Abstract

MORAL-NARANJO, Alejandro Alfonso; CANO-MATUS, Norberto; SAINZ-VAZQUEZ, Luis  and  MATA-MIRANDA, María del Pilar. Historia y actualidad del plombaje como tratamiento en la enfermedad pulmonar por tuberculosis multirresistente. Rev. am. med. respir. [online]. 2015, vol.15, n.3, pp.225-230. ISSN 1852-236X.

Thoracic surgery for tuberculosis was the treatment of choice since the early nineteenth century until its replacement with the arrival of the antifimic chemotherapy. Currently they have documented multiple late complications of tisiosurgery also surprising long-term results. In this article we will briefly review the collapse therapy and one of its most important representant plombage, evolution, variants, effectiveness and application criteria. Plombage implemented through the use of multiple materials grafted into the thoracic cavity, a tissue reaction to hypoxia, which originated an environment where it cannot survive the TB bacillus, getting an immediate drastic improvement in patients in advanced stages of the disease. It was rated the surgery with fewer disadvantages because it restricted the chest deformity compared to thoracoplasty the need for a shorter hospital stay, the possibility of a delimitation of the lung area where the lesion was located by the disease, etc. The procedure demonstrated in many cases increased survival at 40 years. Considering current developments in surgical techniques, improved methods and aseptic sterilization, the increased availability of materials with fewer complications and lack of effectiveness of chemotherapy in tuberculosis, plombage rermerge as current feasible surgical treatment.

Keywords : Pneumolysis; Plombage; Multidrug-Resistant Tuberculosis; Colapsotherapy; Lucite Balls.

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