Mediastinum

Mediastinoscopy

Mediastinoscopy is a surgical procedure performed to biopsy lymph nodes located behind the breastbone (sternum).A small incision is made in the neck just above the breastbone permitting a scope (mediastinoscope) to be inserted. A biopsy (tissue sample) is collected and then examined by the pathologist. This is often used to identify: infection, inflammation, or cancer.


Thymectomy

A thymectomy is a surgical procedure to remove the thymus. It usually results in remission of myasthenia gravis(MG) with the help of medication including steroids. However, this remission may not be permanent. Thymectomy is indicated when thymoma are present in the thymus. Anecdotal evidence suggests MG patients with no evidence of thymoma may still benefit from thymectomy, thus the procedure is (unless and until a much-discussed clinical survey ever reaches a contraindicatory conclusion) commonly prescribed.


Zenker's Diverticulum Resection

This is an out-pouching of the food pipe (esophagus) that permits collection of stagnant food. There is often a complaint of foul smelling breath and regurgitation of undigested food. A neck incisions is made, the diverticulum is exposed and resected. Frequently, a minimally invasive approach may be used and the diverticulum may be resected without making a skin incision.