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A thoracotomy is a surgical procedure to gain access into the pleural space of the chest. [1] It is performed by surgeons (emergency physicians or paramedics under certain circumstances) to gain access to the thoracic organs, most commonly the heart, the lungs, or the esophagus, or for access to the thoracic aorta or the anterior spine (the latter may be necessary to access tumors in the spine).
A surgical incision is a cut made through the skin and soft tissue to facilitate an operation or procedure.Often, multiple incisions are possible for an operation. In general, a surgical incision is made as small and unobtrusive as possible to facilitate safe and timely operating conditions and recovery.
The finger-like skin flap was then inserted into the cavity made in the chest wall and sewn into the inner pleural lining of the chest. The edges of the incision are then brought together. [ 1 ] The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air ...
-otomy or -tomy : surgical incision (see List of -otomies)-pexy : to fix or secure-plasty : to modify or reshape (sometimes entails replacement with a prosthesis), from the Ancient Greek πλάστος, plástos, meaning "molded".-rrhaphy : to strengthen, usually with suture
The skin over the area of insertion is first cleansed with antiseptic solution, such as iodine, before sterile drapes are placed around the area. The local anesthetic is injected into the skin and down to the muscle, and after the area is numb a small incision is made in the skin and a passage made through the skin and muscle into the chest.
The most common type of lobectomy is known as a thoracotomy. When this type of surgery is done the chest is opened up. An incision will be made on the side of the chest where the affected area of the lung is located. The incision will be in between the two ribs located in that area.
A resuscitative thoracotomy is indicated when severe injuries within the thoracic cavity (such as hemorrhage) prevent the physiologic functions needed to sustain life.The injury may also affect a specific organ such as the heart, which can develop an air embolism or a cardiac tamponade (which prevents the heart from beating properly).
Phlebotomy – An incision in a vein with a needle; Pulpotomy – Removal of a portion of the pulp, including the diseased aspect; Radial keratotomy – a refractive surgical procedure to correct myopia; Sphincterotomy – Treating mucosal fissures from the anal canal/sphincter; Thoracotomy – Incision into the pleural space of the chest