Types of Thoracic Surgery

Aasra- Pneumothorax

Pneumothorax

When air gets between your lung and chest wall, it causes a pneumothorax. Your lung collapses as a result of the pressure exerted by this air on its outside. A pneumothorax can be either a partial or total collapse of the lungs. It can be brought on by a piercing or blunt chest injury, certain medical procedures, or lung disease-related damage. Bullectomy using robotic assistance (RATS) and video-assisted thoracoscopic surgery (VATS) has been a common operation in recent years with encouraging results.

pneumothorax

Aasra- Pneumothorax

When air gets between your lung and chest wall, it causes a pneumothorax. Your lung collapses as a result of the pressure exerted by this air on its outside. A pneumothorax can be either a partial or total collapse of the lungs. It can be brought on by a piercing or blunt chest injury, certain medical procedures, or lung disease-related damage. Bullectomy using robotic assistance (RATS) and video-assisted thoracoscopic surgery (VATS) has been a common operation in recent years with encouraging results.

Pleural Effusion

The accumulation of extra fluid between the layers of the pleura outside the lungs is known as a pleural effusion, also known as "water on the lungs." The pleura, which are tiny membranes that line the chest cavity and the lungs, help to lubricate and assist breathing. The pleura typically contains a tiny amount of fluid. Heart failure, pneumonia, and viral infections are among the pleural effusion causes that are adequately treated or managed.Two factors that must be considered are treatment for associated mechanical problems as well as treatment of the underlying problems of the pleural effusion. Video-assisted thoracoscopic surgery (VATS) Robotic assisted (RATS) and Robotic assisted (RATS) pleurodesis has become frequent procedure in recent years with promising outcome.

Pleural Effusion

The accumulation of extra fluid between the layers of the pleura outside the lungs is known as a pleural effusion, also known as "water on the lungs." The pleura, which are tiny membranes that line the chest cavity and the lungs, help to lubricate and assist breathing. The pleura typically contains a tiny amount of fluid. Heart failure, pneumonia, and viral infections are among the pleural effusion causes that are adequately treated or managed.Two factors that must be considered are treatment for associated mechanical problems as well as treatment of the underlying problems of the pleural effusion. Video-assisted thoracoscopic surgery (VATS) Robotic assisted (RATS) and Robotic assisted (RATS) pleurodesis has become frequent procedure in recent years with promising outcome.

Aasra- Empyema

Empyema

An empyema is an accumulation of pus in the gap between the lung and its surrounding membrane (pleural space). It is brought on by an infection that spreads from the lung and fills the pleural area with pus. This infected fluid can accumulate, placing pressure on the lungs and causing them to collapse, resulting in symptoms including pain and shortness of breath. Tuberculosis is the most prevalent cause of empyema in our nation. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) decortication has become frequent procedure in recent years with promising outcome.

Empyema

Aasra- Empyema

An empyema is an accumulation of pus in the gap between the lung and its surrounding membrane (pleural space). It is brought on by an infection that spreads from the lung and fills the pleural area with pus. This infected fluid can accumulate, placing pressure on the lungs and causing them to collapse, resulting in symptoms including pain and shortness of breath. Tuberculosis is the most prevalent cause of empyema in our nation. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) decortication has become frequent procedure in recent years with promising outcome.

Myasthenia Gravis and Thymoma

A very uncommon autoimmune condition called myasthenia gravis (MG) causes the voluntary muscle groups all over the body to experience varying degrees of weakening. The thymus gland is crucial to the development and cause of MG. A tiny lymphatic organ known as the thymus is located right behind the breast plate or sternum. The thymus may make Myasthenia Gravis (MG), an autoimmune illness characterised by muscle weakness, worse in sufferers. Neurologists treating the patient frequently request that the organ be removed. Thymectomy, a surgical procedure that removes the thymus, can sometimes cause the disease to remit and ameliorate the symptoms of MG. Additionally, a thymoma, a tumour that occasionally develops in the thymus, needs to be removed. In between 10 and 15 percent of MG patients, a tumor of the thymus gland, known as thymoma.

