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Paediatric Non-Cardiac Thoracic Surgery In Mukundapur, Kolkata - Manipal Hospitals

Paediatric Non-Cardiac Thoracic Surgery

Paediatric Non-Cardiac Thoracic Surgery in Mukundpur, Kolkata

Paediatric Non-cardiac Thoracic Surgery refers to procedures performed on children that involve the thoracic cavity but do not include the heart. Some non-cardiac surgeries that can be done on children include removing chest tumours, removing a portion of the lung, fixing a collapsed lung, repairing the oesophagus (Oesophagectomy) for oesophagal cancer, as well as correcting acid reflux and repairing a hiatal hernia. Multidisciplinary teams composed of respiratory therapists, anaesthesiologists, and paediatric surgeons provide and ensure comprehensive care. Advanced techniques enable healthcare providers to perform top-notch surgeries with the best outcomes. These techniques work ‌to alleviate ‌pain in children and reduce hospital stays. Precise preoperative evaluation, encompassing pulmonary function tests and imaging, is emphasised to customise surgical strategies to meet the needs of every child. Pain control, respiratory support, and complications monitoring are the main goals of postoperative care. The overall goals of Paediatric Non-cardiac Thoracic Surgery in Mukundapur, Kolkata are to improve quality of life, reduce symptoms, and rectify anatomical anomalies.
 

FAQ's

Paediatric Non-cardiac Thoracic Surgery is necessary for the following conditions:

  • Congenital diaphragmatic hernia: A developmental defect in the diaphragm causes a condition where abdominal contents protrude into the thoracic cavity 

  • Congenital cystic adenomatoid malformation: Congenital cystic adenomatoid malformation causes respiratory problems due to abnormal lung tissue

  • Esophageal atresia: Esophageal atresia is a condition in which the oesophagus and stomach are not properly connected

  • Empyema: Pus that accumulates in the pleural cavity is called an empyema

  • Pneumothorax: The deflated lung results from air within the chest cavity

  • Pectus excavatum: Sunken chest wall malformation is known as pectus excavatum

  • Mediastinal tumours: Exceptional growths located in the chest

Paediatric anaesthesiologists face many challenges when it comes to managing intra- and postoperative problems and administering one-lung anaesthesia during thoracoscopy procedures. Important elements consist of:

  • Induction: The process of bringing about anaesthesia, usually by injecting drugs intravenously or using inhaled anaesthetics

  • Maintenance: To keep the child asleep and pain-free during the procedure, a mix of IV medications, inhalation anaesthetics, and sometimes muscle relaxants are used

  • Pain management: Multimodal analgesia, including opioids, non-opioid analgesics, and local anaesthetic procedures, is often used to treat postoperative pain

  • Monitoring: Continuous monitoring of vital signs (heart rate, blood pressure, oxygen saturation, and breathing) ensures child safety during anaesthesia

Minimally invasive thoracic surgery is a way of performing chest surgery through small incisions without large cuts. Surgeons use a camera and instruments to reach the lungs through small cuts between the ribs. There are two surgical types: Video-assisted Thoracoscopic Surgery (VATS) and Robotic-assisted Surgery. 

  • Video-assisted Thoracoscopic Surgery (VATS): A thoracoscope, a small tube with a camera, is inserted between the ribs. This lets the surgeon see the chest cavity without opening the chest. The surgeon then removes lung tissue through small incisions

  • Robotic-assisted Surgery: During Robotic-assisted Surgery, a surgeon uses a console to control surgical instruments and a camera inside the patient's chest. A small 3D camera provides a clear view, while wristed instruments are inserted through small incisions. The surgeon removes lung tissue through one of these incisions. Wristed instruments allow the surgeon to perform the surgery without making larger incisions. 

In paediatrics, Minimally Invasive Surgery has the following advantages:

  • Decreased pain: Postoperative pain is lower with smaller incisions

  • Reduced hospital stay: Children can often leave earlier to go back home

  • Faster recovery: A quicker resumption of normal activities and learning

  • Smaller scars: Due to smaller incisions, there is less obvious scarring

  • Lower infection risk: The risk of infection is reduced when internal tissues are not exposed as much

  • Reduced blood loss: Intraoperative bleeding is usually reduced when using less invasive procedures

  • Improved precision: Increased use of specialised tools can lead to better results through enhanced visualisation and precision

Reduction in postoperative complications: Reduction in wound infections and adhesions
 

Your recovery period may vary from six to twelve weeks, contingent upon the nature of the procedure you underwent. The surgical team can advise you on how long your procedure's recuperation period is expected to be. When you reach home, you can feel worn out and uncomfortable. 
 

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