Decortication Of Lung is the removal of tissue that overlies the diaphragm, lungs, and chest wall. This is done through a surgical process. The main reason for decortication is to allow the lung to expand to a greater capacity. One of the major benefits to decortication is the quick response one’s body has to the reexpansion of their lungs through the removal of this tissue.
Generally, the pleural cavity that is effected is under 1 millimeter thick. When this cavity is contaminated by cancerous spore, the movement of these cells and liquids is changed. When this movement is changed or impeded, it can seriously affect one’s health.
A well known inhibitor of this condition of the pleural cavity is fibrothorax. This is when an outstanding amount of fibrous tissues have formed over the cavity. Over lengthy periods of time, this extra tissue can eventually take over and trap the lung causing lung failure. This is closely linked to asbestos exposure.
Decortication is a very technical process. It should only be done by someone who is experience with opening up the chest area. In some cases, this pleural skin may not even be able to be taken out. There is specified times in which this can also be done. Thoroughly watching the progression and stages of this condition is essential to a successful surgery. It is also necessary to be thorough in the evaluation of the patient and diagnosis. Decortication is generally a successful remedy for this condition and similar conditions.
Decortication is generally performed when the patient is under anesthesia. The surgery is very complex and can be risky. It is started by creating a small incision in the chest cavity. The placement of the incision is vital and is different from patient to patient. At this point, surgeons will then inspect the chest cavity using specific tools and lighting devices.
After the chest cavity area has been examined, another incision is created on the outer layer of the pleural cavity. From here the surgeon will determine the proper starting position for the actual decortication. Once this starting position has been evaluated, the surgeon will then begin the process of peeling the outer layer from the underlying pleural cavity. During the peeling of this fibrous tissue, it is a possibility that complication can occur. These possible complications include tearing of the lung tissue which results in air leaks. Patience of the surgeon will determine the outcome of the decortication. It is a very slow process and the surgeons know how delicate they must peel away this layer. If all of the fibrous layer can not initially be reached, a second incision may be created using the same process described above. Once all of this peel is removed successfully, the surgical staff will then get rid of any remaining fluids. Any air leaks are sealed up, and the patient is evaluated to insure they are able to completely expand their lung.
It is important to note that in some cases where the condition has progressed (usually 6 -7 weeks) than the pleural cavity and tissues are more fused together, thus making it increasingly difficult to pull part the pleural layers. However, if these layers have yet to fuse together, the pleural layer can simply be pulled away from the chest cavity and open the way for lung to expand.
There are several major concerns that come with any operation. The main issues is whether or not a patient is healthy enough to undergo such a surgery. This is usually predetermined with a strict evaluation of the patient. In the matter of decortication of lung, a patient that has any other lung diseases or defects may not be eligible for this surgery. The mortality rate of this surgery is very minimal with today’s technologically advanced surgical centers, surgeons, and training staff.
It is important that a patient be physically capable of handling such a surgery. Post surgery tests should be taken in order to fully take advantage of the longevity of the success of this operation. As a patient, be sure to research surgeons who have a high success rate with decortication.