Aasra- Thymoma

Myasthenia Gravis and Thymoma

Aasra- Thymoma

A very uncommon autoimmune condition called myasthenia gravis (MG) causes the voluntary muscle groups all over the body to experience varying degrees of weakening. The thymus gland is crucial to the development and cause of MG. A tiny lymphatic organ known as the thymus is located right behind the breast plate or sternum. The thymus may make Myasthenia Gravis (MG), an autoimmune illness characterised by muscle weakness, worse in sufferers. Neurologists treating the patient frequently request that the organ be removed. Thymectomy, a surgical procedure that removes the thymus, can sometimes cause the disease to remit and ameliorate the symptoms of MG. Additionally, a thymoma, a tumour that occasionally develops in the thymus, needs to be removed. In between 10 and 15 percent of MG patients, a tumor of the thymus gland, known as thymoma.

Posterior Mediastinal Tumor

Posterior Mediastinal tumors are cancerous or benign growths can develop in the region of the chest behind the lungs. This area, called the posterior mediastinum, is surrounded by the lungs on either side and the spine in the back. The majority of tumours in the posterior mediastinum are benign. In the posterior mediastinum, the majority of tumours are benign. Therefore, robotic aided (RATS) or video-assisted thoracoscopic surgery (VATS) techniques are perfectly suited to these tumours. With the exception of the largest neurogenic tumours, bronchogenic cysts, and foregut duplication cysts, this method can be utilised to remove them all. Compared to the conventional thoracotomy method, which necessitates a wider skin incision, more muscle cutting, and longer recovery times, RATS or VATS allows for far less discomfort and quicker healing. and spreading the ribs.

Posterior Mediastinal Tumor

Posterior Mediastinal tumors are cancerous or benign growths can develop in the region of the chest behind the lungs. This area, called the posterior mediastinum, is surrounded by the lungs on either side and the spine in the back. The majority of tumours in the posterior mediastinum are benign. In the posterior mediastinum, the majority of tumours are benign. Therefore, robotic aided (RATS) or video-assisted thoracoscopic surgery (VATS) techniques are perfectly suited to these tumours. With the exception of the largest neurogenic tumours, bronchogenic cysts, and foregut duplication cysts, this method can be utilised to remove them all. Compared to the conventional thoracotomy method, which necessitates a wider skin incision, more muscle cutting, and longer recovery times, RATS or VATS allows for far less discomfort and quicker healing. and spreading the ribs.

lung cancer

One type of cancer that starts in the lungs is lung cancer. The largest cause of cancer-related fatalities worldwide is lung cancer. Lung cancer can affect persons who have never smoked, but smokers are at a higher risk than nonsmokers. With time and cigarette consumption comes an increased risk of lung cancer. Major lung resection using robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS) has become a more common treatment in recent years with encouraging results. In comparison to the conventional thoracotomy method, which necessitates a wider skin incision, more muscle cutting, and spreading of the ribs, it allows for far less discomfort and a quicker recovery

Aasra- Lung cancer

lung cancer

Aasra- Lung cancer

One type of cancer that starts in the lungs is lung cancer. The largest cause of cancer-related fatalities worldwide is lung cancer. Lung cancer can affect persons who have never smoked, but smokers are at a higher risk than nonsmokers. With time and cigarette consumption comes an increased risk of lung cancer. Major lung resection using robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS) has become a more common treatment in recent years with encouraging results. In comparison to the conventional thoracotomy method, which necessitates a wider skin incision, more muscle cutting, and spreading of the ribs, it allows for far less discomfort and a quicker recovery

Bronchiectasis

Bronchiectasis is a long-term condition where the airways of the lungs known as bronchi become abnormally widened due to destruction of the bronchial wall, leading to a build-up of excess mucus that can make the lungs more vulnerable to infection. Patients usually present with recurrent cough and mild fever. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) for major lung resection has become a more frequent procedure in recent years with promising outcome.

