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# https://marcoscarci.co.uk/: This is the website of Dr Marco Scarci, a leading thoracic surgeon based in London, UK. The aim of this website is to inform patients and visitors and to deliver as much value as possible. The aim is offer a treatment that is right for you. 

## Sitemaps
[XML Sitemap](https://marcoscarci.co.uk/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [Best Candidate for Lung Keyhole Surgery (VATS): Are You a Good Fit?](https://marcoscarci.co.uk/best-candidate-for-lung-keyhole-surgery-vats-are-you-a-good-fit/): If you have been told that lung surgery may be needed, the question most patients ask first is whether it can be done through keyhole. For many patients, it can, and the results are excellent.
- [Immunotherapy Before and After Lung Cancer Surgery: A Complete Patient Guide](https://marcoscarci.co.uk/immunotherapy-before-and-after-lung-cancer-surgery-a-complete-patient-guide/): Immunotherapy for lung cancer has changed what is possible for patients facing surgery. Treatments that harness your own immune system to find and destroy cancer cells are now given before and after operations, helping to improve long-term outcomes in ways that were not available even a decade ago.
- [Thoracic Outlet Syndrome Treatment and Surgery: A Patient Guide](https://marcoscarci.co.uk/thoracic-outlet-syndrome-treatment-and-surgery-a-patient-guide/): Thoracic outlet syndrome treatment starts with understanding exactly what is happening inside your body and which structures are under pressure. Whether you are dealing with nerve pain radiating down your arm, unexplained swelling or a cold, pale hand, the path to relief depends on accurate diagnosis and the right treatment plan. 
- [A Collapsed Lung: Where Does the Pain Occur and What Does It Feel Like?](https://marcoscarci.co.uk/a-collapsed-lung-where-does-the-pain-occur-and-what-does-it-feel-like/): Collapsed lung pain catches most people off guard. It strikes suddenly, often without warning, and the experience can be alarming. Understanding where that pain occurs, what it feels like and when it signals a genuine emergency can help you act quickly and seek the right treatment.
- [Who Can and Cannot Have Lung Cancer Surgery](https://marcoscarci.co.uk/who-can-and-cannot-have-lung-cancer-surgery/): Deciding whether lung cancer surgery is the right path involves more than looking at a scan. It depends on a careful assessment of your cancer type and stage, lung and heart health, overall fitness and personal preferences. This guide explains who typically qualifies, who usually does not, and how modern techniques are changing the picture for many patients.
- [Advances in Thoracic Surgery Technology in Recent Years](https://marcoscarci.co.uk/advances-in-thoracic-surgery-technology-in-recent-years/): Thoracic surgery has changed considerably over recent decades. Procedures that once required large incisions and rib spreading can now often be performed using keyhole or robotic-assisted techniques, supported by advanced imaging, refined instruments and structured recovery pathways.
- [The Benefits of Minimally Invasive Thoracic Surgery Explained](https://marcoscarci.co.uk/the-benefits-of-minimally-invasive-thoracic-surgery-explained/): Thoracic surgery has changed dramatically over the past three decades. Where once a large open incision was the only option, today most patients with conditions affecting the lungs, chest wall, or mediastinum can be treated through small keyhole cuts using advanced camera and instrument systems.
- [Rib Pain in Pregnancy: Causes, Relief and When to Seek Advice](https://marcoscarci.co.uk/rib-pain-in-pregnancy-causes-relief-and-when-to-seek-advice/): Rib pain during pregnancy may feel like soreness, aching, stiffness or sharp discomfort along the rib cage, beneath the breast, at the side of the chest or across the upper back. It is particularly common later in pregnancy as the uterus expands and the baby places more pressure on the ribs and surrounding muscles.
- [Rib Fracture Healing Time: Can Fractured Ribs Heal on Their Own?](https://marcoscarci.co.uk/rib-fracture-healing-time-can-fractured-ribs-heal-on-their-own/): A rib injury is one of the most painful bone fractures you can experience, and the first question most patients ask is whether their ribs will heal without surgery. The short answer is that most rib fractures do heal on their own, but the timeline varies depending on the type of fracture, your age and how well your recovery is managed.
- [Practical Tips for Safer Flying After Chest Surgery](https://marcoscarci.co.uk/practical-tips-for-safer-flying-after-chest-surgery/): If you are planning to fly after chest surgery, you probably have one very important question: is it safe, and how long do you need to wait? A common assumption is that air travel is off the table for weeks, if not months, but in many cases that caution is outdated. With the right assessment, preparation and precautions, the majority of patients can fly safely sooner than they expect. 
- [What Is Minimally Invasive Thoracic Surgery and How Does It Work?](https://marcoscarci.co.uk/what-is-minimally-invasive-thoracic-surgery-and-how-does-it-work/): Minimally invasive thoracic surgery has transformed the way surgeons treat conditions of the lungs, chest wall, and mediastinum. Instead of a large open cut that spreads the ribs apart, operations are now routinely performed through small keyhole incisions using cameras and specialised instruments. This article explains what minimally invasive thoracic surgery involves, how it works in practice, who it can help, and what patients should expect before, during, and after the procedure.
- [The Main Causes of a Collapsed Lung Explained](https://marcoscarci.co.uk/the-main-causes-of-a-collapsed-lung-explained/): A collapsed lung can strike without warning, leaving you struggling for breath and unsure of what has happened. Whether triggered by a chest injury, an underlying lung condition or seemingly nothing at all, understanding the causes helps you get the right treatment and reduce the risk of it happening again.
- [How Fast Can You Expect to Recover After Keyhole Lung Surgery?](https://marcoscarci.co.uk/how-fast-can-you-expect-to-recover-after-keyhole-lung-surgery/): Recovering after keyhole lung surgery is often quicker and less daunting than many people expect, but everyone’s timeline is different. Also known as minimally invasive lung surgery or VATS, this approach uses smaller incisions than traditional open surgery, which can mean less pain, a shorter hospital stay and a faster return to everyday activities.
- [What Does Slipping Rib Syndrome Feel Like? Expert Guide by London Thoracic Surgeon Mr Marco Scarci](https://marcoscarci.co.uk/what-does-slipping-rib-syndrome-feel-like-expert-guide-by-london-thoracic-surgeon-mr-marco-scarci/): Slipping rib syndrome can be a frustrating and often misunderstood cause of chest or upper abdominal pain. Because its symptoms can mimic other conditions, many people spend months or even years searching for an explanation before receiving a clear diagnosis.
- [When Does a Collapsed Lung Need Surgery (and When Does It Not)?](https://marcoscarci.co.uk/when-does-a-collapsed-lung-need-surgery-and-when-does-it-not/): A collapsed lung can be frightening, but not every case ends up in the operating theatre. In many cases, a pneumothorax can be treated with careful monitoring or simpler procedures. This article explains when surgery may be recommended, when it may not be necessary, and how your doctor decides on the safest approach for you.
- [Follow-Up Care After Lung Cancer Surgery: Tests, Visits, and Warning Signs](https://marcoscarci.co.uk/follow-up-care-after-lung-cancer-surgery-tests-visits-and-warning-signs/): Recovering from lung cancer surgery is a significant milestone, but the journey does not end in the operating theatre. The weeks and months that follow require careful monitoring to protect your health and catch any changes at the earliest opportunity. 
