Learn about Decortication Empyema Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Decortication Empyema and request assistance for cost estimates or appointments.

About Decortication Empyema

Decortication for empyema is a specialized thoracic surgical procedure performed to treat a severe lung infection complication called empyema, which is a collection of pus in the pleural space (the area between the lung and the chest wall). When performed by a cardiac surgeon, this procedure involves making an incision in the chest (thoracotomy) to access the pleural cavity. The surgeon meticulously removes the thick, fibrous, and infected peel (the 'cortex') that has formed around the lung, which is trapping it and preventing it from expanding. This process, known as decortication, allows the lung to fully re-expand, restores normal breathing function, and eliminates the persistent infection. It is a major surgery considered when less invasive treatments like chest tube drainage or antibiotics have failed to resolve the condition.

Key Highlights

    Effectively eliminates chronic infection and pus from the chest cavity.Restores full lung expansion and significantly improves breathing capacity.Provides definitive treatment when antibiotics and simple drainage fail.Performed by experienced cardiac/thoracic surgeons for precise management of complex chest anatomy.Helps prevent long-term complications like permanent lung scarring and respiratory failure.

Who is this surgery for?

  • Failed medical management of empyema with persistent infection despite antibiotics.
  • Loculated or complex empyema where pus is trapped in multiple pockets, preventing effective drainage.
  • Presence of a thick, fibrous pleural peel (cortex) seen on CT scan that is restricting lung movement.
  • Chronic empyema lasting several weeks that has not resolved with chest tube thoracostomy.
  • Development of a bronchopleural fistula (abnormal connection between lung airways and pleural space).
  • To prevent permanent lung entrapment and progressive respiratory impairment.

How to prepare

  • Comprehensive evaluation including chest X-ray, CT scan, and possibly ultrasound to map the extent of the empyema.
  • Blood tests to assess infection levels, organ function, and clotting ability.
  • Optimization of nutritional status, as chronic infection often leads to weight loss and weakness.
  • Pre-operative physiotherapy to teach breathing exercises (incentive spirometry) for use after surgery.
  • Discussion of anesthesia risks and a complete medical history review with the surgical and anesthesia team.
  • Fasting for 6-8 hours before the scheduled surgery time.

Risks & possible complications

  • Bleeding during or after the procedure, which may require transfusion.
  • Infection at the surgical site or spread of infection.
  • Air leak (persistent pneumothorax) from the lung surface after decortication.
  • Reaccumulation of fluid or pus in the pleural space.
  • Pain, which is common and managed with medications.
  • Risks associated with general anesthesia and major surgery, such as blood clots, heart issues, or stroke.
  • Injury to surrounding structures like nerves, blood vessels, or the diaphragm.
  • Respiratory failure, especially in patients with pre-existing lung disease.

Recovery & hospital stay

  • Initial recovery in the ICU or a high-dependency unit for close monitoring of breathing and vital signs.
  • One or more chest tubes will remain in place for several days to drain fluid and air, allowing the lung to fully expand.
  • Aggressive pain management is crucial to enable deep breathing and coughing exercises.
  • Early mobilization with assistance to prevent blood clots and pneumonia.
  • Continued breathing exercises with an incentive spirometer multiple times daily.
  • Intravenous antibiotics will be continued post-operatively as prescribed.
  • Follow-up appointments for wound check, chest X-ray, and removal of sutures/staples.
  • Gradual return to normal activities over several weeks, avoiding heavy lifting for 6-8 weeks.
  • checked Typical hospital stay: 7-14 days
  • checked Expected recovery time: 4-8 weeks

Frequently Asked Questions

If you are considering decortication empyema in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for decortication empyema compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 250 Thousand – 600 Thousand 7-14 days ~ 4-8 weeks Know More
Turkey TRY 875 Thousand – 2.1 Million 7-14 days ~ 4-8 weeks Know More

Top hospitals for Decortication Empyema in India

These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing decortication empyema.

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Kamineni Hospital, King Koti

  • IconHyderabad, India
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Kamineni Hospital, Tadigadapa

  • Iconvijayawada, India
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15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
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91+ Rating

Manipal Hospital Malleshwaram

  • IconBangalore, India
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534+ Rating

Manipal Hospital Yeshwanthpur

  • IconBangalore, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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15+ Rating

SIMS Hospital Vadapalani

  • IconChennai, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Krishna Khan, a 58-year-old former construction...

Krishna Khan, a 58-year-old former construction worker and father of three, had always been strong and active. A persistent cough and low-grade fever that started after a bout of pneumonia three weeks prior refused to go away. When he developed sharp, stabbing chest pain and became so short of breath he couldn't walk across his living room, his wife rushed him to the hospital. A CT scan revealed a large, complex pleural empyema, a walled-off pocket of infected pus in the space around his left lung, a severe complication of his pneumonia. His thoracic surgeon, Dr. Sharma, explained that antibiotics alone couldn't penetrate the thick rind of infected tissue. He recommended a decortication, a surgery to open the chest, drain the infection, and meticulously peel away the restrictive layer so Krishna's lung could re-expand. The surgery was long and complex. Afterward, attached to a chest tube and in significant pain, Krishna felt vulnerable and fearful that his strength was gone forever. The turning point came during pulmonary rehab. Each day, with immense effort and encouragement from his physiotherapist and family, he took deeper breaths. After two weeks, his chest tube was removed, and his lung was fully expanded on X-ray. The relief was profound. While his recovery required months of gradual rebuilding, the crushing chest pain and breathlessness were gone. Emotionally, he moved from a place of fear and frustration, feeling betrayed by his own body, to one of immense gratitude and a hard-won patience. He learned to measure progress in small victories and found a new appreciation for each deep, clear breath.

Cardiac surgeons for Decortication Empyema

Explore experienced cardiac surgeons who regularly perform decortication empyema and provide pre- and post-operative care in India.

Dr. Robert Coelho
  • 31 Years Experience
  • Pediatric Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Richard Saldanha
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Miot Hospital Chennai, Chennai

OPD-desk synced • Updated
Dr. Joseph Xavier
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Rohit Ravindra Tanga
  • 21 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Arun V
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Vinod Subramanian
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Salem, Salem

OPD-desk synced • Updated
Dr. Mukundan Seshadri
  • 31 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Arun Veeram Reddy
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 450
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

OPD-desk synced • Updated
Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. NS Devananda
  • 30 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Bhaskar B V
  • 16 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Upendra Shenoy
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

OPD-desk synced • Updated
Dr. Srinivas Babu
  • 13 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

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Dr. Umesh Nareppa
  • 23 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 650
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Malleshwaram, Bangalore

OPD-desk synced • Updated
Dr. Bashi V Velayudhan
  • 37 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Rajkamal Vishnu
  • 8 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. A Mohammed Ibrahim
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Mohammed Idhrees
  • 17 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi, Tamil
Consult Charge ₹ 500

MediFyr Plus SIMS Hospital Vadapalani, Chennai

OPD-desk synced • Updated
Dr. Ashwin Kumar H
  • 11 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1090
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated
Dr. Murali Krishna
  • 15 Years Experience
  • Cardiac surgeon
Speaks: English, Hindi
Consult Charge ₹ 1500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Hebbal, Bangalore

OPD-desk synced • Updated