Mr Vijay Joshi

Medico-Legal Experience

Mr Vijay Joshi is a Consultant Thoracic Surgeon and has been an expert witness since 2020. He has completed Bond Solon expert witness training and holds a CUBS certificate in Civil Law. Mr Joshi also holds a post-graduate certificate in medical law and earned an LLB (Honours) from Nottingham Law School, further demonstrating his commitment to his medicolegal work.

He accepts instructions from both claimants and defendants, and can opine on cases relating to personal injury, clinical negligence, causation, condition and prognosis, liability, and breach of duty. Throughout his time as an expert witness, he has covered a variety of different thoracic reports, including, but not limited to, rib and sternal fractures, Respiratory Tract Infections (RTI), fibrotic lung disease, lung cancer surgery, and pleural effusion.

Mr Joshi has particular specialist knowledge in pleural surgery, lung volume reduction, diaphragm palsy, and chest wall trauma, and has completed many reports on these topics. Mr Joshi is well-regarded and is known for his evidence-based, diligent, and unbiased approach to reporting.

Mr Joshi is well-versed in joint expert meetings, criminal cases, single joint expert cases, and regulatory cases, and has experience giving evidence in court. He continues to be available to provide oral evidence in court when required.

Mr Joshi has extensive experience in cases associated with:

Clinical negligence relating to:

General thoracic surgery:
- VATS lobectomy
- Wedge resection
- Lung Volume Reduction Surgery (LVRS)
- Resection of lung abscess
- Video-Assisted Thoracoscopic Surgery (VATS)
- Minimally Invasive Thoracic Surgery (MITS)
- Emphysema
- Fibrotic lung disease
- Pneumonectomy
Lung cancer surgery:
- Chest wall tumour resection and reconstruction
- Delayed diagnosis and prognostic implications
- Mesothelioma
Pleural surgery:
- Empyema and lung/chest cavity infections
- Chest drain insertion
- Pneumothorax
- Failed pleurodesis
- Trapped lung
- Pleurectomy
- Surgery for pleural tumours
- Management of fibrothorax
- Pleurodesis
- Pleural effusion
Diaphragm surgery:
- Diaphragm palsy
- Hernia
- Resection of diaphragmatic tumours
- Diaphragm disorders
Thymic surgery:
- VATS thymectomy
- Localised thymoma
- Thymolipoma resection
Other:
- Airway and tracheal procedures
- Complex and high-risk thoracic surgery
- Ventilation
- COVID-19
- Acute Respiratory Distress (ARDS)
- Extracorporeal Membrane Oxygenation (ECMO)
- Respiratory Tract Infection (RTI)

Personal injury relating to:

Chest trauma/rib fractures
Sternal fractures
Chest wall plating
Traumatic diaphragm injury
Long-term implications of chest wall fractures, including their impact on quality of life
Complications following chest trauma
Chronic chest wall pain including, costochondritis
Cardiopulmonary Resuscitation (CPR)
Pulmonary Embolism (PE)

Mr Joshi’s appointment availability is from 2-4 weeks and he has a report turnaround time of 4-8 weeks.

Clinical Experience

Mr Vijay Joshi is a U.S and U.K trained Thoracic Surgeon at Manchester University NHS Foundation Trust, having been appointed in 2018, with a focus on general thoracic surgery and thoracic oncology.

Mr Joshi’s clinical focus is in minimally invasive surgery, as well as general thoracic surgical oncology. He also treats patients who require lung cancer surgery, pleural surgery, thymic surgery, diaphragm palsy and hernia, chest wall tumour resection and reconstruction, lung volume reduction, airway and tracheal procedures and elective and emergency general thoracic surgery.

He earned his medical degree from the University of Liverpool in 2007. His foundation and core surgical training were completed in the North West, where he achieved a Gold Award, followed by cardio-thoracic surgical training in the East Midlands. In 2016, he became a Fellow of the Royal College of Surgeons (FRCSEd) after completing the speciality board exam in cardiothoracic surgery. Notably, he holds medical licensing for both Canada and the United States.

He further honed his expertise through various specialised fellowships, including a thoracic surgical observership at the University of Toronto, a two-year clinical fellowship in general thoracic and minimally invasive surgery at the Mayo Clinic in Minnesota, USA, and a robotics/minimally invasive fellowship at James Cook University Hospital in the UK.

