Pleurolysis, Pneumolysis

Pleurolysis and Pneumolysis are two surgical procedures that were previously widely used in the treatment of pulmonary tuberculosis. Both procedures involve separating the parietal pleura from the inner chest wall, allowing the lung to compress and collapse freely. This creates conditions for the healing of tuberculous cavities in the lungs and prevents their re-formation.

The pleurolysis procedure is performed by injecting a special solution into the pleural cavity, which causes an inflammatory reaction. As a result, connective tissue is formed that connects the parietal pleura with the inner wall of the chest. This leads to the formation of adhesions between the pleura and the chest wall, which allows the lung to be freely compressed and collapse.

Pneumolysis, or sometimes called pneumotomy, is a more radical procedure that involves introducing air or other gas into the pleural space. This creates a lot of pressure inside the pleural cavity, which leads to separation of the parietal pleura from the chest wall. As a result, the lung is freely compressed and collapses, which promotes the healing of tuberculous cavities.

Although pleurolysis and pneumolysis were previously widely used in the treatment of pulmonary tuberculosis, with the development of effective anti-tuberculosis drugs, these procedures gradually fell out of use. However, in some cases, when drug treatment does not give the desired effect, pleurolysis or pneumolysis can be used as additional methods of treating tuberculosis.

In conclusion, pleurolysis and pneumolysis are surgical procedures that have previously been used in the treatment of pulmonary tuberculosis. With the development of effective medications, these procedures have gradually fallen out of use, but can still be used in some cases as complementary treatments.

Pleurolysis and pneumolysis are surgical procedures performed to treat certain lung diseases. They are aimed at giving the lungs the opportunity to collapse and expand, which allows for improved breathing and a reduced risk of complications. These operations are performed in cases where the lungs cannot breathe properly due to pathologies such as adhesions, scars or tumors.

Pleurolysis is an operation to separate the parietal (parietal) pleura of the lungs from the wall of the chest cavity. This allows the lungs to collapse when you inhale, which improves their function and reduces the risk of complications. Pleurolysis can treat many lung diseases, including tuberculosis, lung cancer, pulmonary fibrosis, pneumonia and others. This operation can be performed either alone or in combination with other surgical interventions.

Pneumolysis is a procedure in which part of the lung tissue that is interfering with normal breathing is removed. This can be caused by various reasons, such as tumors, scars, adhesions and other pathologies. Pneumolysis can be performed on one side of the lung or on both sides. The procedure can be done alone or with the help of other treatments such as chemotherapy or radiation therapy.

Both of these operations are complex and require highly qualified surgeons. However, thanks to them, patients can experience significant improvements in their condition and quality of life. It is important to note that before performing these operations, it is necessary to conduct a complete examination of the patient to determine what kind of lung problems he has. It is also necessary to take into account possible risks and complications that may arise during and after the operation.

Pleurolysis and Pneumolysis: Review of Outdated Surgical Procedures

In light of modern developments in medicine and the emergence of effective anti-tuberculosis drugs, many procedures previously widely used in the treatment of tuberculosis have become obsolete and are rarely used in modern practice. Among such procedures are pleurolysis (Pleurolysis) and pneumolysis (Pneumolysis) - operations aimed at separating the parietal pleura from the chest wall to allow the lung to collapse and improve the condition of patients.

Pleurolysis and pneumolysis were developed and widely used in the period before the availability of effective drugs for the treatment of tuberculosis. At that time, tuberculosis was considered a dangerous and common disease, and surgical interventions such as pleurolysis and pneumolysis were one of the main methods of treatment.

Pleurolysis is a procedure in which the surgeon separates the parietal pleura from the inner chest wall. This allows the lung to collapse freely and reduces pressure on the damaged areas of the lung tissue, which promotes their healing. Pneumolysis, in turn, is a procedure for introducing air into the pleural cavity to create an artificial pneumothorax. This also helps the lung collapse and relieve pressure on the affected tissue.

However, with the development of antibiotics and other anti-tuberculosis drugs, the approach to treating tuberculosis has changed significantly. Drug therapy has become the main method of combating this disease, and surgical interventions such as pleurolysis and pneumolysis have gradually lost their role. Anti-tuberculosis drugs provide effective destruction of the tuberculosis pathogen and promote recovery without the need for surgery.

In addition, pleurolysis and pneumolysis are associated with certain risks and complications. Surgery can lead to infections, bleeding, vascular damage and other undesirable consequences. In this regard, these procedures are recommended only in cases where conservative treatment does not bring the expected results or when there are special indications.

Modern Medicine Offers Although pleurolysis and pneumolysis are rarely used in modern medicine, they may still be considered in some specific clinical situations where conservative treatment is ineffective. For example, some cases of recurrent pneumothorax or obstructed lung collapse may require surgery, including pleurolysis or pneumolysis.

However, before deciding to undergo these procedures, it is necessary to carefully evaluate the benefits and risks, and also consult with an experienced surgeon and pulmonologist. It is important to take into account all factors, including the general condition of the patient, the degree of damage to the lung tissue, the presence of concomitant diseases and the individual characteristics of each case.

In conclusion, pleurolysis and pneumolysis are procedures that were widely used in the past in the treatment of tuberculosis, but gradually lost their importance with the development of effective anti-tuberculosis drugs. In modern medicine they are rarely used and are considered as alternative methods in cases where other treatment methods are ineffective or inapplicable. The decision to perform these procedures should be based on a careful analysis of the benefits and risks for each individual patient.