[Surgical treatment of complicated forms of abdominal tuberculosis].
The results of surgical treatment were analyzed in 31 patients with complicated abdominal tuberculosis in 2001 to 2003. Before 2003, a surgical intervention was mainly palliative and reduced to the suturing of perforative tuberculous ulcers limited to the resections of the small intestine and to the separation of adhesions (Group 1, n=17). Then radical surgical interventions were undertaken in the volume of extended right-sided hemicolectomies, by removing caseously changed mesenteric lymph nodes (Group 2, n=14). Postoperative peritoneal lavage was performed, by using antituberculous agents. Twelve and 5 patients died in Groups 1 and 2, respectively. The authors suggest that radical surgical interventions for complicated abdominal tuberculosis can improve the outcomes of 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 / Q000627:therapeutic use; D003082:Colectomy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D007415:Intestinal Obstruction / Q000209:etiology; D007416:Intestinal Perforation / Q000209:etiology; D008197:Lymph Node Excision; D010166:Palliative Care; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000209:etiology; D011182:Postoperative Care; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000401:mortality / Q000601:surgery*
D000995:Antitubercular Agents