Invasive diagnostic methods of chest, the trachea

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Invasive diagnostic methods of chest, the trachea

  1. 1. By : Tejasvi Charan
  2. 2. Faster recovery and return to normal activitiesShorter hospital stayLess painLittle scarringMinimal blood lossNo cutting of the ribs or breastbone (sternum)
  3. 3. Endobronchial ultrasound  ( EBUS) – EBUS is a minimally invasive method of diagnosing lung cancer, infections and other inflammatory diseases. EBUS enables doctors to obtain tissue or fluid samples from the lungs and surrounding lymph nodes. EBUS also provides real-time imaging of airways, blood vessels, lungs and lymph nodes.Rapid accessOutpatient procedurePerformed under conscious sedationQuick resultsIn many patients, EBUS can eliminate the need for surgical mediastinoscopy
  4. 4.  Rigid bronchoscopy – A bronchoscope (a long, thin tube) is inserted into an airway, usually through the nose or mouth. This test helps doctors look for abnormalities, such as foreign bodies, bleeding, tumors or inflammation, that could be blocking the airway.  Electromagnetic navigational bronchoscopy (ENB) – ENB is used to test or biopsy lesions or specimens that are too small or too difficult to reach using other, more common procedures
  5. 5.  Thoracentesis and pleural biopsy – This procedure removes fluid or air from the pleural space or body cavity surrounding the lungs. It is used to diagnose or treat diseases within the pleural cavity.  Chest tube with pleurodesis – A chest tube is inserted into the pleural cavity in order to perform pleurodesis. Pleurodesis is done to remove fluid surrounding the lungs and to prevent fluid from accumulating. 
  6. 6. A pleural aspiration is a procedure to remove some of this fluid, this is to help improve your breathing and up to one litre may be drained this way.If the cause of the fluid is unknown a sample of this fluid will be sent to the laboratory to help to determine its cause.Sometimes, a small piece of tissue from the pleura may also be removed (pleural biopsy).This tissue is sent to the laboratory to help to determine the cause for the collection of fluid.
  7. 7. is a technique that involves insertion of a long, thin tube (called athoracoscope) with a camera attached to it through a small incision,or port.The thoracoscope allows the surgeon to examine inside thechest cavity and to remove tissue using thin instruments insertedthrough one or two additional ports. For more extensive operations such as lung resection forcancer, an additional incision measuring about 5 centimeters ismade for the removal of the lung tissue.We also perform removal of esophageal cancers using minimallyinvasive techniques.
  8. 8.  Video-assisted thoracoscopic surgery - VATS (enables visualization of the chest cavity)  : Diagnostic assessment / Removal of indeterminate pulmonary masses Biopsy (removal of tissue for microscopic examination) to diagnose interstitial lung diseases, pathological processes in the pleura (costal pleura), and enlarged intrathoracic lymph nodes.

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