Pleuro-Pulmonary Tuberculosis - Surgical Principles

SURGICAL ASPECTS OF PLEUROPULMONARY TUBERCULOSIS Dr. SANJOY SANYAL MBBS, MS (Surgery) Department of Surgery – Central Hospital Kigali. Rwanda, Africa 1999 Presented at 2 nd Annual Conference of College of Gynaecology and Obstetrics of Rwanda, Kigali, Rwanda, Africa, on 5th – 6th May 1999

Bird’s-eye view ,[object Object],[object Object],[object Object],[object Object],[object Object]

The therapeutic spectrum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TB : Tuberculosis; PT : Pulmonary Tuberculosis, ATT : Anti-Tuberculosis Treatment; MDRT : Multi-Drug Resistant Tuberculosis

Classification of Rx – Pulmonary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification – Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoplasty (Relax Rx) principle ,[object Object],[object Object],[object Object],[object Object]

Thoracoplasty – Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoplasty – Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary resection ,[object Object],[object Object],[object Object],[object Object]

Pulmonary resection – Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Indications – Cont’d ,[object Object],[object Object],[object Object],[object Object]

Resection – Extent ,[object Object],[object Object]

Resection – Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Childhood resection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TB empyema – Aims of Rx ,[object Object],[object Object],[object Object],[object Object],[object Object]

Aims of Rx – Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Decortication – Principle ,[object Object],[object Object],[object Object],[object Object],[object Object]

Decortication – Illustration

Combined procedures ,[object Object],[object Object],[object Object],[object Object]

Conclusion Decortication and pleuro- pneumonectomy have dramatically altered outlook in most cases and have rendered all other procedures obsolete.

Pleuro-Pulmonary Tuberculosis - Surgical Principles

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Pleuro-Pulmonary Tuberculosis - Surgical Principles