[Surgical treatment in complicated forms of abdominal tuberculosis].
Results of surgical treatment of 31 patients with complicated forms of abdominal tuberculosis treated in 2001-2003 were analyzed. Before 2003 surgery was mainly palliative and managed by suturing of perforated ulcers or economic resection of the small intestine (group 1--17 patients) was made. Since 2003 radical right-sided hemi-colectomies with removal of caseous mesenterial lymph nodes is used (group 2--14 patients). Peritoneal lavage with antituberculosis drugs was performed after surgery. From 17 patients of group 1--12 died, from 14 patients of group 2--5. It is concluded that radical surgery in complicated forms of abdominal tuberculosis permits to improve results of surgical treatment of this disease.
Batyrov
F A
FA
Karpenko
A I
AI
Stal'tsev
N V
NV
Skopin
M S
MS
Tolkachev
L I
LI
D000995:Antitubercular Agents / Q000008:administration & dosage; D013505:Digestive System Surgical Procedures / Q000379:methods*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D007421:Intestine, Small / Q000601:surgery*; D007430:Intraoperative Care; D008197:Lymph Node Excision; D008643:Mesentery; D010533:Peritoneal Lavage; D014395:Peritonitis, Tuberculous / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D012422:Rupture, Spontaneous; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D014456:Ulcer / Q000150:complications / Q000188:drug therapy / Q000601:surgery*
D000995:Antitubercular Agents