About Decortication
Key Highlights
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Restores lung expansion and improves breathing capacity.Alleviates chronic chest pain and discomfort associated with a trapped lung.Treats the underlying cause of recurrent pleural effusions or infections.Prevents long-term respiratory impairment and disability.Can be performed via minimally invasive (VATS) or traditional open thoracotomy approaches.
Who is this surgery for?
- Chronic, organized empyema (infected pleural fluid) that fails to resolve with antibiotics or chest tube drainage.
- Fibrothorax or trapped lung syndrome, where a thick pleural peel restricts lung expansion.
- Persistent pleural thickening causing significant lung entrapment and respiratory symptoms.
- Hemothorax (blood in the pleural space) that has organized and is restricting the lung.
- Complicated parapneumonic effusions that have progressed to the fibrotic stage.
How to prepare
- Comprehensive pre-operative assessment including pulmonary function tests (PFTs), chest CT scan, and echocardiogram.
- Optimization of nutritional status and management of any co-existing conditions like diabetes or heart disease.
- Pre-operative counseling about the procedure, risks, and recovery expectations.
- Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the doctor.
- Fasting for 8-12 hours before the scheduled surgery.
Risks & possible complications
- Bleeding (hemorrhage) during or after the procedure.
- Infection at the surgical site or within the chest (empyema recurrence).
- Air leak (prolonged pneumothorax) from the lung surface.
- Injury to surrounding structures like the diaphragm, heart, or major blood vessels.
- Post-operative pain, which can be significant, especially after open thoracotomy.
- Respiratory failure or pneumonia.
- Rare risks include blood clots (deep vein thrombosis) and adverse reactions to anesthesia.
Recovery & hospital stay
- Initial recovery in the hospital with chest tubes to drain fluid and air, typically for several days.
- Aggressive pain management to facilitate deep breathing and coughing exercises.
- Early mobilization and respiratory physiotherapy to prevent complications and promote lung re-expansion.
- Discharge with instructions on wound care, activity restrictions (no heavy lifting), and pain medication.
- Follow-up appointments to monitor lung function and healing via chest X-rays.
- Gradual return to normal activities over several weeks, with full recovery of strength taking months.
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Typical hospital stay: 5-10 days
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Expected recovery time: 6-12 weeks
Frequently Asked Questions
If you are considering decortication in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with pulmonology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform decortication. MediFyr helps you compare pulmonologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for decortication compare across other countries where we have data.
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