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Video-assisted thoracoscopic surgery (VATS) is a type of minimally invasive thoracic surgery performed using a small video camera mounted to a fiberoptic thoracoscope (either 5 mm or 10 mm caliber), with or without angulated visualization, which allows the surgeon to see inside the chest by viewing the video images relayed onto a television screen, and perform procedures using elongated ...
Pleurodesis is performed to prevent recurrence of spontaneous pneumothorax or pleural effusion, and can be done chemically or mechanically. It is generally avoided in patients with cystic fibrosis if possible, because lung transplantation becomes more difficult following this procedure.
However, new methods such as video-assisted thoracoscopic surgery (VATS) provide a minimally invasive method which can eliminate diseased parts of the lungs and lymph nodes. A development of thoracoscopy, VATS utilizes small, high-resolution cameras which are inserted into the chest through small incisions.
VATS may also be used to achieve chemical pleurodesis; this involves insufflation of talc, which activates an inflammatory reaction that causes the lung to adhere to the chest wall. [ 12 ] [ 15 ] If a chest tube is already in place, various agents may be instilled through the tube to achieve chemical pleurodesis , such as talc, tetracycline ...
Thoracoscopy is a medical procedure involving internal examination, biopsy and/or resection/drainage of disease or masses within the pleural cavity, [1] usually with video assistance. Thoracoscopy may be performed either under general anaesthesia or under sedation with local anaesthetic .
Video-assisted thoracoscopic surgery, or VATS, came into widespread use in the 1990s and early on in its development practitioners began to perform lobectomy via VATS incisions. [3] The advantage of VATS over thoracotomy is that major chest wall muscles are not divided and ribs are not spread. This leads to reductions in the intensity and ...
A technique called pleurodesis can be used to intentionally create scar tissue within the pleural space, usually as a treatment for repeated episodes of a punctured lung, known as a pneumothorax, or for pleural effusions caused by cancer. While this procedure usually generates only limited scar tissue, in rare cases a fibrothorax can develop. [6]
Decortication is a medical procedure involving the surgical removal of the surface layer, membrane, or fibrous cover of an organ.The procedure is usually performed when the lung is covered by a thick, inelastic pleural peel restricting lung expansion.