Best Doctors in India for Mediastinoscopy

Profile Highlights:

  • Dr. Vivek Jawali is a renowned Cardiothoracic and Vascular Surgeon in India and has performed more than 18,000 cardiothoracic and cardiovascular surgeries.
  • He has several firsts to his credit that including the first beating heart bypass surgery in 1992 and the first Minimally Invasive Heart Bypass surgery in 1994 in India.
  • He performed the first Awake Cardiac Surgery in 1999 which is done without general anesthesia or ventilator but under continuous high thoracic epidural. He also performed the first awake open heart surgery in the world without general anesthesia or ventilator on a 74-year-old patient for triple bypass with aortic valve replacement.

Profile Highlights:

  •  Dr. T Sundar is one of the best cardiothoracic surgeons in India.
  • He is having extensive exposure to critical heart diseases and he has operated on them successfully.
  • Dr. T Sundar is a Senior Consultant at Apollo Hospitals since 2003.
  • He has been associated with international standards of surgery and diagnosis since his education period.

Profile Highlights:

  • Dr. Dillip Kumar Mishra is a well-known and experienced Cardiothoracic Surgeon in Chennai who has completed 35 years of specialized experience.
  • The doctor gained experience working overseas in countries like Italy, Saudi Arabia, Bangladesh-Dhaka, and India.
  • The doctor offers the best services to the patients, some of the prominent services include Intra – Arterial Thrombolysis, Mitral/Heart Valve Replacement, Cardio-Thoracic Surgery, bypass surgery, Radial Approach Angiography Balloon Mitral Valvuloplasty, etc.

Profile Highlights:

  • Dr. Vijay Shankar S is a senior cardio-thoracic Surgeon in Chennai having experience of more than 30 years in Cardiac Surgery.
  • Dr. Vijay Shankar was a fellow Coronary Artery Surgery and Congenital Heart Surgery at the University of Wisconsin, USA.
  • He provides consultation and diagnostic services for Mitral/Heart Valve Replacement, Cardiac Pacing, Invasive Cardiology, ABPM, Balloon Mitral Valvuloplasty, CT Angiography, etc.

Profile Highlights:

  • Dr. Vijay Kohli is one of the best cardiac surgeons in India. He has brought an evolution in the spectra of Cardiac Surgery, wherein, he was the first leading surgeon to perform CABG on a beating heart in Kathmandu, Nepal.
  • Vijay Kohli performed the first coronary artery bypass surgery in Jammu Medical College in 2001.

Best Hospitals in India for Mediastinoscopy

Paras Hospital, Gurugram

Hospital Highlights:

  • Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
  • The is supported by a team of doctors of international and national repute.
  • The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
  • The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
  • The hospital is equipped with state-of-the-art technologies.

S L Raheja Hospital, Mahim, Mumbai

Hospital Highlights:

  • SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
  • The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
  • L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
  • The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.

Wockhardt Hospitals, Mumbai

Hospital Highlights:

  • Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
  • Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
  • Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
  • Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
  • The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
  • It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Pushpawati Singhania Hospital & Research Institute, New Delhi

Hospital Highlights:

  • Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
  • The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.

W Pratiksha Hospital, Gurgaon

Hospital Highlights:

  • W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
  • With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
  • Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
  • The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.

Narayana Superspeciality Hospital, Gurugram

Hospital Highlights:

  • Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
  • It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
  • It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.

Sir Ganga Ram Hospital, New Delhi

Hospital Highlights:

  • Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
  • The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
  • Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
  • As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
  • Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.

KIMS Hospital, Hyderabad

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Fortis Hospital, Shalimar Bagh

Hospital Highlights:

  • Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
  • Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.

Reliance Hospital, Mumbai

Hospital Highlights:

  • Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
  • The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
  • The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery

Mediastinoscopy

Mediastinoscopy, a procedure which a doctor uses to look inside your mediastinum, the area behind the breastbone which lies between the lungs. The organs in this area include the heart and its vessels, the lymph nodes, the trachea, the thymus and the esophagus.

