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ISSN: Print -2349-0977, Online - 2349-4387
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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/astrocyte.astrocyte_67_17

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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.

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