THE PREVENTION OF POST-PNEUMONECTOMY MEDIASTINAL LUNG HERNIATION BY INTRAOPERATIVE ANTERIOR MEDIASTINAL PLASTY IN PATIENTS WITH DESTRUCTIVE PULMONARY TB AND THE EVALUATION OF ITS EFFECT ON RESPIRATORY FUNCTIONS
We analyzed the outcomes of anterior mediastinal plasty for the prevention of mediastinal herniation after pneumonectomy in 91 patients with destructive pulmonary TB. We compared surgery outcomes in 49 (53.8%) patients after pneumonectomy with anterior mediastinal plasty, with outcomes in 42 (46.2%) patients after pneumonectomy without additional interventions. The study demonstrated the effectiveness of anterior mediastinal plasty for the prevention or reduction or size retention of pre-operative mediastinal lung hernias. We also observed decreased dyspnea and improved respiratory functions in patients after intraoperative anterior mediastinal plasty.