[Outcomes of local interventions into the caverns in patients with destructive forms of postoperative recurrences of pulmonary tuberculosis].
The paper presents the outcomes of 48 cavernoplasties for destructive forms of postoperative recurrences, which was 23.5% in the structure of all interventions for postoperative recurrences. One-stage cavernoplasty was performed in 17 patients; 31 patients underwent multistage cavernoplasty (with a period of open sanitation). After one-stage cavernoplasty, at discharge 2 (11.8%) of the patients were found to have formed residual caverns due to detachment of a muscle flap, other complications were not recorded in this group of patients. After multistage cavernoplasty, the above complications developed in 5 (16.1%) cases. There were deaths after these operations. In the late postoperative periods, a steady-state abatement of the process occurred in 12 (33.3%) patients, a relative stable course of tuberculosis with mild exacerbations was noted in 8 (22.2%) patients; further progression was revealed in 44.4% of the cases; late postoperative mortality was 27.8%.
El'kin
A V
AV
Repin
Iu M
IuM
Levashev
Iu N
IuN
D006801:Humans; D011013:Pneumonectomy / Q000379:methods*; D012008:Recurrence; D012086:Reoperation; D016896:Treatment Outcome; D014397:Tuberculosis, Pulmonary / Q000401:mortality / Q000601:surgery*