THORARIC SURGERY
General Information
In the chest area, skin,
muscles and bones (ribs or vertebrae), lungs and membranes, trachea, gullet,
thymus glands, some vessels and nerves and adenoids as well as diaphragmatic
pleura are located. Although the heart is involved in this area, cardiac
surgical diseases are treated by the cardiac surgery branch. Also breast tissue
is located in this area, however; breast tissue related diseases are also
treated by general surgery specialists.
Lung cancer
Surgical treatment in
early stages of lung cancer is very important. It is possible that a patient
with a tumor that has been diagnosed early and appropriately removed can become
completely free of cancer. The smaller the tumor is, the more likely the
surgery will be successful. For 1 cm tumors this ratio is around 90 percent.
For this reason, it is
essential, especially for smokers, to be checked once a year by x-ray, for
early detection of lung cancer.
Chest Traumas (Injuries)
Fractures, hemorrhages,
or organ injuries that occur in the chest area caused by firearms or sharp
objects or happened in traffic accidents or falls, are treated by the thoracic
surgery. While pain relief treatments at home are adequate for some fractures, hospitalized
treatment is required in cases of bleeding and internal organ injuries.
Cystic Pulmonary
Hydatiosis
It is quite common in our
country. The treatment is possible with surgery. It is not malignant. It is
mostly caused by parasitic eggs found in the furs of cats and dogs that are unvaccinated
and grown in the village areas. It is not found in the animals living in the
city or not eating raw meat or in pets.
Pleural Effusion
(Pleurisy)
Depending on many lung
and extrapulmonary disorders, fluid accumulation may occur in the chest cavity.
Along with some extrapulmonary diseases, can be seen together with many lung
diseases such as lung cancer and mesothelioma cancer and pneumonia. Surgical
treatment is usually performed by extracting the fluid through a thin tube.
Regional Excessive
Sweating (Hyperhidrosis)
Surgical treatment can be
applied in cases such as excessive sweating in hand, armpit and face areas, and
in excessive facial flushes. These people sometimes have experienced problems
in their social lives and professional lives because of these complaints.
In this disease, which
may be due to sympathetic hyperactivity, closed surgery (Video-Thoracoscopic
Sympathectomy) is applied.
ETS, which was applied in
two different sessions years ago as right and left, is now being carried in one
session with 2 cm cuts on each side thanks to the development of anesthesia
applications and the increase of surgical experience. After this surgery, the
patients can go home the next day. Two days after the operation, they may
return to work after.
Collapsed Lung (Pneumothorax)
Air accumulation in the chest cavity is caused when a bulla or air bubblein
the lungtissue ruptures. It often happens
spontaneously, when a person is resting. Pain and difficulty in breathing experienced
in which side the problem occurs. In its treatment, air in the chest cavity is extracted
with a wide drain, an underwater seal chest drainage system is applied. When
no improvement with this treatment is observed , it is necessary to surgically
close the ruptured site.
Mesothelioma
Although frequently seen in our country in
recent years, this cancer type considered among the rare tumors, and it is a
malignant tumor originating from lung, heart and abdominal organs. It reveals
itself with fluid accumulation in the chest area. Often, occurs due to
carcinogenic mineral exposure and mostly seen in pleura.
Pleurisy (Empyema)
Inflammation of the lungs and bronchi is a
problem associated with the formation of a link in the gap between the bronchus
and the lung membranes after surgery or inflammation of the remaining cavity. It
is called empyema and requires appropriate antibiotic therapy together with
surgical treatment.
Chest Deformities
The thoracic cage may show some
abnormalities, especially in the anterior-middle part, with some congenital
causes. The prominent ones are the collaption in the middle part of the
thoracic cage and lump in thoracic cage. In both cases, surgical treatment is
possible.
Diaphragmatic Hernia
This problem is a result of the internal
organs getting into the chest cavity due to ruptures in membrane that seperates
abdominal cavity and chest cavity caused by accidents, high falls, impacts or
congenital causes. It is treatment is the surgery.