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25/Oct/2021

Medical Thoracoscopy is used to observe the pleura and take biopsies from abnormal areas. Sometimes it is used to break adhesions and treat septated pleural effusions. Medical Thoracoscopy performed by Best Thoracoscopy Expert Doctor in India. 

Assessment is done prior to Medical Thoracoscopy

A diagnostic pleural tap is always done prior to the procedure. An exudative fluid indicates the need for thoracoscopy. A CT scan preferable to a contrast CT scan is necessary prior to the procedure. This helps in assessing the pleura and the lung parenchyma beneath the fluid. A blood test which includes complete blood count, serum creatinine level, bleeding profile, and viral markers are also done. COVID-19 PCR should be done prior to the procedure depending on the prevalence of the infection in the area. Blood thinners need to be stopped 5 days prior to the test.

Things to remember on the day of the procedure

Fasting of 6 hours for solid food and 4 hours for clear liquids is recommended. The routine medications should be continued for blood pressure. Diabetic patients should avoid their Insulin and hypoglycemic medicines on the day of the test.

Procedure

The procedure is performed through a nick in the chest wall. You may get some intravenous (IV) injections prior to and during the procedure for sedation. After local anesthesia at the site of nick, the scope is inserted. The pleura is observed and biopsies are taken. In the case of adhesions, they are broken with adhesiolysis forceps and the scope. After the scope is removed, a chest tube is left in place to drain the fluid. The procedure usually takes 30-40 minutes.

Medical Thoracoscopy | Best Thoracoscopy Expert Doctor in India

Precautions after the procedure

The patient has to avoid any oral liquids or solids for another 2 hours after the procedure. A light meal is recommended after 2 hours. The chest tube would remain in the chest till the fluid stops coming, usually a couple of days (in case of malignant effusions, the duration may be longer). The common after-effects of the procedure are – pain at the site, soakage of dressing with fluid, sleepiness, and vomiting. These can be managed with symptomatic medicines. Usually, a patient is kept admitted for a day or two post-procedure. In special cases, the patient may be sent home after the procedure. 

Follow-up

Medical thoracoscopy is a safe procedure and does not have any long-term complications. Once the chest tube is out and the diagnosis is clinched, the optimal treatment would be started. The microbiology and pathology reports come in 3-5 days’ periods. If mycobacterial cultures are applied they usually take 4 weeks. Medical thoracoscopy is a safe procedure with a minimal complication rate.

More More Information & Details Visit Immediately to the Dr. Sheetu Singh Top Pulmonologist in India or Visit our website – www.drsheetusingh.com


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25/Oct/2021

A biopsy is a procedure conducted to remove tissue or cells from the body for examining under a microscope. A lung biopsy is a test in which samples of lung tissue are removed to decide if lung disease or cancer is present. Best Biopsy Specialist in Jaipur may also get a lung biopsy to help find out why there’s liquid in your lungs or to diagnose cancer. whatever the reason, you’ll have many questions on how it’s done and how to get ready.  a lot depends on which sort of lung biopsy your doctor recommends.

What is the Biopsy and the Procedure | Biopsy Specialist in Jaipur | Dr. Sheetu Singh

A lung biopsy is performed using both a closed or an open method. Closed methods are performed in the skin or in the trachea. An open biopsy is performed in the operation room under general anesthesia. People can feel some anxiety before a biopsy. However, understanding the nature of the procedure, and the risks and benefits, can help someone feel more comfortable before.

Types and procedure of Biopsy

Transbronchial Biopsy – Transbronchial Biopsy is also called a Bronchoscopy. This type of biopsy is performed through a fiberoptic bronchoscope, a long thin pipe that has a close-focusing telescope on the end for seeing through the main airways of the lungs bronchoscopy. Bronchoscopy is a method of visualizing air routes for therapeutic and diagnostic purposes.

Needle Biopsy – After the anesthetic is given, the doctor uses a needle that’s guided through the chest wall into a suspect area with a CT scan or fluoroscopy (X-ray) to get a tissue sample. this type of biopsy can also be mentioned as a closed, (through the skin) biopsy.

