Pulmonary surgeries

incision in surgery

1. Pulmonary surgeries By kajal sansoya Diploma in physiotherapy BPT

2. What is pulmonary surgery ? Lung surgery is done to removal of the lung or a part of a lung or to repair the lung tissues. Cardiothoracic surgeon will performe the surgery .

3. Why is lung surgery performed ? To perform a bioscopy of lung tissue in case any abnormal growth is suspected. To drain fluid build-up from the chest in a lung surgery procedure called pleurodesis To remove a part of lung if it has been infected by cancer, the lung operation can be performed to remove a portion of lung , entire lung section.

4. To drain blood from the chest cavity after trauma such as an accident. To replace a lung. To remove pulmonary blebs and prevent the collapse of the lung.

5. Conditions require lung surgery Bronchiectasis – chronic permanent dilation of one or more bronchi, which impairs the drainage of bronchial secretions and leads to persistent infection in the affected segment or lobe. Lung cancer Interstitial lung disease Lung nodules Blebs

6. Collapsed lung Emphysema – enlagement of the airspaces distal to the terminal bronchioles, either from dilation or destruction of their walls.

7. Types of pulmonary surgeries Pneumonectomy Lobectomy Wedge resectioning Segmentomy Sleeve resectioning Lymphadenectomy

8. Pneumonectomy Removal of entire lung Incision is posterolateral Indications - carcinoma, bronchiectasis , Tb Complications - damage to phrenic nerve, recurrent laryngeal nerve.

9. lobectomy Removal of one or both lobes of lungs Incision of choice is axillary thoracotomy , posterolateral thoracotomy Indications - bronchiectasis , TB, lung abscess, carcinoma

10. Segmental resection A bronchopulmonary segment is removed with its segmental artery and bronchus. Incision may be posterolateral or axillary Indications - TB

11. Wedge resectioing

12. This nonanatomical resection is used for diagnois in open lung biospy and treatment of well localised peripheral carcinomas in patients with redused lung function.

13. Thoracoplasty This operation is peformed to produced the permanent collapse of lung. Surgical procedure that allows the reduction of thoracic cavity by removing ribs. Median strenoctomy is incision of choice in these cases. Indications – TB, emphysema Complications - deformity , paradoxial breathing.

14. Pleural surgery Pleurectomy – is removal of parietal layer of pleura ( pneumothorax ) Viscreal layer pleura stick with the chset wall. 2. Pleurodesis - insertion of powder into pleura cavity , which acts as a irritants. Position of patient in 10 min for each position – expansion breathing exrecises performed in each position.

15. 3 . Decortication – stripping of two layer of pleura that have become adherent with each other ( empyema )

16. Thank you Happy reading 