoplasty in pulmonary tuberculosis. Probl Tuberk 2002;(11):32-3.

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