Open Biopsy – After a general anesthetic is given, the doctor makes a cut in the skin on the chest and surgically removes a bit of lung tissue. counting on the results of the biopsy, more extensive surgery, such as the removal of a lung portion may be performed during the procedure. An open biopsy is a surgical method and requires a hospital stay.

What Happens After Lung Biopsy

The lung biopsy sample will be sent to a lab, and you will get results within a week. For the next several days, your chest may feel sore. If you have a wound from the procedure, follow your doctor’s directions to wash it. you’ll usually return to your normal activities but may have to avoid excessive physical activity for certain days.

Risks and Complications – Pneumonia may be a risk for all kinds of lung biopsies. Pneumothorax, where air leaks out between the lung and chest cavity, can make it difficult to breathe or cause your lung to collapse with these procedures, but your doctor will watch for this and suck out air as required. Other unusual but severe complexities of surgical lung biopsies may include critical bleeding, wound infection, and blood clots. Fever over 100.4 F, Severe chest pain, Shortness of breath, redness, and swelling from the wound.

Dr. Sheetu Singh is one of the Best Biopsy Specialist in Jaipur. She is a pulmonologist and Interstitial Lung Disease Expert in India. If someone required Biopsy and Thoracoscopy then meet immediately Dr. Sheetu Singh.


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25/Oct/2021

Medicinal thoracoscopy is done increasingly by chest surgeons and has become, after bronchoscopy, the second most significant endoscopic system in respiratory medication. it’s supposed to be one of the main areas of interventional pulmonology and a crucial part of a specialist pleural disease service. Thoracoscopy is often performed for diagnostic also for therapeutic purposes. the most common indication for diagnostic thoracoscopy is pleural effusion. Best Thoracoscopy Expert Doctor in Jaipur and Chest surgeon is Dr. Sheetu Singh. Thoracoscopy in spontaneous pneumothorax may recognize the cause of the pneumothorax. the most usual sign for therapeutic thoracoscopy is pleurodesis to stop recurrence of pleural flow. 

Best Thoracoscopy Expert Doctor in Jaipur, Risks, and Procedures

Thoracoscopy is a lung’s internal examination, biopsy, and/or resection/drainage of disease or sections in the cavity, usually with video assistance. Thoracoscopy can be done to get rid of excess liquid that’s around the lung and causing difficulty breathing. This liquid also can be sent to the lab and examined for cancer or infection. If fluid around the lungs is removed but grows up again, medicine is often put into the thoracic cavity with a thoracoscope to keep the fluid from returning. 

Thoracoscopy Treated Small Lung Cancers

Thoracoscopy can sometimes be used to treat small lung cancers by removing just the part of the lung that includes the tumor or the lobe of a lung if the tumor is larger. 

How the Thoracoscopy works

Whether thoracoscopy is executed as a diagnostic or therapeutic method, it is led by routine blood and urine examinations as well as a chest x-ray scan. Once it is confirmed that the method is safe for the patient, the surgery starts with the surgeon making tiny holes in between the ribs. An endoscope, which is a thin tube with a camera attached to it, is inserted through the small holes; the camera sends the images of the inside of the body to a computer screen. The endoscope is precisely guided towards the pleural area so the doctor can conduct an examination, a biopsy, or operation, whichever is necessary. Since only small holes are made, a laparoscopic procedure is more flexible, allowing doctors to reach and obtain biopsies from several different locations rather than just one part of the pleural cavity.

Thoracoscopy Risks and complexities

All surgical procedures, come with some risks, although with thoracoscopy the risks are insignificant. Also, when an endoscopic procedure is performed, the dangers are further decreased. but still, thoracoscopy has some risks such as Allergic reaction to the anesthetic, Organ damage or injury, air leaks out of the lungs, Pain, Excessive bleeding, Respiratory distress, Sore throat, or discomfort, Pneumonia, Collapse of part of a lung. 

Thoracoscopy is a crucial procedure and it has some risks, but in Jaipur, Rajasthan Dr. Sheetu is one of the Best Thoracoscopy Expert Doctors in Jaipur. She is also a top pulmonologist, Interstitial Lung Disease Expert, Bronchoscopy specialist in Jaipur.


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