Mediastinotomija – Procedure Chemberlena

Description mediastinotomy

Mediastinum – area in the middle of the chest between the lungs. Mediastinotomija – creating a small hole in the upper part of the chest in the mediastinum. This opening allows the doctor and explore the area between the front part of the lungs.

The reasons for performing mediastinotomy

This procedure is performed to examine the lungs and chest. The doctor may take tissue samples (biopsy). These samples were examined under microscope, to check for the following diseases:

• Lung cancer, bronchi, breast tissue;
• Lymphoma – cancer of the lymphatic system (eg, Hodgkin's disease);
• Infection;
• Inflammation;
• Sarkoidoz – disease, Kotra causes swelling (inflammation) lung, liver, lymph nodes and spleen;

Mediastinotomy also held, to find out, How common is lung cancer.

Possible complications when performing mediastinotomy

Complications are rare, but no operation ensures no risk. Before, how to perform mediastinotomy, you need to know about possible complications, which may include:

• Bleeding;
• Infection;
• Hoarseness;
• Chylothorax – lymphatic fluid accumulation in the chest;
• Lesions of the breast;
• Pneumothorax (collapsed lung).

Factors, that may increase the risk of complications include:

• Previous mediastinoscopy (research using mediastinoscope, that allows the doctor to inspect the inside of the chest);
• Previous surgery chest or neck;
• Pregnancy;
• Diabetes or other chronic diseases;
• Smoking.

How is mediastinotomy?

Before the procedure

Patients are advised to stop eating and drinking for 8-10 hours before the procedure. The doctor says the need:

• Receiving prescribed medication before the procedure;
• Stop taking certain medications, such as insulin, aspirin or medicines, blood thinners.

On the day of the procedure

• The patient must remove all jewelry, glasses, contact lenses or dentures;
• They may be given medication, to help the patient feel sleepy and relaxed;
• You should always inform your doctor about allergy;
• We need to take care of home delivery after the procedure.

Anesthesia

Anesthesia is administered to the patient intravenously in the arm. After falling asleep in his throat put the breathing tube, for supplying oxygen to the lungs.

Description of the procedure mediastinotomii

• The patient lay down on his back on the operating table;
• The skin is treated with antiseptic solution;
• The doctor makes a small incision in the chest;
• Next, the doctor pushes the muscles in the so, to explore the space between the lungs and heart;
• It may take tissue samples from the lungs, lymph nodes, or other parts of the breast;
• When the procedure is finished, section zashivaetsya;
• Early ligated.

Immediately after treatment

After the procedure, the patient is placed in the recovery room. If the state is normal, breathing tube will udalena.Obraztsy tissue will be sent to a lab for study.

How long will the surgery?

The operation takes 30 minutes before 2 hours.

How much does it hurt?

General anesthesia reduces pain during surgery. Your doctor may prescribe painkillers after the procedure.

The average time of hospital stay

This procedure can be done on an outpatient basis or during a hospital stay. Typically, the duration of stay of up to 24 hours, if there are no unforeseen complications.

Some patients need to stay in the hospital 1-2 day.

Care after mediastinotomy

In the hospital

• The patient was sent to the recovery room until the end of anesthesia;
• Your doctor may order chest X-ray, to check for bleeding or air inside the space of the chest.

At home

Houses need to do the following, to ensure the normal recovery:

• Perhaps drowsiness for several hours or even 1-2 days after anesthesia. You can not get behind the wheel at this time;
• Can a sore throat from the tube placement in it, through which air is fed:
  • For snyatisboli recommended to use candy;
  • It recommended to gargle with warm water;
• We need to keep the incision clean and dry:
  • It is necessary to wash hands, before touching the wound;
  • We need to use a soft cloth, to carefully wipe the incision with soap and water;
  • It is recommended to change clothes in accordance with the instructions of the doctor.

It is necessary to go to the hospital in cases

• Redness, edema, pain or bleeding from the incision;
• Chest pain;
• Swelling in the neck;
• Difficulty swallowing;
• Hoarseness, that lasts a few days or worsens;
• Breathlessness;
• Signs of infection, including fever and chills;
• Joint pain, fatigue, constraint, rash or other symptoms.