Our Experience with Surgical Management for The Sequelae of Pulmonary Tuberculosis

Abstract

Background: Background: This study is aimed to analyze the clinical profile of patients with pulmonary TB sequelae and types of lung resection surgeries required forpulmonary TB sequelae with its postoperative outcome. Method(s): Between 2017 and 2020, 27 patients with postpulmonary TB sequelae underwent lung resection surgeries at our institute. Various indications for these surgeries werelung cavities with aspergillomas, bronchiectasis, destroyed lung and chronic empyema. Result(s): The cohort included 27 patients: cavitary lesions with aspergillomaswas the most common finding (48.1%), followed by bronchiectasis (25.9%),destroyed lung (18.5%) and chronic empyema (7.4) %Lobectomy was the most frequently performed surgery (70.3%), followed by pneumonectomy (18.5%) and segmentectomy (11.1%). Postoperative morbidity was observed in very few patients, with common complications including prolonged air leak, bleeding, wound infection. No perioperative mortality was recorded. Conclusion(s): Surgical management of pulmonary TB sequelae remains essential in selected patients, especially when medical therapy fails or complications like significant hemoptysisarise. Proper patient selection, thorough preoperative optimization, and postoperative care significantly improve outcomes. Lobectomy remains the most commonly required procedure in such cases.Copyright © 2025 Healthcare Bulletin. All rights reserved.