Palliative surgeries are primarily used to relieve pain or discomfort in patients with advanced mesothelioma.
Surgical Options That Improve Quality of Life
Types of Palliative Surgeries
Used to relieve pain in pleural mesothelioma patients by closing the pleural space and stopping painful fluid buildup.
Used to relieve pain in pleural mesothelioma patients. Less invasive than pleurodesis, this procedure drains fluid from the pleural space but fluid may return.
Used to relieve pain in peritoneal mesothelioma patients by draining fluid buildup from the peritoneal cavity.
Used to relieve pain in pericardial mesothelioma patients by draining fluid buildup from the pericardial sac. Fluid may return.
Improving Prognosis With Palliative Treatment
Early stage patients who undergo palliative surgeries may have a better predisposition to focus on treatments and life instead of pain. It may also allow patients to feel healthier, improving breathing or cardiac function for example. In fact, benefits of palliative care for early stage patients may be greater than previously thought.
These patients also reported a better quality of life after having a palliative surgery in addition to experiencing an improved prognosis.
Pleurodesis effectively “glues” the two layers of the pleura (visceral and parietal) together preventing fluid from building up. Chemical/medical adhesives are inserted into the space between the pleura causing the two layers to become one.
Pleurodesis may be performed by means of a thoracotomy or a thoracoscopy. A thoracotomy is procedure to open the patient’s chest, providing direct access to the lung, while the latter is less invasive, using small incisions and a camera to see the lung.
Patients may experience this type of pain because their lungs cannot expand all the way, making it difficult to breathe. A needle is inserted into the lung cavity and the fluid is drained to ease the pain that pleural effusions cause. This procedure is usually performed using local anesthesia and may require repeat visits for additional fluid draining.
This procedure is more likely to be used in patients with advanced mesothelioma than a pleurodesis. This is because the thoracentesis is less physically demanding on the patient.
Ascites causes moderate to severe stomach pains, similar to gas cramps and worse than a stomachache. Patients receive local anesthesia during the procedure. A needle is inserted into the abdominal area and the fluid is drained. Patients may have to take part in multiple rounds of paracentesis because the fluid buildup may return.
Which Palliative Option is Right For You?
Palliative care is one of the best ways a patient can improve their quality of life. This means less frustration and depression among many patients. Some studies are even demonstrating a survival benefit in patients taking advantage of palliative care early in their diagnosis.
Learn more about of palliative care our free Mesothelioma Guide.