RT Book, Section
A1 Birdas, Thomas J.
A1 Keenan, Robert J.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105845919
T1 Fibrothorax and Decortication
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105845919
RD 2024/04/24
AB Fibrothorax  is  a  condition  characterized  by  accumulation  of  fibrous  tissue  in  the  pleural  cavity  in  reaction  to  undrained  pleural  fluid.  A  thick  “peel”  is  formed  on  both  pleural  surfaces,  eventually  preventing  complete  expansion  of  the  lung.  This  basic  premise  explains  several  other  names  by  which  this  condition  is  known:  trapped  or  encased  lung,  organizing  empyema  (or  hemothorax),  and  constrictive  pleurisy.  The  process  of  removing  the  fibrous  peel  is  called  decortication.  Delorme  used  the  term  for  the  first  time  in  1894.1  The  procedure  was  used  primarily  in  the  management  of  tuberculous  pleurisy  and  later  in  the  management  of  hemothorax.