What is Bullectomy?
Bullectomy is a surgical procedure performed to remove large, air-filled sacs (bullae) from the lungs. These bullae, often associated with chronic lung diseases like Chronic Obstructive Pulmonary Disease (COPD) and emphysema, can impair lung function and may lead to life-threatening complications like a collapsed lung if they rupture.
Bullae typically measure about 1 cm when distended, but in severe cases, they can grow up to 20 cm. When breathing becomes difficult or repeated lung collapses occur, a bullectomy may be required to restore lung function and improve quality of life.
Why is Bullectomy Performed?
Bullectomy is most commonly indicated for:
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Recurrent lung collapse (pneumothorax) caused by ruptured bullae
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Breathing difficulty due to compression of healthy lung tissue
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Management of COPD or severe emphysema with giant bullae
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Also for conditions such as:
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Ehlers-Danlos Syndrome
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Marfan Syndrome
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Sarcoidosis
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HIV-associated emphysema
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Types of Bullectomy Surgery
Bullectomy is mainly categorized into two surgical approaches:
- Thoracotomy (Open Bullectomy) :An open-chest surgical method where the surgeon makes a large incision to access and remove the bullae directly.
- VATS (Video-Assisted Thoracoscopic Surgery) :A minimally invasive option where small incisions and a camera guide the procedure, offering quicker recovery and less postoperative discomfort.
Other Advanced Techniques
- Laser Bullectomy: Uses precise laser energy to remove bullae.
- VATS Stapling: A variation of VATS where bullae are stapled and removed.
- Robotic-Assisted Bullectomy: A high-precision method that enhances control and access during surgery.
| Procedure Name | Bullectomy |
|---|---|
| Type of Surgery | Minimally invasive |
| Type of Anesthesia | General Anesthesia |
| Procedure Duration | 1-3 hours |
| Recovery Duration | Few days to few weeks |
Bullectomy: Pre-Op & Post-Op Care
Preparation for Bullectomy
Bullectomy preparation involves a medical history evaluation, physical examination, and discussion of procedure details, including suitable surgery (VATS or thoracotomy) based on the patient’s health and lung function.
During the procedure
A bullectomy can be performed through a thoracotomy (15–20 cm incision) or video-assisted thoracoscopic surgery (3–4 cm incision), with the latter being minimally invasive. The doctor will recommend the most suitable approach based on the bull’s location and size. Both techniques require general anesthesia. After the surgery, the cuts are closed with stitches, and a tube is inserted into the chest to drain air and fluids, which helps in recovery.
After Bullectomy procedure
After a bullectomy, expect a 1-2 day hospital stay, pain management with medication, breathing exercises, and treatments, and a recovery period of several weeks with limited strenuous activity.
Bullectomy Recovery Time
Recovery time for surgery varies, typically 2-3 days, with full recovery after a few weeks of rest. Appetite and bowel movements may take time to return.
Post-procedure care
Doctors advise avoiding air travel for 3 months after surgery, as the healing process can take time, and individuals should not rush to return immediately to normal activities until cleared by the surgeon.
Benefits of Bullectomy at Yashoda Hospitals
- Effective Repair: Our comprehensive evaluation and personalized treatment plans ensure effective treatment for respiratory or pulmonary abnormalities.
- Experienced Pulmonology Team: With years of experience, our skilled thoracic surgeons and pulmonologists perform Bullectomy procedures with precision and expertise.
- Efficient Care: We strive to provide timely diagnosis and prompt initiation of treatment strategies, ensuring efficient care and optimal outcomes.
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