RETROSPECTIVE STUDY OF THORACOTOMY IN PULMONARY TUBERCULOSIS PATIENTS INTERTIARY HEALTHCARE CENTRE OF SOUTH GUJARAT.

Background: Pulmonary Tuberculosis is one of the most prevalent infections in India and contributes significantly to morbidity and mortality.While most patients with TB can be successfully treated with anti-tuberculosis chemotherapy, Thoracic surgery is an important adjuvant strategy for these patients especially the one with MDR/XDR. Aim: To compare VATS and conventional open thoracotomy with decortication in pulmonary TB patient's requiring surgery. Methodology: A Retrospective study was conducted on a sample size of 10 patients who presented with features of pulmonary TB, mainly referred from TB OPD with chest X-ray/ HRCT thorax findings. Results: There was significant association was found among Both methods and various variables like Duration of hospital stay, back to routine work after surgical procedure and VAS score for pain assessment. Conclusion: This study suggests that VATS, a minimally invasive procedure with its implied decreased perioperative morbidity and better functional outcome, should be preferred over the traditional OT procedure whenever feasible to do so.