Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection
The OBJECTIVE was to study the features of intraoperative and postoperative periods as well as the immediate results of extrapleural thoracoplasty among patients with destructive tuberculosis in combination with human immunodeficiency virus (HIV).METHODS AND MATERIALS. A retrospective analysis of th...
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| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2024-10-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/2400 |
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| author | G. A. Yakovlev P. M. Ionov D. V. Alkaz A. V. Elkin G. M. Boyarkin T. S. Basek |
| author_facet | G. A. Yakovlev P. M. Ionov D. V. Alkaz A. V. Elkin G. M. Boyarkin T. S. Basek |
| author_sort | G. A. Yakovlev |
| collection | DOAJ |
| description | The OBJECTIVE was to study the features of intraoperative and postoperative periods as well as the immediate results of extrapleural thoracoplasty among patients with destructive tuberculosis in combination with human immunodeficiency virus (HIV).METHODS AND MATERIALS. A retrospective analysis of the results of extrapleural thoracoplasty for destructive pulmonary tuberculosis was performed in 46 patients with HIV infection and in 44 patients with tuberculosis without HIV infection. The groups were comparable in age and gender composition. The following variables were analyzed: the duration of the operation, the volume of blood loss, the volume of loss through drainage, the duration of postoperative drainage, the severity of postoperative pain syndrome, intra- and postoperative complications.RESULTS. We noted that, despite the longer tuberculosis duration, the frequency of bacterial excretion, the prevalence of extensive drug resistance (XDR), immune dysfunctions, high prevalence of drug addiction and chronic viral hepatitis, the results of extrapleural thoracoplasty in patients with HIV infection did not significantly differ from the results of patients without HIV infection operated for destructive pulmonary tuberculosis. Postoperative complications were few, temporary and treatable, and there was no postoperative mortality.CONCLUSION. Extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection is not accompanied by severe, life-threatening complications. It also contributes to a significant reduction in destruction cavities in half of the operated patients. This operation does not make the course of HIV infection more difficult. |
| format | Article |
| id | doaj-art-e638f31abfef463cba9e4c225bda74a8 |
| institution | DOAJ |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2024-10-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-e638f31abfef463cba9e4c225bda74a82025-08-20T03:02:29ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252024-10-011832111910.24884/0042-4625-2024-183-2-11-191605Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infectionG. A. Yakovlev0P. M. Ionov1D. V. Alkaz2A. V. Elkin3G. M. Boyarkin4T. S. Basek5North-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. MechnikovNorth-Western State Medical University named after I. I. Mechnikov; City Tuberculosis Hospital № 2North-Western State Medical University named after I. I. Mechnikov; City Tuberculosis Hospital № 2The OBJECTIVE was to study the features of intraoperative and postoperative periods as well as the immediate results of extrapleural thoracoplasty among patients with destructive tuberculosis in combination with human immunodeficiency virus (HIV).METHODS AND MATERIALS. A retrospective analysis of the results of extrapleural thoracoplasty for destructive pulmonary tuberculosis was performed in 46 patients with HIV infection and in 44 patients with tuberculosis without HIV infection. The groups were comparable in age and gender composition. The following variables were analyzed: the duration of the operation, the volume of blood loss, the volume of loss through drainage, the duration of postoperative drainage, the severity of postoperative pain syndrome, intra- and postoperative complications.RESULTS. We noted that, despite the longer tuberculosis duration, the frequency of bacterial excretion, the prevalence of extensive drug resistance (XDR), immune dysfunctions, high prevalence of drug addiction and chronic viral hepatitis, the results of extrapleural thoracoplasty in patients with HIV infection did not significantly differ from the results of patients without HIV infection operated for destructive pulmonary tuberculosis. Postoperative complications were few, temporary and treatable, and there was no postoperative mortality.CONCLUSION. Extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection is not accompanied by severe, life-threatening complications. It also contributes to a significant reduction in destruction cavities in half of the operated patients. This operation does not make the course of HIV infection more difficult.https://www.vestnik-grekova.ru/jour/article/view/2400destructive pulmonary tuberculosishiv infectionimmediate resultssurgical treatmentextrapleural thoracoplasty |
| spellingShingle | G. A. Yakovlev P. M. Ionov D. V. Alkaz A. V. Elkin G. M. Boyarkin T. S. Basek Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection Вестник хирургии имени И.И. Грекова destructive pulmonary tuberculosis hiv infection immediate results surgical treatment extrapleural thoracoplasty |
| title | Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection |
| title_full | Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection |
| title_fullStr | Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection |
| title_full_unstemmed | Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection |
| title_short | Immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and HIV infection |
| title_sort | immediate results of extrapleural thoracoplasty in patients with destructive pulmonary tuberculosis and hiv infection |
| topic | destructive pulmonary tuberculosis hiv infection immediate results surgical treatment extrapleural thoracoplasty |
| url | https://www.vestnik-grekova.ru/jour/article/view/2400 |
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