Lobectomy

Lobectomy is a procedure that is used to take out part

of the lung (called a lobe), because it has a cancerous tumor in
it. It is used to relieve some or all of the lung cancer
symptoms that a person is feeling. A lobectomy can keep a
person's health from getting worse and it may provide the best
chance for curing the disease.
 Pneumonectomy
–A pneumonectomy is most often used to treat lung cancer
when less radical surgery cannot achieve satisfactory results. It
may also be the most appropriate treatment for a tumor
located near the center of the lung that affects the pulmonary
artery or veins, which transport blood between the heart and
lungs. In addition, pneumonectomy may be the treatment of
choice when the patient has a traumatic chest injury that has
damaged the main air passage (bronchus) or the lung's major
blood vessels so severely that they cannot be repaired.
There are two types of pneumonectomy:
1.Simple pneumonectomy: removal of just the affected
lung

2.Extrapleural pneumonectomy (EPP): removal of the

affected lung, plus part of the diaphragm, the parietal
pleura (lining of the chest) and the pericardium (lining of
the heart) on that side.. The linings are replaced by Gore-
Tex in this radical and painful surgery that is used
primarily for treatment of malignant mesothelioma. This
technique produces the best long-term survival rates for
this serious and fatal disease.
 Common colds

Surgical intervention: Non surgical interfvention:

• Plenty of rest
(none) • Drinking fluids to maintain
hydration
• Gargling with warm salt
water
• Analgesics
• Antipyretics
• Paracetamol
 Rhinitis

Surgical intervention: Non surgical interfvention:

•Submucus diathermy of
inferior turbinate • Eliminating exposure to
•Cryosurgery of inferior allergens
turbinates
•Partial inferior turbinectomy
• Antihistamines
•Laser surgery using Co2 • Decongestants
laser • Corticosteroids
•Coblation • Nasal irrigation using
•Turbinoplasty normal saline
•Septoplasty-correction of
deviated septum
•Sinus drainage surgery-
Antral Lavage, FESS
 Laryngeal Trauma

Surgical intervention: Non surgical interfvention:

•Tracheotomy •Bed rest
•Laryngeal Thyrotomy •Voice rest is recommended
•clear liquid diet
•Systemic corticosteroids
•antibiotics
•antireflux medications
 Obstructive Sleep Apnea

Surgical intervention: Non surgical interfvention:

• uvulopalatopharngeopla • Mandibular advance

sty (UP3), devices
• geniotubercle • Tongue-retaining
advancement, devices
• hyoid myotomy and • Positional therapy
resuspension • CPAP
• midface advancement • Autotitration
• tracheostomy. • Bi-level positive airway
pressure
 Empyema

Surgical intervention: Non surgical interfvention:

• Drainage of the infected • Antibiotics
pleural fluid • Narcotic pain medications
• Surgical debridement of • Analgesic
the pleural space
• Intravenous antibiotics
• Thoracotomy
• Peurectomy
• Dcortication
 Pleural Effusion

Surgical intervention: Non surgical interfvention:

•Drainage of the fluid •Antibiotics
•Chemotherapy •Diuretics
•Radiation therapy •Analgesic
•Antianginal agents
•Diuretics
•Anticoagulant
 Flail Chest

Surgical intervention: Non surgical interfvention:

• Intubation • Good analgesia including
intercostal blocks
• Positive pressure
ventilation
• Adjustment of position
 Ethical Principle
• Autonomy
The principle of autonomy stands for the
proposition that an adult with capacity to decide
has a full and perfect right to determine what may
be done to his body.1 This is a right recognized in
ethics, medical practice, and law.
The right of the patient to decide for himself
whether to accept or refuse to any treatment or
procedures