What is a trapdoor incision?
Trap door incisions. The left-sided trap door (A) is the classic approach to the left subclavian region. To provide exposure of the right subclavian region, an upper sternotomy with a right supraclavicular extension (B) can be used, particularly in the setting of trauma.
Which intercostal space is entered for a thoracotomy?
The thoracotomy incision is made between the second and third ribs along the superior border of the third rib. The pectoralis major and minor muscles are divided with electrocautery.
When is a thoracotomy performed?
Thoracotomy is often done to treat lung cancer. Sometimes it’s used to treat problems with your heart or other structures in your chest, such as your diaphragm. Thoracotomy can also be used to help diagnose disease. For example, it can enable a surgeon to remove a piece of tissue for further examination (biopsy).
Why would you do a clamshell thoracotomy?
Studies have demonstrated that it is easier to control the cardiac wound using this approach compared to the standard left anterolateral thoracotomy, as it gives wider exposure for all injuries, which are then easier to control surgically through the larger incision.
What is the difference between a thoracotomy and a lobectomy?
A lobectomy is the surgical removal of a large section of lung. Lobectomy is the most common surgery performed to treat lung cancer. Lobectomy has been traditionally performed during thoracotomy surgery. During thoracotomy surgery, an incision is made on the side of the chest between the ribs.
What is an indication for a crash thoracotomy?
Indications for emergency room thoracotomy include: Patients who suffer penetrating cardiac trauma, who have cardiac tamponade identified on the FAST exam, or individuals who are pulseless and received CPR less than 15 minutes after traumatic thoracic injury.
Does your lung grow back after a lobectomy?
Q: After a lobectomy, can the lungs regenerate? A: No, the lungs can’t regenerate. You can take out 75% to 80% of the liver and it will regenerate, but not the lungs.
How do you sleep after thoracotomy?
You can sleep in any position that is comfortable. Some patients need to sleep sitting in an upright position at first. It may be painful to sleep on your side, but it will not hurt your heart or incisions.