Thoracoscopy for Physicians
A practical guide
Seiten
2004
Hodder Arnold (Verlag)
978-0-340-74211-2 (ISBN)
Hodder Arnold (Verlag)
978-0-340-74211-2 (ISBN)
- Titel ist leider vergriffen;
keine Neuauflage - Artikel merken
This concise, practical and readable volume covers the indications for thoracoscopic investigation of the thoracic cavity, and describes and illustrates the techniques involved, their contraindications and associated hazards. Useful for MRCP candidates and junior doctors, it is also a handy aide-memoir for the practicing respiratory physician.
Thoracoscopy and biopsy have developed as indispensable tools to diagnose pleural, and sometimes lung, disease when simple clinical and laboratory methods of examination have failed to yield a diagnosis. Thoracoscopy is most often undertaken by surgeons, but may also be performed by trained physicians. It takes place in an endoscopy or operating room using simple sedation, local anaesthesia and non-disposable equipment, and is a useful, less invasive alternative to thoracotomy. Direct visualisation of the pleura with the thoracoscope achieves a diagnosis in approximately 95% of patients with tuberculosis or malignancy because biopsies are taken from areas seen to be macroscopically abnormal.
Despite these advantages, the technique has until recently been vastly under-used in the UK when compared to practice in Europe and North America. This is now changing, however, with interest in the technique rekindled in parallel with rapid advances in equipment technology. The time is therefore right for the publication of this unique clinical guide to thoracoscopic practice. The book demonstrates the diagnostic and therapeutic value of this technique, which can be undertaken under local anaesthesia in a district general hospital. In addition to its use in the diagnosis of pleural disease, thoracoscopy has valuable therapeutic applications with the concomitant instillation of talc or other sclerosing agents into the pleural cavity for pleurodesis.
Concise, practical and readable, this volume covers the indications for thoracoscopic investigation of the thoracic cavity, and describes and illustrates the techniques involved, their contraindications and associated hazards. Useful for MRCP candidates and specialist registrars in thoracic medicine seeking accreditation, it is also a handy aide-memoir for the practicing respiratory physician.
Thoracoscopy and biopsy have developed as indispensable tools to diagnose pleural, and sometimes lung, disease when simple clinical and laboratory methods of examination have failed to yield a diagnosis. Thoracoscopy is most often undertaken by surgeons, but may also be performed by trained physicians. It takes place in an endoscopy or operating room using simple sedation, local anaesthesia and non-disposable equipment, and is a useful, less invasive alternative to thoracotomy. Direct visualisation of the pleura with the thoracoscope achieves a diagnosis in approximately 95% of patients with tuberculosis or malignancy because biopsies are taken from areas seen to be macroscopically abnormal.
Despite these advantages, the technique has until recently been vastly under-used in the UK when compared to practice in Europe and North America. This is now changing, however, with interest in the technique rekindled in parallel with rapid advances in equipment technology. The time is therefore right for the publication of this unique clinical guide to thoracoscopic practice. The book demonstrates the diagnostic and therapeutic value of this technique, which can be undertaken under local anaesthesia in a district general hospital. In addition to its use in the diagnosis of pleural disease, thoracoscopy has valuable therapeutic applications with the concomitant instillation of talc or other sclerosing agents into the pleural cavity for pleurodesis.
Concise, practical and readable, this volume covers the indications for thoracoscopic investigation of the thoracic cavity, and describes and illustrates the techniques involved, their contraindications and associated hazards. Useful for MRCP candidates and specialist registrars in thoracic medicine seeking accreditation, it is also a handy aide-memoir for the practicing respiratory physician.
D.R. Buchanan is formerly Specialist Registrar in Respiratory Medicine, Southampton and Portsmouth Hospitals. UK E. Neville is Consultant Respiratory Physician, Respiratory Centre, Portsmouth Hospitals, Portsmouth, UK
1. The undiagnosed pleural effusion
2. Radiology
3. Invasive investigations: percutaneous pleural biopsy
4. Current indications for thoracoscopy
5. Technique of medical thoracoscopy
6. Therapeutic interventions and pleurodesis
7. Thoracoscopy, pleurodesis and post-procedure complications
8. Current practice in video-assisted thoracic surgery
9. Pathological findings
10. Clinical risk assessment: reducing the risks of medical thoracoscopy
Appendix: Equipment
| Erscheint lt. Verlag | 28.5.2004 |
|---|---|
| Zusatzinfo | c.40 |
| Verlagsort | London |
| Sprache | englisch |
| Maße | 156 x 234 mm |
| Themenwelt | Medizinische Fachgebiete ► Innere Medizin ► Pneumologie |
| Studium ► 2. Studienabschnitt (Klinik) ► Anamnese / Körperliche Untersuchung | |
| Technik ► Medizintechnik | |
| ISBN-10 | 0-340-74211-9 / 0340742119 |
| ISBN-13 | 978-0-340-74211-2 / 9780340742112 |
| Zustand | Neuware |
| Haben Sie eine Frage zum Produkt? |
Mehr entdecken
aus dem Bereich
aus dem Bereich
Aus der Praxis für die Praxis
Buch (2022)
Thieme (Verlag)
CHF 99,40
International Trauma Life Support (ITLS)
Buch | Softcover (2024)
Hogrefe AG (Verlag)
CHF 91,00