Bronchiectasis

Aasra-Bronchiectasis

Bronchiectasis is a long-term condition where the airways of the lungs known as bronchi become abnormally widened due to destruction of the bronchial wall, leading to a build-up of excess mucus that can make the lungs more vulnerable to infection. Patients usually present with recurrent cough and mild fever. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) for major lung resection has become a more frequent procedure in recent years with promising outcome.

Benign and Malignant Esophageal disorders

Cancer of the esophageal (the food pipe) usually begins in the cells that line the interior of the esophageal. Anywhere along the esophageal is susceptible to esophageal cancer. Esophageal cancer affects more men than women. The sixth most frequent cause of cancer-related fatalities globally is esophageal cancer. The typical symptom of esophageal/oesophageal cancer is difficulty swallowing, initially with meals and eventually with liquids as well. Achalasia, paraesophageal hernia, esophageal diverticulum, esophageal perforation, and benign esophageal tumours like leiomyoma are esophageal illnesses that may need surgical treatment. Our team treats esophageal cancer and benign esophageal illnesses using a range of surgical treatments.

Benign and Malignant Esophageal disorders

Cancer of the esophageal (the food pipe) usually begins in the cells that line the interior of the esophageal. Anywhere along the esophageal is susceptible to esophageal cancer. Esophageal cancer affects more men than women. The sixth most frequent cause of cancer-related fatalities globally is esophageal cancer. The typical symptom of esophageal/oesophageal cancer is difficulty swallowing, initially with meals and eventually with liquids as well. Achalasia, paraesophageal hernia, esophageal diverticulum, esophageal perforation, and benign esophageal tumours like leiomyoma are esophageal illnesses that may need surgical treatment. Our team treats esophageal cancer and benign esophageal illnesses using a range of surgical treatments.

Aasra-Diaphragmatic hernia

Diaphragmatic Hernia/ Eventration

Diaphragmatic hernia is the medical term for the flow of abdominal organs (such as the bowel) into the chest cavity as a result of abnormal diaphragm abnormalities. The term "diaphragm eventration" describes an abnormal elevation of the diaphragm, the major respiratory muscle that also divides the chest from the abdomen. In cases of diaphragm eventration, the muscle itself or problems with the nerves that supply it are to blame for the diaphragm's too high location in the body. In more extreme situations, this can compress the lungs and make breathing difficult. Diaphragmatic hernia repair and diaphragmatic plication can be performed with the use of robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS), which allows for a quicker recovery after these significant operations.

Diaphragmatic Hernia/ Eventration

Aasra-Diaphragmatic hernia

Diaphragmatic hernia is the medical term for the flow of abdominal organs (such as the bowel) into the chest cavity as a result of abnormal diaphragm abnormalities. The term "diaphragm eventration" describes an abnormal elevation of the diaphragm, the major respiratory muscle that also divides the chest from the abdomen. In cases of diaphragm eventration, the muscle itself or problems with the nerves that supply it are to blame for the diaphragm's too high location in the body. In more extreme situations, this can compress the lungs and make breathing difficult. Diaphragmatic hernia repair and diaphragmatic plication can be performed with the use of robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS), which allows for a quicker recovery after these significant operations.

Hyperhidrosis(Excessive Sweating)

The condition known as hyperhidrosis causes unusually profuse perspiration in the armpits, feet, and palms that is not always related to heat or exertion. The patient may sweat profusely to the point where it drips from their palms or seeps through their garments. This kind of excessive perspiration not only interferes with regular activities but can also make one feel uncomfortable and anxious around others. To treat hyperhidrosis, or excessive sweating, we employ robotic assisted (RATS) or video-assisted thoracic surgery (VATS) techniques. Although topical medications may be beneficial in the short term, patients with this disease frequently choose surgery to get rid of their symptoms. The sympathetic nerves in charge of causing palmar and axillary sweating are severed by two less-than-fingernail-sized incisions made in the arm pit. This process is known as a Robotic/VATS sympathectomy and can be up to 95% effective.

