100 Years of Collapse Surgery for Tuberculosis in Ukraine

are institutions remains the most dangerous among all the common diseases. The urgency of the problem lies in the fact that, despite the significant number of antibacterial drugs, effectiveness of tuberculosis treatment of the lung does not achieve the planned efficiency. Moreover, growing resistance of mycobacteria to antibacterial drugs, especially for type of multiresistance and extended resistance, requires a significant part of patients to be transferred to palliative treatment. Phthisiosurgical methods (resection and thoracoplasty) remain an alternative to antibacterial therapy. The possibilities of resection surgery, taking into account the resistance of mycobacteria, are decreasing; only collapse surgical interventions can become relatively capable.Proposed in the last years of the 19th century century and the first years of the 20th , collapsosurgical methods of treating pulmonary tuberculosis were picked up as an idea by Ukrainian scientists and surgeons, who have developed and perfected a number of collapsosurgical operations, and over 100 years their use has proven their effectiveness. However, today they are used less and less, since most phthisiosurgical and phthisiatric beds have been reduced or eliminated. What’s next? Increase the amount and, of course, the toxicity of chemotherapy drugs? To what extent? What detoxification system of the body can withstand this? Thoracoplasty operations over 100 years of use have proven the effectiveness of single and combined intervention.Restoring the existing system of dispensary services for tuberculosis patients seems to be the most effective and cost-effective solution.In the current conditions, it is impossible to increase the effectiveness of antibacterial therapy given the ever-growing level of mycobacteria resistance, and the prospects are more than doubtful. Meanwhile, the use of collapse surgical interventions, especially combined ones, can significantly enhance the level of effectiveness up to the complete cure of tuberculosis patients.