Manzoor Ahmad, Aamir Bilal, Kaleem Ullah, Baseer A, Id Khan M Abid, Imran M, Farid Ullah, Bahaudeen Khan, Fawad Ali.
Thoracoplasty, an experience of 513 cases over 12 years period in a developing country.
Pak J Chest Med Jan ;20(3):95-8.

OBJECTIVE: To assess that thoracoplasty is not an obsolete procedure, and is still a useful space obliterating collapse procedure. MATERIAL AND METHODS: This retrospective observational study was conducted in Thoracic surgery unit Lady Reading Hospital, Peshawar from Jan 2003 to Nov 2014. Patients who had thoracoplasty done as a collapse therapy in these 12 years were included in this study. Total number of patients who underwent this procedure were 513. Patients who had other space obliteration procedures like muscle interposition, pleural tenting, were excluded from the study. The demographic data, operative findings, out come of procedure in terms of postoperative complications, 30 day mortality and duration of ICU and hospital stay were recorded from the data base of patients record of the ward. RESULTS: Our study included 360 male and 153 female patients, age ranges from 12 years to 70 years (Mean age 31 years) out of 513 patients310 had complete thoracoplasty, while 203 had patrtial thoracoplasty.In 490 patients thracoplasty was done as a space obliterating collapse therapy, while in 23 patients patients were not fit for resectional surgery and having heamptasis or MDR TB. Mobidity was 29 (5.65%) patients, three patients had complete break down of wound, 17 patients had wound infection, 2 patients with partial thoracoplasty were re-opened to do complete thoracoplasty and 7 patients had persisting sinus. Mortality was 11 (2.14%), three patients did not recover from anesthesia, and 8 of them had persistent sepsis, septicemia and cachexia. Mean ICU stay was 2 days and mean hospital stay was 5 days. CONCLUSION: There is still a role for this obsolete procedure in selected cases of persistent infected pleural space, with little or no viable lung tissue.

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