Aasra-Hyperhydrosis

Hyperhidrosis(Excessive Sweating)

Aasra-Hyperhydrosis

The condition known as hyperhidrosis causes unusually profuse perspiration in the armpits, feet, and palms that is not always related to heat or exertion. The patient may sweat profusely to the point where it drips from their palms or seeps through their garments. This kind of excessive perspiration not only interferes with regular activities but can also make one feel uncomfortable and anxious around others. To treat hyperhidrosis, or excessive sweating, we employ robotic assisted (RATS) or video-assisted thoracic surgery (VATS) techniques. Although topical medications may be beneficial in the short term, patients with this disease frequently choose surgery to get rid of their symptoms. The sympathetic nerves in charge of causing palmar and axillary sweating are severed by two less-than-fingernail-sized incisions made in the arm pit. This process is known as a Robotic/VATS sympathectomy and can be up to 95% effective.

Aasra-Aspergilloma

Aspergilloma

Aspergilloma is a mass caused by a fungal infection. It usually grows in lung cavities. The infection may also reveal itself in the kidney, brain, or in other organs. The fungus aspergillus is the source of the infection known as aspergillosis. When the fungus gathers in a clump in the lung cavity, aspergillomas are created. A preexisting condition usually causes the cavity. Cavities in the lung may be caused by diseases such as Tuberculosis, Coccidioidomycosis, Cystic fibrosis, Histoplasmosis, Lung abscess, Lung cancer or Sarcoidosis. They usually present with recurrent haemoptysis( Blood in cough ) and chest pain. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) for major lung resection has become a more frequent procedure in recent years with promising outcome.

Aspergilloma

Aasra-Aspergilloma

Aspergilloma is a mass caused by a fungal infection. It usually grows in lung cavities. The infection may also reveal itself in the kidney, brain, or in other organs. The fungus aspergillus is the source of the infection known as aspergillosis. When the fungus gathers in a clump in the lung cavity, aspergillomas are created. A preexisting condition usually causes the cavity. Cavities in the lung may be caused by diseases such as Tuberculosis, Coccidioidomycosis, Cystic fibrosis, Histoplasmosis, Lung abscess, Lung cancer or Sarcoidosis. They usually present with recurrent haemoptysis( Blood in cough ) and chest pain. Robotic assisted (RATS) and Video-assisted thoracoscopic surgery (VATS) for major lung resection has become a more frequent procedure in recent years with promising outcome.

Lung Cysts

A cyst is a cavity that contains fluid. Cysts of all kinds, including hydatid, bronchogenic, dermoid, and other types, can develop in the lungs. These cysts can cause fever, chest pain, blood in the sputum, coughing up blood, and cyst growth if untreated. Additionally, they may exert pressure on nearby structures, resulting in a variety of symptoms, or they may rupture and cause significant, sometimes fatal problems. Major lung resections are now routinely treated with robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS), which offers the advantage of a quicker recovery.

Lung Cysts

A cyst is a cavity that contains fluid. Cysts of all kinds, including hydatid, bronchogenic, dermoid, and other types, can develop in the lungs. These cysts can cause fever, chest pain, blood in the sputum, coughing up blood, and cyst growth if untreated. Additionally, they may exert pressure on nearby structures, resulting in a variety of symptoms, or they may rupture and cause significant, sometimes fatal problems. Major lung resections are now routinely treated with robotic assisted (RATS) and video-assisted thoracoscopic surgery (VATS), which offers the advantage of a quicker recovery.

Lung Nodules

A lung nodule is a little development that has an oval or circular form. Another name for it is a "spot in the lung." Lung nodules have a diameter of less than three centimetres (about 1.2 inches). Malignant (cancerous) and benign pulmonary nodules are the two basic categories (noncancerous). There are numerous possible causes of benign pulmonary nodules. As a result of an infection or illness that causes inflammation in the body, many are the result of inflammation in the lung. The nodule can be a product of an ongoing process or the development of scar tissue as a result of earlier inflammation. As nodules, benign developing lesions can also occur. Lung nodule resection with robotic assisted surgery (RATS) and video-assisted thoracoscopic surgery (VATS) has now become the norm.

