Ann Med Med Res | Volume 6, Issue 1 | Research Article | Open Access
Hante YA1, Bezabih A2 and Merine SK2*
1Department of Surgery, Gidole Primary Hospital, SNNPR, Ethiopia
2Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
*Correspondance to: Seyoum Kassa Merine
Fulltext PDFBackground: Pulmonary and pleural Tuberculosis (TB) remains a major global health challenge, with significant morbidity and mortality worldwide. While medical treatment for TB has improved dramatically in recent years, some patients still suffer from post-TB complications, including drugresistant TB, as well as cavitary lesions and areas of destroyed lung that persist despite successful treatment. Surgical treatment for TB-related pulmonary and pleural complications has taken a secondary role since the advent of effective medical treatment, but it remains an important option for selected patients. Methods: This retrospective cross-sectional study included 67 patients who underwent surgical management for pleural or pulmonary tuberculosis at Tikur Anbessa Specialized Teaching Hospital and Menelik II comprehensive specialized Hospital in Addis Ababa, Ethiopia between January 1st, 2018 and December 31st, 2020. Convenience sampling was used, and data was collected through a structured questionnaire and reviewed medical charts. Data was analyzed using SPSS version 25, and ethical considerations were maintained throughout the study. Results: The most common presenting symptoms were cough (100%) and weight loss (50.7%), and the left upper lobe of the lung (34.3%) was the most commonly affected part. Decortication was the most frequently performed surgical procedure (50.7%), followed by lobectomy (20.9%) and wedge resection (14.9%). Post-surgery complications were observed in 32.8% of patients, with bronchopleural fistula (13.4%), postoperative empyema (10.4%), and hospital-acquired pneumonia (9%) being the most common complications. One patient (1.49%) died per-operatively. The mean postoperative hospital stay was 16 days. Conclusion: This study provides important insights into the clinical characteristics, surgical procedures, and postoperative outcomes of patients with pulmonary and pleural TB who underwent surgery in Ethiopia. Decortication was the predominant surgical procedure, and the majority of patients did not experience postoperative complications. However, complications such as Bronchopleural fistula, postoperative empyema, and hospital-acquired pneumonia were observed. These findings highlight the importance of optimal management of postoperative complications to improve patient outcomes in the management of pulmonary and pleural TB.
Tuberculosis; Pulmonary complications; Pleural complications; Decortication; Lobectomy
Hante YA, Bezabih A, Merine SK. Surgical Management of Complications of Pulmonary and Pleural Tuberculosis: Clinical Insights and Outcomes. Ann Med Medical Res. 2023; 6: 1060..