The Experts below are selected from a list of 252 Experts worldwide ranked by ideXlab platform
Pankaj Mathur - One of the best experts on this subject based on the ideXlab platform.
-
Historical TB treatment—Plombage
QJM: An International Journal of Medicine, 2017Co-Authors: Vinod Namana, Rajeswer Sarasam, Sushilkumar Satish Gupta, Pankaj MathurAbstract:An 82-year-old man with a history of pulmonary tuberculosis (TB) treated with Plombage, hypertension and hyperlipidemia was admitted to hospital for severe community-acquired pneumonia. He was admitted to medical intensive care unit, treated with intravenous hydration, antibiotics and mechanical ventilator support. The patient’s subsequent course was uneventful and was discharged home. Patient’s anteroposterior x-ray of the chest and computed tomography of the chest …
-
historical tb treatment Plombage
QJM: An International Journal of Medicine, 2016Co-Authors: Vinod Namana, Sanjay Gupta, Rajeswer Sarasam, Pankaj MathurAbstract:An 82-year-old man with a history of pulmonary tuberculosis (TB) treated with Plombage, hypertension and hyperlipidemia was admitted to hospital for severe community-acquired pneumonia. He was admitted to medical intensive care unit, treated with intravenous hydration, antibiotics and mechanical ventilator support. The patient’s subsequent course was uneventful and was discharged home. Patient’s anteroposterior x-ray of the chest and computed tomography of the chest …
Vilayat Aliev - One of the best experts on this subject based on the ideXlab platform.
-
first experience of simultaneous extrapleural lung resection with silicone Plombage for widespread drug resistant destructive pulmonary tuberculosis a case report
Journal of Clinical Practice, 2019Co-Authors: Elena Krasnikova, Vilayat Aliev, красникова елена вадимовна, L N Lepeha, лепеха лариса николаевна, алиев вилаят камалович, R V Tarasov, тарасов руслан вячеславович, A E Ergeshova, эргешова ануш эдуардовнаAbstract:Background. The increase of the number of patients with drug-resistant forms of disseminated destructive lung tuberculosis dictates not only expansion of indications for a surgical treatment but development of new intraoperative techniques, which may reduce the risks of postsurgical complications and further progressing of tuberculosis. For a long-lasting chronic course of destructive drug-resistant tuberculosis, it is often impossible to reach the process stabilization necessary for a successful lung resection. Toracoplasty usually performed when the resection intervention is contraindicated is not only traumatic for a patient but also does not provide the proper lung compression. Clinical case description. The clinical case is presented by disseminated fibrous-cavernous tuberculosis with a wide drug resistance of the pathogen, with the cavernous changes observed against the background of the pronounced lung tissue cirrhosis. To achieve the effect, we performed extrapleural lung resection followed by the immediate extrapleural silicone Plombage in order to prevent overextension of the remaining part of the lung. The histological study data confirm the significant degree of the tuberculosis inflammation activity, in spite of the preceding long-term antituberculosis therapy. Conclusion. Due to the low trauma and high efficiency, the operation of simultaneous extrapleural pneumolysis with silicone implant Plombage may be used in the complex treatment of disseminated destructive pulmonary MDR/XDR TB with a chronic relapsing course of the disease.
-
extrapleural Plombage with silicone filling in stage by stage surgical treatment for disseminated pulmonary tb
European Respiratory Journal, 2016Co-Authors: Mamed Bagirov, Elena Krasnikova, Svetlana Sadovnikova, Dmitry Prokhodtsov, Adam Ibriev, Vilayat AlievAbstract:Introduction: Recently we observe increasing numbers of patients with drug resistant bilateral pulmonary TB, whose only chance for cure is surgical intervention with pneumonectomy on the most affected side. Objectives: To demonstrate clinical, functional and cosmetic advantages of extrapleural pneumolysis with silicone filling versus resection of the only lung or thoracoplasty of the remaining lung. Materials and methods: We performed stage-by-stage surgical treatment of 8 patients with bilateral pulmonary TB, which had one “destroyed” lung and the other lung with fibrotic cavities. All the patients had reduced functional reserves; resection of the only lung was risky. As filling we used a breast silicone implant designed for life placement in the human organism. 5 patients underwent extrapleural Plombage at the first stage and pleuropneumonectomy at the second stage of treatment, which allowed gradual adaptation to functional losses during 2-3 months. In 3 cases silicone Plombage on the only lung at the second stage was performed under developing hemorrhage from the “destroyed” lung. Results: X-ray scanning revealed compression of cavities in the collapse zone of the only lung in all the patients; they all showed satisfactory condition, adaptation of the respiratory function and absence of the chest deformation otherwise unavoidable in thoracoplasty. Conclusions: The proposed method of stage-by-stage surgical treatment for disseminated pulmonary TB involving extrapleural pneumolysis with silicone Plombage on the side of the least affection and pleuropneumonectomy on the most affected side is most functional and cosmetically acceptable.