Lung Nodules

A lung nodule is a little development that has an oval or circular form. Another name for it is a "spot in the lung." Lung nodules have a diameter of less than three centimetres (about 1.2 inches). Malignant (cancerous) and benign pulmonary nodules are the two basic categories (noncancerous). There are numerous possible causes of benign pulmonary nodules. As a result of an infection or illness that causes inflammation in the body, many are the result of inflammation in the lung. The nodule can be a product of an ongoing process or the development of scar tissue as a result of earlier inflammation. As nodules, benign developing lesions can also occur. Lung nodule resection with robotic assisted surgery (RATS) and video-assisted thoracoscopic surgery (VATS) has now become the norm.

Chest Wall Tumors

The hard framework that houses and shields the various organs in the chest is referred to as the "chest wall." It is made up of soft tissues, bones, and muscles. Any of these tissues have the potential to create a tumour, which is essentially an aberrant cell growth. These tumours may be malignant (cancerous) or benign (non-cancerous) (cancerous). The most common sign of a chest wall tumour is an expanding bulge in the chest wall. The sternum and ribs can both develop tumours on the chest wall. It is necessary to remove or resect lung malignancies that spread into the chest wall as well as uncommon original tumours of the chest wall. Chest wall tumours can be removed from patients with good functional and cosmetic outcomes using contemporary outcomes. Some of the chest wall surgery therapies can be performed in part using minimally invasive techniques such as video-assisted thoracic surgery or VATS and Robotic Surger

Chest Wall Tumors

The hard framework that houses and shields the various organs in the chest is referred to as the "chest wall." It is made up of soft tissues, bones, and muscles. Any of these tissues have the potential to create a tumour, which is essentially an aberrant cell growth. These tumours may be malignant (cancerous) or benign (non-cancerous) (cancerous). The most common sign of a chest wall tumour is an expanding bulge in the chest wall. The sternum and ribs can both develop tumours on the chest wall. It is necessary to remove or resect lung malignancies that spread into the chest wall as well as uncommon original tumours of the chest wall. Chest wall tumours can be removed from patients with good functional and cosmetic outcomes using contemporary outcomes. Some of the chest wall surgery therapies can be performed in part using minimally invasive techniques such as video-assisted thoracic surgery or VATS and Robotic Surger

Chest Trauma

The chest is home to several of the body's most important organs and, regrettably, is frequently the scene of trauma from car accidents, stabbings, and gunshot wounds. Many patients arrive at hospitals in a serious condition and require prompt medical attention for injuries, even though some may die on the spot. These injuries can include one to many rib fractures, sternum (breast bone) fractures, lung injuries that result in haemothoraxes or pneumothoraxes, damage to the trachea, oesophagus, and diaphragm, among other things (layer between the chest and the stomach).

Recovery Rate

Patient is made to walk the next day and can be discharged in 48-72hrs.Patient can walk completely without the help of walker/support by 2weeks.

Chest Trauma

The chest is home to several of the body's most important organs and, regrettably, is frequently the scene of trauma from car accidents, stabbings, and gunshot wounds. Many patients arrive at hospitals in a serious condition and require prompt medical attention for injuries, even though some may die on the spot. These injuries can include one to many rib fractures, sternum (breast bone) fractures, lung injuries that result in haemothoraxes or pneumothoraxes, damage to the trachea, oesophagus, and diaphragm, among other things (layer between the chest and the stomach).

Recovery Rate

Patient is made to walk the next day and can be discharged in 48-72hrs.Patient can walk completely without the help of walker/support by 2weeks.

When to consult a doctor ?

