Thoracoscopy

Thoracoscopy

Medical thoracoscopy or pleuroscopy is a minimally invasive procedure that allows access to the pleural space using a combination of viewing and working instruments. It also allows for basic diagnostic (undiagnosed pleural effusion and pleural thickening) and therapeutic procedures (pleurodesis and adhesiolysis) to be performed safely under local anaesthesia and conscious sedation

Indications for Diagnostic Thoracoscopy

  • Pleural effusion of unknown origin
  • Suspected tuberculosis effusion
  • Suspected malignancy with inconclusive cytology
  • Recurrent pleural effusion
  • Hemorrhagic pleural effusion
  • Recurrent Pneumothorax

 

Indications for Therapeutic Thoracoscopy

For pleurodesis in malignant, recurrent pleural effusion and recurrent pneumothorax

To divide adhesions in recurrent / in persistent spontaneous pneumothorax and minimal loculated pleural effusion

To perform pleural toilet in the fibrino purulent stage of empyema

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