Dr. Shilpa Gandhi | Leading Consultant Minimally Invasive Thoracic Surgeon In Nagpur

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Dr. Shilpa Gandhi

MBBS, DNB General Surgery DNB Thoracic Surgery

Dr. Shilpa Gandhi is a trusted and experienced healthcare professional known for her compassionate care and expertise. Committed to delivering personalized treatments and improving patient well-being.

Dr Shilpa Gandhi
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Decortication Of Lung

Decortication Of Lung In Bhilai

Decortication of Lung is vital surgical procedure used to treat severe lung conditions, particularly those involving fibrosis, infection, pleural complications. This surgery involves the removal of  fibrous or diseased tissue that surrounds the lung, known as the pleura. The goal is to restore proper lung function by freeing  lung from adhesions, improving breathing, and alleviating symptoms caused by trapped air or fluid.

Decortication of Lung is critical surgical procedure performed to treat conditions that cause fibrosis, adhesions in the pleura (the lining around the lungs). This procedure involves the removal of fibrous or thickened tissue that restricts the lungs’ ability to expand, improving the patient’s breathing and overall lung function. It is commonly used to treat severe cases of pleural effusion, empyema, other lung diseases that lead to pleural thickening.

What is Pneumonectomy Surgery?

Pneumonectomy Surgery is the surgical removal of one lung is significant medical procedure , To begin with the  human body has two lungs: the right lung consisting with three lobes and the left lung (which has two lobes). When one lung becomes severely affected by disease or damage, removing it entirely can, therefore help prevent the spread of disease and improve the patient’s overall health prospects.

In Contrast to procedures like lobectomy, where only a portion of the lung is removed, pneumonectomy is a more extensive surgery. Consequently it is typically reserved for cases where other treatments or surgeries are insufficient to address the condition effectively .

Why is Pneumonectomy Surgery Performed?

1. Lung Cancer

  • The most common reason for undergoing  Pneumonectomy Surgery is , first and foremost to treat non-small cell lung cancer (NSCLC) . Specifically, when the cancer  has spread extensively within a one lung; however , it is not yet metastasized to other parts of the body.
  • By removing the affected lung, surgeons aim to prevent the cancer from spreading and improve survival rates.

2. Severe Lung Infections

  • Chronic and severe infections, such as tuberculosis or fungal infections, can cause irreversible lung damage. When these infections are confined to one lung, the pneumonectomy may be required.

3. Trauma or Injury

  • In cases of severe trauma to the chest, where one lung is irreparably damaged, a pneumonectomy may be the only viable option to save the patient’s life.

4. Congenital Lung Disorders

  • Rarely, congenital abnormalities or deformities in the lung may require complete removal to improve breathing and quality of life.

5. Mesothelioma or Other Lung Diseases

  • For diseases like mesothelioma (cancer caused by asbestos exposure) or severe emphysema, pneumonectomy may be considered to improve survival or reduce symptoms.

Types of Pneumonectomy Surgery

There are two main types of Pneumonectomy Surgery, depending on the complexity of the condition:

1. Standard Pneumonectomy

  • In this procedure, the entire lung is removed.
  • This is typically performed for cases of localized cancer or severe infection.

2. Extrapleural Pneumonectomy (EPP)

  • A more complex procedure that removes not only the lung but also parts of the surrounding structures, such as the pleura (lining of the lung), diaphragm, and pericardium (lining of the heart).
  • Usually performed for advanced mesothelioma or other aggressive cancers.

The Pneumonectomy Surgery Process

Pre-Surgery Preparation

  1. Imaging Tests:

    • CT scans, PET scans, and chest X-rays are conducted to assess the extent of disease and ensure it is confined to one lung.
  2. Pulmonary Function Tests (PFT):

    • These tests evaluate the patient’s remaining lung capacity to ensure they can survive with one lung.
  3. Smoking Cessation:

    • Patients are required to stop smoking before surgery to reduce complications and promote healing.
  4. Medical Evaluation:

    • A complete health assessment is done to determine if the patient is a good candidate for surgery.

Benefits of Pneumonectomy Surgery

Despite being a major surgery, Pneumonectomy Surgery offers significant benefits for eligible patients:

  1. Elimination of Disease

    • Removes cancerous or severely diseased tissue, preventing the spread of disease.
  2. Improved Quality of Life

    • While living with one lung requires adjustments, many patients experience improved breathing and reduced symptoms over time.
  3. Life-Saving Treatment

    • For conditions like lung cancer or severe infections, a pneumonectomy can be the difference between life and death.
  4. Prevention of Complications

    • Prevents further damage to the body by removing the source of infection or disease.

Risks and Complications

As with any major surgery, Pneumonectomy Surgery comes with risks, including:

  • Bleeding: Due to the highly vascular nature of the lungs.
  • Infections: Risk of pneumonia or surgical site infection.
  • Empyema: Accumulation of infected fluid in the chest cavity.
  • Heart Strain: The heart may need to adjust to the removal of one lung.
  • Breathing Challenges: Adapting to life with one lung can initially cause shortness of breath.Contact Us 

Conclusion

Pneumonectomy Surgery is a crucial procedure for patients facing severe lung conditions like cancer, infections, or trauma. Although it is a major operation, advancements in surgical techniques and post-operative care have significantly enhanced its safety and effectiveness

If you or a loved one has been advised to undergo a pneumonectomy, it is essential to consult with a skilled thoracic surgeon to discuss your options, prepare for surgery, and plan for recovery. With the right care, this surgery can be a life-saving step toward better health and quality of life.Book an appointment with Dr. Shilpa Gandhi for specialized thoracic care.

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