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Thoracoscopy: Before Your Procedure

The chest and side, showing the lungs, pleural space, and incision sites for thoracoscopy

What is thoracoscopy?

Thoracoscopy (say "thor-uh-KAW-skuh-pee") is a procedure your doctor can use to find and treat some problems in your chest. It may be used to take a sample of tissue for a biopsy. Or it can check for problems such as fluid collecting around your lungs (pleural effusion). It also can be used to drain extra fluid around your lungs and do a procedure to keep the fluid from coming back.

The doctor will make one or more small cuts (incisions) between your ribs. Then the doctor will put a thin, lighted tube with a camera on it into your chest. This tube is called a thoracoscope (say "thuh-RAY-kuh-skohp"), or scope. It lets the doctor see inside your chest. The doctor will close the incisions with stitches or staples. You may have a tube coming out of the area to drain fluid after the procedure.

How long you stay in the hospital and how long your recovery takes will depend on why you are having the procedure.

The scars from the incisions will fade with time. The area around the incisions may ache or feel numb in the weeks after the procedure.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It's also a good idea to know your test results and keep a list of the medicines you take.

What happens before the procedure?

Procedures can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for your procedure.

  • Understand exactly what procedure is planned, along with the risks, benefits, and other options.
  • Tell your doctors ALL the medicines, vitamins, and natural health products you take. Some of these can increase the risk of bleeding or interact with anesthesia.
  • If you take aspirin or some other blood thinner, be sure to talk to your doctor. He or she will tell you if you should stop taking it before your procedure. Make sure that you understand exactly what your doctor wants you to do.
  • Your doctor will tell you which medicines to take or stop before your procedure. You may need to stop taking certain medicines a week or more before the procedure. So talk to your doctor as soon as you can.
  • If you have an advance care plan or substitute decision-maker, let your doctor know. Bring a copy of your advance care plan to the hospital. If you don't have one, you may want to prepare one. It lets your doctor and loved ones know your health care wishes. Doctors advise that everyone prepare these papers before any type of surgery or procedure.

What happens on the day of the procedure?

  • Follow the instructions exactly about when to stop eating and drinking. If you don't, your procedure may be cancelled. If your doctor told you to take your medicines on the day of the procedure, take them with only a sip of water.
  • Take a bath or shower before you come in for your procedure. Do not apply lotions, perfumes, deodorants, or nail polish.
  • Do not shave the surgical site yourself.
  • Take off all jewellery and piercings. And take out contact lenses, if you wear them.

At the hospital or surgery centre

 
  • Bring a picture ID.
  • You will be kept comfortable and safe by your anesthesia provider. You may be asleep during the procedure. Or you may get medicine that relaxes you or puts you in a light sleep. The area being worked on will be numb.
  • The procedure will take about 1 hour.

Going home

  • Be sure you have someone to drive you home. Anesthesia and pain medicine make it unsafe for you to drive.
  • You will be given more specific instructions about recovering from your procedure. They will cover things like diet, wound care, follow-up care, driving, and getting back to your normal routine.

When should you call your doctor?

  • You have questions or concerns.
  • You don't understand how to prepare for your procedure.
  • You become ill before the procedure (such as fever, flu, or a cold).
  • You need to reschedule or have changed your mind about having the procedure.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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