This procedure is most commonly used for detecting and staging cancer. It is also ordered to detect infection as well as to confirm the diagnosis of a few certain conditions of the respiratory organs.

Purpose

The most common purpose of this procedure is the diagnosis of non-small cell lung carcinoma. The results which you can obtain from this procedure are generally very important in tailoring care for the patient.

Few other uses for this procedure include:

  • The diagnosis and removal of mediastinal masses as well as enlarged lymph nodes.
  • A mediastinal mass, such as thymoma can sometimes be removed using mediastinoscopy, depending on the size
  • Lymphoma can be diagnosed via mediastinoscopy along with sarcoidosis which has a similar appearance on imaging.
  • A sampling of lymph nodes can help to diagnose infectious processes such as fungal infections or tuberculosis.
  • Mediastinoscopy can also be used in the diagnosis and treatment of mesothelioma.
  • Benign (non-cancerous) mediastinal cysts can be taken out using this procedure as well.

Preparation

Make sure you inform your doctor about any medications that you are taking, which includes vitamins, herbs or any supplements. If you have any allergies to any medicines, you need to inform him/her as well.

Your doctor will most likely advise you to stop taking blood-thinning medicines, including aspirin before the test. You will also be most likely asked to avoid taking any food or drink at least several hours before your procedure. Your doctor or nurse will most likely provide you specific instructions. Make sure that you follow them, and ask questions if you are unable to understand anything.

Procedure

The procedure is generally done on an outpatient basis. First, the patient is put to sleep with the help of general anesthesia.

After this, a tube is put into your throat and hooked up to a breathing machine while the procedure is being done. A small cut is made above your breastbone. Then the mediastinoscope is moved slowly into the mediastinum. Any abnormal lymph nodes or areas which are seen through the camera are going to be removed or biopsied with the cutting tool and then they will be sent to the lab for checking. Then the mediastinoscope is removed and the cuts are closed. Once the procedure is complete, you will be removed from the breathing machine and be woken up gently.

This procedure generally takes around 60 minutes, but depending on what is being done, it can sometimes even take more than that.

After the procedure

After the procedure is done, you will be monitored closely to make sure that you don’t have any problems. As your anesthesia wears off, you might feel a bit groggy or confused for some time. It is likely that your mouth and throat will be numb for a while. You can only take food or drink after this numbness goes away.

However, after this numbness is gone, you might develop a sore throat, cough, or hoarseness till the next day or so. You might also experience some pain or numbness in the site where the cuts were made.

If it was performed as an outpatient procedure, you should most likely able to go home after a few hours, but you will require a ride home because of the medicines or anesthesia that you received. Some centers will generally not discharge people to go home in a cab and therefore you might need someone to drive you home. If this is a problem, you can talk with your healthcare provider, about any other resources available for helping you get home.

Your healthcare team will give you instructions on what you will be able to do or won’t be able to, in the next few hours after the procedure.

If biopsies were done as a part of this procedure, then the results should be ready within a few days, although the results of some tests on the biopsy samples may take longer. Generally, you might need to follow up with your doctor after the procedure to get your results.

Risks

People who undergo a mediastinoscopy generally don’t develop any complications.

Sometimes the mediastinoscope can cause temporary injury to a nerve, which might lead to hoarseness. Sometimes this might even be permanent.

In some rare cases, bleeding complications might require a transfusion or larger chest surgery. Air leaks from the lung might also occur and can require additional treatment. Generally, this can involve putting in a drainage tube between your ribs for a few days.

In very rare cases, mediastinoscopy might cause a collapsed lung or damage to the gullet.

You should inform your doctor immediately if you experience any of the following symptoms:

  • Bleeding from the stitches.
  • Swelling in your neck.
  • Shortness of breath.
  • Difficulty swallowing.
  • A high temperature (fever)
  • Severe chest pain.
  • Hoarseness of your voice lasting more than a few days which continues to worsen.

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