Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment
Objective. To increase efficiency of cavitary pulmonary tuberculosis treatment by developing modern indications and technology of extrapleural pneumolysis with filling material.Material and Methods. We reviewed 25 patients with cavitary pulmonary tuberculosis and bacterial excretion who had undergon...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | Russian |
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Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1
2020-06-01
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| Series: | Инновационная медицина Кубани |
| Subjects: | |
| Online Access: | https://www.innovmedkub.ru/jour/article/view/270 |
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| author | P. G. Gadzhieva D. B. Giller A. A. Glotov O. Sh. Kesaev V. V. Koroev L. P. Severova Ya. G. Imagozhev I. I. Martel |
| author_facet | P. G. Gadzhieva D. B. Giller A. A. Glotov O. Sh. Kesaev V. V. Koroev L. P. Severova Ya. G. Imagozhev I. I. Martel |
| author_sort | P. G. Gadzhieva |
| collection | DOAJ |
| description | Objective. To increase efficiency of cavitary pulmonary tuberculosis treatment by developing modern indications and technology of extrapleural pneumolysis with filling material.Material and Methods. We reviewed 25 patients with cavitary pulmonary tuberculosis and bacterial excretion who had undergone extrapleural pneumolysis with different types of filling material in 2004–2015. In 16 cases, we performed surgery in patients with one lung.Results. 56% of operated patients demonstrated extensively drug-resistant TB, 40% had multidrug-resistant TB. Cavities were closed and bacterial excretion ceased in 92% of patients at discharge. Long-term results with observation period from 1 to 12 years were analyzed in 24 patients, 17 (71%) of them had complete clinical efficacy.Conclusion. Extrapleural pneumolysis is a mini-invasive surgical treatment that can prove positive effect in patients with non-fibrotic changes in a cavity wall and pathological process in upper parts of the lungs. |
| first_indexed | 2024-03-07T15:35:44Z |
| format | Article |
| id | doaj.art-74a41ed8538e497cafb36104034e0ec7 |
| institution | Directory Open Access Journal |
| issn | 2541-9897 |
| language | Russian |
| last_indexed | 2025-03-14T13:16:56Z |
| publishDate | 2020-06-01 |
| publisher | Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 |
| record_format | Article |
| series | Инновационная медицина Кубани |
| spelling | doaj.art-74a41ed8538e497cafb36104034e0ec72025-02-28T14:50:41ZrusScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2541-98972020-06-0102152010.35401/2500-0268-2020-18-2-15-20231Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatmentP. G. Gadzhieva0D. B. Giller1A. A. Glotov2O. Sh. Kesaev3V. V. Koroev4L. P. Severova5Ya. G. Imagozhev6I. I. Martel7I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Ingush State UniversityI.M. Sechenov First Moscow State Medical University (Sechenov University)Objective. To increase efficiency of cavitary pulmonary tuberculosis treatment by developing modern indications and technology of extrapleural pneumolysis with filling material.Material and Methods. We reviewed 25 patients with cavitary pulmonary tuberculosis and bacterial excretion who had undergone extrapleural pneumolysis with different types of filling material in 2004–2015. In 16 cases, we performed surgery in patients with one lung.Results. 56% of operated patients demonstrated extensively drug-resistant TB, 40% had multidrug-resistant TB. Cavities were closed and bacterial excretion ceased in 92% of patients at discharge. Long-term results with observation period from 1 to 12 years were analyzed in 24 patients, 17 (71%) of them had complete clinical efficacy.Conclusion. Extrapleural pneumolysis is a mini-invasive surgical treatment that can prove positive effect in patients with non-fibrotic changes in a cavity wall and pathological process in upper parts of the lungs.https://www.innovmedkub.ru/jour/article/view/270tuberculosiscollapse surgeryextrapleural pneumolysissurgical treatmentcavitary tuberculosisfilling material |
| spellingShingle | P. G. Gadzhieva D. B. Giller A. A. Glotov O. Sh. Kesaev V. V. Koroev L. P. Severova Ya. G. Imagozhev I. I. Martel Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment Инновационная медицина Кубани tuberculosis collapse surgery extrapleural pneumolysis surgical treatment cavitary tuberculosis filling material |
| title | Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| title_full | Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| title_fullStr | Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| title_full_unstemmed | Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| title_short | Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| title_sort | extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment |
| topic | tuberculosis collapse surgery extrapleural pneumolysis surgical treatment cavitary tuberculosis filling material |
| url | https://www.innovmedkub.ru/jour/article/view/270 |
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