Recovery From Mediastinoscopy

Overview

This procedure is used to visualize the mediastinum with the use of a mediastinoscope. This is a long, thin tube that allows doctors to see the respiratory organs and the structures of the medistinum. The tube contains lights to make visualization of these structures much easier. When the organs and structures are being visualized, images are transmitted onto a monitor that the medical care team can view.

Procedure

During the procedure, the patient is anesthetized with general anesthesia so that no pain can be felt. An incision is made in the neck so that the mediastinoscope can be inserted at the top of the sternum. While the doctor has the scope in place, tissue samples of lymph nodes within the mediastinum may be obtained. Sending these tissue samples for analysis can reveal diseases that can affect the lungs and the mediastinum itself.

Reasons for the Procedure

This procedure is used to examine the mediastinum and related structures and to biopsy lymph nodes so that any diseases that are present can be diagnosed. This procedure can also help to determine how advanced lung cancer has become in a patient. While this test is often replaced by the PET scan, it is still a useful diagnostic tool whenever tissue samples need to be obtained.

Risks

There are risks to any surgery, but there are some specific risks associated with this procedure. Because the surgery is done near the lungs, a pneumothorax is a possibility. Pneumothorax is the medical term for a partially collapsed lung. This happens if the lung is punctured with surgical instruments and it allows air to become trapped in the pleural space. The esophagus and trachea can also be perforated during this procedure. Other risks include infection, bleeding, air under the skin, or temporary hoarseness.

Contraindications

There are some contraindications for this procedure, which may cause doctors to choose another method of diagnosing or monitoring a medical condition. Previous chest surgery may require that doctors order less invasive procedures. This procedure should not be done on pregnant women and it is also not advised in people with previous neck or cervical spine surgery or a blockage in the vein that carries blood from the body into the heart.

Recovery From Mediastinoscopy

You will be observed in the recovery room immediately following your surgery. Depending on the anesthetic that was used and what was done during the procedure, you may be kept in the hospital overnight for observation. Once you are stable, you will be transferred to a hospital room or sent home, depending on your doctor’s instructions. Your doctor may order a chest x-ray to make sure there are no complications. Keeping the incision clean and dry will help you to avoid infection and other complications. Follow your doctor’s instructions so that your recovery from mediastinoscopy is as smooth as possible.

References

Carney Hospital. “Mediastinoscopy.” Accessed 30 June 2009.