What is Thoracoplasty surgery?
Thoracoplasty—General Considerations Thoracoplasty is the operative removal of the thoracic cage, which usually involves the subperiosteal resection of several ribs. The principle behind thoracoplasty is that by removing the skeletal support, the overlying chest wall will collapse to the visceral pleura.
What is Intrapleural Thoracoplasty?
intrapleural thoracoplasty involves multiple rib excisions as well as resection of the parietal pleura, periosteum, intercostal muscles, and intercostal neurovascular with preservation of intercostal muscles which is allowed to fall into the cavity 3.
Why is Thoracoplasty performed?
Thoracoplasty, a procedure consisting in the subperiostal removal of a varying number of rib segments, is used to reduce the thoracic cavity. It was the most important and frequently performed operation of thoracic surgery in the past, and a great variety of procedures has been described [1].
Can a rib hump be corrected?
If the patient is still growing, it is also possible to treat scoliosis (and the rib hump) through the use of bracing, as can be seen in this study by T. Thulbourne and R. Gillespie. Exercises and stretches that strengthen the muscles on the side of the rib hump can help to reduce the appearance of the hump.
Why thoracostomy is performed?
Physicians perform a thoracostomy to treat conditions including: pneumothorax (collapsed lung), a collection of air in the pleural space that causes the lung to collapse. Spontaneous pneumothorax occurs in the absence of disease or injury.
When is thoracotomy used?
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. A thoracotomy is performed for diagnosis or treatment of a disease and allows doctors to visualize, biopsy or remove tissue as needed.
What resection means?
(ree-SEK-shun) Surgery to remove tissue or part or all of an organ.
What is artificial pneumothorax?
Artificial pneumothorax (APT) was the first positive treatment of tuberculosis to cause improvement. As a basic of therapy after 1910 it was replaced by chemotherapy 30 years later. Its development followed an early 19th century observation that spontaneous pneumothorax improved a tuberculosis patient.
What causes rib hump?
As the vertebral bodies rotate, the spinous processes deviate more and more to the concave side and the ribs follow the rotation of the vertebrae. The posterior ribs on the convex side are pushed posteriorly, causing the characteristic rib hump seen in thoracic scoliosis.
What does rib hump mean?
A rib hump is a primary indicator of scoliosis, as well as the condition’s progression in adolescents. If there is asymmetry in the rib height causing one side of the rib cage to protrude more than the other, this is due to the presence of an abnormal spinal curvature, commonly along the thoracic spine.
When is thoracotomy indicated?
Thoracotomy is indicated when total chest tube output exceeds 1500 mL within 24 hours, regardless of injury mechanism. THE INDICATIONS for thoracotomy after traumatic injury typically include shock, arrest at presentation, diagnosis of specific injuries (such as blunt aortic injury), or ongoing thoracic hemorrhage.
When is a thoracotomy indicated?