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What is the ICD-9 code for chemical pleurodesis?
34.92
What is the cpt code for surgical thoracoscopy with pleurodesis?
32650
Is surgical pleurodesis painful?
Yes it is! By far one of the most painful surgical procedures out there. Ive had two of them along with a lung lobectomy and each time was hospitalized for 1 month recovery time. My surgical pleurodesis was done due to 9 spontaneous pneumothorax.
What is Thoracoscopy with blebectomy and mechanical pleurodesis?
Thoracoscopy with blebectomy is a minimally invasive surgical procedure that involves removing blebs (small air-filled sacs) from the lung's surface, which can cause lung collapse. Mechanical pleurodesis is a procedure where the pleural space around the lung is irritated to create inflammation and scarring, which helps prevent the recurrence of collapsed lungs. This combined procedure is often done to treat recurrent spontaneous pneumothorax.
What is a thoradesis?
A thoradesis is a term used when a procedure is used to remove tissue from the thorax (chest). It is also called a pleurodesis. It can, in effect, remove the pleural cavity.
What is the difference in procedure code descriptions for CPT code 32141 and CPT code 32655.?
CPT code 32141 refers to "Thoracotomy, with resection of lung, single lobe," which involves surgical access to the thoracic cavity to remove a portion of the lung. In contrast, CPT code 32655 describes "Thoracoscopic pleurodesis," a minimally invasive procedure aimed at adhering the lung to the chest wall to prevent pleural effusion. The key difference lies in the type of procedure (open lung resection vs. minimally invasive pleurodesis) and their respective indications.
Want to talk to a mesothelioma survivor I was diagnosed in Sept 2007 I had a pleurodesis performed on my left lung At the time I was given 9 to 12 months to live I have been self treating Still here?
I suggest you to become a member of The Mesothelioma Resource Center where you can talk to others about mesothelioma cancer, stay updated with the latest news articles and also get tips from social worker.
What is to obliterate the pleural space means?
To obliterate the pleural space means to eliminate or close off the space between the pleurae, which are the membranes surrounding the lungs. This procedure is often done to prevent the accumulation of fluid (pleural effusion) or air (pneumothorax) in the pleural cavity, typically through techniques such as pleurodesis. In this process, a substance is introduced to cause inflammation and subsequent scarring, effectively sealing the pleural space.
What are side effects and long term effects of lung pleuradesis procedure?
Pleurodesis is a medical procedure used to treat pleural effusion, a condition where there is an abnormal buildup of fluid in the pleural space around the lungs. The procedure involves the introduction of an irritant substance or medication into the pleural space to induce inflammation, causing the pleural layers to stick together. This helps prevent the recurrence of pleural effusion. While pleurodesis is generally safe and effective, there can be potential side effects and long-term effects, including: Short-Term Side Effects: Pain and Discomfort: After pleurodesis, patients may experience chest pain or discomfort, which can last for a few days. Pain can be managed with pain relievers. Fever: Some patients may develop a low-grade fever as a result of the inflammation induced by the procedure. This is usually temporary and can be managed with medication. Shortness of Breath: In some cases, pleuradesis can temporarily worsen shortness of breath before improving. This is due to inflammation in the pleural space. Long-Term Effects: Reduced Risk of Recurrence: The primary long-term benefit of pleuradesis is a reduced risk of pleural effusion recurrence. This can improve overall quality of life for individuals with recurrent pleural effusion. Pleural Adhesions: The goal of pleuradesis is to create adhesions (scar tissue) between the pleural layers. While this is necessary to prevent recurrence, extensive adhesions can potentially limit lung expansion and lead to restrictive lung disease in rare cases. This is more likely to occur with repeated pleuradesis procedures. Chronic Chest Pain: Some individuals may experience chronic chest pain or discomfort, although this is relatively uncommon. It may be related to the presence of adhesions. Infection or Complications: As with any medical procedure, there is a small risk of infection, bleeding, or other complications, although these are rare. Impaired Lung Function: In some cases, pleuradesis may slightly reduce lung function. This can be a concern for individuals with preexisting lung conditions. It's important to note that pleuradesis is typically considered when the benefits of preventing recurrent pleural effusion outweigh the potential risks and side effects. The decision to undergo pleuradesis should be made in consultation with a healthcare provider who will evaluate the individual's specific condition and the most appropriate treatment options. The majority of patients experience a reduction in symptoms and improved quality of life after the procedure, with any side effects generally being temporary.
How can inhalation of asbestos fiber can lead to lung cancer?
Yes. Breathing asbestos can lead to lung cancer and mesothelioma. Mesothelioma rarely develops in humans in any way other than the previous inhalation of asbestos fibers.From Wikipedia:The symptoms of mesothelioma include shortness of breath due to pleural effusion (fluid between the lung and the chest wall) or chest wall pain, and general symptoms such as weight loss. The diagnosis can be made with chest X-rays and a CT scan, and confirmed with a biopsy (tissue sample) and microscopic examination. A thoracoscopy (inserting a tube with a camera into the chest) can be used to take biopsies. It allows the introduction of substances such as talc to obliterate the pleural space (called pleurodesis), which prevents more fluid from accumulating and pressing on the lung. Despite treatment with chemotherapy, radiation therapy or sometimes surgery, the disease carries a poor prognosis. Research aboutscreening tests for the early detection of mesothelioma is ongoing.
Lung surgery?
