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By : Tejasvi Charan

Invasive diagnostic methods of chest, the trachea

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Page 1: Invasive diagnostic methods of chest, the trachea

By : Tejasvi Charan

Page 2: Invasive diagnostic methods of chest, the trachea

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)

Page 3: Invasive diagnostic methods of chest, the trachea

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 access

Outpatient procedure

Performed under conscious sedation

Quick results

In many patients, EBUS can eliminate the need for surgical mediastinoscopy

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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

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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. 

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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.

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is a technique that involves insertion of a long, thin tube (called a thoracoscope) with a camera attached to it through a small incision, or port. The thoracoscope allows the surgeon to examine inside the chest cavity and to remove tissue using thin instruments inserted through one or two additional ports. For more extensive operations such as lung resection for cancer, an additional incision measuring about 5 centimeters is made for the removal of the lung tissue. We also perform removal of esophageal cancers using minimally invasive techniques.

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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.