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Lung volume reduction surgery (LVRS) reduces the size of the lungs. The theory underlying the surgery is that reducing the lung size will pull open the airways and allow the breathing muscles to return to a more normal and comfortable position, making breathing easier.
Thoracoplasty is the removal (or resection) of several (usually four to six) segments of adjacent ribs that protrude. Each segment is one to two inches long. The surgeon decides which ribs to resect based on either their prominence or by determining those which are unlikely to be realigned by correction of the curvature alone. Thoracoplasty does not involve the removal of entire ribs, just sections of them. Amazingly, ribs grow back and, when they do, they will grow back straight