Thoracoplasty (Removal of Rib)
Objective
In cases of extensive TB of the lungs:
• To cause a collapse of the lungs by removal
of rib.
Position
Left or Right lateral position.
Anesthesia
General intubation.
Procedure
1. Cleaning of the patient with Savlon and painting with Tincture
Iodine and draping.
2. Incision with No. 20 blade and No. 3 BP
handle.
3. Cauterization with cutting cautery.
4. Elevation of the periosteum of the rib with
periosteum elevator.
5. Cutting of the rib with rib cutter.
6. Sponge and instruments count.
7. Drainage: Under water seal drainage.
8. Muscle closure with No. 1-0 Vicryl.
9. Skin closure with 2-0 Vicryl.
10. Dressing with Betadine ointment and gauze.
11. Shifting of the patient.
Linen
Chest sheet 1 pkt, Gown 1 pkt, Chest drape 1 pkt, OPT 1 pkt.
Set
General set, water seal set, Rib resection set, Cleaning set.
Major
procedure tray
• Retractor
Davidson scapula 1
• Duvals lung
holding forceps 2
• Sinus rib
holding forceps 1
• Dorham’s
aneurysm needle 2
• Retractor
Allisoi’s (Lung retractor ) 1
• Periosteum
elevator notch type 2
• Bronchus
clamp 2
• Dissector W/S
1
• Stinskey
clamp
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