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Open Pleural Biopsy – Indications, Procedures, Results

Open pleural biopsy

Biopsy – open pleura

An open pleural biopsy is a procedure to remove and examine the tissue that lines the inside of the chest. This tissue is called the pleura.

How the Test is Performed

An open pleural biopsy is done in the hospital using general anesthesia, which means you are asleep and pain-free. A tube will be placed through your mouth down your throat to help you breathe.

The surgery is done in the following way:

  • After cleaning the skin, the surgeon makes a small cut in the left or right side of the chest.
  • The ribs are gently separated.
  • Tissue is taken from inside the chest and sent to a laboratory for examination.
  • After surgery, the wound is closed with stitches.
  • Your surgeon may decide to leave a small plastic tube in your chest to prevent air and fluid from building up

How to Prepare for the Test

You should tell the health care provider if you are pregnant, allergic to any medicines, or if you have a bleeding problem. Be sure to tell your provider about all the medicines you take, including herbs, supplements, and those bought without a prescription.

Follow your surgeon’s instructions for not eating or drinking before the procedure.

How the Test will Feel

When you wake up after the procedure, you will feel drowsy for several hours.

There will be some tenderness and pain where the surgical cut is located. Most surgeons inject a long-acting local anesthetic at the surgical cut site so that you will have very little pain afterwards.

You may have a sore throat from the breathing tube. You can ease the pain by eating ice chips.

Why the Test is Performed

This procedure is used when the surgeon needs a larger piece of tissue than can be removed with a pleural needle biopsy . The test is most often done to rule out mesothelioma .

It is also done when there is fluid in the chest cavity, or when a direct view of the pleura and the lungs is needed.

This procedure may also be done to examine a metastatic pleural tumor .

Normal Results

The pleura will be normal.

What Abnormal Results Mean

Abnormal findings may be due to:

  • Abnormal tissue growth ( neoplasms )
  • Disease due to a virus, fungus, or parasite
  • Mesothelioma
  • Tuberculosis

Risks

There is a slight chance of:

  • Air leak
  • Excess blood loss
  • Infection
  • Injury to the lung
  • Pneumothorax

Dr. Harun
Dr. Harun

Dr. Md. Harun Ar Rashid, MPH, MD, PhD, is a highly respected medical specialist celebrated for his exceptional clinical expertise and unwavering commitment to patient care. With advanced qualifications including MPH, MD, and PhD, he integrates cutting-edge research with a compassionate approach to medicine, ensuring that every patient receives personalized and effective treatment. His extensive training and hands-on experience enable him to diagnose complex conditions accurately and develop innovative treatment strategies tailored to individual needs. In addition to his clinical practice, Dr. Harun Ar Rashid is dedicated to medical education and research, writing and inventory creative thinking, innovative idea, critical care managementing make in his community to outreach, often participating in initiatives that promote health awareness and advance medical knowledge. His career is a testament to the high standards represented by his credentials, and he continues to contribute significantly to his field, driving improvements in both patient outcomes and healthcare practices.

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