Decortication

Decortication
ICD-9-CM	34.51-34.52

Decortication is a medical procedure involving the surgical removal of the surface layer, membrane, or fibrous cover of an organ. The procedure is usually performed when the lung is covered by a thick, inelastic pleural peel restricting lung expansion. In a non-medical aspect, decortication is the removal of the bark, husk, or outer layer, or peel of an object.^[1] It may also be done in the treatment of chronic laryngitis.

Procedure

Decortication is performed under general anaesthesia. It is a major thoracic operation requiring a full thoracotomy. Since the early '90s this procedure can be performed using thoracoscopy. All fibrous tissue is removed from the visceral pleural peel and pus is subsequently drained from the pleural space.^[2]

References

↑ Sharma, Dr. Sat (2006-06-23). "Pulmonary Empyema". WebMD. Retrieved 2007-02-18.

Tests, surgery and other procedures involving the respiratory system (ICD-9-CM V3 21–22, 30–34, ICD-10-PCS 0B)
Upper RT	nose Rhinoplasty Septoplasty Alarplasty Rhinectomy Rhinomanometry sinus Sinusotomy larynx Laryngoscopy Laryngectomy Laryngotomy Thyrotomy Laryngotracheal reconstruction
Lower RT	trachea Cricothyrotomy Tracheoesophageal puncture Tracheotomy bronchus Bronchoscopy lung Pneumonectomy Lobectomy Wedge resection Lung transplantation Decortication of lung Heart-lung transplant
Chest wall, pleura, mediastinum, and diaphragm	pleura/pleural cavity Thoracentesis Pleurodesis Thoracoscopy Thoracotomy Chest tube mediastinum Mediastinoscopy Nuss procedure
Medical imaging	Bronchography CT pulmonary angiogram High-resolution computed tomography Spiral CT Ventilation/perfusion scan
CPRs	Pneumonia severity index CURB-65
Lung function test	Body plethysmography Spirometry Bronchial challenge test Capnography Diffusion capacity
Cytology	Sputum culture Bronchoalveolar lavage
Respiratory therapy/ intubation	Artificial respiration CPR Hyperbaric medicine Decompression chamber Heliox Mechanical ventilation Nebulizer Negative pressure ventilator Oxygen therapy Positive pressure ventilation Postural drainage Surgical airway management

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