Faculty
Dr. (Col) S.K. Chadha
(Chairperson)
Dr.
S. Agarwal
Dr.
Tarun Grover
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The Department of
Thoracic Surgery is a new clinical department within the section of Surgical
Sciences. The Department has been established to recognise the robust and
dynamic growth in general thoracic surgery and to advance patient care through
rapid developments in clinical and basic research within a multidisciplinary
environment. We provide a patient (and family) friendly environment with
excellence in patient care, access to innovative therapy through clinical
trials, multidisciplinary evaluation as needed, and processes for continuous
improvement in quality and outcomes of therapy. Our faculty focus efforts in
didactic and practical graduate medical education. Academic activities in
clinical trials and transnational research allow for rapid 'bench-to-bedside'
application of novel therapeutics. These efforts advance our care of patients,
and the specialty of Thoracic Surgery for the benefit of all.
The department and its
faculty provide operative, perioperative, and critical care for all diseases of
the thorax (chest), including
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Early and locally
advanced lung cancer
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Pretreatment
staging of thoracic neoplasms
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Minimally invasive
surgery (MIS) & video-assisted thoracic surgery (VATS)
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Lung volume
reduction surgery (LVRS, emphysema surgery)
-
Oesophageal
carcinoma
-
Management of
complex esophageal diseases (complications of Gastroesophageal reflux,
neuromotor diseases, etc.)
-
Tracheal tumors
and airway management
-
Malignant pleural
effusions
-
Mesothelioma and
other malignant pleural diseases
-
Chest wall tumors
and chest wall deformities (pectus excavatus)
-
Pulmonary
metastases
-
Mediastinal tumors
(thymoma)
-
Surgery for
Pediatric lung disease (Congenital Lobar Emphysema)
-
Surgery for
Haemoptysis
Pre-operative
assessment and diagnosis is optimised by state-of-the-art spiral CT scan and
Imaging department. We are equipped with ultra modern dedicated operation suite
with 24 hours available dedicated team. All patients in post-operative period
are monitored in ICU with the facility of round the clock monitoring,
ventilatory support, arterial blood gases (ABG) and fibreoptic bronchoscopy.
Patients present to the department with different symptoms as fever, pain in
chest, difficulty in breathing (dyspnoea) or bleeding on coughing (Haemoptysis).
After thorough
examination and investigations like X-ray and CT- Scan of chest, different
problems are diagnosed, as fluid, pus or blood in chest, part of lung or whole
lung affected by disease as tuberculosis or cancer and sometimes tumour in lung.
The department
performs routinely all types of chest surgery for removal of thick pus (thoracotomy),
a part of lung or whole lung and tumour (lobectomy or pneumonectomy). Some
asthmatic patients require lung volume reduction surgery to relieve their
symptoms. With the advancement of modernisation cases of road traffic accident (RTA)
has increased manifold. Patients come to casualty with rib fractures on both
sides of chest with lung injury. These patients are kept in ICU for management
with state of the art facility with modern ventilatory support after chest tube
placement. Quite frequently new born children come with difficulty in breathing
who are diagnosed as part of lung not working by birth (Congenital lobar
emphysema) so emergency surgery is performed as a life saving procedure. In
addition to routine thoracic surgery the recent introduction of thoracoscopic
surgical procedures has reduced the in-hospital stay and avoids large operation
scars.
The faculty and staff
in the department have developed these programs of care through a refined
understanding of cancer biology and thoracic pathophysiology, advances in
patient care, and improvements in operative management. Expertise in counselling
patients, families, and physicians in strategies for re-operative or complex
thoracic diseases, selection and access to clinical investigations (clinical
trials) for novel therapy, and implementation of multidisciplinary disease site
teams (thoracic surgery, thoracic medical oncology, pulmonary medicine, nursing,
physical rehabilitation, social work, and others) optimise pre-treatment
planning. The department is committed to excellence in patient care by
continuously improving clinical services, application of novel scholarly
activities in clinical and basic research, and medical education for students,
residents, and practicing physicians. We emphasise timely and excellent patient
services, academic achievement through research and clinical investigations,
education of others, and health services research in thoracic surgery. We will
enable our faculty and staff to provide this care and meet the unique and
individual needs of our patients and their families by ensuring access to
specialty thoracic surgical care, excellent quality of clinical and academic
outcomes, and close relationships with our referring physicians to ensure
continuity of care in the patient's home community.
As faculty, we
anticipate a close partnership with physicians and patients in providing care
for patients and their families.
The department sends a message to the
public to wear seat belts while driving a car and to avoid smoking, as it
damages the lungs.
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