Decortication

As decortication ( Latin decorticatio , debarking ' ) refers to surgical removal of diseased, usually due to scarring thickened organ capsules or envelopes. Decortication is usually necessary because mechanical stiffening of organ sheaths can lead to an increase in pressure or impairment of organ mobility. This is particularly indicated for decortication of the pericardium of the heart (as cardiolysis ) or the visceral and parietal leaves of the pulmonary pleura . The latter, combined with a pleurectomy, is also known as the Délorme operation , which is also performed in the case of malignant diseases of the lungs such as pleural mesothelioma or after pleural tuberculosis . This decortication of pleural calves to unleash the lungs was first proposed by Edmond Delorme in 1894.

Decortication is also used for pathological changes in the renal cortex and the substantia compacta (cortex) of bones in severe osteomyelitis.

Individual evidence

1. ↑ T. Aziz et al .: The management of malignant pleural mesothelioma; single center experience in 10 years . In: Eur. J. Cardiothorac. Surg. , 22 (2), 2002, pp. 298-305, PMID 12142203
2. ↑ M. Riquet et al .: Surgery of thoracic and pulmonary tuberculosis and the sequelae of its treatment in adults (abstract). In: Rev Mal Respir. , 1997, 14, Suppl 5, pp. S105-S1020, PMID 9496595
3. ↑ Christoph Weißer: Thorax surgery. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 1397.

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