DefinitionLung surgery is surgery to repair or remove lung tissue. Several common lung surgeries are:Lobectomy, to remove one or more lobes of a lungWedge resection, to remove part of a lobe in a lungPneumonectomy, to remove a lungSurgery to remove an infection or blood in the chest cavitySurgery to remove small balloon-like tissues (blebs) that cause lung collapse (pneumothorax)Biopsy of an unknown growthA thoracotomy is a surgical cut that a surgeon makes to open the chest wall.See also:BronchoscopyEsophagectomyLung biopsyLung transplantAlternative NamesThoracotomy; Lung tissue removal; Pneumonectomy; Lobectomy; Lung biopsy; Thoracoscopy; Video-assisted thoracoscopic surgery; VATSDescriptionYou will receive general anesthesia before surgery. You will be asleep and unable to feel pain. Two common ways to do surgery on your lungs are thoracotomy and video-assisted thoracoscopic surgery (VATS).Lung surgery using a thoracotomy is called open surgery. In this surgery:You will lie on your side on an operating table. Your arm will be placed above your head.Your surgeon will make a surgical cut between two ribs. The cut will go from the front of your chest wall to your back, passing just underneath the armpit. These ribs will be separated.Your lung on this side will be deflated so that air will not move in and out of it during surgery. this makes it easier for the surgeon to operate on the lung.Your surgeon may not know how much of your lung needs to be removed until your chest is open and the lung can be seen.Your surgeon may also remove lymph nodes in this area.After surgery, one or more tubes will be placed into your chest area to drain out fluids that build up. These tubes are called chest tubes.After the surgery on your lungs, your surgeon will close the ribs, muscles, and skin with sutures.Open lung surgery may take from 2 to 6 hours.Video-assisted thoracoscopic surgery:Your surgeon will make several small surgical cuts over your chest wall. A videoscope (a tube with a tiny camera on the end) and other small tools will be passed through these cuts.Then, your surgeon may remove part or all of your lung, drain fluid or blood that has built up, or do other procedures.One or more tubes will be placed into your chest to drain out fluids that build up.Why the Procedure Is PerformedThoracotomy or video-assisted thoracoscopic surgery may be done to:Remove cancer(such as lung cancer)Treat injuries that cause lung tissue to collapse (pneumothorax or hemothorax)Treat permanently collapsed lung tissue (atelectasis)Remove lung tissue that is diseased or damaged from emphysema or bronchiectasisRemove blood or blood clots (hemothorax)Remove tumors, such as solitary pulmonary noduleInflate lung tissue that has collapsed because of disease or an accidentRemove infection in the chest cavityStop fluid buildup in the chest cavity (pleurodesis)Biopsy an unknown growthRemove a blood clot from the pulmonary artery (pulmonary embolism)Video-assisted thoracoscopic surgery can be used to treat many of these conditions. However, sometimes video surgery may not be possible, and the surgeon may have to switch to an open surgery.RisksRisks for any anesthesia include:Allergic reactions to medicinesBreathing problemsRisks for any surgery include:BleedingBlood clots in the legs that may travel to the lungsHeart attack or stroke during surgeryInfection, including in the incision, lungs, bladder or kidneyRisks of this surgery include:Failure of the lung to expandInjury to the lungs or blood vesselsNeed for a chest tube after surgeryPainProlonged air leakRepeated fluid buildup in the chest cavityBefore the ProcedureYou will have several visits with your physician and undergo medical tests before you have surgery. Your doctor will:Do a complete physical examMake sure other medical conditions you may have, such as diabetes, high blood pressure, or heart or lung problems, are under controlIf you are a smoker, you should stop smoking several weeks before your surgery. Ask your doctor or nurse for help.Always tell your doctor or nurse:What drugs, vitamins, herbs, and other supplements you are taking, even ones you bought without a prescriptionIf you have been drinking a lot of alcohol, more than 1 or 2 drinks a dayDuring the week before your surgery:You may be asked to stop taking drugs that make it hard for your blood to clot. Some of these are aspirin, ibuprofen (Advil, Motrin), vitamin E, warfarin (Coumadin), clopidogrel (Plavix), or ticlopidine (Ticlid).Ask your doctor which drugs you should still take on the day of your surgery.Prepare your home for your return from the hospital.On the day of your surgery:Do not eat or drink anything after midnight the night before your surgery.Take the medications your doctor prescribed with small sips of water.Your doctor or nurse will tell you when to arrive at the hospital.After the ProcedureMost people stay in the hospital for 5 to 7 days for open thoracotomy and 1 to 3 days after video-assisted thoracoscopic surgery. You may spend time in the intensive care unit (ICU) after either surgery.During your hospital stay, you will:Be asked to sit on the side of the bed and walk as soon as possible after surgeryHave tube(s) coming out of the side of your chest to drain fluidsWear special stockings on your feet and legs to prevent blood clotsReceive shots to prevent blood clotsReceive pain medicine through an IV (a tube that goes into your veins) or by mouth with pills. You may receive your pain medicine through a special machine that gives you a dose of pain medicine when you push a button. This allows you to control how much pain medicine you get.Be asked to do a lot of deep breathing to help prevent pneumonia and infection. Deep breathing exercises also help inflate the lung that was operated on. Your chest tube(s) will remain in place until your lung has fully inflated.Outlook (Prognosis)The outcome depends on the type of problem being treated, how much of the lung is removed, and your overall health before surgery.ReferencesSmythe WR, Reznik SI, Putnam JB Jr. Lung (including pulmonary embolism and thoracic outlet syndrome). In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 59.Wiener-Kronish JP, Shepherd KE, Bapoje SR, Albert RK. Preoperative evaluation. In: Mason RJ, Broaddus C, Martin T, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 26.
