The Implementation of Silicone Implant and Valve Bronchoblocation at Collapsosurgical Treatment of Patients with Extensively Resistant Tuberculosis (XDR TB)

Yerimbetov K.D.; Abildaev T.Sh.; Bektursinov B.U.; Tursynbayeva A.S.; Abdullina A.G.

Volume : III, Issue : VII, July - 2014

The Implementation of Silicone Implant and Valve Bronchoblocation at Collapsosurgical Treatment of Patients with Extensively Resistant Tuberculosis (XDR TB)

Yerimbetov K. D. , Abildaev T. Sh. , Bektursinov B. U. , Tursynbayeva A. S. , Abdullina A. G.

Abstract :

There were analyzed the outcomes of collapsosurgical treatment of 32 patients with extensive drug resistant tuberculosis (XDR TB). There were implemented the surgical interventions, including thoracoplasty with extrapleural filling with silicone implant and with preliminary performed valve onchoblocation of the draining onchus of the injured lung segment (lobe) in the main group from 13 patients, while in the remained 19 patients (the control group) there were implemented the operative interventions including extrapleural thoracomyoplasty only. The analysis of outcomes shoved that the collapsosurgical interventions in both groups gave the virtually equal effectiveness: in the main group it constituted 61.5%, in the control one it did 63.1%. Despite of the equal treatment effectiveness, there were determined the advantages of the collapsosurgical method with use of silicone implant versus conventional method of thoracoplasty: a) absence of the cosmetic defect of the chest wall (OR-32, P<0.000) after operation b) disturbances of the locomotory functions in the humeral articulation (OR - 32; P<0.000); c) posture don\\\'t changed; d) to obtain the lung lobe collapse it is sufficient to conduct the resection of 4-5 ribs only (OR - 5.4; P<0.02) The developed method of thoracoplastty with implementation of the silicone implant is the alternative for choosing the surgical way to treat the young patients with XDR TB.