BRONCHIECTASIS: SURGERY WHEN AND WHY? A RETROSPECTIVE OBSERVATIONAL STUDY

Kumar Madhav; Avneesh Sheil; Singh Ruchi; Jha Aandrei J; Kumar Tushar

Volume : IX, Issue : VI, June - 2020

BRONCHIECTASIS: SURGERY WHEN AND WHY? A RETROSPECTIVE OBSERVATIONAL STUDY

Kumar Madhav, Avneesh Sheil, Singh Ruchi, Jha Aandrei J, Kumar Tushar

Abstract :

Background: We assessed and analyzed cases of onchiectasis operated during 1 year period, its presentation, causes,surgeries performed,outcome and prognosis. Methods: A retrospective observational study of 65 patients from march 2018 to march 2019. Patient unresponsive to medical management were treated surgically. Results: The mean age was 37 years, male/female ratio was 2.25:1.Common symptoms were cough with foul smelling sputum and hemoptysis . The cause seen in our patient was mainly pneumonia ,TB . CXR, CT scan, and onchoscopy done in all patients. Bronchiectasis was mainly present in left lower lobe. Indications for surgery were failure of medical therapy (85%),haemoptysis(15%).Surgery done was lobectomy (47), wedge resection(2), Bi–lobectomy (10), and segmentectomy (6). Minor Complications occurred in 5%.85% of patients had relief of their symptoms. Conclusions: Surgery for onchiectasis indicated if failure of medical management. Patient selection and pre op preparation the key for attaining better outcomes.