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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 ...
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 ...
Similar to VATS, robotic surgery has also been found to be minimally invasive and is extremely useful for removing certain parts of lung tissue that are diseased as well as surrounding lymph nodes. [48] However, comparisons of current robotic methods with VATS have shown no significant differences in patient outcome. [49]
It is usually performed at the time of a diagnostic thoracoscopy. [citation needed] Povidone iodine is equally effective and safe as talc, and may be preferred because of easy availability and low cost. [6] Chemical pleurodesis is a painful procedure, and so patients are often premedicated with a sedative and analgesics.
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 ...
If the conditions that caused the pleurisy or other pleural disorders were adequately diagnosed and treated early, one can expect a full recovery. Help of a pulmonologist (respiratory physician in the U.K. and Australia) may be enlisted to deal with the underlying cause, and chart post-illness rehabilitation.
Over time, generally over the years, the fibrotic scar tissue slowly tightens and thickens, contracting the contents of one or both halves of the chest and reducing the mobility of the ribs. The peel can become deeper than 2 cm. [ 2 ] Within the chest, the lung is compressed and unable to expand (trapped lung), making it vulnerable to collapse ...
The hope is eventually, this 'scaffolding' of sorts will scar over thereby strengthening the structure and making it permanent. [ citation needed ] Recovery time is typically six to nine months and the patient should see gradual improvement in voice control, reduced coughing and an increased ability to move air more effectively.