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[Changes of plombage-operations in respiratory surgery]
M Kitano1, M Nagasawa, F Tanaka
1Department of Thoracic Surgery, Tenri Hospital.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|December 1, 1992
Summary
Plombage operations for pulmonary tuberculosis evolved from early rigid spheres to softer materials and advanced techniques like omentum plombage. Each method, despite complications, held clinical significance during its era.
Area of Science:
- Thoracic Surgery
- Medical History
- Pulmonary Medicine
Background:
- Pulmonary tuberculosis treatment historically lacked effective drugs.
- Plombage surgery emerged as an early intervention for tuberculosis.
Observation:
- Early plombage used rigid polymethylmethacrylate spheres, leading to complications like lung injury and empyema.
- Subsequent methods utilized soft elastic resins (sponge-plombage, air-plombage) and the "Kinchyu" method, which still presented challenges like chronic empyema.
Findings:
- The pedicled omentum plombage method represents a recent advancement, proving effective for refractory cases.
- Each historical plombage technique addressed specific challenges in tuberculosis management.
Implications:
- Understanding the evolution of plombage provides insight into surgical treatment progression for pulmonary tuberculosis.
- The development of plombage techniques highlights the continuous search for effective tuberculosis therapies.