The Center for Thoracic Surgery at Care New England provides each patient with a unique patient experience, one that is tailored to fit the needs of the patient in their local community. Our center provides expert and personalized diagnostic and treatment services to patients with diseases and disorders of the lung including lung cancer, collapsed lungs, pleural effusions, and emphysematous diseases. We also treat patients with disorders of the ribs/sternum.
Our thoracic surgery team has office hours at Kent County Hospital in Warwick. They are available to meet all of your thoracic needs from the basic to the most complex. Thanks to our clinical affiliation with Brigham and Women's Hospital in Boston, we can provide you with a team of thoracic specialists considered among the best in the region.
Diseases and disorders of the chest wall, or rib cage, as well as the sternum, can be related to injury or illness. Rib fractures, both acute and chronic, are common following injury to the chest. Although many broken ribs heal without surgery, our surgeons offer evaluation and treatment if needed, using rib plating, a pioneering technique for repairing broken ribs that can reduce pain and recovery time.
The surgeons at Brigham and Women’s Thoracic Surgery Associates at Care New England treat a variety of diseases and conditions, including:
Our services include a comprehensive evaluation and workup as indicated including, endoscopy, esophagus, pH testing, and manometry.
Cancer of the esophagus occurs when normal cells in the esophagus change into abnormal cells that grow out of control. Early on in the process, patients may have no symptoms or might have trouble swallowing, weight loss, pain, or burning in the chest area. Many of these symptoms can be caused by other conditions that are not cancer. If you have any of these symptoms, please discuss them with your physician or nurse. Our team will provide assistance and coordination of care with early diagnosis and treatment including surgery, chemotherapy, and radiation.
A lung nodule, or pulmonary nodule, is a small round or oval-shaped growth in the lung tissue. There are two main types of lung nodules, malignant (cancerous) and benign (non-cancerous). Benign lung nodules have a wide variety of causes including, but not limited to, infections, inflammation, and lymph nodes. They are often diagnosed on chest x-ray and CT scans. Diagnosis, work-up, and treatment will be guided by your thoracic surgeon.
Pleural effusions are often described as "water on the lungs." It is a build-up of fluid that can develop between the chest wall and the lung itself. Pleural fluid is normally produced by the body to lubricate the lining of the lung. Many medical conditions including pneumonia, congestive heart failure, and certain types of cancer can cause a pleural effusion. Treatment can include removing the fluid from the space (thoracentesis) and can also include surgical intervention and catheter placement. Management of a pleural effusion often depends on the etiology.
This is most commonly referred to as a collapsed lung. Air builds up between the lung and the chest wall. This air puts pressure on the outside of the lung so that the lung cannot expand normally. This can lead to shortness of breath and/or chest pain. This can be a life-threatening emergency and requires immediate treatment and evaluation. Treatment may include observation, chest tube insertion, or surgical intervention.
More than 225,000 Americans are diagnosed with lung cancer each year. Treatment depends on the type and stage of lung cancer and may include one or more treatments, including:
A lung transplant evaluation involves a complete, comprehensive, and detailed evaluation of a candidate’s medical and surgical history and involves several clinical tests and meetings with physicians and staff. We are happy to provide initial care and care coordination for patients and clinicians seeking information about the pre-transplant evaluation. Surgical procedures will take place at Brigham and Women’s Hospital in Boston.
Some the common surgeries performed are:
Some of the most common surgeries are:
Brigham and Women’s Thoracic Surgery Associates at Care New England offers comprehensive testing and advanced treatment for patients with the mediastinal disease. The mediastinum is the area between the lungs, containing the heart, aorta, thymus gland, lymph nodes, esophagus, and the trachea. The mediastinum can be the site of cancerous and non-cancerous tumors, including lymphoma, germ cell tumors and teratomas, neurogenic tumors, thymoma, and thymic cancer. Sarcoidosis, a non-cancerous inflammatory disease, can also entail mediastinal lymph nodes.
Conditions in the mediastinum can be difficult to diagnose as the symptoms often resemble other diseases. Brigham and Women’s Thoracic Surgery Associates at Care New England’s team of thoracic surgeons have special training in the diagnosis and surgical management of mediastinal disease with the most progressive technology and resources available in order to provide the best quality care for patients.
Mesothelioma is a cancer that is complex and difficult to treat, and it, unfortunately, usually carries an abject prognosis.
The disease affects the outer lining of organs within the body, including the lungs, heart, and stomach, and well as inner wall of the body. Exposure to certain substances, such as asbestos, is closely associated with this condition, and the disease may not take form or affect the body until many years after.
Treatment for mesothelioma patients involves a multi-disciplinary approach. Several healthcare experts will need to contribute to a personalized treatment plan. Treatment usually includes
Depending on the type of mesothelioma, the procedures will be performed in the chest or abdominal cavity.
The Brigham and Women’s Thoracic Surgery Associates at Care New England offers comprehensive testing and advanced treatment for patients with diseases and conditions of the lung and airway, from more routine conditions to rare and complex diseases. We treat chronic obstructive pulmonary disease (COPD), tracheomalacia and emphysema, empyema and pleural effusion, pneumothorax/collapsed lung, and also specialize in tracheal and bronchial disorders, benign or cancerous.
Brigham and Women’s Thoracic Surgery Associates offers:
Through the Kent Hospital, Diagnostic Imaging Department chest x-rays and chest CAT scans are available. We also assist with the scheduling of:
Chief, Thoracic Surgery, Kent Hospital
Assistant Professor, Harvard Medical School Thoracic Surgery
Associate Surgeon, Division of Thoracic Surgery
Clinical Instructor, Harvard Medical School Thoracic Surgery
Associate Surgeon in the Division of Thoracic Surgery
Assistant Professor of Surgery, Harvard Medical School