Sequelae of bulla surgery, scientific surgery has a good prognosis

Generally, bullae do not require treatment if there are no obvious symptoms. If they cause emphysema or chronic bronchitis, timely surgical treatment is required. If a regular hospital is chosen, the surgical procedure is regular, and good postoperative care is provided, there will be no sequelae.

1. For patients with large pulmonary bullae , which occupy 70% to 100% of the chest cavity on one side and have clinical symptoms but no other pulmonary lesions, surgical removal of pulmonary bullae can re-expand the compressed lung tissue, increase the breathing area, eliminate intrapulmonary shunt, increase arterial oxygen partial pressure, reduce airway resistance, increase ventilation volume, and improve the patient's chest tightness, shortness of breath and other respiratory symptoms. Currently, most bulla surgeries can be performed under video-assisted thoracoscopy (VATS). If a large bulla is found during surgery, wedge resection should be performed at the normal lung tissue at its base to completely remove the bulla. Small bullae or bullae close to the hilum that are difficult to completely remove can be treated by ligation, suture or electrocoagulation. Bullae located in deep lung tissue do not need to be treated unless they are huge or infected. For patients with bullous lungs and recurrent pneumothorax, pleurodesis is recommended at the same time to produce pleural adhesion and prevent recurrence of pneumothorax. The methods of pleural fixation include parietal pleural friction fixation, parietal pleural resection fixation and chemical fixation.

2. During the operation, as much healthy lung tissue as possible should be preserved , and efforts should be made to only perform bullae resection and suture, or wedge resection of local lung tissue, to avoid unnecessary loss of lung function.

Spontaneous pneumothorax caused by ruptured bullae can be cured by non-surgical treatments such as thoracentesis and closed chest puncture, but recurrent spontaneous pneumothorax should be treated surgically. During the operation, the bullae are ligated or sutured. At the same time, tetracycline or 2% iodine can be used to apply to the chest cavity to make the pleura adhere and fix, thus preventing the recurrence of pneumothorax.

3. The clinical symptoms of patients with hemothorax are sometimes very severe , often with chest pain, dyspnea, and a series of manifestations of internal bleeding. Clinically, the changes in the condition should be closely observed, and non-surgical measures such as blood transfusion and thoracentesis should be taken in a short period of time. When there is no obvious improvement in symptoms, thoracotomy should be performed decisively. At this time, there is often heavy active bleeding. Non-surgical treatment and observation for too long often delay the disease, and the prognosis is not as good as surgical hemostasis.