Pleuro-Pulmonary Tuberculosis - Surgical Principles

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Presented at 2nd Annual Conference of College of Gynaecology and Obstetrics of Rwanda, Kigali, Rwanda, Africa, on 5th – 6th May 1999. Pictured in Hotel Mille Collins, rendered famous in the movie "Hotel Rwanda", which depicted the genocide in Rwanda in 1994. "Hotel Rwanda" is Hotel Mille Collins ('Thousand Hills).

Saúde e medicina

SURGICAL ASPECTS OF PLEUROPULMONARY TUBERCULOSIS Dr. SANJOY SANYAL MBBS, MS (Surgery) Department of Surgery – Central Hospital Kigali. Rwanda, Africa 1999 Presented at 2 nd Annual Conference of College of Gynaecology and Obstetrics of Rwanda, Kigali, Rwanda, Africa, on 5th – 6th May 1999

Bird’s-eye view ,[object Object],[object Object],[object Object],[object Object],[object Object]

The therapeutic spectrum ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TB : Tuberculosis; PT : Pulmonary Tuberculosis, ATT : Anti-Tuberculosis Treatment; MDRT : Multi-Drug Resistant Tuberculosis

Classification of Rx – Pulmonary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification – Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoplasty (Relax Rx) principle ,[object Object],[object Object],[object Object],[object Object]

Thoracoplasty – Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoplasty – Types ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary resection ,[object Object],[object Object],[object Object],[object Object]

Pulmonary resection – Indications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Indications – Cont’d ,[object Object],[object Object],[object Object],[object Object]

Resection – Extent ,[object Object],[object Object]

Resection – Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Childhood resection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TB empyema – Aims of Rx ,[object Object],[object Object],[object Object],[object Object],[object Object]

Aims of Rx – Cont’d ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Decortication – Principle ,[object Object],[object Object],[object Object],[object Object],[object Object]

Combined procedures ,[object Object],[object Object],[object Object],[object Object]

Conclusion Decortication and pleuro- pneumonectomy have dramatically altered outlook in most cases and have rendered all other procedures obsolete.

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