bronchiectasis
BRONCHIECTASIS
Bronchiectasis is an irreversible pathologic dilatation or ectasia of the bronchi due to repeated airway infection and inflammation.
It enhances susceptibility to bronchial infection and increases inflammatory reaction which causes further lung damage.
Classic symptoms of of bronchiectasis are cough with chronic sputum production along with recurring infective exacerbations and hemoptysis.

Surgical Intervention

  • Surgery should be confined to patients w/ failed medical treatment, localized & troublesome disease
  • Recurrence of cough & sputum production in the remaining bronchial tree often occurs or recurrent hemoptysis
Goals of Surgery
  • Foreign body or tumor removal
    • Surgical or bronchoscopic
  • Removal of lobes or segments of disease that are the most damaged & may be contributing to acute exacerbations
  • Removal of overwhelming viscous secretions, mucous impaction or plugs
  • Control of hemoptysis
  • Removal of multi-drug resistant MAC or Aspergillus sp infection
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