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HIGH QUALITY VATS THORACOSCOPIC DECORTICATION
Welcome
Welcome to the website of Dr Darlong Thoracic surgeon who specializes in thoracic surgery practicing in New Delhi India. His innovation and techniques in thoracic surgery has attracted patients from all over the country and globally from North America to Australia. This site is intended to guide you through a common chest condition called pleural effusion, empyema and dealing with its complications.
- Single incision thoracoscopic decortications stage 3 organized pleural effusion
- Dual incision thoracoscopic decortication stage 2 fibrinopurulent effusion
FAQS
What is a normal chest
The chest x-ray above shows a healthy and free lung which is darker in color due to the air in the lung compared to the white centre depicting the blood or liquid filled heart. So the presence of abnormal fluid in the chest can be seen as whiter areas.
what is pleural effusion
It is an abnormal collection of fluid in the space between the lung and chest wall. This reduces the space for free movement of lung resulting in compression of the lung. The chest x-ray appear as white lung due to the fluid and may be partly white or completely white.
symptoms of pleural effusion
The fluid in the chest cavity compresses the lung, reducing its function of absorbing oxygen from the air we breathe depending on the amount of fluid present. This leads to breathlessness depending on the amount of fluid collected and occasionally chest with pain with heaviness. The Chest X-ray shows the fluid as white shadow which may be complete or partial.
Natural history of pleural effusion
Depending on the cause which can be due to infection(bacteria), tuberculosis, heart failure, canceretc the cause needs to be treated.it is advisable to consult your physician who will advise the necessary investigations, most of the noncancerous cases resolve with the appropriate medical therapy. In some individual the fluid gets infected resulting in empyema. If the empyema is neglected it can result in a thick layer developing over the compressed lung resulting to trapping of the lung.
Minor procedure for treatment
The fluid can be drained with a needle or by placing a small-bore catheterfor relief of breathlessness as well as analysis of the fluid for microbiology, biochemistry, cytology and cell block. For infected fluid causing empyema if drained early it can prevent the development of trapped lung. Once the fluid organizes and cause a trapped lung it requires a surgical intervention called Decortication.
keyhole surgical treatment
Trapped lung surgery (Decortication) traditionally required a big incision on the chest known as thoracotomy. Nowadays with modern video visualization system it can be done through one or two small incision known as VATS or thoracoscopy. Dr Darlong has described his technique in ctsnet.org which is the largest online resource for global community network for cardiothoracic surgeons. His technique of single incision (Uniportal VATS) and two incision (Dual port VATS) Decortication has also featured in the TOP CONTENT THORACIC SECTION in 2013.
Who We Are
Caregivers You Can Trust
Dr LM.Darlong ,Thoracic surgeon trained from the All India Institute of Medical Sciences (AIIMS) Delhi and Korea University Medical Centre Seoul,S.Korea. With over 20 years of experience and focus on Thoracoscopy / VATS. He has innovated the techniques of VATS decortication.
Credentials
His technique on VATS DECORTICATION is published in the ctsnet.org online journal -Single Incision [uniportal] VATS decorticationsingle incision thoracoscopic decortications stage-3 organized pleural effusion-Dual incision VATS Decorticationdual incision thoracoscopic decortication stage 2 fibrinopurulent effusion
www.ctsnet.org
CTSNET.ORG is the most reliable online source of information about cardiothoracic surgery available worldwide and its online community is the largest in the world. A not for profit community it is jointly overseen by The Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), and the European Association for Cardio-thoracic Surgery (EACTS).
