Tuberculosis surgery: Difference between revisions
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| style="padding: 5px 5px; background: #F5F5F5;" |This is another conservative surgical management which has shown promising results. | | style="padding: 5px 5px; background: #F5F5F5;" |This is another conservative surgical management which has shown promising results. | ||
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===Spinal tuberculosis=== | |||
*Biopsy is used to make a diagnosis. | |||
* Gross instabillity and neurological complications are treated by decompression and fusion of the anterior segments. | |||
* Joint damage may be repaired by late surgery and arthrodosis. | |||
==References== | ==References== | ||
Revision as of 14:51, 24 September 2014
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Tuberculosis Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Tuberculosis surgery On the Web |
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American Roentgen Ray Society Images of Tuberculosis surgery |
Overview
Surgery may be necessary, especially to drain spinal abscesses or to stabilize the spine in case of Pott's disease.
Surgery
Renal tuberculosis
Surgery is necessary to remove the urinary obstruction in genito urinary tuberculosis. 3 most common sites which can cause urinary obstruction is as follows. [1]
- Pelvi- ureteral junction
- Calyx
- Lower end of ureter
| Types of surgery | Proceedure |
|---|---|
| Cavernotomy | It involves removal of avascular caeseous material which helps in preventing complications like abscess rutputre. It has got excellent prognosis |
| Partial nephrectomy | This was an old technique to remove the affected tissue. Recently the drug regimen helps to heal the calyx and hence partial nephrectomy is not widely practised now. |
| Nephrectomy | Chief indication of nephrectomy is obstruction of pelvi-ureteric junction. Plastic surgery of pelvi uretric junction is also an option for it. Drianage improves the treatment |
| Excsion of stricture and reimplantation of ureter into the bladder. | This is another conservative surgical management which has shown promising results. |
Spinal tuberculosis
- Biopsy is used to make a diagnosis.
- Gross instabillity and neurological complications are treated by decompression and fusion of the anterior segments.
- Joint damage may be repaired by late surgery and arthrodosis.