The new method of osteoplastic operation at destructive forms of pulmonary tuberculosis, bronchial fistula and pleural empyema

Abstract

A new approach to the methodology of the osteoplastic surgery in patients with neglected forms of destructive pulmonary tuberculosis with the features of the anatomical structure of the chest and shoulder area is worked out.
Studies in patients with neglected forms of destructive pulmonary tuberculosis showed that simple in technical solution, affordable way of a surgical intervention allows to create collapse of the upper, middle and partly (6 segment) of the lower lobes of the lungs to the boundaries of the mediastinum, thus improving the effectiveness of treatment to 90 cases. In this case, in order to obtain effective lung collapse one should not only remove the rib frame of the chest, but also with the special formula to resect segment of the clavicle, as the holding of the acromioclavicular and sternum joint of shoulder girdle.