Consult your Orthopaedeician as soon as you experience :

  • Cancer in the chest area.
  • Swallowing disorders (e.g. Achalasia cardia/ Redo Achalasia).
  • Gastroesophageal reflux disease(GERD)/Hiatal hernia /Redo Hiatal hernia repair/Fundoplication surgery.
  • Lung Cysts / Lung Nodules / Bullae or Pneumothorax / Chest Injuries(Rib/sternal fractures).
  • Pleural diseases like Effusion / Empyema / Pleural biopsy/ Clotted Haemothorax / Chylothorax/ Mesothelioma(pleural cancer).
  • Esophageal diseases like Acid or Alkali Strictures / Cancer / Leiomyoma / Tracheo Esophageal Fistula in the neck or chest.
  • Mediastinal tumors and cysts like Myasthenia Gravis with or without Thymoma, Ectopic parathyroid adenomas, Posterior Mediastinal Tumor(Neurogenic tumors), Dermoid and other Cysts.
  • Diaphragmatic hernia or eventration.
  • Hyperhidrosis (Surgery for Sweaty Palms) and Trauma (all cases of minor or major chest trauma from rib fractures to major injuries).

Our Thoracic Surgery Specialist

Dr. Shashikiran N J

When to consult a doctor ?

Consult your Specialist as soon as you experience :

  • Cancer in the chest area.
  • Swallowing disorders (e.g. Achalasia cardia/ Redo Achalasia).
  • Gastroesophageal reflux disease(GERD)/Hiatal hernia /Redo Hiatal hernia repair/Fundoplication surgery.
  • Lung Cysts / Lung Nodules / Bullae or Pneumothorax / Chest Injuries(Rib/sternal fractures).
  • Pleural diseases like Effusion / Empyema / Pleural biopsy/ Clotted Haemothorax / Chylothorax/ Mesothelioma(pleural cancer).
  • Esophageal diseases like Acid or Alkali Strictures / Cancer / Leiomyoma / Tracheo Esophageal Fistula in the neck or chest.
  • Mediastinal tumors and cysts like Myasthenia Gravis with or without Thymoma, Ectopic parathyroid adenomas, Posterior Mediastinal Tumor(Neurogenic tumors), Dermoid and other Cysts.
  • Diaphragmatic hernia or eventration.
  • Hyperhidrosis (Surgery for Sweaty Palms) and Trauma (all cases of minor or major chest trauma from rib fractures to major injuries).

Our Thoracic Surgery Specialist

Dr. Shashikiran N J

Frequently Asked Questions

  • What is Robotic assisted thoracic Surgery (RATS)?

    Versius robotic system designed by CMR surgical is a sophisticated tool which helps
    surgeons deliver precision care to patients. The surgery is done through Key holes using
    the robotic arms. The Robotic arms are under the control of Operating surgeon.

  • What is Video Assisted Thoracic Surgery (VATS)?

    Surgery is performed using a High definition camera through small incisions which
    reduces pain, morbidity leading to faster recovery.

  • What is Open Thoracic Surgery?

    Surgery is performed by placing the incision between the ribs approximately 10-15 cm
    long incision which can result in increased pain. Previously most of the procedures in the
    chest cavity were performed using this method.

  • Is the tech How long does it take to recover from Thoracic Surgeries? is it trustworthy ?

    The recovery period is dependent on the complexity of surgery and also depends on the
    type of disease. Usual recovery period is around 5-7 days on an average. Better to discuss with our Thoracic surgeon in person to get detailed plan of  management.

  • Frequently Asked Questions

  • What is Robotic assisted thoracic Surgery (RATS)?

    Versius robotic system designed by CMR surgical is a sophisticated tool which helps surgeons deliver precision care to patients. The surgery is done through Key holes using the robotic arms. The Robotic arms are under the control of Operating surgeon.

  • What is Video Assisted Thoracic Surgery (VATS)?

    Surgery is performed using a High definition camera through small incisions which reduces pain, morbidity leading to faster recovery.

  • What is Open Thoracic Surgery?

    Surgery is performed by placing the incision between the ribs approximately 10-15 cm
    long incision which can result in increased pain. Previously most of the procedures in the chest cavity were  performed using this method.

  • Is the tech How long does it take to recover from Thoracic Surgeries? is it trustworthy ?

    The recovery period is dependent on the complexity of surgery and also depends on the
    type of disease. Usual recovery period is around 5-7 days on an average. Better to discuss with our Thoracic surgeon in person to get detailed plan of   management.