Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment
P. G. Gadzhieva,
D. B. Giller,
A. A. Glotov,
O. Sh. Kesaev,
V. V. Koroev,
L. P. Severova,
Ya. G. Imagozhev,
I. I. Martel https://doi.org/10.35401/2500-0268-2020-18-2-15-20
Abstract
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.
About the Authors
P. G. Gadzhieva
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Patimat G. Gadzhieva, Assistant Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
2-4, Bolshaya Pirogovskaya str., Moscow, 119991
D. B. Giller
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Dmitry B. Giller, Professor, Head of M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
A. A. Glotov
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Aleksey A. Glotov, Cand. of Sci. (Med.), Associate Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
O. Sh. Kesaev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Oleg Sh. Kesaev, Cand. of Sci. (Med.), Associate Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
V. V. Koroev
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Vadim V. Koroev, Cand. of Sci. (Med.), Associate Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
L. P. Severova
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Lyudmila P. Severova, Assistant Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
Ya. G. Imagozhev
Ingush State University
Russian Federation
Russian Federation
Yakub G. Imagozhev, Cand. of Sci. (Med.), Senior Lecturer, School of Medicine, Department of Hospital Therapy
I. I. Martel
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Russian Federation
Ivan I. Martel, Dr. of Sci. (Med.), Professor, M.I. Perelman Department of Phthisiopulmonology and Thoracic Surgery
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Review
For citations:
Gadzhieva P.G., Giller D.B., Glotov A.A., Kesaev O.Sh., Koroev V.V., Severova L.P., Imagozhev Ya.G., Martel I.I. Extrapleural pneumolysis for cavitary pulmonary tuberculosis treatment. Innovative Medicine of Kuban. 2020;(2):15-20. (In Russ.) https://doi.org/10.35401/2500-0268-2020-18-2-15-20
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