Thoracic surgeon in Delhi NCR

Dr. Bhushan Dinkar Thombare

Consultant - Thoracic Oncosurgery

Thoracic Oncology, Cancer Care / Oncology MBBS, DNB - General Surgery, DNB - Thoracic Surgery Thoracic (Chest) Surgeon

Dr. Vaibhav Mishra

Director & Head - CTVS

MBBS, MS - General Surgery, MCh - Cardio Thoracic and Vascular Surgery Cardiothoracic and Vascular Surgeon Cardiac Surgery (CTVS)

Dr. Shaiwal Khandelwal

Senior Consultant maxhealthcare

MS - General Surgery, MBBS General Surgeon Thoracic Surgery

Dr Nagarajan

MS - General Surgery, MBBS General Surgeon

MBBS, MS - General Surgery, MCh - Thoracic Surgery 45 years experience overall Thoracic (Chest) Surgeon

Dr S K Jain

Associate Director

MBBS, MS, MCh, FRCS, 30 years of experience Gurgaon , India

Thoracic surgery second opinion

Who is a Thoracic Surgeon?

Thoracic surgeon are the ones that operate heart, lungs or food pipe also known as esophagus. Like every other surgeon they too take care of all the procedure related to the surgery. They are skilled to handle emergency situation like heart attacks. The doctors create a comfortable and trustworthy environment for the patient for surgery as they spend a lot of time together before and after the surgery.

Heart disease are the most common diseases in India and it causes highest number of deaths in India.

Thoracic surgery

Thoracic surgery involves surgery of heart, lungs, esophagus and trachea. Heart transplant, lung transplant, open heart surgery, Bypass surgery are the most commonly performed surgery in India. Enough and futuristic technical advancement have been accomplished in this field to facilitate safety for such complex surgical procedures.

Examples of Thoracic Surgery

1. Coronary Artery Bypass Surgery :

Who needs this surgery?

       It is done to the patients whose coronary artery (a major artery to the heart) is blocked by fatty
      deposits also known as plaques. This surgery ensures that there is healthy blood flow and adequate
      oxygen is reaching the heart.

Just like all the organs heart too needs constant supply blood.

To do this, heart has two coronary artery on either side.

With age and time these coronary arteries gets narrowed or gets blocked by plaques.

This is called coronary heart disease and the process of blockage or narrowing of artery is called
atherosclerosis.

Causes of coronary heart disease

- age
- smoking
- overweight
- unhealthy diet with high fat in it
- lack of exercise or physical activity
- excessive drinking of alcohol
- due to other conditions like diabetes, high blood pressure, and high cholesterol
- family history of cardiovascular disease

Tackling things like healthy diet and indulging in regular exercise could help in minimising the risk of
coronary heart disease.

What happens in the surgery?

The surgery involves taking a blood vessel called graft from a different part of body and is attached
above and below the blocked artery. The number of graft totally depend on the conditions of artery.

The surgery is about 3 to 6 hours long and under the influence of general anesthesia.

2. Heart transplant

      A transplant is a surgery where a dysfunctional organ , which is heart in this case is replaced by
      healthier heart from a donor. Such surgeries are last resort after every other procedure or medication
      hasn’t been effective.

When this surgery is performed?

When all other treatments aren’t effective and the heart is deteriorating day by day leading to failure,
a transplant is the only option left. Also when

- an individual has coronary artery disease
- somebody’s heart muscle is weak
- someone is suffering from heart disease
- or in some cases if the previous heart transplant has failed.

Who might not be a good candidate for heart transplant?

- One who is older as the age may hinder the ability to recover from surgery.
- if you have another serious illness
- someone who has a history of cancer
- One who could not quit smoking or drinking as these are some habits that needs to be relinquished in order to keep the donor heart healthy.

How to prepare for surgery?

Preparation starts months before the transplant, the first thing you have to do is to seek evaluation
from a heart transplant center as they will examine and final verdict will be made.

As a patient you must look out for transplant center history like the number of transplant conducted
at the center in year and how many of them were successful.

The evaluation is carried to find that

- heart condition is capable to sustain transplant
- the patient could handle the treatment involved during surgery and post-surgery.
- the patient is willing to quit smoking or drinking.
- is the patient emotionally, physically and mentally strong and also has supportive network of close family member and friends to back him during the surgery.

      Risks are also involved in hear transplant like the failure of the heart or the body rejecting the donor
      heart or the arteries may develop problems like blocking or thickening restricting the blood flow. Post
      surgery medication involves intake of immunosuppressants which in turn increases the risk of
      infection, other diseases and cancer.

      Also there is the wait period before you get a donor’s heart. The demand for heart is more than the
      donor present. Hence the waiting period is long. Getting a donor heart also depends on your
      condition, blood group and size.

If the waiting period is long and your condition is getting worse than the doctor might advice you to
implant a ventricular assist devices that facilitates heart in pumping blood like shown in the image.

