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Surgery and pleuro-pulmonary tuberculosis: a scientific literature review
- Source :
- Journal of Thoracic Disease. 8:E474-E485
- Publication Year :
- 2016
- Publisher :
- AME Publishing Company, 2016.
-
Abstract
- Tuberculosis (TB) is still a major public health concern, mostly affecting resource-constrained settings and marginalized populations. The fight against the disease is hindered by the growing emergence of drug-resistant forms whose management can be rather challenging. Surgery may play an important role to support diagnosis and treatment of the most complex cases and improve their therapeutic outcome. We conducted a non-systematic review of the literature based on relevant keywords through PubMed database. Papers in English and Russian were included. The search was focused on five main areas of intervention as follows: (I) diagnosis of complicated cases; (II) elimination of contagious persisting cavities, despite appropriate chemotherapy; (III) treatment of destroyed lung; (V) resection of tuberculomas; (VI) treatment of tuberculous pleural empyema. Although specific practical guidelines concerning surgical indications and approaches are currently unavailable, a summary of the evidence emerged from the scientific literature was elaborated to help the clinician in the management of severely compromised TB patients. The decision to proceed to surgery is usually individualized and a careful assessment of the patient’s risk profile is always recommended before performing any procedure in addition to appropriate chemotherapy.
- Subjects :
- Pulmonary and Respiratory Medicine
medicine.medical_specialty
Tuberculosis
business.industry
Public health
medicine.medical_treatment
Review Article
Disease
Scientific literature
030204 cardiovascular system & hematology
medicine.disease
3. Good health
Surgery
03 medical and health sciences
Pneumonectomy
0302 clinical medicine
030228 respiratory system
Pulmonary tuberculosis
Intervention (counseling)
medicine
Tuberculoma
business
Subjects
Details
- ISSN :
- 20776624 and 20721439
- Volume :
- 8
- Database :
- OpenAIRE
- Journal :
- Journal of Thoracic Disease
- Accession number :
- edsair.doi.dedup.....a92832af542566ac0e026b69be672134