Decortication
What is Decortication?
Decortication is a surgical procedure that involves the removal of the outer layer or fibrous membrane of an organ or tissue. It is most commonly performed on the lungs, specifically to treat conditions such as pleural effusion (fluid accumulation in the pleural space) or pleural thickening. The goal of decortication is to restore normal lung function by removing the restrictive layer that can hinder respiratory expansion.
How to diagnose Decortication? When to consult a doctor?
Diagnosis of conditions that might require decortication typically involves the following steps: Medical History and Symptoms Review, Physical Examination, Imaging Tests, Pleural Fluid Analysis & Bronchoscopy.
You should consult a doctor if:
- Persistent Chest Pain: Especially if accompanied by difficulty breathing or coughing.
- Shortness of Breath: Sudden or progressive difficulty in breathing may indicate pleural effusion or other lung conditions.
- Fever and Chills: These symptoms can suggest an infection, such as empyema, that may require intervention.
- Coughing up Blood: Hemoptysis (coughing up blood) can indicate serious underlying conditions requiring prompt attention.
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Causes
- Fibrothorax
- Organizing Pneumonia
- Empyema
- Chronic Pleural Effusion
Symptoms
- Shortness of Breath
- Chest Pain
- Persistent Cough
- Fever and Chills
- Fatigue and Weakness
Frequently Asked Questions
Recovery varies by individual and procedure type but typically involves a hospital stay, pain management, and gradual return to normal activities over several weeks.
Risks may include bleeding, infection, lung injury, and complications related to anesthesia. Recovery may also involve pain and discomfort.
Many patients experience improved lung function and quality of life after decortication, especially if the procedure is performed early in the course of the disease.