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Year : 2021  |  Volume : 14  |  Issue : 4  |  Page : 154-162

Surgical and endoscopic treatment of pulmonary tuberculosis: A report from russia

Department of Pathology, Peoples' Friendship University of Russia, Moscow, Russia

Correspondence Address:
Sergei V Jargin
Department of Pathology, Peoples' Friendship University of Russia, Moscow
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/hmj.hmj_29_21

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Introduction: This article is a narrative review of Russian-language publications on surgical and endoscopic methods applied for tuberculosis in comparison with the international literature. Methods: Search of the international literature was performed predominantly using PubMed. Russian-language professional publications were searched for in the internet and the electronic library of eLIBRARY.ru. Results: After the introduction of efficient drug therapy in the 1950–1960s, surgical treatment of tuberculosis has been partly abandoned in many parts of the world. The role of surgery remains controversial. Priority of the former Soviet Union in this field was pointed out. Besides, the use of bronchoscopy in tuberculosis is briefly overviewed as well as the treatment of patients with alcoholism. Clinical recommendations are not the goal of this paper. The message is that patients should not undergo surgery and other invasive procedures without evidence-based indications. The patients must be objectively informed about potential benefits and risks to be able to make an independent decision according to the principle of informed consent. Conclusion: The factors contributing to the persistence of suboptimal practices included the authoritative management style, disregard for the rules of scientific polemics and insufficient use of foreign literature. Thanks to the Internet, the foreign literature is used increasingly today. However, some papers containing questionable recommendations have remained without due commentaries, so that persistence of suboptimal practices or reversion to them is not excluded.

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