Thoracotomy is a surgical procedure involving an incision made into the chest wall to access the organs within the thoracic cavity. Typically performed under general anesthesia, this invasive technique allows surgeons to gain direct access to the lungs, heart, esophagus, or major blood vessels for various diagnostic or therapeutic interventions. The incision is carefully planned, usually between the ribs, to minimize damage to surrounding tissues while providing sufficient access. Thoracotomies are employed in treating conditions such as lung cancer, trauma-induced injuries, removal of tumors, drainage of infections or fluids from the chest cavity, and repairing heart defects. Despite technological advancements favoring minimally invasive procedures, thoracotomies remain essential in complex cases requiring precise visualization and manual manipulation. Post-operative recovery from a thoracotomy can be challenging, involving pain management, respiratory support, and physical therapy to restore lung function and mobility. Complications may include infection, bleeding, or injury to adjacent structures, highlighting the procedure's intricacy and the need for skilled surgical expertise. Although thoracotomy is an invasive approach, its significance lies in its ability to provide direct access for intricate surgeries that cannot be effectively addressed through less invasive methods, ultimately aiding in the treatment and management of diverse thoracic pathologies.
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Title : The rare case of concurrent caecal volvulus and type IV hiatal hernia presenting simultaneously at distinct anatomical sites, laparoscopy turned into laparotomy
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