Recently, we studied patients of pulmonary tuberculosis for two years and six months.
We performed 61 operations on them : of these 5 were pneumonectomy, 25 lobectomy, 8
segmental resection and 23 thoracoplasty. In order to prevent postoperative complication
of 38 lung-resected patients, we treated 16 cases with cycloserine + viomycin, and other
22 cases were treated with kanamycin.
Of 16 cases treated with cycloserin + viomycin regimen, 8 were lobectomies, 8
segmental resections. Among 16 cycloserine + viomycin regimen, 2 cases of segmental
resections developed broncho-pleural fistula postoperatiyely, 1 of lobectomies and 1 of
segmental resections had reactivation.
Three cases of 17 lobectomies with kanamycin regimen developed positive sputum
postoperatively, one case of pneumonectomies with kanamycin regimen had reactivation
in the remaining lung.
Kanamycin regimen has been found to be better than cycloserine + viomycin regimen,
in view of preventing postoperative compications.
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