What is the primary goal of a surgical thoracostomy?

The primary goal of a surgical thoracostomy is to allow for the drainage of fluid, air, or blood from the pleural space. This procedure is commonly performed in situations where there is a collection of fluid (such as pleural effusion), air (pneumothorax), or blood (hemothorax) that compromises the lung's ability to function properly. Removing the excess fluid or air helps re-establish normal respiratory mechanics and improves oxygenation in the patient.

Enhancing lung function, performing lung transplants, or preventing pulmonary embolism are not direct objectives of a surgical thoracostomy. While improving lung function can be an indirect outcome of draining the pleura, the primary focus is on eliminating the source of the compromise in the pleural space.