Thoracic Surgery

A remarkable feature of Manipal Hospital Dwarka, the best pulmonology hospital in Delhi, is the dedicated & exclusive Chest Surgery (also known as Thoracic Surgery) Department dealing with diseased or injured organs of the chest. Chest surgery includes all the organs inside the chest except the heart. Precisely the disorders of the lungs and esophagus (food pipe) and trachea (windpipe) comes under it. Lung cancer, emphysema, LVRS for advanced COPD, complications of lung tuberculosis and chest trauma are some of the many clinical indications for chest surgery. The department is famous for successfully managing patients with chest injuries including injuries of the heart. Dept is also one of few in Northern India to undertake minimally invasive thoracic surgery (Keyhole surgery). Apart from diagnostic mediastinoscopy and thoracoscopy, video-assisted thoracic surgery (VATS) is routinely done for a wide variety of diseases inside the chest cavity. A sample list of operations done using VATS include lobectomy, Bullectomy, decortication, pleurectomy, Ablation of hemothorax, Ablation of empyema thoracic, Thymectomy, Wedge resection of the lung, Esophageal myotomy, Lung biopsy, Pleural biopsy, excision of mediastinal tumours, mediastinal lymph node dissection, pericardial biopsy etc.

OUR STORY

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Why Manipal?

Chest surgeons at Manipal Hospital are the best thoracic surgeon in Delhi who works in close association with other specialists to provide you with comprehensive care. Some of the specialists commonly consulted during the course of managing chest surgical patients are chest physicians, gastroenterologists, oncologists, radiologists, pathologists. We have a team of good pulmonologist in Delhi who is personalized to your individual needs and includes respiratory physiotherapists and physical and occupational therapists. Having all of this under one roof means your care is optimized right from the beginning till discharge and continues to rehabilitation. No time is wasted in preoperative evaluation while coordinating various consultations and investigations.

Treatment & Procedures

Thoracic surgery involves surgery on all parts of the chest which includes the chest wall, the contents of the chest (the mediastinum) and the lungs but excludes the heart.

 

Diagnostic Procedures

  • Bronchoscopy

  • Key Hole Lung Biopsy

  • Keyhole Pleural biopsy

  • Thoracoscopy

  • Mediastinoscopy

  • Spiral CT scan

  • Whole-body PET-CT scan

  • Virtual Bronchoscopy

  • Pulmonary Angiography

 

Therapeutic Procedures

  • Lobectomy

  • Pneumonectomy

  • Decortication

  • Lung Volume Reduction Surgery

  • Chest wall reconstruction

  • Chest injuries

  • Surgery for Lung Tuberculosis

  • Video-Assisted Thoracic Surgery (Key hole surgery)

  • Robotic surgery

  • Tracheal surgery (wind pipe narrowing & tumours)

  • Foreign Body in Airways

Facilities & Services

In cooperation with other departments, complete diagnostic work-up of chest surgical patient is done in-house including pulmonary function test, pulmonary angiography, bronchoscopy (both rigid & video-assisted), spiral CT scan with 3-D reconstruction, MRI, PET-CT scan, Arterial blood gas analysis etc

Operations are done in most modern modular operation theatres equipped with all support equipment and manned by highly trained anesthesiologists backed by expert technical staff.

Robotic surgery is carried out on the latest DaVinci Xi system that results in less postoperative pain and earlier discharge thus indirectly reducing the cost to the patient.

Manipal Hospital is one the Best chest hospital in  Delhi where Excellent postoperative care is provided in a modern intensive care unit installed with state-of-art monitoring equipment, ventilators and round-the-clock availability of trained intensivists.

FAQ's

Most common indications for chest surgery:

 

  • Recurrent pneumothorax: if air enters the space between your lung and the chest wall it causes a pneumothorax – a collapsed lung that can be treated by putting a tube into the space to release the air. Surgery is most often needed if it occurs 2nd or 3rd time or the lung is weak at places forming bullae (ballooning).

 

  • Pleural empyema: this is a collection of fluid in the chest between the lung and the pleura (the lining of the lung). The pressure on the lung stops us from breathing properly and the fluid has to be drained off through a tube. When this turns into pus, then most of the time operation is needed. In early cases, keyhole surgery is the preferred mode of operation.

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  • Surgery for tuberculosis of lungs: Medicines are the mainstay of treatment for lung tuberculosis. Surgery is, however, needed for many complications of lung tuberculosis. Common ones are recurrent coughing of blood, destruction of a part or whole lung, pus formation, fungal balls, thickening of lung membrane.

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  • Chest wall deformities: If the child is having some deformity of the chest wall, this can be easily corrected with surgery at an appropriate age.

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  • Lung cancer: Lung cancer if diagnosed at an early stage is largely amenable to surgery that gives the best chance of long-term survival or cure in selected patients. If you are having frequent blood in sputum, unexplained weight loss or a lesion in a chest x-ray, then a full workup is needed. 

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