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A thoracotomy surgery requires general anesthesia, so you need to be healthy enough to get this type of anesthesia. Your healthcare team will give you instructions on when you need to stop eating or drinking before the surgery. Make sure you tell your healthcare team about any types of medications, vitamins or supplements you take, even products available over-the-counter. Your providers will let you know what you should do about stopping medications. You may need to stop some medicines, like blood thinners, earlier than others. For nonemergency thoracotomies, your provider may strongly recommend that you stop smoking. What happens during a thoracotomy? During a thoracotomy, your surgical team will put you in position on the correct side with one arm over your head. The team will adjust the arm that’s over your head into a padded holder and will support the other arm and shoulder with a rolled blanket. Your anesthesiologist will be a specialist in operations involving the thoracic regions and will be able to perform single lung ventilation. Your breathing will happen only in the lung that is on the side that isn’t being operated on. Your surgeon will cut in between the appropriate set of ribs and may divide or break a rib if necessary. Your surgeon may use electricity to create a heated probe that allows them to get through muscle and other tissue, including bone. They’ll use retractors and a rib spreader to be able to see and/or repair the organs that they’re looking for. When the incision is closed, you’ll have a tube to help fluids drain and air escape. This is called a chest tube. #thoracotomy #sternotomy