Abstract
Pulmonary tuberculosis is one disease that has created, nurtured & modified thoracic surgery.With the invention of effective antitubercular drugs, role of surgery in pulmonary TB declined over decades, but with appearance of MDR/XDR TB – role of surgery is again becoming important.
Highlights
Pulmonary Tuberculosis (TB) is the disease that moulded Thoracic Surgery and Respiratory Medicine and has a new lease of life with the HIV pandemic, poorly funded national TB programmes and globalization
With the new effective anti –TB drugs, the role of the Thoracic Surgeon gradually declined to the treatment of complications of TB: i.e. - destroyed lobes and lungs, tuberculous pleural empyema with or without broncho-pleural fistula, hemoptysis, bronchoconstriction etc. [6]
The surgical indications in pulmonary TB are: TB complications; cases displaying an inappropriate healing response to medication, in which clinical and radiological pictures remain unchanged or indicate progression; acid-fast bacilli sputum smears positivity after 3-month treatment period, with a circumscribed radiological lesion or a destroyed lung; and previous relapse(s) in patients with histories of TB and proper drug regimen
Summary
Pulmonary Tuberculosis (TB) is the disease that moulded Thoracic Surgery and Respiratory Medicine and has a new lease of life with the HIV pandemic, poorly funded national TB programmes and globalization. With the new effective anti –TB drugs, the role of the Thoracic Surgeon gradually declined to the treatment of complications of TB: i.e. - destroyed lobes and lungs, tuberculous pleural empyema with or without broncho-pleural fistula, hemoptysis, bronchoconstriction etc.
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