Chest wall tuberculosis surgery

Chest wall tuberculosis surgery is mainly used to treat cold chest abscesses and other conditions. The occurrence of chest wall tuberculosis is often related to tuberculous pleurisy. If the pleural effusion is not well controlled and enters the chest wall from the intercostal space, chest wall tuberculosis will form. Surgery for chest tuberculosis is actually a relatively mature operation. Patients only need to pay attention to their postoperative care and physical conditioning after the operation.

For smaller chest wall cold abscesses, puncture and drainage and intracavitary injection of anti-tuberculosis drugs can be tried. Chest wall tuberculosis lesion removal: For simple chest wall tuberculosis abscess, incision and drainage should not be performed. In cases of secondary infection, incision and drainage should be performed first, and antibiotics should be used to control the infection. After the secondary inflammation is controlled, the lesion can be removed. If chronic sinus tracts have formed, after local and systemic anti-infection and anti-tuberculosis drug treatment, complete resection of the chest wall sinus tracts and tuberculosis lesions should be performed.

Treatment should strengthen the patient's nutrition, increase resistance, and adopt active anti-tuberculosis drug treatment. Surgical treatment of chest wall tuberculosis can only be carried out after the tuberculosis lesions in the lungs or other parts of the body are effectively controlled and stabilized. There are two treatment options for cold abscesses caused by chest wall tuberculosis:

1. Cold abscesses are treated with systemic anti-tuberculosis drugs

The treatment is to puncture and drain the abscess cavity. Each time, the pus is drained out at the lower part of the abscess cavity, and then anti-tuberculosis drugs such as streptomycin, kanamycin, isoniazid, etc. are injected into the abscess cavity. If there is no change, surgical treatment should be considered.

2. If local treatment of cold abscess fails, surgery can be used to remove the abscess and damaged ribs.

Clear the infection focus and tuberculous granulation tissue, use the pectoralis major or latissimus dorsi to fill the residual cavity, suture the wound and apply pressure bandage. Primary healing can be achieved with active treatment with antibiotics and anti-tuberculosis drugs. Continue anti-tuberculosis treatment for 3 to 6 months or more after surgery.