Apart from his medical pursuits, he possesses a strong interest in Law and legal studies. He has completed a PgCert in Medical Law with Northumbria University and earned an LLB (Honours) from Nottingham Law School. Within his professional roles, he serves as a tribunal member with the MPTS and holds the position of audit lead for the Thoracic Surgery department.

He also presents research at professional conferences and gives talks as an expert in both national and international forums. Alongside this, Mr Joshi spends time mentoring regional and international medical students.

Frequently Asked Questions

are sternal fractures within Mr Joshi's expertise?

Yes, sternal fractures are within his expertise. Mr Joshi is regularly consulted for chest wall injuries and also performs complex reconstructions of the chest wall as part of his bone cancer practice. Sternal repair and/or reconstruction forms part of his routine, ongoing practice as a pure Thoracic (non-cardiac) Surgeon.

Can Mr Joshi assist with a case involving Costochondritis?

Yes, he can assist with this.

Can Mr Joshi assist with rib injuries?

Can this be changed to..
Yes, Mr Joshi is consulted by both district general hospitals and tertiary trauma units to advise on the management of rib fractures. Plating and reconstruction forms part of his routine, ongoing practice as a pure Thoracic (non-cardiac) Surgeon.

Can Mr Joshi comment on cases relating to lung transplants?

Mr Joshi does not perform, nor manage, patients who undergo lung transplants on a regular basis, so cannot comment on this.

Does Mr Joshi complete screening reports?

Publications

Book Chapters

Dimarakis I, Joshi V, Hesford W, Asimakopoulos G. Minimized Extracorporeal Circulation: Physiology and Pathophysiology. In: Minimized Cardiopulmonary Bypass: Techniques and Technologies. Gourlay T, Gunaydin S. Cambridge: Woodhead Publishing Ltd. Apr 2012

Mr Joshi’s up-to-date list that is regularly updated. The link is> https://www.researchgate.net/profile/Vijay-Joshi-7

Published Manuscripts

Wilshire C.L, Blitz S.L, Fuller C.C, Rückert J.C, Li F, Cerfolio R.J, Ghanim A.F, Onaitis M.W, Sarkaria I.S, Wigle D.A, Joshi V, Reznik S, Bograd A.J, Vallières E, Louie B.E. Minimally invasive thymectomy for myasthenia gravis favours left-sided approach and low severity class. European Journal of Cardiothoracic Surgery (in press).
Taylor M, Charlesworth M, Hayes T, Joshi V. Aetiology, management and strategies for prevention of postoperative respiratory failure (PORF) after thoracic surgery. Shanghai Chest Journal 2020, 1-11.
Joshi V, Dimarakis I. Objective analysis of postoperative air leaks can aid in decision-making, but does the use of digital drains really impact patient outcomes? J Thorac Dis. 2020 Aug; 12(8): 3927–3929.
Taylor M, Joshi V. The use of near infra-red fluorescence mapping with indocyanine green in thoracic surgery: an exciting real-world clinical application of an established scientific principle. VATS Vol4. Sep 2019
Joshi V, Cassivi SD, Milbrandt TA, Larson AN. Video-assisted thoracoscopic anterior vertebral body tethering for the correction of adolescent idiopathic scoliosis of the spine.Eur J Cardiothorac Surg. 2018 Dec 1;54(6):1134-1136.
Joshi V, Offer G, Richards C, Rathinam S. Chest Wall Resection and Reconstruction for Rosai-Dorfman Disease Masquerading as a Chest Wall Sarcoma. Ann R Coll Surg Engl 2018 Feb;100(2)
Vaja R, Sharkey A, Joshi V, Faulkner G, Harvey C. Should Neonates with Severe Congenital Diaphragmatic Hernia be Given the Option of ECMO? Eur J Cardiothorac Surg 2017 Sep 1;52(3):552-557
Vaja R, Joshi V, Dawson AG, Waller DA. Is Diagnostic VAT Thymectomy an Acceptable First-Line Approach To The Suspicious Mediastinal Mass? J Minimum Access Surg 2017 Oct-Dec;13(4):286-290
Vaja R, Joshi V, Faulkner G, Porter R, Harvey C. 5-Year Experience with Mobile Adult ECMO in a Tertiary Referral Centre. J Critical Care 2015 Dec; 30(6):1195-1198
Joshi V, Vaja R, Richens D. Cost Analysis on the Potential Benefit of Gentamicin Impregnated Collagen Sponges in Preventing Sternal Wound Infection Post Cardiac Surgery. J Wound Care 2016 Jan;25(1):22-5
Joshi V, Prosser K, Richens D. Early Prosthetic Valve Degeneration with Mitroflow Aortic Valves: Determination of Incidence and Risk Factors. Interact Cardiovasc Thorac Surg 2014 Jul;19(1):36-40
Prosser K, Joshi V, Skyoles J, Richens D. Severe Mitral Regurgitation Secondary to Atresia of the Posterior Mitral Valve Leaflet in the Adult: Is Repair Always Best Practice? Thorac Cardiovasc Surg Rep 2015 Dec;4(1):34-6
Joshi V. Out of Hours Intensive Care Unit Cover by Nurse Practitioners: Does This Have a Detrimental Effect Towards Critical Care Exposure to the Cardiothoracic Trainee? Eur J Cardiothorac Surg 2013 Nov ;44(5):967
Joshi V, Harvey C, Nakas A, Waller DA, Peek G, Firmin R. Thoracic Surgery in Adult Patients Receiving Extra Corporeal Membrane Oxygenation (ECMO): a 16 Year Experience. Perfusion 2013 Jul; 28(4):328-32.
Joshi V, Kirmani B, Zacharias J. Thoracotomy versus VATS: Is There an Optimal way to Treat Pneumothorax? Ann R Coll Surg Engl 2013 Jan;95(1):61-4.
Ashrafi M, Joshi V, Zammit M, Telford K. Intussusception of the Appendix Secondary to Mucinous Cystadenoma: A Rare Cause of Abdominal Pain. Int J Surg Case Reports 2011;2(2);26-27.
Joshi V, McShane J, Soorae A, Page R, Carr R, Mediratta N, Shackcloth M, Poullis M. Clinical Upstaging Of Non-Small Cell Lung Cancer That Extends Across The Fissure: Implications For Non-Small Cell Lung Cancer Staging. Ann Thorac Surg 2011;91:350-353.
Devbhandari M, Joshi V, Barber P, Krysiak P, Shah R, Jones MT. Active Treatment Rates For Lung Cancer In South Manchester: Are We Doing Enough? Interact Cardiovasc Thorac Surg 2010;11:411-14.
Joshi V, Koulaouzidis A, McGoldrick S, Tighe M, Tan C. Actinomycotic Liver Abscess: A Rare Complication of Colonic Diverticular Disease. Ann Hepatology 2010;1(9):96-98.
Joshi V, Harding GEJ, Bottoni DA, Lovell MB, Forbes TL. Determination of Functional Outcome Following Upper Extremity Arterial Trauma. Vasc Endovascular Surg 2007; 41(2):111-4.