- [Lung Cancer vs Mesothelioma: Understanding the Key Medical Differences](https://marcoscarci.co.uk/lung-cancer-vs-mesothelioma-understanding-the-key-medical-differences/): Distinguishing between lung cancer and mesothelioma affects diagnosis accuracy, treatment planning, and patient outcomes. While both conditions can affect the chest area and share common symptoms such as persistent cough, chest pain, and fatigue, they develop in different locations and require distinct surgical approaches. Understanding these differences is crucial for patients with respiratory symptoms or an asbestos exposure history.
- [When Is Chemotherapy Recommended After Lung Cancer Surgery?](https://marcoscarci.co.uk/when-is-chemotherapy-recommended-after-lung-cancer-surgery/): Lung cancer treatment may combine surgery with chemotherapy, radiotherapy, immunotherapy, or targeted treatment. Although surgery aims to remove the visible tumour completely, microscopic cancer cells can sometimes remain in nearby tissue or circulate elsewhere in the body. Chemotherapy given after surgery can help destroy these cells and reduce the risk of the cancer returning.
- [Exercise After Lung Cancer Surgery: A Complete Recovery Guide](https://marcoscarci.co.uk/exercise-after-lung-cancer-surgery-a-complete-recovery-guide/): Start gentle movement (sitting out of bed, short walks, simple leg and breathing exercises) within 24 hours of lung cancer surgery whenever your team says it is safe.
- [What Is a Segmentectomy and When Is It Used for Lung Cancer?](https://marcoscarci.co.uk/what-is-a-segmentectomy-and-when-is-it-used-for-lung-cancer/): Segmentectomy has become one of the most significant advances in the surgical treatment of early-stage lung cancer. It involves the anatomical removal of one or more segments of the lung, including the associated bronchus and blood vessels, while preserving the rest of the affected lobe and as much healthy pulmonary parenchyma as possible. 
- [No Surgery Lung Cancer: When Is Surgery Not an Option for Lung Cancer?](https://marcoscarci.co.uk/no-surgery-lung-cancer-when-is-surgery-not-an-option-for-lung-cancer/): Being told that surgery is not an option for your lung cancer is understandably frightening. But "no surgery" does not mean "no treatment," and it certainly does not mean "no hope." 
- [What Is the Best Sleeping Position With Rib Flaring?](https://marcoscarci.co.uk/what-is-the-best-sleeping-position-with-rib-flaring/): If you have flared ribs, you already know that night-time can be uncomfortable. The wrong sleep position can increase rib pain, stiffen the upper body, and leave you feeling worse in the morning than when you went to bed. This guide is for anyone experiencing rib flare who wants to improve sleep comfort and reduce pain. Finding the right sleeping position can significantly reduce discomfort and support recovery for people with rib flaring. 
- [Rib Flaring Treatment: Causes, Prevention and When Surgery Is Needed](https://marcoscarci.co.uk/rib-flaring-treatment-causes-prevention-and-when-surgery-is-needed/): Rib flaring affects posture, breathing, and confidence, yet the right treatment plan can make a real difference. Here is what causes it, how to prevent it, and when surgery becomes an option.
- [Can Lung Cancer Be Cured Without Surgery?](https://marcoscarci.co.uk/can-lung-cancer-be-cured-without-surgery/): For many patients diagnosed with lung cancer, the first question is whether they will need an operation. Surgery is often the first treatment for lung cancer when the disease is caught early, but it is not always possible or necessary. Advances in radiation therapy, immunotherapy, and targeted therapy mean that some patients can now achieve long-term remission - and in certain cases, cure - without a single incision.
- [Why Chest and Rib Pain When Coughing Are a Cause for Alarm](https://marcoscarci.co.uk/why-chest-and-rib-pain-when-coughing-are-a-cause-for-alarm/): Chest pain when coughing is not always harmless. While muscle strain is common, it can also signal pneumonia, pleurisy, pulmonary embolism, pneumothorax, or lung cancer. 
- [Pain in the Back Near the Lungs: Is It Muscle, Ribs, or Something Else?](https://marcoscarci.co.uk/pain-in-the-back-near-the-lungs-is-it-muscle-ribs-or-something-else/): Back pain is one of the most common complaints worldwide, affecting around 85% of people at some point in their lives. But when that pain settles between your shoulder blades or just beneath your ribs, in the area around your lungs, it can feel more unsettling than a typical backache.
- [Broken Rib Treatment: Recovery Time and What To Expect](https://marcoscarci.co.uk/broken-rib-treatment-recovery-time-and-what-to-expect/): A broken rib is one of the most common injuries seen in emergency departments across the UK, yet reliable information on what happens next (how long recovery actually takes, what you can do at home, and when you need specialist help) can be surprisingly hard to find. 
- [Chest Pain Lying Down: What Could Be Causing It?](https://marcoscarci.co.uk/chest-pain-lying-down-what-could-be-causing-it/): Chest pain when lying down can stem from various causes, and working out which one applies to you matters. Whether it feels sharp, dull, or burning, positional chest pain deserves attention, especially when it disrupts sleep or worsens over time. This guide covers the most common and serious reasons, what to do about them, and when specialist assessment from a thoracic surgeon like Mr Marco Scarci may help.
- [Intercostal Neuralgia: Causes, Symptoms and Treatment Options](https://marcoscarci.co.uk/intercostal-neuralgia-causes-symptoms-and-treatment-options/): Intercostal neuralgia can be worrying because it often feels like serious chest pain. Intercostal neuralgia can be worrying because it often feels like serious chest pain. It typically causes sharp, burning, or shooting pain along the ribs that may worsen with twisting, deep breathing, coughing, or even light touch. While it’s usually nerve-related rather than cardiac, new or severe symptoms should still be assessed to rule out urgent causes.
- [Tietze Syndrome Explained: What It Is and What to Expect](https://marcoscarci.co.uk/tietze-syndrome-explained-what-it-is-and-what-to-expect/): Chest pain is one of the most alarming symptoms a person can experience. While many immediately think of their heart, a lesser-known condition called Tietze syndrome could be the real culprit. 
- [Thoracic Outlet Syndrome: What It Is and How It Feels](https://marcoscarci.co.uk/thoracic-outlet-syndrome-what-it-is-and-how-it-feels/): Thoracic outlet syndrome (TOS) is a group of disorders caused by compression of nerves or blood vessels between the neck and shoulder. Symptoms can vary widely and may feel like a neck problem, shoulder injury, trapped nerve, or circulation issue, which can make the condition difficult to recognise.
- [Atypical Chest Pain: Causes, Symptoms, and When to Seek Help](https://marcoscarci.co.uk/atypical-chest-pain-causes-symptoms-and-when-to-seek-help/): Understanding atypical chest pain is important because it can signal a range of conditions, some of which require prompt attention to prevent serious complications. Here, you will find clear explanations of what atypical chest pain is (chest pain that does not fit the classic pattern associated with heart attacks), its possible causes, when to seek urgent medical help, how it is diagnosed, available treatment options, and practical prevention tips. 
- [Pleuritic Chest Pain: Causes, Symptoms, and When to See a Doctor](https://marcoscarci.co.uk/pleuritic-chest-pain-causes-symptoms-and-when-to-see-a-doctor/): Pleuritic chest pain can feel alarming because it is often sudden, sharp, and made worse by breathing. The key is to identify whether it is a self-limiting problem, such as a viral infection, or a sign of something urgent, such as pulmonary embolism, pneumothorax, or myocardial infarction.
