Which Type Of Incision Is Given In Thoracotomy?

A thoracotomy is a surgical procedure in which a cut is made between the ribs to see and reach the lungs or other organs in the chest or thorax. Typically, a thoracotomy is performed on the right or left side of the chest. An incision on the front of the chest through the breast bone can also be used, but is rare.

Which muscles are cut in thoracotomy?

However, it involves cutting at least one (latissimus dorsi) and sometimes many (trapezius, rhomboids, serratus anterior) of the major chest wall muscles. Experience has shown it to be one of the most painful surgical incisions .

How long is a thoracotomy incision?

A thoracotomy typically takes 3 to 4 hours, and the surgical team will give you medicine to make you sleep through it. When the operation gets underway, your surgeon will start with a cut around 6 inches long on your left or right side, just below the tip of your shoulder blade.

What are the types of thoracotomy?

Thoracotomies typically can be divided into two categories; anterolateral thoracotomies and posterolateral thoracotomies. These can be further subdivided into supra-mammary and infra-mammary and, of course, further divided into the right or left chest. Each type of incision has its utility given certain circumstances.

How is a thoracotomy performed?

A thoracotomy is surgery to open your chest. During this procedure, a surgeon makes an incision in the chest wall between your ribs, usually to operate on your lungs. Through this incision, the surgeon can remove part or all of a lung. Thoracotomy is often done to treat lung cancer.

What is posterolateral incision?

The posterolateral approach is classically credited with offering optimal exposure of all important structures. It has been the standard incision for pulmonary procedures for the past 90 years. This incision allows penetration of the thorax at any level between the 3rd and the 10th rib.

What is thoracic incision?

Through a thoracic incision, the surgeon can access the lungs, heart, food pipe (esophagus), thoracic aorta, or the spine. A thoracic incision is a surgical cut made on the chest (thorax) to get access to the space between the lungs and chest wall.

What is thoracoabdominal incision?

An incision was made 2 cm below the tip of the scapula to a point in the midline equidistant from the xiphoid process to the umbilicus. The chest was entered at the eighth intercostal space. The abdominal cavity was entered by dividing the diaphragm peripherally from its lateral attachments to the ribs.

What are the types of surgical incisions?

Issues of Concern

  • Midline Incisions. Also known as the laparotomy incision, or celiotomy, this is the most traditional of surgical incisions. …
  • Kocher Incisions (Subcostal) …
  • Para-median Incision. …
  • Gridiron Incision (McBurney Incision) …
  • Lanz (Rockey-Davis) …
  • Thoracoabdominal (Iver Lewis) …
  • Chevron. …
  • Pfannenstiel (Kerr/Pubic incision)

When is a thoracotomy performed?

Cardiac arrest after penetrating chest trauma may be an indication for emergency thoracotomy. A successful outcome is possible if the patient has a cardiac tamponade and the definitive intervention is performed within 10 minutes of loss of cardiac output.

What is VATS procedure lung?

Video-assisted thoracoscopic surgery (VATS) is a procedure in which a small tube called a thoracoscope is inserted through a small incision between the ribs. At the end of the tube is a small camera. This lets the surgeon see the entire chest cavity without having to open up the chest or spread the ribs.

Which surgical incision is used for a lung decortication?

For the pleurectomy (also known as a parietal pleurectomy), the patient is positioned on their side to give the surgeon the most direct access to the chest cavity. The surgeon begins with a long incision called a thoracotomy.

What is a clamshell incision?

The clamshell incision is shaped like a curved ‘W”, and is typically performed in the anatomic skin / rib groove below the breasts. The surgeon then dissects through the tissue, and intercostal muscles to enter the pleural space bilaterally.

Is sternotomy a type of thoracotomy?

Some common forms of thoracotomies include: Median sternotomy provides wide access to the mediastinum and is the incision of choice for most open-heart surgery and access to the anterior mediastinum.

What is thoracic surgeon?

Thoracic surgery

Specialized thoracic surgeons treat lung and esophageal cancer, while specialized cardiac surgeons treat the heart. Thoracic surgery, also known as chest surgery, may be used to diagnose or repair lungs affected by cancer, trauma or pulmonary disease.

What do you mean by laparotomy?

A laparotomy is a surgical incision into the abdominal cavity. A laparotomy is performed to examine the abdominal organs and aid diagnosis of any problems. Possible complications include infection and the formation of scar tissue within the abdominal cavity.

What is a Thoracoplasty procedure?

Thoracoplasty is a surgical procedure that allows the. reduction of the thoracic cavity by removing the ribs. It was originally conceived to collapse cavities of lungs af- fected by tuberculosis and gained worldwide acceptance in such a setting.

What is a transverse incision?

Abstract. Transverse incisions may provide adequate access to the pelvis and pelvic regional nodes, but relatively poor access to the upper abdomen. They are more easily concealed under clothing than the more versatile vertical midline incision. Transverse fascial incisions may heal more securely than vertical ones.

What is pneumonectomy surgery?

A pneumonectomy is a type of surgery to remove one of your lungs because of cancer, trauma, or some other condition. You have two lungs: a right lung and a left lung.

Which intercostal space is entered for a thoracotomy?

Thoracotomy includes division of the muscles exterior to the rib cage and entering the pleura, usually through the fifth intercostal space, by separating the intercostal muscles from the rib.

What is a thoracoscopy procedure?

Thoracoscopy is a procedure a doctor uses to look at the space inside the chest (outside of the lungs). This is done with a thoracoscope, a thin, flexible tube with a light and a small video camera on the end.

What does thoracic surgery include?

Thoracic surgery focuses on the chest organs, including the heart, lungs, esophagus, and trachea. Technological advances have increased the safety and availability of these complex surgical procedures. Lung cancer surgeries, heart transplants, and anti-reflux surgeries save and improve lives around the world.

Who performs a thoracoscopy?

At the very least, a pulmonol- ogist who is proficient in chest-tube placement and management should be entitled to acquire the skills necessary to perform thoracoscopic procedures involv- ing the parietal pleura and the pleural space. examinations of pleural fluid.