TACTILE AND TECHNICAL PROBLEMS IN SURGERY OF THE RESIDUAL PLEURAL SPACE IN POSTTUBERCULOSIS SYNDROMES – CASE REPORT
Abstract:
The severity of tuberculosis as an endemic malady in our country is a consequence of the complexity of surgical cases which often reach service as serious surgical emergencies, requiring a complex surgical management. We are reporting the case of a 56-year old patient, whose right pleural tuberculosis etiology is known, having a residual cavity with limestone walls which got infected after a limited and insufficient C4-C7 thoracoplasty performed in another thoracic surgery clinic. A complex solution was chosen in order to eliminate this cavity, consisting of an iterative thoracopleuroplasty. Boţianu, on six ribs in a single-operator real-time, with a closed-circuit suction-irrigation system, associated with the transposition of latissimus dorsi muscle and serratus anterior on a common vascular pedicle and intercostal flap. The postsurgery course was favourable, the cavity being eliminated permanently and completely within 34 days.
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