- [Chest and Rib Pain With No Obvious Cause: What It Could Mean](https://marcoscarci.co.uk/chest-and-rib-pain-with-no-obvious-cause-what-it-could-mean/): Persistent chest and rib pain can be deeply unsettling, especially when initial tests return normal. Many patients find themselves caught between relief that nothing immediately dangerous has been found and frustration that they still have no answers. This guide explains what unexplained chest pain might mean once emergency cardiac causes have been ruled out, when to worry, and how specialist assessment can finally provide clarity.
- [How to Tell if You Have Slipping Rib Syndrome](https://marcoscarci.co.uk/how-to-tell-if-you-have-slipping-rib-syndrome/): If you’ve been experiencing sharp pain along your lower chest or upper abdomen that seems to come and go, you may be wondering whether slipping rib syndrome could be the cause. This often-overlooked condition affects thousands of people who struggle to get a proper diagnosis, sometimes for years.
- [When to See a Specialist for Persistent Chest Wall Pain](https://marcoscarci.co.uk/when-to-see-a-specialist-for-persistent-chest-wall-pain/): Chest wall pain originating from the musculoskeletal structures of your chest: ribs, cartilage, muscles, and sternum, affects many patients who struggle to determine whether their symptoms require specialist evaluation. Musculoskeletal causes are the most common source of chest wall pain, often resulting from issues such as a pulled muscle, costochondritis, or rib injuries.
- [Recovery From Lung Cancer Surgery: A Timeline](https://marcoscarci.co.uk/recovery-from-lung-cancer-surgery-a-timeline/): Recovering from lung cancer surgery is a journey that unfolds over days, weeks, and months. It is a form of chest surgery (thoracic surgery) that may involve either open surgery (thoracotomy) or minimally invasive techniques such as video-assisted thoracoscopic surgery (VATS).
- [Lung Cancer Progression: How Quickly Does It Happen and When Is Surgery Needed?](https://marcoscarci.co.uk/lung-cancer-progression-how-quickly-does-it-happen-and-when-is-surgery-needed/): Lung cancer progression varies dramatically depending on the type of cancer, ranging from aggressive doubling in weeks to slow growth over years. Understanding this timeline is essential for making informed decisions about when surgical intervention or lung cancer treatment offers the best chance of cure. Early detection and strategies to diagnose cancer, such as screening with lung CT scans, are crucial for improving outcomes. Additionally, cancer prevention and risk reduction remains important for those at increased risk.
- [VATS vs Open Lung Surgery: Recovery, Pain, and Scars](https://marcoscarci.co.uk/vats-vs-open-lung-surgery-recovery-pain-and-scars/): Patients facing lung cancer surgery have two main options: Video-Assisted Thoracoscopic Surgery (VATS) or traditional open thoracotomy. Both are principal surgical approaches in thoracic surgery for lung cancer, with VATS representing a minimally invasive technique and open thoracotomy being the conventional method. Evidence from randomized trials and meta-analysis shows VATS delivers faster recovery, less pain, and smaller scars while achieving equivalent cancer outcomes.
- [Slipping Rib Syndrome: Which Ribs Are Affected and Complete Treatment Guide](https://marcoscarci.co.uk/slipping-rib-syndrome-which-ribs-are-affected-and-complete-treatment-guide/): Slipping rib syndrome, also known as rib tip syndrome, is a condition where one or more of the lower ribs become hypermobile and slip or subluxate, causing irritation of the intercostal nerves and resulting in significant chest wall pain. The ribs specifically affected are ribs 8, 9, and 10, collectively known as the false ribs, which connect to each other via cartilage rather than directly to the sternum.
- [Slipping Rib Scoliosis: Can Scoliosis Cause Slipping Rib Syndrome – Expert Thoracic Surgery Perspective](https://marcoscarci.co.uk/slipping-rib-scoliosis-can-scoliosis-cause-slipping-rib-syndrome-expert-thoracic-surgery-perspective/): Scoliosis can indeed contribute to the development of slipping rib syndrome through the complex biomechanical changes it creates in the chest wall and rib cage. When the thoracic spine curves and rotates abnormally, the attached ribs follow this distortion, creating asymmetric loading patterns that destabilize the costal cartilage attachments connecting the lower ribs to each other. Slipping rib syndrome tends to affect younger patients, especially those involved in sports or recreational activities, due to repetitive upper-body movements that can increase the risk of rib instability.
- [Slipping Rib Syndrome: Symptoms, Causes, Diagnosis and Treatment](https://marcoscarci.co.uk/slipping-rib-syndrome-symptoms-causes-diagnosis-and-treatment/): Slipping rib syndrome, also known as rib subluxation, clicking rib syndrome, or rib tip syndrome, is a painful rib syndrome where the lower ribs move excessively because their cartilage attachments have become weakened or torn.
- [What Are the Chances of Lung Cancer Coming Back After Surgery?](https://marcoscarci.co.uk/what-are-the-chances-of-lung-cancer-coming-back-after-surgery/): This article is intended for lung cancer patients, survivors, and their families who are concerned about the risk of recurrence after surgery. Understanding your risk can help you make informed decisions about follow-up care and lifestyle choices. The risk of lung cancer recurrence is influenced by the type and stage of cancer at the time of diagnosis. Even after successful lung cancer surgery, many patients understandably wonder whether their cancer might return. This is one of the most common questions asked in clinic, and the honest answer is that there is a measurable risk of recurrence, particularly in the first two to five years after the operation.
- [What Is a Pneumonectomy for Lung Cancer?](https://marcoscarci.co.uk/what-is-a-pneumonectomy-for-lung-cancer/): When lung cancer requires more than a standard lobectomy, your cancer team may recommend removing an entire lung. This major surgery carries significant implications for your recovery and daily life, but with proper preparation and specialist care, many patients go on to lead active, fulfilling lives with a single lung.
- [What Is the Recovery Process After Lung Cancer Surgery?](https://marcoscarci.co.uk/what-is-the-recovery-process-after-lung-cancer-surgery/): Receiving a lung cancer diagnosis and facing surgery can feel overwhelming. The good news is that lung cancer surgery is one of the most effective treatments for early stage disease, and the recovery process, while significant, follows a predictable path that most patients navigate successfully.
- [Should You Get a Second Opinion Before Lung Cancer Surgery?](https://marcoscarci.co.uk/should-you-get-a-second-opinion-before-lung-cancer-surgery/): Receiving a lung cancer diagnosis can feel overwhelming, and when surgery is recommended, it’s natural to want certainty that you’re making the right choice. The good news is that most patients with a new diagnosis in the UK have time—often several weeks—to seek a surgical second opinion without compromising their treatment outcomes.
- [Lung Cancer Surgery Success Rates and the Impact of Early Detection](https://marcoscarci.co.uk/lung-cancer-surgery-success-rates-and-the-impact-of-early-detection/): Lung cancer remains the leading cause of cancer death both in the UK and worldwide, claiming more lives than breast, colon, and prostate cancers combined. Yet the statistics tell a dramatically different story depending on when the disease is found. Early stage lung cancer (stage I) treated with surgery can achieve five year survival rates of around 70% or higher, compared with only about 21% when similar tumours go untreated.
