Mediastinoscopy is a procedure used to examine the mediastinum. This is the space behind the breastbone (sternum) in the middle of the chest, between the 2 lungs. It contains:
- Lymph nodes
- Heart and its large blood vessels
- Trachea (trachea)
- Tube leading to the stomach (esophagus)
- Thymus, part of the immune system
There can be one in this area. An inspection tool called a mediastinoscope. This is a long and thin flexible hose with a light and a miniature camera. It enables healthcare providers to see the organs and structures of the mediastinum. The image can also be sent to the computer screen and recorded.
Why do I need mediastinoscopy?
This procedure is most commonly used to remove lymph nodes when a person has lung cancer. The lump will be examined to see how far the cancer has spread. This helps determine the best treatment plan for lung cancer.
can also be used to find the following problems:
- lung cancer
- cancer of other structures in the mediastinum
- infection or inflammation
- cancer “lymphoma” that starts in the lymphatic system, including Hodgkin’s disease
sarcoidosis, a disease that causes the following areas Inflammation of organs such as the liver, lungs, and spleen
- Thymic tumor (thymoma)
- For other reasons, your doctor may recommend a mediastinoscopy.
- What are the risks of mediastinoscopy?
- All procedures involve certain risks. The risks of this procedure may include:
Temporary or permanent paralysis of the laryngeal nerve. This can cause hoarseness.
Air between the inner walls of the lungs (pleural cavity) causes the lungs to collapse (pneumothorax)
Subcutaneous air bubbles (subcutaneous emphysema)
Holes in the esophagus, trachea, or large blood vessels (perforations) Heart (rarely)
Your risk may be due to you The overall health status and other factors vary. Ask your doctor which risks are best for you. Talk to him or her about any concerns.
In some cases, mediastinoscopy should not be performed. The reasons may be:
- Previous mediastinoscopy, heart surgery, or other breast surgery
- Previous cervical or cervical spine surgery
- Health conditions prevent correct positioning of the neck during surgery
- Large veins block the upper body to the heart (superior vena cava) Obstruction)
- Severe heart disease
How do I prepare for mediastinoscopy?
Your doctor will explain the procedure to you. Ask him or her any questions you have. If necessary, surgery can be performed during the procedure. Your doctor will tell you more. You may be required to sign a consent statement to allow the procedure to be performed. Read the form carefully. Ask questions when something is unclear.
Tell your doctor if you have the following conditions:
- Are pregnant or suspect that you may be pregnant
- Are allergic to contrast media or iodine
- Are sensitive or allergic to drugs, latex, tape, or anesthetics (local and general)
- Is a drug, including prescription drugs , Over-the-counter drugs, vitamins and herbal supplements
People with bleeding disorders
Are taking blood-thinning drugs (anticoagulants), aspirin or other drugs that affect blood clotting
- Stop taking certain drugs as directed before surgery Your doctor
- 8 hours before your surgery, or as directed by your doctor, do not eat or drink
- Let someone drive you home from the hospital
- Follow all other instructions from your doctor
You may need a blood test Or other check or check the reef before you go. Your doctor will tell you more.
What happens during mediastinoscopy?
Surgical methods and length of hospital stay vary. It depends on your condition and the doctor’s approach. In most cases, the procedure is as follows:
You may be asked to take off your clothes. In this case, you will get a hospital gown. You may be asked to remove jewelry or other items.
- You are lying on the operating table.
- will place an intravenous (IV) tube in your arm or hand.
- You will receive general anesthesia. This is a medicine that prevents pain and allows you to fall asleep during the procedure.
- The breathing tube is inserted into your throat and connected to the ventilator (ventilator). Your heart rate, blood pressure and breathing will be monitored during the procedure.
- The hair in the surgical area may be shortened. Clean the skin in this area with a disinfectant.
- The doctor will make a small incision (incision) above your breastbone (sternum).
- He or she will use his finger to create a channel in the mediastinum and touch it to check the lymph nodes.
- The mediastinoscope passes through the channel. A tissue sample (biopsy) can be collected. This usually occurs in the lymph nodes.
- After the examination and all other procedures are completed, the mediastinoscope is removed.
- If other operations are required, they can be performed at this time.
- The skin incision is closed with sutures (sutures) or tape. Apply a bandage or bandage at this point.
- The tissue sample was sent to the laboratory.
- Breathing tube can be removed before leaving the operating room. Or it can be taken out in the recovery room later.
What happens after mediastinoscopy?
After the operation, you will spend some time in the recovery room. When you wake up from general anesthesia or sedation, you may feel sleepy and confused.