### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi sir ,this is suman kumar ,male ,30 from hyd .i had cough and breathing prob on jan 26 and joined a hospital in mumbai immediately ,after docs told me that i have cavities outside left lung and adviced for ct-scan. i returned to hyd and joined and multi speciality hospital .ICT procedure was done and tube was inserted on 2 nd feb.Aprrox. 700 ml of pus,waste blood was collected within 12 days and ict was removed after 2 weeks when ct was done again ,docs told me that a solid pus form was on my lung and shd peeled off.first they want to go for thoracic procedure(laproscopic kind) but today they advised me to go for open surgery . iam walking well ,breathing wll and doing normal day to day jobas well, ESR is 92 ans all bloood parameters are good. My questions is whether to go for surgey or there is any alternative for ths

### output:

Thanks for your question on Chat Doctor. I can understand your concern. You had prothorax treated with ICD insertion. Pyothorax is having complications of thickened pleura and non-expanding lung. Since your fluoroscopic management is failed, you have been advised VATS (Video Assisted Thoracoscopic Surgery). You can definitely try nonsurgical measures like deep breathing exercises, incentive spirometer, yoga and Panama. If your lung expands then no need for VATS. But if it is failed to expand then VATS is necessary. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.