Felix S Chew - One of the best experts on this subject based on the ideXlab platform.
-
late tracheal compression complicating Plombage
American Journal of Roentgenology, 1999Co-Authors: Felix S Chew, Dawid Schellingerhout, Suzanne B KeelAbstract:gressive enlargement of the mass over several years. CT showed extrapleural location, calcifications, and compression of the trachea between the mass and the aortic arch (Fig. lB). MR imaging showed homogeneous signal within the mass (Fig. 1C). After excision, the gross specimen consisted of sheets of polyethylene surrounded by a thick rind (Fig. ID). Histologic results revealed that the rind was composed of fibrosis, recent and organized hemorrhage, and an infiltrate of lymphocytes and plasma cells. Focal areas of dense, homogeneous pink tissue were present within the fibrosis that showed positive staining for amyloid. No organisms were found. The final pathologic diagnosis was chronic sterile empyema cavity with amyloid deposition surrounding polyethylene sheets used for Plombage. Repeated episodes of hemorrhage and amyloid deposition were apparently responsible for the observed increase in the size of the mass. Lung resection is an effective treatment for pulmonary tuberculosis that was widely used during the decade before the advent of effective oral chemotherapy. Elimination of the empty space in the thorax after resection was accomplished by either collapsing the chest wall (thoracoplasty) or filling the space with a material (Plombage). In many patients, this material was removed within a few years either because of or to avoid complications such as dyspnea, infection, fistula, extrusion, or hemorrhage. Longterm survivors with intact Plombage material were usually filled with hollow or solid plastic spheres; oleothorax (paraffin wax or olive oil); or polyethylene sheets, strips, bags, or sponges (polyethylene or polystan pack) [ 1 ]. Polyethylene sheeting was popularized for Plombage because the sheets were firm and resilient but not rigid and, perhaps, less likely than plastic spheres to ulcerate or erode the Plombage cavity [2]. Plombage was abandoned as tuberculosis therapy in the early 1950s, but surviving patients are subject to late complications. The treatment of these complications is surgery, with the removal of the Plombage material and the insertion of physiologic substitutes such as muscle flaps [3]. Plombage is still performed in rare cases such as in patients with postpneumonectomy syndrome [41.
G Weisbrod - One of the best experts on this subject based on the ideXlab platform.
-
epithelioid angiosarcoma of the lung a rare late complication of lucite Plombage
British Journal of Radiology, 2006Co-Authors: Demetris Patsios, M De Perrot, G WeisbrodAbstract:Epithelioid angiosarcoma of the lung is a rare late complication of Lucite Plombage treatment of pulmonary tuberculosis. We describe the clinical, radiological and pathologic findings of a case of epithelioid angiosarcoma of the lung presenting with persistent haemoptysis who had undergone remote lung collapse therapy with Lucite Plombage.
Cynthia Glines - One of the best experts on this subject based on the ideXlab platform.
-
silastic prosthesis Plombage for right postpneumonectomy syndrome
The Annals of Thoracic Surgery, 1990Co-Authors: Fernando A Riveron, Craig Adams, Joseph W Lewis, Deborah Ochs, Cynthia GlinesAbstract:Abstract In rare instances, right pneumonectomy can produce progressive exertional dyspnea and reduce ventilatory reserve because of extreme mediastinal shift (right postpneumonectomy syndrome). The diagnosis can be made by bronchoscopy and computed tomography. We report a case of a 43-year-old patient in whom Plombage with two Silastic breast implants produced mediastinal derotation and symptomatic relief of this syndrome.