Medical Thoracoscopy

Dr Subin Ahmed Dept of Pulmonary Medicine YMCH

Thoracoscopy: A window to the pleural space

Historical Background ,[object Object],[object Object]

Historical Background ,[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object],[object Object]

VATS vs MEDICAL THORACOSCOPY VATS Medical Thoracoscopy Operator Thoracic surgeon Pulmonologist Site OR Endoscopy suite/ OR Anesthesia GA Conscious sedation/LA MV Double lumen ETT, Single lung ventilation Spontaneous breaths Ports Multiple Single or double Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for Medical Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Indications for Medical Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]

The Semi-rigid Pleuroscope or the Rigid Pleuroscope

Anesthesia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Trocar insertion: Access to the pleural space ,[object Object],[object Object]

The intercostal space ,[object Object],[object Object],[object Object],[object Object]

STEPS ,[object Object],[object Object],[object Object],[object Object]

Pleural Biopsies ,[object Object],[object Object],[object Object]

Pleural Pathology – Tuberculous PE ,[object Object],[object Object],[object Object]

Pleural Pathology – Tuberculous PE ,[object Object],[object Object],[object Object],[object Object]

Thoracoscopy in Pleural Malignancies ,[object Object],[object Object],[object Object]

Malignant Mesothelioma and Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]

Malignant Mesothelioma and Thoracoscopy ,[object Object],[object Object],[object Object]

Recurrence prevention in malignant effusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recurrent Pleural Effusion of Benign Etiology & Thoracoscopy ,[object Object],[object Object]

Spontaneous Pneumothorax & Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]

Empyema & Complicated Para-Pneumonic Effusions - Thoracoscopy ,[object Object],[object Object],[object Object],[object Object]

Empyema – Thoracoscopic Drainage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Empyema – Thoracoscopic Drainage ,[object Object],[object Object],[object Object]

Chest Trauma - Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Complications of Thoracoscopy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prevention Of Complications ,[object Object],[object Object],[object Object],[object Object],[object Object]

Prevention Of Complications ,[object Object],[object Object],[object Object]

Contraindications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoscopy - Variants ,[object Object],[object Object],[object Object],[object Object],[object Object]

Thoracoscopy - Variants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Conclusion ,[object Object],[object Object],[object Object],[object Object]

“ Once you touch the lungs you should be ready to convert it into a Thoracotomy any time”

Medical Thoracoscopy

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