Thoracoplasty: A 15 Year Single Centre Experience
نویسندگان
چکیده
Background:Thoracoplasty is removal of the skeletal support of the portion of chest allowing the chest wall to fall and fill the residual space. Thoracoplasty was originally described for the treatment to the sequel of pulmonary tuberculosis but later it was also considered for patients of chronic non bronchopleural fistulas secondary to many primary etiology .As far as tuberculosis is concerned after the advent of chemotherapy, the operation of thoracoplasty became nearly obsolete but its significance for the treatment of chronic non healing bronchopleural fistula has not reduced. Thus the significance of this surgery is quite high especially in developing countries where the burden of disease is still high despite the development of chemotherapy and where the incidence of post surgical bronchopleural fistula are high. Methods: Between January 2000 and December 2014, we performed thoracoplasty in 569 patients at department of cardiothoracic surgery, S.M.S Medical College, Jaipur, Rajasthan, India. Regular follow up of patients was done and data analysed. Results: Successful outcome in the form of control of sepsis, closure of bronchopleural fistula, sputum conversion and control of haemoptysis was achieved in most cases. There were 16 deaths in the entire series. Conclusion:We conclude that thoracoplasty is still an operation of continued relevance in developing countries where the pulmonary tuberculosis is still prevalent despite the chemotherapeutic treatment and development of drug resistance, also the fact that these patients are severely debiliated and malnourished the incidence of development of bronchopulmonary fistula are much more. Thus thoracoplasty is not only related to treatment of sequele of pulmonary tuberculosis but also a vital tool in management of bronchoplieural fistula.
منابع مشابه
The Paulino thoracoplasty.
At the annual meeting of the American Association for thoracic surgery at Dallas in 1952, Dr. Paul T. DeCamp and Associates read “A Paper on Suture Constriction of the Lung and Partial Thoracoplasty.”1 More recently2 they have reviewed their four year experience with this procedure. This paper describes our experience with the operation at Tranquille Sanatorium over an 18 month period, during w...
متن کاملPulmonary aspergilloma treated by limited thoracoplasty with simultaneous cavernostomy and muscle transposition flap.
We describe the successful treatment of pulmonary aspergilloma by limited thoracoplasty used simultaneously with single-stage cavernostomy and a muscle transposition flap. An 80-year-old man with dyspnea on effort and hemoptysis consulted our hospital. Chest computed tomography revealed a thick wall cavity containing a fungus ball surrounded by a crescent of air and diseased lung parenchyma, in...
متن کاملSurgery for pulmonary tuberculosis - a 15-year experience.
BACKGROUND Surgery for pulmonary tuberculosis (TB) has become rather limited. However, it is still required for some sequelae and complications. This is a 15-year retrospective study of cases operated upon for pulmonary TB at a centre. PATIENTS AND METHODS A total of 2878 cases underwent surgical procedures for various complications of pulmonary TB over a 15-year-long period. After excluding ...
متن کاملRe-organising Junior Doctors During the COVID-19 Outbreak: A Single Centre Experience in the United Kingdom
متن کامل
Management of Perinatal Testicular Torsion: A Single Centre Experience
Perinatal testicular torsion (PTT) is a rare entity. The management of PTT is controversial, due to the low viability of the testis and the possibility of bilateral torsion. This is a review of our experience with six cases of PTT, highlighting diagnostic and therapeutic difficulties of this condition.
متن کامل