Chest Tube Placement

Drs. Butt, Carrato and Bono perform chest tube placement in cases where a collection of air, gases, or fluid in the chest have caused the lung to collapse. This occurs from a physical injury such as a gunshot or knife wound to the chest, automobile accidents, scuba diving accidents, or can occur following medical procedures that accidentally allow air into the pleural space (the space between the lung and the lining of the lung).

The chest tube removes the air from the pleural space, allowing the lung to re-expand. Re-expansion of the lung may take several days with the chest tube left in place. Hospitalization is required for chest tube management. The doctors may need to perform surgery to repair tears in the lungs.

Procedures
  A. General Surgery
    1. Laparoscopic Surgery
      a. Exploratory
      b. Appendix
      c. Hernia
      d. Gallbladder
      e. Colon
      f. Hiatal Hernia
    2. Conventional Surgeries
      a. Hernia Repair
      b. Colon
      c. Stomach
      d. Appendix
      e. Thyroid
      f. Soft Tissue Masses and Skin Lesions

  B. Vascular Surgery
    1. Repair of abdominal aortic aneurysm (AAA)
    2. Bypass surgery of extremities
    3. Carotid endarterectomy (CEA)
    4. Creation of arterio-venous fistulas
    5. Placement of central lines

  C. Varicose Vein Treatment
    1. TIPPS (Trans-Illuminated Powered Phlebectomy)
    2. SEPS (Subfascial Endoscopic Perforator Surgery)
    3. Deep venous thrombosis

  D. Breast Disease Management
    1. Evaluation of breast lumps (solid or cystic)
    2. Cyst aspirations
    3. Fine-needle aspiration of solid breast lump
    4. Stereotactic breast biopsy
    5. Sentinel lymph node biopsy
    6. Conventional biopsy
    7. Lumpectomy
    8. Mastectomy

E. Gastric Bypass (Bariatric Surgery)

F. Wound Management and Treatment

  G. Thoracic surgery
    1. Chest tube placement
    2. Removal and biopsy of nodules in lung and mediastinum
    3. Lobectomy

H. Vascular Laboratory