- [How Much Does Lung Cancer Surgery Cost in the UK?](https://marcoscarci.co.uk/how-much-does-lung-cancer-surgery-cost-in-the-uk/): Facing a lung cancer diagnosis is challenging enough without the added uncertainty of understanding treatment costs. Whether you’re exploring private options to avoid NHS waiting times or you’re an international patient seeking specialist care in the UK, knowing what to expect financially helps you plan with confidence. This guide breaks down the real costs of lung cancer surgery in the UK for 2025–2026, explains what affects pricing, and offers practical advice for navigating your options.
- [Keyhole lung surgery (VATS and robotic): recovery timelines, pain control, and getting back to life](https://marcoscarci.co.uk/vats-recovery-keyhole-lung-surgery-timeline/): Minimally invasive thoracic surgery has transformed VATS recovery and recovery after lung and chest procedures. Smaller incisions, less muscle division, and refined anaesthesia mean you can breathe more comfortably, move sooner, and go home earlier than with a traditional open thoracotomy.
- [Sternum Infection (Sternal Osteomyelitis & Chest Wall Infection)](https://marcoscarci.co.uk/sternum-infection-sternal-osteomyelitis-chest-wall-infection/): A sternum infection represents a rare but potentially serious cause of central chest pain that demands prompt recognition and treatment. While most people experiencing discomfort in the chest area have benign conditions, infection of the breastbone and surrounding structures can lead to significant complications if left unaddressed. The chest wall can become infected by bacteria or viruses, and in rare cases, fungal infections can also occur. Cardiac surgery, specifically median sternotomy, is the leading cause of sternal infections.

## Reviews
- [Review from S.N. [1775746818.1439-69d7bf0223214-77738-1775746818]](https://marcoscarci.co.uk/reviews/review-from-s-n-1775746818-1439-69d7bf0223214-77738-1775746818/): I spoke to Dr Narco yesterday regarding my health condition. He was very helpful and supportive.
- [Review from A.K. [1775746818.1709-69d7bf0229b96-55827-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-k-1775746818-1709-69d7bf0229b96-55827-1775746818/): Mr Scarci operated on my ribs after others had refused to. He understood my concerns and was willing to discuss the technicalities in depth, which was reassuring. He is very well versed and is sharp with his knowledge. I can't thank him enough for resolving my long standing issue with my broken rib which required a plate fixation.
- [Review from K.H. [1775746818.1932-69d7bf022f29e-42666-1775746818]](https://marcoscarci.co.uk/reviews/review-from-k-h-1775746818-1932-69d7bf022f29e-42666-1775746818/): This was video call so much of the above does not apply but a very informative conversation with Mr. Scarcity.
- [Review from A.R. [1775746818.2125-69d7bf0233e2a-75389-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-r-1775746818-2125-69d7bf0233e2a-75389-1775746818/): Dr Scarci is very caring and takes the time to listen to your concerns and explain them. He is very prompt and knowledgeable in multi disciplinary endometriosis.
- [Review from L.S. [1775746818.2292-69d7bf0237f76-35469-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-s-1775746818-2292-69d7bf0237f76-35469-1775746818/)
- [Review from T.t. [1775746818.2435-69d7bf023b753-68378-1775746818]](https://marcoscarci.co.uk/reviews/review-from-t-t-1775746818-2435-69d7bf023b753-68378-1775746818/): Doctor Scarci from start to finish, the experience is always exceptional- professional, thorough, explains everything clearly, and makes sure you feel completely comfortable throughout. The consultations are never rushed,.I always leave feeling reassured, supported, Thank you Dr!
- [Review from D.L. [1775746818.2577-69d7bf023eed1-41018-1775746818]](https://marcoscarci.co.uk/reviews/review-from-d-l-1775746818-2577-69d7bf023eed1-41018-1775746818/): Marco and the staff at the Cromwell Hospital could not be faulted. All my appointments both pre, during and post were punctual, kind, polite and informative.. Marco and the team listened and fully answered my questions and we were able to an informed discussion about the treatment plan. I was in the hospital for a total of 4 days and the food was exceptional with good variety of fresh food, it made all the difference.
- [Review from S.M. [1775746818.2747-69d7bf0243135-67050-1775746818]](https://marcoscarci.co.uk/reviews/review-from-s-m-1775746818-2747-69d7bf0243135-67050-1775746818/): The consultation was quite quick. A little longer to explain the events before my making contact, would have been good
- [Review from T.t. [1775746818.2917-69d7bf0247345-87118-1775746818]](https://marcoscarci.co.uk/reviews/review-from-t-t-1775746818-2917-69d7bf0247345-87118-1775746818/): very professional Dr
- [Review from A.W. [1775746818.3088-69d7bf024b63d-87294-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-w-1775746818-3088-69d7bf024b63d-87294-1775746818/): Dr. Marco Scarci is a deeply knowledgeable, open-minded, and empathetic surgeon. He has been tirelessly working to get the right surgical team together for me, after an accident 10 years ago that has left me severely disabled. He listens to details and solves problems to truly deliver the most optimal results for his patients. As a medical professional myself, I can tell you that finding a specialist like Dr. Scarci is very rare, and it is a privilege to have him in my corner.
- [Review from R.K. [1775746818.3287-69d7bf025040a-78707-1775746818]](https://marcoscarci.co.uk/reviews/review-from-r-k-1775746818-3287-69d7bf025040a-78707-1775746818/): Dr Marco at The Cromwell Hospital, Bupa, was Very compassionate, caring, kind and very knowledgeable.
- [Review from C.P. [1775746818.344-69d7bf0253fad-37642-1775746818]](https://marcoscarci.co.uk/reviews/review-from-c-p-1775746818-344-69d7bf0253fad-37642-1775746818/): I couldn’t get over the care from the whole team
Which was given to me on my stay
It’s really nice that everyone had time to listen to you and any questions that you asked always came back with a smile and an answer,
The difference to me after the operation is unbelievable and from the bottom of my heart I can’t. thank everyone enough
- [Review from J.G. [1775746818.3613-69d7bf0258386-43858-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-g-1775746818-3613-69d7bf0258386-43858-1775746818/): I had an excellent initial consultation with Dr Scarci at The London Clinic. He was welcoming, knowledgeable, and took the time to explain everything in a reassuring way. I left feeling confident and very well cared for.
- [Review from P.B. [1775746818.3795-69d7bf025ca65-56260-1775746818]](https://marcoscarci.co.uk/reviews/review-from-p-b-1775746818-3795-69d7bf025ca65-56260-1775746818/): I had rib pain for 6 years, was bounced around NHS without diagnosis at my wits end. I was recommended to Mr Scarci, at consultation within minutes he knew what the problem was slipping rib & most importantly it could be fixed. He recommended ultrasound, diagnosis confirmed. Was then offered surgery date the next week. 2 weeks post surgery I am almost back to full health. I truly cannot recommend Mr Scarci highly enough he is simply amazing!
- [Review from U.U. [1775746818.3976-69d7bf026111d-20017-1775746818]](https://marcoscarci.co.uk/reviews/review-from-u-u-1775746818-3976-69d7bf026111d-20017-1775746818/): I was diagnosed in March 25 with a rare condition. My local hospital said it was inoperable due to the size of the mass. In what was a life changing situation for me Mr Scarci reassured me the Thymoma was resectable. I was confident in his ability and felt my life was safe in his hands. I was booked for surgery the following week (Dec 25) where he successfully removed the entire tumour.
A big thank you to Mr Scarci and the rest of the team.
Wonderful Surgeon, I would highly recommend.
