Pleurotomy

Pleurotomy is a surgical procedure performed to treat lung diseases such as emphysema, bronchiectasis, and chronic obstructive pulmonary disease (COPD).

The pleura is a serous membrane that covers the lungs and chest wall. During this operation, the doctor makes an incision in the chest along the costal arch between the two lungs. Surgery is then performed to remove excess lung tissue and cleanse the surfaces of the lung from accumulations of sputum and other debris.

Pleurotomy procedures can be performed in a variety of ways and depend on the severity of the disease. For example, a simple pleurotomy can be performed laparoscopically, through small incisions in the skin that allow the surgeon to work through anatomical openings in the abdominal wall. This allows you to shorten recovery time and reduce the risk of postoperative complications.

One of the main concerns with pleurotomies is the possibility of infection. After surgery, the patient's body becomes vulnerable to various infections, so it is very important to pay attention to the care of the patient and monitor his condition after the procedure.

In addition, pleurotomy can lead to urinary and fecal incontinence, which also requires certain postoperative care measures. One of the complications after pleurotomy is also the destruction of cartilage, which ensures the respiratory function of the lungs.

Finally, the technique and choice of pleurotomy technique depend significantly on the individual patient, his condition and diagnosis. Operations of this type can be performed either independently or in combination with other medical procedures. Pleurotomies are an effective method of treating various diseases of the lungs and chest, but their use should only be carried out by an experienced physician.

**Pleurotomy:**

Pleurotomy is a surgical intervention to remove part of the pleura on the affected side, which allows you to relieve the tension and tension of the fibro-pleural sheets associated with the exudative process or thrombophlebitis, reduce the formation of connective tissue scar and improve respiratory function. Less commonly, pleurotomy is performed not only for bronchopleural and pleural atelectasis, but also for the dry or effusion stage of pleurisy and in cases of atypical forms of pneumonia with characteristic persistent pain symptoms and hypoventilation, which is often combined with dystrophic manifestations in the lung parenchyma. Operations are also performed for pathologies of the lymph-renal system with the development of pleural effusion, as well as for cirrhotic enlargement of the liver to reduce portal hypertension and swelling of the organ.

If drug therapy fails or early relapses, drugs are administered to increase the tolerance of the respiratory muscles to hypoxia, dehydration, liquefaction of sputum, normalization of hemoglobin and tissue perfusion. In parallel, it is possible to administer indirect anticoagulants, myotropic drugs, proteolysis inhibitors, anti-inflammatory drugs, immunocorrectors, including drugs with alvealcytoprotective activity. With a long course of the process, associated with reactive changes in the cardiovascular and urinary systems, antibacterial therapy is combined with hepatorenal and hepatoprotective treatment according to generally accepted principles.