Volume : VII, Issue : VIII, August - 2018

SURGICAL MANAGEMENT OF ABDOMINAL TUBERCULOSIS- A NOVEL APPROACH

T. Chitra, N. Soundharrajan

Abstract :

Background of the study:  In spite of considerable advances in recent times, tuberculosis, particularly of the abdomen  is  the  major health problem in  India.  The disease is a diagnostic enigma and the management is still controversial. Surgical treatments, both radical and conservative, are being advocated. Approximately one fifth of patients require surgical intervention. Abdominal tuberculosis (ATB) is the most important cause of morbidity.

Materials and methods:  The study was done in Govt. Rajaji Hospital and Madurai Medical College from September 2013 to September 2014. 50 cases have been studied. 49 cases underwent definitive  surgeries. Follow up period ranges from 1 month to 22 months.

Results:  The age range of the patients was 16 to 60 years and most commonly involved age group was 20-40 years with Male to female ratio of 1.5: 1. 12% of the patients had a positive history of contact. 60% of the patients presented with intestinal obstruction.  The  most  commonly  involved  site  was  the  ileocaecal  region (44%). Most common surgical procedure done was Limited (segmental) resection (46%).All cases were discharged on 6 months ATT.

Conclusion:In  the  present  series  the  approach  to  surgery  was  conservative.  Limited resection waspreferred over Right hemicolectomy. Most of the cases had uneventful post operativeperiod and showed good response to ATT during the follow up.

Keywords :

Article: Download PDF    DOI : https://www.doi.org/10.36106/gjra  

Cite This Article:

T. Chitra, N. Soundharrajan, SURGICAL MANAGEMENT OF ABDOMINAL TUBERCULOSIS- A NOVEL APPROACH, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : Volume-7 | Issue-8 | August-2018

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