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Effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: respiratory organs and lumbar spine

https://doi.org/10.20340/vmi-rvz.2023.4.CLIN.7

Abstract

Objective: to show the effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: tuberculosis of the lungs and the lumbar spine.

Materials and Methods. Simultaneous surgical treatment was performed in 24 patients. Evaluation of the effectiveness of treatment was carried out according to the signs of the early and later (after 12 months) postoperative period. Operational material for detection microbiologically and morphologically to determine its causative agent, drug sensitivity and inflammation activity.

Results: the effectiveness of simultaneous surgical treatment was 87.3 %. The number of complications in the early postoperative period was 8.4 % (n = 2), in the late 4.2 % (n = 1). According to the results of the examination of the surgical material, tuberculosis was confirmed in 20 patients (83.3 %), both in the bone structure and in the lung tissue. In 4 (16.7 %) patients, nonspecific inflammation of the bone structure was noted.

Conclusion: Simultaneous surgical treatment of tuberculosis of the lungs and lumbar spine is a highly effective method of treating tuberculosis of multiple localizations. It is possible to recommend the use of simultaneous surgical treatment for simultaneous sanitization of foci of infection, both in the lung tissue and in the spine.

About the Authors

V. A. Khomenko
Central Tuberculosis Research Institute
Russian Federation

Vladimir A. Khomenko - Dr. Sci. (Med.), Traumatologist, Leading Researcher of the Department of Surgery.

2 Yauzskaya Alley, Moscow, 07564


Competing Interests:

The authors declare no competing interests



T. Sh. Guseynov
Central Tuberculosis Research Institute
Russian Federation

Tural S. Guseynov - Cand. Sci. (Med.), Traumatologist, Researcher of the Department of Surgery.

2 Yauzskaya Alley, Moscow, 07564


Competing Interests:

The authors declare no competing interests



R. V. Tarasov
Central Tuberculosis Research Institute; Moscow Medical University "Reaviz"
Russian Federation

Ruslan V. Tarasov - Surgeon, Junior Researcher of Department of Surgery CRIT; Assistant of the Department of Surgical Diseases MMU.

2 Yauzskaya Alley, Moscow, 07564; Krasnobogatyrskaya str. p 2, Moscow, 107564


Competing Interests:

The authors declare no competing interests



G. V. Chitorelidze
Central Tuberculosis Research Institute
Russian Federation

Georgiy V. Chitorelidze - Cand. Sci. (Med.), Thoracic surgeon, Researcher of the Department of Surgery.

2 Yauzskaya Alley, Moscow, 07564


Competing Interests:

The authors declare no competing interests



G. A. Asoyan
Central Tuberculosis Research Institute
Russian Federation

Genrik A. Asoyan - Surgeon, Junior Researcher of the Department of Surgery.

2 Yauzskaya Alley, Moscow, 07564


Competing Interests:

The authors declare no competing interests



А. S. Khozikov
Central Tuberculosis Research Institute
Russian Federation

Andrey S. Khozikov – Pathologist.

2 Yauzskaya Alley, Moscow, 07564


Competing Interests:

The authors declare no competing interests



M. A. Bagirov
Central Tuberculosis Research Institute; Moscow Medical University "Reaviz"; Russian Medical Academy of Continuous Professional Education
Russian Federation

Mamed A. Bagirov - Dr. Sci. (Med.), Thoracic Surgeon, Chief Researcher of the Department of Surgery, CRITuberculosis, Professor of the Department of Thoracic Surgery, RMAContinuing Professional Education.

2 Yauzskaya Alley, Moscow, 07564; 2/1 c1 Barrikkdnaya str., Moscow, 123242


Competing Interests:

The authors declare no competing interests



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For citations:


Khomenko V.A., Guseynov T.Sh., Tarasov R.V., Chitorelidze G.V., Asoyan G.A., Khozikov А.S., Bagirov M.A. Effectiveness of simultaneous surgical treatment of patients with tuberculosis of multiple localizations: respiratory organs and lumbar spine. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2023;13(4):63-68. (In Russ.) https://doi.org/10.20340/vmi-rvz.2023.4.CLIN.7

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ISSN 2226-762X (Print)
ISSN 2782-1579 (Online)