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Tuberculosis

Physiological Lung Exclusion Can Be Useful Alternative To Resection

Published in TB and Outbreaks Week, September 11th, 2001

by N.R. Saltmarsh, staff medical writer - In cases of massive hemoptysis, lung resection is not always possible, and physiological lung exclusion may be more appropriate.

Lung resection, the surgical treatment of choice for patients with hemoptysis due to pulmonary tuberculosis or bronchiectasis, can be impossible or dangerous in some cases, noted R.S. Dhaliwal and colleagues working in India. When dense vascular adhesions between the lung and the chest wall are present, for example, excision can lead to marked blood loss.

Dhaliwal and coworkers described 20 cases of physiological lung exclusion, 19 in patients with massive hemoptysis and one in a...

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