Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

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What procedure involves the removal of fibrinous deposit or restrictive membrane on the pleural lining?

Cardiac poudrage
Chest tube insertion
Thoracotomy
Decortication

The correct answer is: Decortication

Decortication is a surgical procedure specifically aimed at the removal of fibrinous deposits or restrictive membranes that form on the pleural lining, often as a consequence of conditions such as empyema or pleural infection. These fibrous membranes can encase the lung and restrict its expansion, leading to significant respiratory issues. By performing decortication, the surgeon can excise these membranes, allowing the lung to re-expand and improve respiratory function. This procedure is typically performed via thoracotomy or video-assisted thoracoscopic surgery (VATS), allowing for direct visualization and access to the pleura. The main goal of decortication is to restore normal pleural dynamics and alleviate symptoms associated with restricted lung expansion. The other procedures mentioned serve different purposes. For instance, cardiac poudrage is used to manage cardiac conditions rather than addressing pleural membranes. Chest tube insertion is a technique used to drain fluid or air from the pleural space but does not involve the removal of fibrous deposits. Thoracotomy is a broader surgical approach to access the thoracic cavity and can serve various purposes, including but not limited to decortication.