{"id":196,"date":"2023-05-29T07:36:35","date_gmt":"2023-05-29T07:36:35","guid":{"rendered":"http:\/\/www.paedsurgeryindelhi.com\/blog\/?p=196"},"modified":"2023-05-29T08:56:54","modified_gmt":"2023-05-29T08:56:54","slug":"thoracoscopic-surgery-in-children","status":"publish","type":"post","link":"https:\/\/www.paedsurgeryindelhi.com\/blog\/thoracoscopic-surgery-in-children\/","title":{"rendered":"Thoracoscopic Surgery In Children"},"content":{"rendered":"\n<p>Thoracoscopic surgery, is a <strong>Minimally Invasive Surgery<\/strong> which uses multiple small incisions, and is suitable for children who need to undergo surgery for various  chest conditions. Thoracoscopy is now very frequently used for various simple and complex surgical chest conditions. Since a Minimally Invasive Surgery can be done with small incisions, this avoids injury to chest wall muscles and nerves. On the contrary, large incisions as used in open surgery are painful and can cause chest wall deformity in long run. <strong>Minimally Invasive Surgery<\/strong> has shown great results, with lesser pain, reduced hospitalization, lesser complications and a better cosmetic result as compared to traditional thoracotomy. Following are some other procedures that are performed: <\/p>\n<ul class=\"list01\">\n  <li><strong><u>Excision  of mediastinal tumours:<\/u><\/strong> Thoracoscopy has been found to be very useful in excision of mediastinal tumours\/  masses like neuroblastoma, thymoma, teratoma etc. The advantage of thoracoscopy  is it gives excellent magnified vision which helps in complete excision without  damaging adjacent vital structures.<\/li>\n  <li><strong><u>Excision  of Mediastinal cysts:<\/u><\/strong> Various mediastinal and lung cysts can be safely removed in new-borns, infants  and paediatric patients with excellent results. This include bronchogenic cyst,  enteric duplication cyst, thymic cyst, hydatid cyst etc. Some of these cyst are  diagnosed during antenatal period.<\/li>\n  <li><strong><u>Lung  Malformations:<\/u><\/strong> Thoracoscopy excision of lung malformation involves CCAM, CLE and lung  sequestration.<\/li>\n  <li><strong><u>Empyema:<\/u><\/strong> Empyema is an  infection due to pus formation in the chest cavity or the pleural space.  Children with empyema requires treatment with antibiotics, thoracostomy and thoracoscopicdecortication.  For thoracoscopic decortication, three to four small incisions (3-5mm) are made  to access the pleural space. Following which, the pleural space is cleansed off  all debris and infected material, using a camera to see inside. Thus making the  lung re-expand. Thoracoscopy addresses the symptoms and aids in a faster  recovery, thereby reducing the patient&#8217;s stay in the hospital, especially when  it is done in the initial stages of the illness.<\/li>\n  <li><strong><u>Lung  Biopsy: <\/u><\/strong>Lung  Biopsy is carried out for children with chronic lung conditions, which may be  difficult to diagnose, even after numerous tests. The Lung Biopsy is done using  three small incisions, through which, the targeted area of the lung is  biopsied. Diagnosis is achieved in almost 95% of the biopsies. It eliminates  the requirement a large incision and its associated complications, while  providing the same amount of tissue for analysis, as that of thoracotomy. Due  to limited post-operative pain, and discomfort which does not compromise  respiration, this procedure is well tolerated, even in children with advanced  lung disease.<\/li>\n  <li><strong>Spontaneous  Pneumothorax: <\/strong>\u00a0Pneumothorax is a life-threatening condition  in which the lung collapses. Teenagers progressing through their adolescent  growth spurt and children with underlying lung diseases, like apical cysts or  cystic fibrosis are more prone to pneumothorax. <\/li>\n<\/ul>\n<p>The lungs need to be re-expanded to allow healing and removal of symptoms. Thoracoscopy is recommended for children with a recurring pneumothorax. The apical cysts (if present) are removed with an endoscopic stapling device. To carry out this procedure, three small incisions of 5mm &#8211; 12mm are made. To avoid air leaks in the future, the pleural cavity lining is abraded so that the lung adheres to the chest wall. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thoracoscopic surgery, is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various  chest conditions. <\/p>\n","protected":false},"author":1,"featured_media":201,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[80],"tags":[83,81,82],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.10 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Thoracoscopic Surgery In Children<\/title>\n<meta name=\"description\" content=\"Thoracoscopic surgery, is a Minimally Invasive Surgery which uses multiple small incisions, and is suitable for children who need to undergo surgery for various chest conditions.\" \/>\n<meta name=\"robots\" content=\"index, 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