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Home > Our Services > Conditions and Treatments > Bronchoscopic Procedures

Bronchoscopic Procedures

 

 


 

Overview 

 

Bronchoscopy is a technique of visualizing the inside of the airways for diagnostic and therapeutic purposes. An instrument (bronchoscope) is inserted into the airways, usually through the nose or mouth, or occasionally through a tracheostomy. This allows the practitioner to examine the patient's airways for abnormalities such as foreign bodies, bleeding, tumors, or inflammation. Specimens may be taken from inside the lungs: biopsies, fluid (bronchoalveolar lavage), or endobronchial brushing. The construction of bronchoscopes ranges from rigid metal tubes with attached lighting devices to flexible fibreoptic instruments with realtime video equipment.There are two types of bronchoscope: rigid bronchoscope is a straight, metal tube with an inner diameter of up to one centimeter ; A flexible bronchoscope is longer and thinner than a rigid bronchoscope.

 

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Why do you need this surgery?

 

There are two main uses for a Bronchoscopic procedure:

 

Diagnostic:

  • View abnormalities of the airway
  • Obtain tissue specimens of the lung
  • Evaluate a person who has bleeding in the lungs, possible lung cancer, a chronic cough, or a collapsed lung

 

Therapeutic:

  • Remove secretions, blood, or foreign objects lodged in the airway
  • Stent insertion to palliate extrinsic compression of the tracheobronchial lumen from either malignant or benign disease processes.
  • Intubation of patients with difficult airways is often performed using a flexible bronchoscope
 
 

 

 

What happens before the surgery?

 

  • You will be asked to sign a consent form
  • You will not be allowed to eat or drink anything after midnight the night before surgery.
  • On the morning of the surgery, you will be ask to remove all accessories, dentures, undergarments etc.
  • You will be asked to empty your bladder just before the preoperative medication is given.
  • Preop medication which will help you to relax will then be given to you.
 
 

 

 

What happens during the surgery?

 

  • You will be given anaesthesia after entering the operating theatre
  • An incision will be made down the middle of the chest
  • Your breastbone will be separated to allow the surgeon to examine your heart
  • Your heart will be connected to the heart-lung bypass machine. This machine supplies oxygen to your blood and pumps it back to the rest of your body.
  • Now, the aortic surgery begins
  • The aorta is gently opened to reveal your aortic valve
  • The replacement valve will be sewn in place after the old valve is removed
  • After the aorta has been closed with stitches, you will slowly be removed from the heart-lung bypass machine after your heart regains strength.
 
 

 

 

What are the potential risks or complications?

 

  • Common complications include excessive bleeding following biopsy
  • Pneumothorax occurs in less than 1% of cases requiring lung biopsy
  • Laryngospasm is a rare complication but may sometimes require intubation
  • Patients with tumors or significant bleeding may experience increased difficulty breathing after the procedure
  • Complications from fiberoptic bronchoscopy are extremely low
  • Risk of bronchoscopy is limited

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