      The donor’s heart has life of four hours within which the transplant must take place. The surgery will
      be open heart procedure under the influence of general anesthesia. Post surgery that patient will
      stay in Intensive Care Unit for few days.

Your condition will be closely monitor and upon successful transplant you can enjoy a healthy life.

      As a part of coping and recovery from the surgery you may have to join support group as talking to
      others who have went through the same experience helps in overcoming fear and anxiety.
      Maintaining diet like eating fruits and vegetables and avoiding unhealthy fats and indulging in
      physical exercise or yoga helps in maintaining the healthy lifestyle.

3. Lung transplant

      A lung transplant is a surgical procedure which involves transplanting your ailing lungs with a new
      lung from a deceased donor. It is a procedure recommended by doctor when nothing seems to be
      working in improving the condition of your present lungs.

Depending upon your case, single or both of your lungs could be replaced.

Why need of surgery arises?

Dysfunctional lungs puts survival of an individual in danger. There are different causes and condition
which lead your lungs towards its failure like

- High blood pressure in the lungs
- cystic fibrosis
- scarring of the lungs
- chronic obstructive pulmonary disease

Some patient also need combined heart-lung transplant.

You are not eligible for the transplant if

- you have an active infection or disease
- have a medical history for cancer
- you have unwillingness to change your lifestyle and relinquish drinking and smoking.

How to prepare for surgery?

Preparation starts months before the transplant, the first thing you have to do is to seek evaluation
from a lung transplant center as they will examine and final verdict will be made.

As a patient you must look out for transplant center history like the number of transplant conducted
at the center in year and how many of them were successful.

The evaluation is carried to find that

- lung condition is capable to sustain transplan
- the patient could handle the treatment involved during surgery and post-surgery.
- the patient is willing to quit smoking or drinking.
- is the patient emotionally, physically and mentally strong and also has supportive network of close family member and friends to back him during the surgery.

      Risks are also involved in hear transplant like the failure of the lung or the body rejecting the donor
      lung or the arteries may develop problems like blocking or thickening restricting the blood flow. Post
      surgery medication involves intake of immunosuppressants which in turn increases the risk of
      infection, other diseases and cancer.

      Also there is the wait period before you get a donor’s lung. The demand for lung is more than the
      donor present. Hence the waiting period is long. Getting a donor lung also depends on your
      condition, blood group and size.

If the waiting period is long and your condition is getting worse than the doctor might advice you to
implant a ventricular assist devices that facilitates lung in its functionality.

      The donor’s lung has life of four hours within which the transplant must take place. The surgery will
      be open procedure under the influence of general anesthesia. Post surgery that patient will
      stay in Intensive Care Unit for few days.

Your condition will be closely monitor and upon successful transplant you can enjoy a healthy life.

Thoracic surgeon also treat lungs and esophageal cancer. The surgical procedure performed by the surgeon to reach out to the lungs is known as Thoracotomy, let us have look at some of these procedures.

Thoracotomy procedures

Thoracotomy is generally used when your lung has developed a cancerous tumor.

Wedge resection

A small triangular (wedge shaped) portion of lung which contains the tumor is removed along with
some healthy portion.

Segmentectomy

In this procedure a small segment containing tumor.

Lobectomy

In this surgical procedure the entire lobe is removed which contains the tumor including the lymph
nodes

Pneumonectomy

This denotes removal of the entire lung

Extrapleural pneumonectomy

In this the lung along with lining of the lungs, part of diaphragm and heart is removed.

This all are open surgeries and there are some minimally invasive procedure to treat cancer like

Video assisted thoracic surgery (VATS)

      In this surgery the doctor inserts a instrument called thorascoscope which is a long tube like
      structure and has a camera attached to its head through a small incision. The doctor gets a high
      resolution image on his monitor and operate accordingly.

Robotic thoracic surgery

It is almost similar to the above mentioned procedure because in this too the surgeon gets a high resolution video on his monitor via a camera inserted in the lungs of the patient. The surgeon operates on the console which then gets translated into instruction for the instrument inserted in the chest.

Medical Second Opinion surgery India online

My insurance did not cover the second opinion costs back in my country USA . And before saying yes to the surgery for my spine fusion, I had to take a second opinion. Thank you guys. I am now well informed and confident after Dr Vaish explained me in detail and now lot of my concerns are answered.

Nick Rafter

patient

For my father's brain aneurysm surgery, we were very confused. With Dr Rahul's guidance we were able to take a decision and went ahead with the minimally invasive technique instead of craniotomy as advised by our previous neuro surgeon.Thanks.

S. Nair

Patient's son

I had been trying to defer my Laminectomy surgery since last 3 years due to the fear of unknown. Thank you TEAM surgery second opinion for YOUR OPINION.All my fears are gone and finally I have been able to convince myself to not unnecessarily delay further.

Surgery Second Opinion

Thoracic surgeon in Delhi NCR