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What is decortication surgery?

What is decortication surgery?

Decortication is a type of surgical procedure performed to remove a fibrous tissue that has abnormally formed on the surface of the lung, chest wall or diaphragm. Generally, there is a space (called pleural space) in between the lungs and the chest wall, which is lined with a very thin fluid layer for lubrication.

How is pleural fluid processed?

Thoracentesis is the removal of pleural fluid from your pleural cavity with a needle and syringe. You are positioned sitting upright with arms raised and supported. A local anesthetic is applied and then the healthcare practitioner inserts the needle into your chest (pleural) cavity and the sample is removed.

What is Pleurodesis surgery?

Pleurodesis is a procedure that sticks your lung to your chest wall. This procedure removes the space between your lung and your chest wall (pleural space) so that fluid or air no longer builds up between the layers.

Is decortication a major surgery?

Lung decortication is a simple yet formidable procedure. It involves the excision of the thick fibrinous peel from the pleural surface, thereby permitting the expansion of the underlying lung parenchyma.

Why is decortication done?

The goals in performing decortication are to remove all the fibrinous peel and necrotic tissue, to help the lung reexpand, and, equally important, not to leave any residual air spaces. The two most common problems encountered in performing decortication are pleural-cavity infection and fibrosis.

What is the best treatment for pleural effusion?

Management and Treatment Diuretics and other heart failure medications are used to treat pleural effusion caused by congestive heart failure or other medical causes. A malignant effusion may also require treatment with chemotherapy, radiation therapy or a medication infusion within the chest.

How do you confirm pleural effusion?

Posteroanterior and lateral chest radiographs usually confirm the presence of a pleural effusion, but if doubt exists, ultrasound or computed tomography (CT) scans are definitive for detecting small effusions and for differentiating pleural fluid from pleural thickening.

Is pleurodesis serious?

There were a significant number of serious complications, including a death, from ARDS. Physicians and patients should be aware that complications occur frequently after talc pleurodesis which may be life-threatening or fatal.

Is lung decortication a major surgery?

How is a decortication performed?

Small incisions are made on the skin above the chest cavity to insert a thoracoscope (camera with a light source) and surgical instruments. The peel is carefully removed piece by piece to avoid air leaks. Any remnant blood and debris are cleared. The underlying tissues and skin are sutured.