FOR THE MEDICAL PRACTITIONER
Phthisiology
doi: 10.25005/2074-0581-2025-27-4-1036-1044
CHARACTERISTICS OF PLEURAL ADHESIONS, OPERATIVE TIME, AND BLOOD LOSS IN PATIENTS OPERATED ON FOR PULMONARY TUBERCULOSIS

V.K. ALIEV1, S.S. SADOVNIKOVA1, I.S. MISHIN1, M.A. BAGIROV1,2

1Department of Surgery, Central Tuberculosis Research Institute, Moscow, Russian Federation
2Department of Thoracic Surgery named after Academician L.K. Bogush, Russian Medical Academy of Continuing Professional Education, Moscow, Russian Federation

Objective: To evaluate the incidence and severity of pleural adhesions, blood loss volume, and operative time in patients with pulmonary tuberculosis (PTB).

Methods: The cross-sectional, retrospective study included 655 video-assisted thoracoscopic surgeries performed on 595 patients with PTB.

Results: Pleural adhesions were absent in 38.3% of cases (251/655). Isolated adhesions were present at 26.1% (171/655), while a limited spread of the adhesive process occurred at 12.0% (79/655). Subtotal adhesions were observed in 8.2% (54/655), and total adhesions were found in 15.2% (100/655) of the cases. Additionally, intraoperative blood loss and operative time increased significantly when total adhesions were present. The average blood loss was 40.6±5.0 ml, and the average operative time was 91.3±3.1 minutes in operations without adhesions. In contrast, in cases with total adhesions, blood loss increased to 528.8±54.2 ml, and the operative time rose to 207.0±7.5 minutes.

Conclusion: Data analysis indicated that the PTB clinical form and the type of surgery performed influence the extent and density of pleural adhesions. Complex clinical forms of PTB and extensive surgeries are associated with a higher occurrence of pronounced pleural adhesions.

Keywords: Pulmonary tuberculosis, pleural adhesion, blood loss, operative time.

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Authors' information:

Aliev Vilayat Kamalovich,
Candidate of Medical Sciences, Researcher at the Department of Surgery, Central Tuberculosis Research Institute
Researcher ID: KEJ-0676-2024
Scopus ID: 57211627863
ORCID ID: 0000-0002-0105-1980
SPIN: 7069-7778
Author ID: 776447
E-mail: vilaliev@gmail.com

Sadovnikova Svetlana Sergeevna,
Doctor of Medical Sciences, Head of the 1st Surgical Department, Central Tuberculosis Research Institute
Scopus ID: 25632780100
ORCID ID: 0000-0002-6589-2834
Author ID: 427122
E-mail: sadovnikova.sv@mail.ru

Mishin Igor Sergeevich,
Surgeon at the 1st Surgical Department, Central Tuberculosis Research Institute
ORCID ID: 0009-0000-3117-313X
SPIN: 2919-5721
Author ID: 1194791
E-mail: igor_mihin1996@mail.ru

Bagirov Mamed Adilovich,
Doctor of Medical Sciences, Principal Researcher of the Department of Surgery, Central Tuberculosis Research Institute; Professor of the Department of Thoracic Surgery named after Academician L.K. Bogush, Russian Medical Academy of Continuing Professional Education
Scopus ID: 7004190444
ORCID ID: 0000-0001-9788-1024
SPIN: 8820-5448
Author ID: 776474
E-mail: bagirov60@gmail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Aliev Vilayat Kamalovich
Candidate of Medical Sciences, Researcher at the Department of Surgery, Central Tuberculosis Research Institute

107564, Russian Federation, Moscow, Yauzskaya alley, 2

Tel.: +7 (499) 7859196

E-mail: vilaliev@gmail.com


This work is licensed under a Creative Commons Attribution 4.0 International License.

Materials on the topic:
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