Pulmonary surgeries are performed to remove part or all of the lung, repair lung tissues, or drain fluid from the chest cavity. Common reasons for lung surgery include suspected abnormal growths, infections, trauma, lung replacement, and conditions such as cancer, blebs, or collapsed lungs. The main types of pulmonary surgeries are pneumonectomy (removal of an entire lung), lobectomy (removal of one or more lung lobes), wedge resection, segmentectomy, and sleeve resection. Surgeries are performed by cardiothoracic surgeons through various incisions and can treat conditions like bronchiectasis, tuberculosis, and emphysema. Complications may include nerve damage or deformity.

1. Pulmonary surgeries
By kajal sansoya
Diploma in physiotherapy
BPT

2. What is pulmonary surgery ?
• Lung surgery is done to removal of the lung or
a part of a lung or to repair the lung tissues.
• Cardiothoracic surgeon will performe the
surgery .

3. Why is lung surgery performed ?
• To perform a bioscopy of lung tissue in case
any abnormal growth is suspected.
• To drain fluid build-up from the chest in a lung
surgery procedure called pleurodesis
• To remove a part of lung if it has been infected
by cancer, the lung operation can be
performed to remove a portion of lung , entire
lung section.

4. • To drain blood from the chest cavity after
trauma such as an accident.
• To replace a lung.
• To remove pulmonary blebs and prevent the
collapse of the lung.

5. Conditions require lung surgery
• Bronchiectasis – chronic permanent dilation of
one or more bronchi, which impairs the
drainage of bronchial secretions and leads to
persistent infection in the affected segment or
lobe.
• Lung cancer
• Interstitial lung disease
• Lung nodules
• Blebs

6. • Collapsed lung
• Emphysema –enlagement of the airspaces
distal to the terminal bronchioles, either from
dilation or destruction of their walls.

7. Types of pulmonary surgeries
• Pneumonectomy
• Lobectomy
• Wedge resectioning
• Segmentomy
• Sleeve resectioning
• Lymphadenectomy

8. Pneumonectomy
• Removal of entire lung
• Incision is posterolateral
• Indications- carcinoma, bronchiectasis, Tb
• Complications- damage to phrenic nerve,
recurrent laryngeal nerve.

9. lobectomy
• Removal of one or both lobes of lungs
• Incision of choice is axillary thoracotomy ,
posterolateral thoracotomy
• Indications- bronchiectasis, TB, lung abscess,
carcinoma

10. Segmental resection
• A bronchopulmonary segment is removed
with its segmental artery and bronchus.
• Incision may be posterolateral or axillary
• Indications - TB

12. Wedge resectioing

13. • This nonanatomical resection is used for
diagnois in open lung biospy and treatment of
well localised peripheral carcinomas in
patients with redused lung function.

14. Thoracoplasty
• This operation is peformed to produced the
permanent collapse of lung.
• Surgical procedure that allows the reduction
of thoracic cavity by removing ribs.
• Median strenoctomy is incision of choice in
these cases.
• Indications – TB, emphysema
• Complications- deformity , paradoxial
breathing.

16. Pleural surgery
1. Pleurectomy – is removal of parietal layer of
pleura ( pneumothorax)
• Viscreal layer pleura stick with the chset wall.
2. Pleurodesis- insertion of powder into pleura
cavity , which acts as a irritants.
• Position of patient in 10 min for each
position – expansion breathing exrecises
performed in each position.

17. 3. Decortication – stripping of two layer of
pleura that have become adherent with each
other ( empyema)

18. Thank you
Happy reading 