Decortication of the Lung
Objective
In cases of chronic empyema or TB of lung:
• The stripping of a membrane on the visceral pleura that interferes with respiration.
Position
Lateral.
Anesthesia
General.
Procedure
1. Affected lung is exposed through a posterolateral incision.
2. Rib resection may be indicated for adequate exposure.
3. Fibrous membrane is carefully peeled away from the visceral pleura.
4. Hemostasis may be difficult.
5. Chest tubes are inserted.
6. Wound is closed in layers.
7. Chest tubes are connected to a sealed drainage unit.
Instruments
• Major procedures tray
• Thoracotomy tray
• Vascular procedures tray
• Hemoclip appliers, assorted sizes, long handled
• Long Pean clamps
• Stapling devices
• Cushing vein retractors
• Basin set
• Suction tubing
• Blades (3) No. 10, (1) No. 15
• Dissectors
• Asepto syringes (2)
• Staples
• Hemoclips
• Vessel loops, umbilical tapes
• Chest drainage tube(s)
• Connector for example, straight or large Y
• Sealed drainage unit.
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