Paediatric Surgeon in Mumbai, Maharashtra

Thoracotomy

Our Treatments

Book an Appointment

Where Tiny Patients Receive Big Care

Call Now

Thoracotomy

Thoracotomy refers to the opening of the chest cavity through a surgical incision to allow direct access to the thoracic organs. It is typically performed when non-invasive or minimally invasive procedures are not suitable. In children, it is commonly used to treat lung infections, congenital anomalies, or remove foreign bodies.

Treatments / Indications

A thoracotomy may be performed in children for the following purposes:

  • Empyema (infection and pus accumulation in the pleural space)

  • Congenital lung malformations (such as CPAM or sequestration)

  • Lung cysts or tumors

  • Tracheoesophageal fistula repair

  • Congenital diaphragmatic hernia

  • Lung biopsy

  • Foreign body removal from airways or lungs

  • Thoracic trauma requiring open repair


Causes for Needing a Thoracotomy

Some common causes or underlying conditions that may require a thoracotomy include:

  • Severe pneumonia leading to empyema thoracis

  • Birth defects involving the lungs or chest wall

  • Penetrating chest trauma or injury

  • Persistent air leaks in pneumothorax

  • Masses or tumors in the chest


Symptoms Suggesting a Thoracic Issue

Children who may need thoracotomy often present with:

  • Difficulty breathing or shortness of breath

  • Persistent chest pain or discomfort

  • Fever and signs of infection (in empyema)

  • Chronic cough or recurrent lung infections

  • Abnormal chest X-rays or CT scans showing mass/fluid


Prevention

While not all causes of thoracotomy are preventable, some measures can help reduce the risk of conditions leading to thoracotomy:

  • Early treatment of respiratory infections

  • Timely immunizations (e.g., pneumococcal, Hib, etc.)

  • Proper care and follow-up for congenital anomalies

  • Avoidance of small objects that can be inhaled (to prevent foreign body aspiration)

  • Prompt care after chest injuries or trauma

Go Back Top