Sphigot insertions
Spigot insertion specialist in Hyderabad
We offer endobronchial spigot insertion (commonly called the Endobronchial Watanabe Spigot or EWS), a bronchoscopic, minimally invasive method to occlude selected bronchi and control persistent air leaks, fistulae, or focal bleeding. This option can avoid major surgery, speed recovery and stabilize patients for further definitive care. Dr Kunal Waghray, one of the leading spigot insertion specialists in Hyderabad, offers compassionate, cuttingedge expertise in endobronchial spigot placement.
What is a spigot (EWS)?
A spigot is a small, conical silicone plug designed to occlude a segmental or subsegmental bronchus under bronchoscopic guidance. It was developed to treat persistent pulmonary air leak (PAL), bronchopleural fistula, intractable pneumothorax and has also been used to control focal hemoptysis. The device is radiopaque and implantable for extended periods when needed.
Who Benefits from Spigot Insertion?
Ideal candidates include patients with:
- Persistent bronchopleural fistula
- Nonresolving pneumothorax
- Tuberculosisassociated fistulae
- Hemoptysis or lung leakage in nonsurgical cases
The procedure is especially valuable when conventional surgery is high risk due to comorbid conditions such as tuberculosis, HIV, recent thoracic surgery, or frailty.
Why choose Dr. Kunal Waghray for spigot insertion?
- Interventional expertise: Skilled in advanced bronchoscopic occlusion techniques including spigot placement and endobronchial valve strategies.
- Contemporary practice: Uses guidewire-assisted and image-guided methods when beneficial to improve accuracy and safety.
- Multidisciplinary support: Access to thoracic surgery, interventional radiology and critical care teams for comprehensive management.
Book an Appointment
If you or a family member are dealing with a persistent air leak, postoperative bronchopleural fistula, or uncontrolled focal hemoptysis, book a consultation with pulmonologist in Hyderabad, Dr. Kunal Waghray for expert evaluation and a personalized treatment plan.
