
Medical Thoracoscopy, also known as Pleuroscopy, is a minimally invasive medical procedure that allows pulmonologists to directly visualize the pleural cavity—the space between the chest wall and the lungs. At Breathe Hospital, Khammam, we utilize state-of-the-art semi-rigid and rigid thoracoscopes to diagnose and treat unexplained pleural effusion (fluid accumulation), pleural thickening, and chest wall tumors with exceptional precision and minimal patient discomfort.
When routine tests such as chest X-rays, CT scans, or simple pleural fluid aspiration (thoracentesis) fail to yield a definitive diagnosis for chest ailments, Medical Thoracoscopy serves as the gold standard diagnostic step. It bridge the gap between simple non-invasive tests and major surgical interventions.
Unlike Surgical Thoracoscopy (VATS), Medical Thoracoscopy is performed under conscious sedation or local anesthesia. This eliminates the risks associated with general anesthesia and single-lung ventilation, allowing for a rapid recovery and minimal hospital stay.
Chest & General Critical Care Multispecialty Hospital, Khammam.
Persistent fluid buildup around lungs of unknown cause.
Direct visualization and tissue sampling of suspicious pleural nodules or masses.
Accurate diagnosis in regions where pleural TB is highly endemic.
Staging and evaluation of lung cancer metastasis or mesothelioma.
Instillation of sclerosing agents to prevent recurring fluid or air leakage.
At Breathe Hospital, Medical Thoracoscopy is not merely limited to testing; it offers dual benefits by enabling therapeutic treatments during the single entry procedure.
Direct visual guidance ensures tissue samples are taken precisely from abnormal areas, yielding a diagnostic accuracy exceeding 95% for cancers and tuberculosis.
Thoracoscopy facilitates complete drainage of complex or loculated pleural fluid collections, instantly relieving breathlessness and chest tightness.
For patients with recurrent malignant fluid collection, sterile talc or agents are applied directly into the cavity to seal the pleural space and prevent future fluid re-accumulation.
We prioritize patient comfort, safety, and clear communication at every stage of the medical journey. Here is how the medical thoracoscopy procedure is conducted at Breathe Hospital:
Comprehensive blood investigations, coagulation profile assessments, and high-resolution thoracic ultrasound are performed to map the exact site of entry and assess the safety of the pleural space.
The patient is comfortably positioned. Local anesthesia is administered to numb the chest wall entry site, combined with mild conscious sedation to ensure total comfort throughout the procedure without requiring a ventilator.
A tiny incision (approx. 1 cm) is made between the ribs. A flexible or semi-rigid thoracoscope equipped with a high-definition camera is gently introduced into the chest cavity.
The pulmonologist inspects the lung surfaces and chest wall lining on a high-definition monitor. Necessary fluid is drained, guided tissue samples are collected, and therapeutic interventions (like pleurodesis) are performed if required.
A small temporary chest tube is placed to drain remaining air and fluid, ensuring the lung fully re-expands. Most patients are monitored in a comfortable ward and can be discharged within 24–48 hours.
Breathe Hospital stands as a premier center for advanced pulmonology and interventional respiratory medicine in Khammam. We combine clinical excellence with a patient-first compassionate approach.
Equipped with advanced endo-bronchial ultrasound (EBUS) suite, video thoracoscopes, and dedicated respiratory ICUs, our facility offers tertiary-level lung care right here in Khammam, removing the need for long-distance travel to metro cities.
In-house pathology coordination ensures quick biopsy reporting, allowing for faster initiation of targeted treatment plans for conditions like TB or oncology cases.
Conducted under local anesthesia and sedation, reducing recovery times and anesthetic risks significantly compared to major thoracic surgeries.