SURGERY IN THE TREATMENT OF MULTIDRUG-RESISTANT TUBERCULOSIS

Resectional surgery is recommended for patients with localized multidr ug-resistant tuberculosis if adequate pulmonary reserve is present. Ap propriate drug specific therapy is employed for approximately 3 months preoperatively and for 18 to 24 months postoperatively. Nutrition is emphasized both pre- and postoperatively. Technically, the use of bron choscopy, double lumen endotracheal tubes, and muscle or omental flaps is stressed. With the above, cure rates should be better than 90%.