Thoracoplasty: A 15 Year Single Centre Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
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.
Authors and Affiliations
Dr. Dheeraj Sharma, Dr. Anula Sisodia, Dr. Sanjeev Devgarha, Dr. Rajendra Mohan Mathur
Keywords
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- EP ID EP598512
- DOI 10.9790/0853-160306124127.
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