Staged Surgical Treatment of Patients with Destructive Pulmonary Tuberculosis with pre-XDR Using Anterior Mediastinal Plasty

Author:

Tarasov R. V.1,Krasnikova E. V.1,Lepekha L. N.1,Sadovnikova S. S.1,Bagirov M. A.1

Affiliation:

1. Central Tuberculosis Research Institute,

Abstract

The presented observation describes an example of effective treatment of the patient with disseminated destructive pulmonary tuberculosis with preXDR. The treatment included staged surgery using the original method of anterior mediastinum plasty with a mesh implant.The treatment resulted in the following outcomes: stabilization of the tuberculous disease, persistent sputum conversion, minimization of overdistension of the only lung, absence of mediastinal pulmonary hernia and no deterioration of respiratory function.

Publisher

LLC "Medical Knowledge and Technologies"

Subject

General Medicine

Reference14 articles.

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2. Bagirov M.A., Krasnikova E.V., Ergeshova A.E., Lovacheva O.V., Karpina N.L., Penagi R.A. Anterior mediastinal plastics during pneumonectomy as prevention and treatment of mediastinal hernia in fibrous cavernous pulmonary tuberculosis patients. Tuberculosis and Lung Diseases, 2017, vol. 95, no. 11, pp. 36-40. (In Russ.) doi: 10.21292/2075-1230-2017-95-11-36-40.

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4. Giller D.B., Giller G.V., Tokaev K.V., Martel I.I. et al. Sposob profilaktiki postpnevmonektomicheskogo sindroma. [Method of prevention of postpneumonectomy syndrome]. RF Patent no. 2427327 dated August 27. Submitted on March 30, 2010 and published on August 27, 2011.

5. Krasnikova E.V. Kompleksnoye khirurgicheskoye lecheniye bolnykh rasprostranennym destruktivnym tuberkulezom organov dykhaniya s primeneniyem intraoperatsionnykh innovatsionnykh tekhnologiy. Diss. dokt. med. Nauk. [Complex surgical treatment of patients with disseminated destructive respiratory tuberculosis using intraoperative innovative methods. Doct. Diss.]. Moscow, 2019, 261 p.

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