- [Review from C.P. [1775746818.4136-69d7bf0264fc5-54721-1775746818]](https://marcoscarci.co.uk/reviews/review-from-c-p-1775746818-4136-69d7bf0264fc5-54721-1775746818/): After being let down very badly by another consultant,
I did a lot of research and came across Mr Marco Scarci based I contacted Mr Marco Scarci secretary who gave me a lot of confidence and help for me,
We arranged a video call which came exactly on time, which I was really impressed with the way it went, and explained everything to me,
And put me at ease on everything that is going on
A very big thank you
- [Review from S.N. [1775746818.4299-69d7bf0268f5f-82545-1775746818]](https://marcoscarci.co.uk/reviews/review-from-s-n-1775746818-4299-69d7bf0268f5f-82545-1775746818/): The consultation was conducted in a professional and thorough manner. My symptoms and concerns were listened to carefully, and the possible diagnoses were explained clearly, including the limitations of imaging in my case. I appreciated the clear explanation of the proposed management plan, as well as the discussion of potential risks and benefits, which helped me make an informed decision.
- [Review from A.K. [1775746818.4456-69d7bf026cca5-29339-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-k-1775746818-4456-69d7bf026cca5-29339-1775746818/): The zoom call with Mr Scarci was very quickly arranged. He was incredibly helpful and fully understood my Wife's condition. He also suggested another Doctor who could also assist us a wrote out the referral within10 minutes of our call.
- [Review from J.C. [1775746818.4605-69d7bf02706fa-15686-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-4605-69d7bf02706fa-15686-1775746818/): Just wonderful - a doctor who listens, spends time and gives a patient confidence and hope. So lucky to be treated by him
- [Review from A.D. [1775746818.4791-69d7bf0274f57-46437-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-d-1775746818-4791-69d7bf0274f57-46437-1775746818/): Mr. Marco Scarci was outstanding from start to finish. Within 24 hours of the CT scan he was operating to relate my broken breastbone. His incredibly sympathetic and professional bedside man went into. I went into the theatre full of confidence and he was straight round to see me after the operation.The whole thing could not have gone better. He is the best surgeon I have encountered.
- [Review from L.M. [1775746818.4952-69d7bf0278e5b-30682-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-m-1775746818-4952-69d7bf0278e5b-30682-1775746818/): I had Surgery at Cromwell Hospital 2 weeks ago with Mr Marco Scarci on my ribs. The staff at Hospital were amazing but most of all was Mr Scarci confidence in what he dose which gave me so much confidence and I was out in 2 days and have already been back on the bike, indoors for now, and now start my build to race again.
- [Review from L.D. [1775746818.5122-69d7bf027d09c-94608-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-d-1775746818-5122-69d7bf027d09c-94608-1775746818/): From initial consultation, through to surgical procedure and follow up care have been handled by Mr Scarci with extreme efficiency and confidence. He has been kind and informative, always concerned that I understood my condition, what to expect following treatment and prognosis. He had my full confidence during the procedure and it is extremely reassuring to know that I may continue to refer back to him should I have any future queries.
I would not hesitate to recommend him and his team.
- [Review from J.C. [1775746818.5274-69d7bf0280c30-41998-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-5274-69d7bf0280c30-41998-1775746818/): Mr Scarci is amazing. So helpful, so kind. So clear - and he really listens to what you say. Which is amazing. Cannot recommend more.
- [Review from S.N. [1775746818.5409-69d7bf02840d9-48650-1775746818]](https://marcoscarci.co.uk/reviews/review-from-s-n-1775746818-5409-69d7bf02840d9-48650-1775746818/): I had my virtual appointment with my surgeon Dr Marco yesterday. He was punctual, courteous, and took the time to explain the cause of my pain in a clear and reassuring manner. His professionalism and the way he ensured I fully understood the information were greatly appreciated. The consultation was very supportive and helped ease my concerns.I definitely recommend DrMarco to a friend and family.
- [Review from G.P. [1775746818.5545-69d7bf02875d9-41029-1775746818]](https://marcoscarci.co.uk/reviews/review-from-g-p-1775746818-5545-69d7bf02875d9-41029-1775746818/)
- [Review from A.W. [1775746818.5683-69d7bf028abe5-71334-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-w-1775746818-5683-69d7bf028abe5-71334-1775746818/): As a Doctor, I can say with utmost confidence that you will simply not find a cardiothoracic surgeon with the same depth and breadth of knowledge as Dr. Marco Scarci. He is the most brilliant and compassionate cardiothoracic surgeon I have encountered. I am traveling to him from the United States despite the fact that I am affiliated with Johns Hopkins and my husband is a pulmonary & critical care physician at Brown. He deserves to be in the surgical hall of fame!
- [Review from L.P. [1775746818.5847-69d7bf028ebea-38840-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-p-1775746818-5847-69d7bf028ebea-38840-1775746818/): Dr Scarci is absolutely amazing. After being with another specialist, finding him changed my world. I’ve been diagnosed, treated for slipping rib syndrome, and feel so safe in his hands. Undergoing another op soon, I have zero worries because I feel listened to and truly safe!
- [Review from C.O. [1775746818.6024-69d7bf029310b-34597-1775746818]](https://marcoscarci.co.uk/reviews/review-from-c-o-1775746818-6024-69d7bf029310b-34597-1775746818/): Excellent consultation. Despite early difficulties Dr Scarci demonstrated exceptional patience and professionalism ensuring I fully understood the results of the analysis. Thank you.
- [Review from A.m. [1775746818.6193-69d7bf02972f9-48982-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-m-1775746818-6193-69d7bf02972f9-48982-1775746818/): Fabulous surgeon
- [Review from J.C. [1775746818.6339-69d7bf029ac56-24486-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-6339-69d7bf029ac56-24486-1775746818/): I have just had a first, remote consultation with Mr Scarci. I am completely stunned and so, so happy to have found him. In one consultation, he offered clarity on conditions I have been trying to speak to doctors about and get help for some 2 years and a positive plan forward
- [Review from G.P. [1775746818.6493-69d7bf029e871-77162-1775746818]](https://marcoscarci.co.uk/reviews/review-from-g-p-1775746818-6493-69d7bf029e871-77162-1775746818/)
- [Review from M.E. [1775746818.6668-69d7bf02a2cd5-12115-1775746818]](https://marcoscarci.co.uk/reviews/review-from-m-e-1775746818-6668-69d7bf02a2cd5-12115-1775746818/): I am so impressed by Mr Marco's professional manner and enthusiasm. He communicates very clearly and offers plenty of opportunities to ask questions and engage in discussion. He is clearly an extremely competent surgeon.
- [Review from J.S. [1775746818.6831-69d7bf02a6c65-91972-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-s-1775746818-6831-69d7bf02a6c65-91972-1775746818/): reassuring and very helpful
- [Review from N.L. [1775746818.6995-69d7bf02aac58-55014-1775746818]](https://marcoscarci.co.uk/reviews/review-from-n-l-1775746818-6995-69d7bf02aac58-55014-1775746818/): Excellent doctor! Mr Scarci was very informative and was extremely professional. I’d highly recommend him!
- [Review from F.B. [1775746818.7165-69d7bf02aeec4-28970-1775746818]](https://marcoscarci.co.uk/reviews/review-from-f-b-1775746818-7165-69d7bf02aeec4-28970-1775746818/): Thoughtful, caring, and well-prepared.
