ANTERIOR MEDIASTINAL PLASTICS DURING PNEUMONECTOMY AS PREVENTION AND TREATMENT OF A MEDIASTINAL HERNIA IN FIBROUS CAVERNOUS PULMONARY TUBERCULOSIS PATIENTS

Autor: M. A. Bаgirov, E. V. Krаsnikovа, A. E. Ergeshovа, O. V. Lovаchevа, N. L. Kаrpinа, R. V. Penagi
Jazyk: ruština
Rok vydání: 2017
Předmět:
Zdroj: Туберкулез и болезни лёгких, Vol 95, Iss 11, Pp 36-40 (2017)
Druh dokumentu: article
ISSN: 2075-1230
2542-1506
DOI: 10.21292/2075-1230-2017-95-11-36-40
Popis: 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
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