Search - Thoracoscopy

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Description

Thoracoscopy is a procedure that allows internal examination, biopsy and surgical removal of the disease of the affected parts within the lungs, the area between the lungs (mediastinum) and the lining of the chest cavity and the membrane covering the lungs (pleura). The thoracoscopy procedure involves insertion of thin, flexible tube in the chest through small incisions. This tube is equipped with a small fibre optic camera that allows the doctors to carry out the visual examination for the indications of pleural mesothelioma or other diseases. At times, the visual indications of the disease do not confirm the diagnosis of the disease. To confirm the diagnosis, doctors can also carry out a biopsy during the procedure and perform the surgery for the resection of the affected masses if required. There two kinds of thoracoscopy procedures commonly performed: Surgical Thoracoscopy: This procedure requires the patient to be under general anaesthesia and is recommended when the thoracoscopic surgery has a dual purpose of diagnosis and treatment.Medical Thoracoscopy: This procedure is far less invasive as compared to the surgical thoracoscopy, with only small incisions required to carry out the process. The only purpose of this procedure is to conduct the biopsy of the lungs, chest cavity or pleural cavity. Surgical Thoracoscopy: Medical Thoracoscopy:

Symptoms

The indications for medical thoracoscopy treatment are: The indications for medical thoracoscopy treatment are: PleurodesisStaging for mesotheliomaStaging for lung cancerSite directed biopsy of parietal pleuraDiagnosis of idiopathic pleural effusions Pleurodesis Staging for mesothelioma Staging for lung cancer Site directed biopsy of parietal pleura Diagnosis of idiopathic pleural effusions The major indications for VATS include: The major indications for VATS include: Pleural biopsyPneumonectomy or lobectomyAdenopathy of evaluation of medistinal tumoursStapled lung biopsyPleurodesis of malignant effusionsResection of peripheral pulmonary nodule Pleural biopsy Pneumonectomy or lobectomy Adenopathy of evaluation of medistinal tumours Stapled lung biopsy Pleurodesis of malignant effusions Resection of peripheral pulmonary nodule

Pre Procedure

A thoracoscopic surgery does not take very long, with the procedure generally being completed between 45 and 90 minutes. General or local anaesthesia is administered to the patient depending on the nature of the procedure. Local anaesthesia is used if the procedure involves only thoracoscopic lung biopsy and general anaesthesia is administered when the procedure also includes surgical treatment. Doctors may also administer additional dosages if required. Some of the steps to be taken while preparing for a thoracoscopic surgery are: Exercise regularly on the days prior to the surgery in order to keep the body in the best possible shapeStop taking insulin, anti-inflammatory medication and aspirin products at least 1 week before the procedureDo not smoke for at least 1 month before the surgeryDo not eat or drink anything for at least 8 hours before thoracoscopy. Exercise regularly on the days prior to the surgery in order to keep the body in the best possible shape Stop taking insulin, anti-inflammatory medication and aspirin products at least 1 week before the procedure Do not smoke for at least 1 month before the surgery Do not eat or drink anything for at least 8 hours before thoracoscopy.

During Procedure

The anaesthesiologist puts you under the suitable anaesthesia to put you to sleep. Once asleep, you are positioned on the sideSeveral small incisions are made on the side of the chestA thin flexible tube fitted with a small camera is inserted from one of the incisionsOnce the doctors have completed the examination, the required surgical equipment is inserted through other incisionsOnce the procedure is completed, thin tubes are placed in the chest to drain out the residual fluid and air.The incisions are closed by stitches or staples The anaesthesiologist puts you under the suitable anaesthesia to put you to sleep. Once asleep, you are positioned on the side Several small incisions are made on the side of the chest A thin flexible tube fitted with a small camera is inserted from one of the incisions Once the doctors have completed the examination, the required surgical equipment is inserted through other incisions Once the procedure is completed, thin tubes are placed in the chest to drain out the residual fluid and air. The incisions are closed by stitches or staples

Post Procedure

Patients are generally kept under observation in the hospital for 2-3 days after the procedure to make sure there are no complications. While a thoracoscopic lung biopsy is generally carried out to identify the signs for pleural mesothelioma, other types of chest cancer can also be detected in the process. Thoracoscopy can also be used to diagnose chest diseases which other procedures have failed to identify. The chest tubes inserted into the incisions must be kept in place for several days. The patient should strictly follow the medication course prescribed by the doctor.Perform breathing and coughing exercises to prevent pneumonia.Notify the doctor immediately in case of excessive bleeding or chest pain. The patient should strictly follow the medication course prescribed by the doctor. Perform breathing and coughing exercises to prevent pneumonia. Notify the doctor immediately in case of excessive bleeding or chest pain.

Risk And Complications

The risks associated with a thoracoscopic procedure include: The risks associated with a thoracoscopic procedure include: Excessive bleedingRisks associated with the general anaesthesia that is used in the procedureInfectionPneumothorax, a condition which involves leakage of air from the lungs to the pleural cavity, often leading to a collapse of the lungsPerforation of the diaphragm Excessive bleeding Risks associated with the general anaesthesia that is used in the procedure Infection Pneumothorax, a condition which involves leakage of air from the lungs to the pleural cavity, often leading to a collapse of the lungs Perforation of the diaphragm
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