- [Review from D.G. [1775746818.7311-69d7bf02b27dd-36275-1775746818]](https://marcoscarci.co.uk/reviews/review-from-d-g-1775746818-7311-69d7bf02b27dd-36275-1775746818/): To be fair to everyone they were all lovely helpful and very friendly
- [Review from R.V. [1775746818.7447-69d7bf02b5d25-70463-1775746818]](https://marcoscarci.co.uk/reviews/review-from-r-v-1775746818-7447-69d7bf02b5d25-70463-1775746818/): Mr Scarci was very helpful. He diagnosed my condition, explained it and informed me of the available treatments within the first consultation.
- [Review from M.W. [1775746818.7582-69d7bf02b91c5-95591-1775746818]](https://marcoscarci.co.uk/reviews/review-from-m-w-1775746818-7582-69d7bf02b91c5-95591-1775746818/): Very nice settings waiting time we’re good staff very friendly Mr Scarsi was very friendly and extremely professional wouldn’t hesitate to recommend there services to any one many thanks
- [Review from J.C. [1775746818.7759-69d7bf02bd6ad-49323-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-7759-69d7bf02bd6ad-49323-1775746818/): Brilliant service and a very clever man with fantastic backup. I cannot recommend more highly
- [Review from A.W. [1775746818.7945-69d7bf02c1fb3-58190-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-w-1775746818-7945-69d7bf02c1fb3-58190-1775746818/): An amazing surgeon with expertise beyond expectations. Both my husband and I are medical professionals in our respective fields and have trained and top notch universities in the usa and would recommend Dr. Scarci without any hesitation!
- [Review from A.K. [1775746818.8133-69d7bf02c690c-37183-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-k-1775746818-8133-69d7bf02c690c-37183-1775746818/): As an international patient, I couldn’t have asked for better care. Mr. Scarci is an exceptional surgeon. Professional, compassionate and always available. He responds immediately to any concern, even from afar. Truly outstanding experience.
- [Review from M.M. [1775746818.8279-69d7bf02ca1ea-46138-1775746818]](https://marcoscarci.co.uk/reviews/review-from-m-m-1775746818-8279-69d7bf02ca1ea-46138-1775746818/)
- [Review from V.N. [1775746818.8425-69d7bf02cdaea-99550-1775746818]](https://marcoscarci.co.uk/reviews/review-from-v-n-1775746818-8425-69d7bf02cdaea-99550-1775746818/)
- [Review from L.W. [1775746818.8566-69d7bf02d1215-29227-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-w-1775746818-8566-69d7bf02d1215-29227-1775746818/): Excellent from statt to finish. Very friendly and welcoming staff. Lovely, clean facilities. Dr Scarci was welcoming and made us feel at ease. Honest and informative appointment whixh was very much appreciated.
- [Review from A.m. [1775746818.8724-69d7bf02d4fff-59795-1775746818]](https://marcoscarci.co.uk/reviews/review-from-a-m-1775746818-8724-69d7bf02d4fff-59795-1775746818/)
- [Review from L.M. [1775746818.8895-69d7bf02d9298-61749-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-m-1775746818-8895-69d7bf02d9298-61749-1775746818/): Had follow up appointment with Mr Marco Scarci to go over CT scan. He explained ever thing clearly and calmly on the options I had to proceed further. I walked out full of confidence.
- [Review from J.C. [1775746818.906-69d7bf02dd2ea-54296-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-906-69d7bf02dd2ea-54296-1775746818/): Video consultation couldn’t have been made easier and very helpful
- [Review from J.C. [1775746818.9209-69d7bf02e0d38-89021-1775746818]](https://marcoscarci.co.uk/reviews/review-from-j-c-1775746818-9209-69d7bf02e0d38-89021-1775746818/): It was a video consultation, on time and very well done, couldn't have been easier. Thank you
- [Review from L.M. [1775746818.9361-69d7bf02e4885-24111-1775746818]](https://marcoscarci.co.uk/reviews/review-from-l-m-1775746818-9361-69d7bf02e4885-24111-1775746818/): Mr Marco Scarci was very patient and listened to me, he explained what the problem might be very clearly and I walked out with a lot of confidence in how the problem will be fixed. Very Happy
- [Review from C.J. [1775746818.9505-69d7bf02e80c8-44038-1775746818]](https://marcoscarci.co.uk/reviews/review-from-c-j-1775746818-9505-69d7bf02e80c8-44038-1775746818/): The you Mr Scarci for everything. Just had my follow up with Mr Scarci after my operation. Mr Scarci is happy with everything the wound is healing nicely and my x-ray was all clear.
Mr Scarci had been absolutely fantastic from the first day I met with him to the final follow up

## Pages
- [Mmesothelioma Surgery](https://marcoscarci.co.uk/mesothelioma-surgery-london-pleural-biopsy/): Whether mesothelioma is suspected or already confirmed, the two things that matter most can happen this week: a definitive diagnosis and lasting control of the fluid that is taking your breath. Both are often achieved in a single keyhole procedure — followed by straight, evidence-based guidance on what genuinely helps next.
- [All Conditions](https://marcoscarci.co.uk/all-conditions/): Expert thoracic surgery in London — when waiting isn’t an option.
- [VATS, Robotic-Assisted, Minimally Invasive Thoracic Surgery](https://marcoscarci.co.uk/vats-robotic-assisted-minimally-invasive-thoracic-surgery/): Mr Scarci specialises in video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracic procedures. More than 5,000 minimally invasive operations performed at consultant level. For most patients, keyhole surgery means a 2–4 day hospital stay rather than 7–10 days with open thoracotomy.
- [Referring Clinicians](https://marcoscarci.co.uk/referring-clinicians/): Refer a patient to Mr Marco Scarci.
- [Pectus Excavatum Treatment](https://marcoscarci.co.uk/pectus-excavatum-treatment/): The pool parties you’ve avoided. The changing rooms that make your stomach sink. The T-shirts worn in August. Pectus excavatum — a sunken or hollow chest — affects around 1 in 400 people, and the majority are told at some point that “surgery isn’t indicated” or that it’s “only cosmetic.” Often, neither is true. Mr Scarci has corrected pectus in teenagers and adults up to their 40s. It is not too late. A consultation will tell you exactly what your options are.
- [Patient Stories](https://marcoscarci.co.uk/patient-stories/): Stories from patients who found their way here.
- [Media](https://marcoscarci.co.uk/media/): Mr Marco Scarci in the media.
- [International Patients](https://marcoscarci.co.uk/international-patients/): Expert thoracic surgery for patients travelling to London.
- [Select your insurer](https://marcoscarci.co.uk/select-your-insurer/): Mr Scarci accepts all major UK private health insurers. The practice team verifies your coverage, obtains pre-authorisation, and bills your insurer directly — you pay only your policy excess.
- [Questions about thoracic surgery](https://marcoscarci.co.uk/questions-about-thoracic-surgery/): Questions about thoracic surgery — answered honestly.
- [The cost of private thoracic surgery](https://marcoscarci.co.uk/the-cost-of-private-thoracic-surgery/): The cost of private thoracic surgery — and the cost of waiting.
- [Before-consultation](https://marcoscarci.co.uk/before-consultation/): What to bring, what to expect, how long it takes, where to park. Use the interactive checklist to tick off each item before your appointment day.
