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
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).
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SURGICAL ASPECTS OF PLEUROPULMONARY
TUBERCULOSISDr. SANJOY SANYALMBBS, MS (Surgery)
Department of Surgery – Central Hospital Kigali.Rwanda, Africa 1999
Presented at 2nd Annual Conference of College of Gynaecology and Obstetrics of Rwanda,
Kigali, Rwanda, Africa, on 5th – 6th May 1999
Bird’s-eye view
• TB, specifically PT, needs no introduction
• ATT - drastic reduction in indications for surgical treatment
• MDRT strains - 33-70% of all cases, depending on region
• 5-10% PT require surgical treatment
• Post-WW II era-maximum strides in intra-thoracic surgery
The therapeutic spectrum• Pulmonary tuberculosis
– 90-95%-----ATT (prolonged, regular)– 5-10%-------Require surgery
• Procedures of choice– Pulmonary resection-------------90%– Thoracoplasty--------------------10%