Home About us Editorial board Ahead of print Current issue Archives Submit article Guidelines Contacts Login 
ISSN: Print -2349-0977, Online - 2349-4387
THE OPERATING ROOM - IN THE REALM OF SCALPEL
Year : 2017  |  Volume : 4  |  Issue : 2  |  Page : 111-124

Surgery in pleuro-pulmonary tuberculosis: On the comeback trail


1 Cardiothoracic Surgeon, Chest Hospital, Calicut and KIMS, Kochi, Kerela, India
2 Pulmonologist, Chest Hospital, Calicut, Kerela, India
3 Surgeon, Jubilee Mission Hospital, Thrissur, Kerala, India

Correspondence Address:
Nasser Yusuf
Chest Hospital, Pavamani Road, Calicut - 673006, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/astrocyte.astrocyte_67_17

Rights and Permissions

The birth of modern antitubercular chemotherapy in mid-1950s relegated the status of pleuro-pulmonary surgery to being on the backburner. However, since the time MDR-TB and XDR-TB strains have emerged, considerable interest stands rekindled in the realm of the scalpel. Pleuro-pulmonary surgeries have become an indisputable ally of the current molecular drug therapies in a bid to scale back the morbidity and mortality of the disease. While such complications as bronchiectasis – with its attendant risks of suppuration, superinfection, and hemoptysis, together with known destructive pulmonary sequelae such as destroyed lung, massive hemoptysis, bronchopleural fistula and empyema have become distinct grounds for surgical intervention, the presence of a pulmonary aspergilloma or a resectable neoplasm in a destroyed lung, makes the patient a fit case for corrective surgery. Mediastinal tuberculous lymphadenitis, associated with compressive symptoms and pulmonary complications, particularly in children, is another classic ground for surgical decompression of the bronchial tree. Making a compelling preference in such clinical landscapes which do not respond to medical treatment, are serious, and potentially fatal, pleuro-pulmonary surgery is currently well and truly on the comeback trail in the management of thoracopulmonary tuberculosis.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed591    
    Printed13    
    Emailed0    
    PDF Downloaded129    
    Comments [Add]    

Recommend this journal