Abstracts

Sharkey A, Vaja R, Fennell D, Joshi V, LeQuesne J, Muller S, Nakas A, Richards C, Waller DA. P180 Importance of Accurate Pre-operative Biopsy in the Radical Management of Mesothelioma – Don’t Blame the Physician Just Keep Taking more Bites. Thorax 2014;69:A154-55.
Joshi V, Ismail N, Vaja R, Nakas A, Waller DA, Rathinam S. Audit of Trauma Practice in a Tertiary Referral Thoracic Surgical Centre in the United Kingdom: Implications of a Blanket Policy on the Admission of Blunt Thoracic Trauma Under Thoracic Surgeons. Interact Cardiovasc Thorac Surg 2014 Oct;19 (spple_1).
Dawson AG, Baines C, Joshi V, O’Byrne KJ, Waller DA. Excision of the Primary in Stage IV Non-Small Cell Lung Cancer (NSCLC): A Feasibility Study. Lung Cancer 2014; Jan; 83(1):S78.
Joshi V, Tack G, de Ramon A. Collins A. Intercostal Chest Drain (ICD) Insertion: Knowledge of Guidelines and Training in a UK District General Hospital (DGH). Am J Respir Crit Care Med 197;2009:A5211.

Venues

Hale Private Clinic

Altrincham, WA15 9NN

Charterhouse Clinic

London, W1H 2HL

72 Rodney Street

Liverpool, L1 9AF

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Mr Vijay Joshi

Medico-Legal Experience

Clinical Experience

Frequently Asked Questions

are sternal fractures within Mr Joshi's expertise?

Can Mr Joshi assist with a case involving Costochondritis?

Can Mr Joshi assist with rib injuries?

Can Mr Joshi comment on cases relating to lung transplants?

Does Mr Joshi complete screening reports?

Publications

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Venues

Hale Private Clinic

Charterhouse Clinic

72 Rodney Street

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