VATS Pulmonary Hemorrhage Surgery – Dr Ziya Yurt

VATS Pulmonary Hemorrhage Surgery

Definition and Surgical Technique

VATS pulmonary hemorrhage surgery is a minimally invasive procedure used to control severe or recurrent bleeding within the lungs, particularly when medical treatment or basic endoscopic interventions fail. Using video-assisted thoracoscopic surgery, a camera and fine instruments are introduced through small chest incisions to locate the bleeding source and stop it through targeted resection or vessel coagulation.

Causes and Indications for Surgery

Pulmonary hemorrhage may result from severe bronchiectasis, chronic infections, lung tumors, tuberculosis, vascular disorders, or trauma. Surgery becomes necessary when bleeding is profuse, recurrent, or life-threatening. It is also considered when other treatments, such as bronchoscopy or embolization, are unsuccessful.


Surgical Approach and Hemostasis Methods

The surgeon identifies the bleeding segment or lobe based on imaging and clinical findings. Through VATS, the lung is carefully examined and the source of bleeding is addressed. This may involve resecting a small portion of the lung tissue, clipping or coagulating bleeding vessels, depending on the extent of injury. The minimally invasive nature of VATS reduces trauma to surrounding tissue and speeds up recovery.

Postoperative Care and Monitoring

A chest tube is placed after surgery to drain residual air and blood, and the patient is monitored through imaging and clinical assessment. Rest and respiratory physiotherapy are recommended to enhance ventilation and prevent complications. In most cases, the surgery effectively controls the bleeding and results in improved respiratory function, particularly when the cause is localized and managed precisely.

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