Palm Springs Office
(760) 424-8224
Fax: (760) 424-8227
1180 N Indian Canyon Drive, Suite E421
Palm Springs, CA 92262
La Quinta Office
(760) 771-1000
Fax: (760) 771-9001
79430 Highway 111, Suite 102
La Quinta, CA 92253
Hemet Office
(951) 766-1222
Fax: (951) 766-1226
1280 E. Latham Ave.
Hemet, CA 92543
Moreno Valley Office
(760) 424-8224
Fax: (760) 424-8227
24060 Fir Avenue, Suite B
Moreno Valley, CA 92553

 

 

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Thoracic Surgeries in Palm Springs & Hemet, CA

We proudly service all the Coachella Valley & Tri Valley Areas including: Palm Desert, Rancho Mirage, Indian Wells, La Quinta, Cathedral City, Indio, Bermuda Dunes, Desert Hot Springs, San Jacinto, Perris, Sun City, Menifee, & Surrounding Areas

Thoracic surgery is the surgical management of benign and malignant diseases of the heart, lungs, esophagus and other organs in the chest (thoracic). Thoracic surgery is a broad term that includes surgeons that perform cardiovascular, general thoracic and congenital heart surgery.

Thoracic Surgeries Include:

  • Video-Assisted Thoracoscopic Surgery (VATS)
  • Single Incision VATS 
  • Lung Resection
  • Esophageal Resection
  • Thoracotomy
  • Diaphragm Repair
  • Failed Reflux Procedure Repair

 

 

Video-Assisted Thoracoscopic Surgery (VATS)
Video-assisted thoracoscopic surgery, commonly referred to as VATS, is a minimally invasive surgical technique used to diagnose and treat problems in the chest. VATS can be utilized to perform diagnostic procedures such as lung, diaphragmatic, and pleural biopsies. More complex procedures, such as lung resections and anti-reflux procedures, may also be performed using VATS.

During the surgery, small incisions are made in the chest. A tiny fiber-optic camera, called a thoracoscope, is inserted through one incision, and surgical instruments are inserted through the remaining incisions. The thoracoscope transmits images of the inside of the chest to a video monitor, guiding the surgeon in maneuvering the instruments to complete the procedure.

VATS can replace a traditional thoracotomy, in which one large incision is made in the chest. The minimally invasive VATS procedure typically results in less pain and a faster recovery time for patients.

At Premier Surgical Associates, we offer the following thoracoscopic procedures using VATS:

  • Wedge Resections
  • Segmentectomies
  • Lobectomies
  • Pericardial Windows
  • Sympathectomies
  • Mediastinal Mass Resections
  • Thymectomies

Single Incision Video-Assisted Thoracoscopic Surgery (SIVATS)
Single incision video-assisted thoracoscopic surgery, commonly referred to as SIVATS, is a minimally invasive surgical technique used to diagnose and treat problems in the chest. SIVATS can be utilized to perform diagnostic procedures such as lung, diaphragmatic and pleural biopsies. More complex procedures, such as lung resections and anti-reflux procedures, may also be performed using SIVATS.

During the surgery, a single small incision slightly longer than an inch is made in the chest. A tiny fiber-optic camera, called a thoracoscope, and surgical instruments are inserted through this incision. The thoracoscope transmits images of the inside of the chest to a video monitor, guiding the surgeon in maneuvering the instruments to complete the procedure.

SIVATS can replace a traditional thoracotomy, in which a very large incision is made in the chest. It is also an improvement over standard VATS techniques that require multiple incisions to introduce the surgical tools. The minimally invasive SIVATS procedure typically results in shorter hospital stays, less pain and a faster recovery time for patients.

We offer the following Single Incision VATS procedures:

  • Talc Pleuradesis
  • PleurX Catheter Insertions
  • Evacuation of Empyemas (Decortications)
  • Evacuation of Hemothoracies
  • Chest Biopsy
  • Lung Resections

 

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Lung Resections
A lung resection is a surgical procedure to remove a damaged or diseased portion of a lung, or to remove a whole lung. Common reasons for undergoing a lung resection include lung cancer, benign growths of the lung tissue, emphysema, tuberculosis, and atelectasis (a collapsed lung). Lung resection offers the best chance of curing lung cancer when the disease is caught in its early stages.

Lung resections have traditionally been performed using open surgery through the chest wall, which requires a large incision and a long period of recovery. Technological advances have now made it possible to perform lung resections using minimally-invasive surgical techniques. This significantly reduces the incision size, pain, length of hospitalization, recuperation time, and risk of infection.

Esophageal Resection
An esophageal resection is a surgical procedure involving the removal of a portion of the esophagus. It is an effective treatment method for several esophageal disorders, including esophageal cancer and a pre-cancerous condition known as high-grade dysplasia.

The diseased section of the esophagus is cut out, often along with a margin of tissue around it and nearby lymph nodes as well. The stomach will then be moved upward into the chest and attached to the remainder of the esophagus. This permits the upper stomach to function as the missing part of the esophagus. A major benefit to esophageal resection surgery is that the patient usually maintains the ability to swallow and eat a fairly typical diet.

Diaphragm Repairs
Diaphragm repairs are often necessary in patients with hiatal hernia when it causes significant symptoms and discomfort. Hiatal hernia develops when an opening forms in the diaphragm and organs of the digestive tract begin to push through. Since the diaphragm is an essential muscle responsible for respiration, hiatal hernia can cause chest pain and breathing difficulties in addition to heartburn and other typical symptoms of reflux.

Surgery is necessary to repair the diaphragm. The procedure, performed under general anesthesia, involves restoring the organs to their correct placement, then tightly suturing closed the opening in the diaphragm. If necessary, the problem area of the diaphragm may be reinforced with surgical mesh to ensure another opening does not develop.

Repair of Failed Reflux Procedures
Surgical procedures to correct reflux issues in patients who have not responded to medications are often very successful. But sometimes patients begin to notice symptoms of reflux once again. If a patient starts to experience heartburn, regurgitation, nausea or trouble swallowing, an examination is needed to diagnose whether the reflux has returned. For those patients whose reflux procedures have failed, it is important to undergo a surgical repair procedure to relieve symptoms and prevent further complications.

The original procedure may fail if the valve created at the bottom of the esophagus has shifted, tightened or become twisted. A surgical repair can correct the valve problems and provide long-term relief of reflux. In many cases, it may be able to be performed through a minimally invasive laparoscopic procedure, substantially reducing recovery time afterward.

  

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Thoracotomy
A thoracotomy is an open surgery taking place through the side of the chest wall. It is performed with the patient under general anesthesia to correct a problem within one of the lungs. A thoracotomy allows the surgeon to gain full access to the lung to determine exactly how extensive a repair or tissue removal will be. In addition, if the thoracotomy is performed to treat lung cancer, nearby tissue such as lymph nodes may require removal as well. Depending on the extent of the surgery, the thoracotomy will usually last anywhere from two to six hours. After the procedure, you will have to remain in the hospital for five to seven days and the recovery period typically takes several weeks to a few months.
The information above is intended for informational purposes only. It is not medical advice and is not a substitute for professional medical advice, diagnosis or treatment. If you think you may have a medical emergency, immediately call your doctor or dial 911.

 


  Request an appointment with Premier Surgical Associates to be proactive toward your health and well-being.
Contact our Surgical Office in Palm Springs, CA, for surgical care from our skilled and experienced professionals.
Our Office Hours are Monday – Friday: 8:00AM – 5:00PM

 

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