Lung Decortication

Lung Decortication

The time of Lung Decortication is critical for success. In many cases , the skin may heal spontaneously pulmonary lobectomy and symptoms may disappear decortication of the lung. Most surgeons perform decortication of the following conditions. :

Pleural skin is present for more than 4-6 weeks

Pulmonary Lung Decortication symptoms are disabling

There is evidence of a trapped lung radiological

lung lobectomy is often necessary when other procedures minor pulmonary decortication ( lobectomy , chest tube ) have not led to the authorization of infection or hemothorax . Tuberculous empyema is usually first treated with medication and Lung Decortication performed after any long-term medication .

Against lung lobectomy :

In addition to the lung lobectomy physiological ability of the patient to the decortication of the lung, against no - absolute contraindication against the bombing. Lung Decortication Some patients also have underlying lung disease lung lobectomy , pulmonary lobectomy to remove the shell can not help expand the lungs , while the surgery would be futile.

Shelled other lung diseases that may render useless decortication include the presence of an infection in the pleural cavity and large airway stenosis . In such cases , the lung is stretched to fill the pleural space lobectomy . An extended pneumonectomy may be the only option , decortication of the lung,lung lobectomy but only if the patient has been treated before surgery . Pneumonectomy is a great company with a very high mortality rate .

removal of lung may not be possible in the presence of pulmonary decortication uncontrolled infection contralateral lung or pulmonary disease Lung Decortication, or chronic weakness of the patient lung lobectomy . Medical optimization may be required before surgery lobectomy patients.lung these Ideally, the nutritional status of the patient must first be normalized ( decortication of the lung) lung lobectomy and sepsis should be managed with appropriate antibiotic treatment .

Other cons -indications for pulmonary decortication blood clotting ,Lung Decortication infection , severe chest wall and terminal illness .

Pulmonary decortication technical considerations : -

Husked lung decortication gives the best results in patients requiring early treatment. Process depends fibrothorax lung temporal lobectomy and can not be avoided Lung Decortication. Depending on the cause , the insertion of a chest tube to remove a spill or hemothorax may prevent the development of pulmonary decortication fibrothorax .

Among patients with chest trauma , hemothorax , pulmonary decortication placement of a chest tube to drain completely and usually prevents lung development fibrothorax removal .Lung Decortication Numerous studies have shown that early pulmonary lobectomy and complete evacuation of parapneumonic of clotted hemothorax and leads to morbidity and mortality pulmonary decortication .

Among the possible reasons for lung volume incomplete return include elevation of the diaphragm , lung decortication mediastinal shift , fibrosis of the intercostal muscles, or decrease the size of the chest cavity Lung Decortication. lung lobectomy Some experts believe that empyema pulmonary lobectomy is allowed to proceed, the probability of recovery of normal lung function . Pulmonary decortication , although some authors report an association between shorter duration of disease and improving outcomes , it is not a universal finding among all surgeons .

Although there has been made to explain the failure of the lungs to expand after a successful call bombing pulmonary decortication , the most likely reason is that technical difficulties or incomplete removal of the shell. lung lobectomy In many cases Lung Decortication , the dissection plane extraction lung can be difficult lung decortication . The persistence remove excess thin shell can also injure the lung parenchyma and the underlying cause of the massive air leak.

lung removal Inability to define the plane of dissection between the tank and the visceral pleura of the lung decortication is a particularly difficult problem technically that may affect the results. If pleurectomía visceral , lung lobectomy air leakage and lung lobectomy postoperative bleeding can impair lung function. Care should be taken throughout the operation to protect the nerve injury, lung decortication phrenic Fortunately, this is usually not a problem because the removal of the lung pleura mediastinum is rarely involved in the inflammatory process. Lung Decortication Parietal pleurectomy incomplete pulmonary decortication or lung lobectomy inability to release the diaphragm may also affect the results .

If pulmonary lobectomy patients are selected lung re-expansion properly fill after Lung Decortication can usually be achieved . Sometimes, however , Lung Shelling a matter of residual pleural space may occur after decortication otherwise technically satisfactory. If this space is not cleared , failure is inevitable.

Results pulmonary decortication : _

Lung Decortication

The results after stripping is usually successful .Lung Decortication of morbidity and mortality after lung decortication depends on the patient's age ,lung lobectomy comorbidities lobectomy underlying and the development of complications of Lung Decortication . Bombings generally excellent results in young people.

Fibrothorax In young patients with benign causes, the result is excellent and the quality of life has greatly improved Lung Decortication. Most patients begin to experience symptomatic relief after surgery. In elderly patients with multiple comorbidities, recovery may be slow lung lobectomy,lung removal but the relief of symptoms is also better. Most patients return to tolerance to the previous year , and are able to return to their original work Lung Decortication.

However, decortication of the lung when the procedure is performed in patients with compromised pulmonary function pulmonary lobectomy ,Lung Decortication morbidity can be high. Besides the surgery itself ,lung lobectomy the incision in the chest and general anesthesia also have a high rate of morbidity in those without pulmonary reserve. Current data suggest that the overall mortality in healthy people is lung removal less than 1% lung lobectomy, but can reach up to 4.6% in those with underlying lung disease . However, video-assisted thoracoscopy ( Lung Decortication) , the current mortality rates are slightly lower .

To avoid complications pulmonary decortication , the surgeon must pay attention to detail . The skin should be removed with the Lung Decortication utmost care should be avoided and damage to adjacent organs .lung removal If done correctly , a lobectomy in lung function ,lung lobectomy after the improvement is remarkable. However, the final return of lung function depends on the preoperative pulmonary disease.

If the lung parenchyma was normal before surgery, complete pulmonary decortication then it is certainly possible re - expansion and obliteration of the pleural space. In most cases, pulmonary lobectomy lung volumes improve after the attack lung removal, but it is rare to see a return to Lung Decortication preoperative values .

The space visceral pleural decortication pulmonary pleura that surrounds the lungs and parietal pleura , which is the lining of the chest cavity.lung lobectomy dissect the goal is to remove all necrotic tissue and fibrin shell , and help re - the expansion of the lungs and equally important not to lose airspace Lung Decortication .

The two most common problems encountered during execution pulmonary decortication is an infection of the pleural cavity and fibrosis. It is difficult for the underlying lung expands when a thick shell covering removal parenchyma.Lung Decortication Therefore, there is a large residual space in the chest cavity which almost always infected lobectomy . Therefore, for the surgeon to succeed with the attack, when surgery is crucial.

If the disease is often Lung Decortication chronic coastal regions merge and chest cavity is very limited. Subscribe to the chest can be very difficult lung removal.Lung shelled If the skin is very thick and sticky, the wounds of the lung parenchyma may be a moderate loss of air. If the lung is a disorder of nature, you can not produce the possibility of re - extension.

Finally, the attack is not a trivial process and can be very bloody , so the patient must be capable of undergoing lobectomy physiological process lung lobectomy.lung All these factors must be considered when planning a Lung Decortication .

In addition, once inside the lung decortication chest cavity , the lung removal initially not be visible due to the low fiber .

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