THORACIC (CHEST) SURGICAL PROCEDURES
(Assoc. Prof. Erkan YILDIRIM, MD, PhD, f.e.t.c.s. / Thoracic & Lung Transplant Surgeon / Istanbul –TURKEY)
IPC (Intrapleural Permanent Tunnelled Chest Catheter for Malignant Pleural Effusion and Chylothorax)
- ICU Stay: No
- HOSPITAL Stay: 3 days
- TOTAL Stay in TURKEY (range in DAYS*; unless any other complications!): 5-6 Days
GENERAL INFO
Before Surgery
- Consultations: Anesthesia and if needed Chest Diseases and Medical Oncology! *(Chest Diseases and Oncology are Not included in the total charges)
- Blood Tests: Yes (Hemogram, Serology, Biochemistry, Blood type)
- Chest X-Ray: Yes (*Bilateral; PA and Lateral Chest Graphies)
- Abdominal X-Ray: No
- PFT (Pulmonary Function Test): No
- V/Q Scan (Lung Ventilation / Perfusion Scan): No
- Chest and/or Abdominal CT Scan: Chest CT Scan – *(If the patient have the CT scans already done, then no need to take additional CT scans preop)-*(Not included in the total charge)
- PET / CT Scan (Positron Emisson Tomography): No
- MRI (Chest, Abdomen and/or Brain) – *(If the patient have the MRI already done, then no need to take additional MRI preop): No
- Bone Scan: No
- USG / Ultrasonography (Chest, Abdomen, and/or others): Not routine – If needed!* – Preop evaluation (* Not included in the total charges)
During Surgery
- General Anesthesia: No
- Local/Regional Anesthesia: No
- Local Anesthesia + Sedation: Yes
- Spinal/Epidural Anesthesia: No
- PCA (Patient Controlled Analgesia; Epidural or IV route! – *(Not included in the total charges!): If needed!
After Surgery
- HOSPITAL STAY after the ICU period, if ever: 2-3 Days
- STAY AT HOTEL after being discharged from Hospital – *’Wound Dressing’ Everyday till the Control Day!: 2-3 Days
- First CONTROL Day! – Get the Stitches removed, If ever!: Day 10: 5th Day
- Discharged to HOME – *Take your prescription – DO NOT FORGET! – Patient generally could have “a safe flight to home” after the FIRST CONTROL!: 5th-6th Day
- After – Surgery (4th Week) – Needs CONSULTATIONS by “Medical AND Radiation Oncology Clinics”: Yes
- Late – CONTROLS (1st -3rd – 6th – 12th -24th months in concordance with “the Medical & Radiation Oncology Departments Follow-ups”)!: Yes
IMPORTANT NOTES*
INCLUDED (If needed!)* in the total CHARGES; – Blood (if necessary, up to 2 bags), First Chest X-Ray, – Frozen / Section and Pathology, – Prolene Mesh and Methylmetacrylate, – Clips, – First pectus bar, – First day of the ICU (if mentioned above!)
NOT-INCLUDED (If needed!)* in the total CHARGES are; – Preop/ Postop Computerized Tomography, MRI, PET-CT, – Tracheal Stents, – Thoracoscopic staplers & Fireing Apparatus + Alexis retractor, – Tissue glue (Tissell, Fibrin etc.), – Pectus Bars (2nd and 3rd one, if needed!)*, – 2nd and the rest of consultations of the other clinics, if needed!, – PFT (Pulmonary Function Tests), USG (Ultrasonography), Bone Scan, if needed!, – V/Q Scan (Lung Ventilation/Perfusion Scan), if needed!, – 2nd & the rest of the ICU Days AND Accommodation and transfers are not included!