- [Lung Cancer Surgery in UK](https://marcoscarci.co.uk/lung-cancer-surgery-guide-diagnosis-treatment/): Dr. Marco Scarci combines over 20 years of thoracic expertise with a genuinely patient-centred approach. He takes time to explain your options, answer your questions, and make sure every decision feels right for you.
- [Catamenial Pneumothorax](https://marcoscarci.co.uk/catamenial-pneumothorax-surgery-treatment/): Catamenial pneumothorax is a specific, diagnosable, and treatable condition — a form of thoracic endometriosis where endometrial tissue causes cyclical lung collapses timed to menstruation. It is consistently missed until someone asks the right question. This page is for women who have finally found the right words for what keeps happening to them.
- [Rib Flare: A Complete Guide for Patients](https://marcoscarci.co.uk/rib-flare-causes-treatment-surgery/): NHS funding for rib flare surgery is very limited and typically requires significant functional impairment — pain affecting daily life, sleep, or physical activity that has not responded to conservative management. For cosmetic-only indications, NHS funding is generally not available. Private surgery is an option for patients with either functional or significant cosmetic concerns. A consultation will clarify which criteria apply to your case.
- [Sternal Fractures](https://marcoscarci.co.uk/sternal-fractures-diagnosis-treatment/): Sternal fractures occur most often from road traffic accidents and falls. Most are managed conservatively with excellent outcomes. But some are unstable, non-healing, or associated with injuries that need careful assessment. This page gives you the complete picture — from first-day cardiac monitoring to surgical plate fixation.
- [Empyema Surgery](https://marcoscarci.co.uk/empyema-surgery-treatment-vats-recovery-guide/): Empyema Surgery and Treatment: a specialist guide to infected pleural fluid, diagnosis and minimally invasive surgical options by Mr Marco Scarci.
- [The Complete Guide to Hyperhidrosis Treatment: From Conservative Options to ETS Surgery](https://marcoscarci.co.uk/hyperhidrosis-treatment-guide/): If you have primary hyperhidrosis, you know exactly what this means — the damp palms before a meeting, the dark patches that appear regardless of temperature, the planning your entire wardrobe around concealment. You’ve probably tried every antiperspirant on the market. You may have had Botox injections that wore off. When conservative treatments have genuinely failed, endoscopic thoracic sympathectomy (ETS) offers a permanent, day-case surgical solution. Most patients describe the change as life-altering.
- [Chest Wall Deformities](https://marcoscarci.co.uk/pectus-excavatum-chest-wall-deformity-treatment/): Pectus excavatum, pectus carinatum, pectus arcuatum, and other chest wall anomalies are structural conditions — not cosmetic afterthoughts. Mr Scarci treats the full spectrum of chest wall deformities in teenagers and adults, from minimally invasive Nuss bar insertion to complex chest wall reconstruction.
- [Pleural Biopsy and Pleurodesis](https://marcoscarci.co.uk/pleurodesis-pleural-biopsy-diagnosis-treatment/): Whether you’re here because fluid keeps returning, because a scan has shown something unexpected, or because you simply need a definitive diagnosis — this guide explains exactly what a pleural biopsy and pleurodesis are, what to expect, and how to get the right answer, fast.
- [Complete Guide to Diaphragmatic Plication](https://marcoscarci.co.uk/complete-guide-to-diaphragmatic-plication/): Diaphragmatic plication is a keyhole operation that corrects a paralysed or severely weakened diaphragm — restoring breathing mechanics, relieving breathlessness, and removing the need for long-term ventilatory support in selected patients. Mr Marco Scarci performs this procedure using minimally invasive VATS or robotic techniques, with a typical hospital stay of 2–3 days.
- [Private Thoracic Surgeon in London — Dedicated to Being Relentlessly Helpful](https://marcoscarci.co.uk/private-thoracic-surgeon-in-london-expert-care/): Before we discuss treatment, it is helpful to understand what a consultant thoracic surgeon actually does. Many people confuse this speciality with cardiothoracic surgery or cardiac surgery.
- [About Mr Marco Scarci – Consultant Thoracic Surgeon in London](https://marcoscarci.co.uk/about-marco-scarci-consultant-thoracic-surgeon/): — Mr Marco Scarci, Consultant Thoracic Surgeon, FRCS(Eng) FCCP FACS FEBTS
- [Thoracic Outlet Syndrome (TOS)](https://marcoscarci.co.uk/thoracic-outlet-syndrome-symptoms-diagnosis/): Thoracic outlet syndrome is one of the most consistently misdiagnosed conditions in medicine. Symptoms that affect the arm, hand, shoulder, and neck — but originate in the space between your collarbone and first rib. If you’ve been through neurology, orthopaedics, and physiotherapy without a clear answer, you may be in the right place.
- [Chest and Rib Pain](https://marcoscarci.co.uk/chest-and-rib-pain-causes-diagnosis-treatment/): Most chest and rib pain is not cardiac. It comes from the chest wall — the ribs, cartilage, nerves, and muscles that make up the structure of your chest. Finding the right diagnosis matters because the right treatment is completely different depending on the cause.
- [Thymoma](https://marcoscarci.co.uk/thymoma-diagnosis-treatment-thymectomy/): Hearing the word “tumour” is frightening. But if you have been diagnosed with a thymoma — or if you have myasthenia gravis and have been told you need thymectomy — there is something important to know immediately: with the right surgery, early-stage thymoma carries a cure rate exceeding 95%.
- [Slipping Rib Syndrome](https://marcoscarci.co.uk/slipping-rib-syndrome-guide/): If this sounds like your story, you may have slipping rib syndrome — one of the most consistently misdiagnosed conditions in medicine. It is real, it has a name, and there is a treatment path. You just need a specialist who knows what they’re looking for.
- [Understanding Xiphisternum Pain: Causes, Symptoms & Relief (Xiphoid Process Pain Guide)](https://marcoscarci.co.uk/xiphisternum-pain-causes-symptoms-treatment/): If you have xiphoid process syndrome, you have probably been through the cardiac pathway — ECG, possibly echocardiogram — and told your heart is fine. You may have been treated for acid reflux for months or years without much change. The pain is real and it’s located precisely at the tip of your breastbone. In many patients, a 30-second clinical examination of the xiphoid process reveals the diagnosis that years of investigations missed. If pressing firmly on the base of your sternum reproduces your exact pain — this page is probably relevant to you.
- [Rib Fractures](https://marcoscarci.co.uk/rib-fractures-treatment-and-recovery-guide/): Most rib fractures are treated conservatively — but the most painful, complex, and slow-healing cases benefit enormously from specialist input. If you're not sleeping, can't breathe deeply, or your pain is getting worse not better, you need to be seen.
- [Surgical Management of Pneumothorax: An In-Depth Guide](https://marcoscarci.co.uk/pneumothorax-causes-symptoms-diagnosis-treatment/): Most people who experience a pneumothorax describe the same moment: a sudden, sharp pain on one side of the chest, breathlessness that doesn't make sense, and a creeping sense that something is seriously wrong. If that's you — or someone you love — the first thing to know is that this is a well-understood, treatable condition.
- [Lung Cancer Second Opinion](https://marcoscarci.co.uk/lung-cancer-second-opinion-diagnosis-treatment/): That voice is worth listening to. Research consistently shows that second opinions in cancer care lead to changes in diagnosis, staging, or treatment recommendations in a significant proportion of cases. A second opinion is not an act of doubt — it is an act of care.
