ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS
The objective is to study the efficiency of prevention of a mediastinal hernia and efficiency of its treatment through anterior mediastinal plastics performed during pneumonectomy.Subjects and Methods. Results of pneumonectomies in 30 patients (22 men and 8 women at the age varying from 20 to 56 yea...
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| Format: | Article |
| Language: | Russian |
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New Terra Publishing House
2017-12-01
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| Series: | Туберкулез и болезни лёгких |
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| Online Access: | https://www.tibl-journal.com/jour/article/view/1061 |
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| author | M. A. Bаgirov E. V. Krаsnikovа A. E. Ergeshovа O. V. Lovаchevа N. L. Kаrpinа R. V. Penagi |
| author_facet | M. A. Bаgirov E. V. Krаsnikovа A. E. Ergeshovа O. V. Lovаchevа N. L. Kаrpinа R. V. Penagi |
| author_sort | M. A. Bаgirov |
| collection | DOAJ |
| description | The objective is to study the efficiency of prevention of a mediastinal hernia and efficiency of its treatment through anterior mediastinal plastics performed during pneumonectomy.Subjects and Methods. Results of pneumonectomies in 30 patients (22 men and 8 women at the age varying from 20 to 56 years old) with fibrous cavernous pulmonary tuberculosis with multiple or extensive drug resistance.Group 1 included 17 patients who had pneumonectomy with anterior mediastinal plastics, of them 10 (58.8%) had no mediastinal hernia and 7 (41.2%) patients had a minor one. Group 2 included 13 patients who had pneumonectomy without anterior mediastinal plastics.Results. When pneumonectomy was performed, no mediastinal hernia developed in 82.4% (95% CI 59.0-93.8%) of patients who had anterior mediastinal plastics and in 7.7% (95% CI 1.4-33.3%) of patients with no plastics, p < 0.01.Anterior mediastinal plastics performed during pneumonectomy repaired a minor mediastinal hernia in 71.4% (95% CI 35.9-91.8%) of patients.After pneumonectomy with anterior mediastinal plastics due to fibrous cavernous tuberculosis, the risk of mediastinal hernia made 10.0% (95% CI 1.8-40.4%) in the patients who had no hernia before surgery, while in the patients who had this type of hernia before surgery, the risk of it made 28.6% (95% CI 8.2-64.1%). If no plastics was applied this risk made 90.0% (95% CI 59.6-98.2%). |
| format | Article |
| id | doaj-art-5ca547b9fda54feb887a1b2d00d64a2a |
| institution | DOAJ |
| issn | 2075-1230 2542-1506 |
| language | Russian |
| publishDate | 2017-12-01 |
| publisher | New Terra Publishing House |
| record_format | Article |
| series | Туберкулез и болезни лёгких |
| spelling | doaj-art-5ca547b9fda54feb887a1b2d00d64a2a2025-08-20T03:02:30ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062017-12-019511364010.21292/2075-1230-2017-95-11-36-401061ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTSM. A. Bаgirov0E. V. Krаsnikovа1A. E. Ergeshovа2O. V. Lovаchevа3N. L. Kаrpinа4R. V. Penagi5Central Research Institute of TuberculosisCentral Research Institute of TuberculosisCentral Research Institute of TuberculosisCentral Research Institute of TuberculosisCentral Research Institute of TuberculosisCentral Research Institute of TuberculosisThe objective is to study the efficiency of prevention of a mediastinal hernia and efficiency of its treatment through anterior mediastinal plastics performed during pneumonectomy.Subjects and Methods. Results of pneumonectomies in 30 patients (22 men and 8 women at the age varying from 20 to 56 years old) with fibrous cavernous pulmonary tuberculosis with multiple or extensive drug resistance.Group 1 included 17 patients who had pneumonectomy with anterior mediastinal plastics, of them 10 (58.8%) had no mediastinal hernia and 7 (41.2%) patients had a minor one. Group 2 included 13 patients who had pneumonectomy without anterior mediastinal plastics.Results. When pneumonectomy was performed, no mediastinal hernia developed in 82.4% (95% CI 59.0-93.8%) of patients who had anterior mediastinal plastics and in 7.7% (95% CI 1.4-33.3%) of patients with no plastics, p < 0.01.Anterior mediastinal plastics performed during pneumonectomy repaired a minor mediastinal hernia in 71.4% (95% CI 35.9-91.8%) of patients.After pneumonectomy with anterior mediastinal plastics due to fibrous cavernous tuberculosis, the risk of mediastinal hernia made 10.0% (95% CI 1.8-40.4%) in the patients who had no hernia before surgery, while in the patients who had this type of hernia before surgery, the risk of it made 28.6% (95% CI 8.2-64.1%). If no plastics was applied this risk made 90.0% (95% CI 59.6-98.2%).https://www.tibl-journal.com/jour/article/view/1061tuberculosis surgerycomplications of pneumonectomymediastinal herniaanterior mediastinal plastics |
| spellingShingle | M. A. Bаgirov E. V. Krаsnikovа A. E. Ergeshovа O. V. Lovаchevа N. L. Kаrpinа R. V. Penagi ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS Туберкулез и болезни лёгких tuberculosis surgery complications of pneumonectomy mediastinal hernia anterior mediastinal plastics |
| title | ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS |
| title_full | ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS |
| title_fullStr | ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS |
| title_full_unstemmed | ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS |
| title_short | ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS |
| title_sort | anterior mediastinal plastics during pneumonectomy as prevention and treatment of a mediastinal hernia in fibrous cavernous pulmonary tuberculosis patients |
| topic | tuberculosis surgery complications of pneumonectomy mediastinal hernia anterior mediastinal plastics |
| url | https://www.tibl-journal.com/jour/article/view/1061 |
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