- [Your Journey Through Lung Cancer: A Complete Guide for Patients](https://marcoscarci.co.uk/lung-cancer-treatment-options-patient-guide/): If you’re reading this, you may have symptoms, a lung cancer diagnosis, or be supporting someone you love. This guide clarifies each step — helping you feel calm, supported, and never alone. Early detection and the right treatment allow many people to recover and return to daily life.
- [Appointments](https://marcoscarci.co.uk/appointments/): Loading…
- [Facial Blushing Treatment: From Therapy to ETS Surgery](https://marcoscarci.co.uk/facial-blushing-treatment-therapy-to-ets-surgery/): Treatment pathway
- [Home Thoracic Surgeon in London](https://marcoscarci.co.uk/): Mr Marco Scarci
- [Understanding Lung Cancer Screening: Pros, Cons, and What to Expect](https://marcoscarci.co.uk/understanding-lung-cancer-screening/): Lung cancer screening is a medical test used to detect lung cancer at an early stage, before symptoms appear. The goal is to find the cancer when it’s more likely to be treated successfully and before the symptoms of lung cancer develop.
- [Fractured Ribs: A Complete Guide to Treatment, Recovery, and Pain Management](https://marcoscarci.co.uk/conditions/fractured-ribs-treatment-guide/): If you've recently been diagnosed with fractured ribs, you're likely feeling anxious about your recovery and wondering what treatment options are available. The good news is that most rib fractures heal well with proper care, and there are many effective treatments to help manage your pain and speed your recovery. This comprehensive guide will walk you through everything you need to know about fractured rib treatment, from immediate care to long-term recovery strategies.

## Knowledge Base
- [How long can lung cancer go undetected?](https://marcoscarci.co.uk/knowledge-base/how-long-can-lung-cancer-go-undetected/): Lung cancer goes undetected sometimes, for a significant amount of time, especially in its early stages. The specific duration varies depending on several factors, including the type and location of the tumor, the individual’s overall health, and whether they have any symptoms.
- [What happens at thoracic appointment?](https://marcoscarci.co.uk/knowledge-base/what-happens-at-thoracic-appointment/): A thoracic appointment typically refers to an appointment with a medical professional who specializes in thoracic medicine or thoracic surgery. The thoracic region of the body includes the chest, lungs, esophagus, and other organs in the area.
- [Understanding Spontaneous Pneumothorax: Symptoms, Diagnosis, and Treatment](https://marcoscarci.co.uk/knowledge-base/spontaneous-pneumothorax-symptoms/): Spontaneous pneumothorax is a medical condition where air accumulates in the pleural space, leading to lung collapse. It can occur seemingly without cause, often affecting young, tall males. The condition can be quite alarming, as it may lead to sudden chest pain and shortness of breath. Understanding this condition is crucial for early treatment and recovery.
- [Which is the most painful thoracic incision?](https://marcoscarci.co.uk/knowledge-base/which-is-the-most-painful-thoracic-incision/): The most painful thoracic incision can vary depending on various factors, such as the individual’s pain tolerance, underlying health conditions, and the specific procedure being performed. However, generally speaking, a median sternotomy incision is often considered one of the most painful thoracic incisions. This type of incision involves splitting the breastbone (sternum) vertically to gain access to the thoracic cavity. It is commonly used in open-heart surgeries and can result in significant postoperative pain. It’s important to note that pain management techniques and advancements in surgical procedures have helped to minimize postoperative pain in recent years. Always consult with a healthcare professional for specific questions or concerns regarding your condition or surgical procedures.
- [What is cardiothoracic vs thoracic surgeons?](https://marcoscarci.co.uk/knowledge-base/cardiothoracic-vs-thoracic-surgeons/): Cardiothoracic vs thoracic surgeons. Both are specialized medical professionals, but they have slightly different areas of expertise.
- [What is stage 1 lung cancer?](https://marcoscarci.co.uk/knowledge-base/what-is-stage-1-lung-cancer/): Stage 1 lung cancer refers to the earliest stage of lung cancer, where cancer cells are found only in the lungs and have not spread to nearby lymph nodes or distant organs. There are two subcategories of stage 1 lung cancer: stage 1A and stage 1B.
- [What is stage 2 lung cancer?](https://marcoscarci.co.uk/knowledge-base/what-is-stage-2-lung-cancer/): Stage 2 lung cancer refers to the extent or progression of the disease. It is a classification used to describe the size of the tumor and whether it has spread to nearby lymph nodes or other parts of the lung. In stage 2 lung cancer, the tumor is larger than in stage 1 but still confined to the lung or nearby lymph nodes. Treatment options for stage 2 lung cancer usually involve a combination of surgery, radiation therapy, and chemotherapy. It’s important to consult with a healthcare professional for a detailed diagnosis and treatment plan tailored to individual circumstances.
- [What is stage 3 lung cancer?](https://marcoscarci.co.uk/knowledge-base/what-is-stage-3-lung-cancer/): Stage 3 lung cancer refers to advanced lung cancer where the tumor has spread beyond the lung to nearby lymph nodes and other surrounding tissues. There are two sub-stages of stage 3 lung cancer: 3A and 3B.
- [What is Small Cell Lung Cancer (SCLC)?](https://marcoscarci.co.uk/knowledge-base/what-is-small-cell-lung-cancer-sclc/): Small Cell Lung Cancer (SCLC) is a type of lung cancer characterized by the presence of small, round cells that grow rapidly and spread aggressively. SCLC accounts for about 10-15% of all lung cancer cases. It is strongly associated with cigarette smoking, with the vast majority of cases occurring in current or former smokers, although it can also occur in non-smokers, albeit rarely.
- [Can lung cancer be stopped if caught early?](https://marcoscarci.co.uk/knowledge-base/can-lung-cancer-be-stopped-if-caught-early/): Yes, early detection of lung cancer be stopped significantly, which improve the chances of successful treatment and even stop the cancer from spreading further. If lung cancer is diagnosed at an early stage, it may still be localized to the lungs, making it easier to remove surgically or treat with radiation therapy. Early detection is typically achieved through regular screening methods, such as low-dose computed tomography (LDCT) scans, especially in individuals who are at a higher risk for developing lung cancer, such as smokers or people with a family history of the disease. It is important to consult with a healthcare professional for personalized advice and to discuss appropriate screening options.
- [Why would a doctor refer you to thoracic surgeon?](https://marcoscarci.co.uk/knowledge-base/why-would-a-doctor-refer-you-to-thoracic-surgeon/): A doctor may refer you to a thoracic surgeon for a variety of reasons, primarily if they suspect or have diagnosed a condition related to the chest, lungs, esophagus, diaphragm, or other organs within the thoracic region. Here are some common reasons for a referral to a thoracic surgeon:
- [Why have I been referred to a chest clinic](https://marcoscarci.co.uk/knowledge-base/why-have-i-been-referred-to-a-chest-clinic/): 1. Respiratory issues: If you are experiencing persistent coughing, shortness of breath, chest pain, recurrent respiratory infections, or any other respiratory symptoms, a chest clinic may be able to evaluate and provide specialized care for these conditions.
- [How do you sleep after thoracic surgery?](https://marcoscarci.co.uk/knowledge-base/how-do-you-sleep-after-thoracic-surgery/): 2. Use pain medications as prescribed: Take your pain medications as directed by your healthcare provider. This will help manage any discomfort and make it easier to sleep after thoracic surgery.

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