Mr Vijay Joshi

Medico-Legal Experience

Vijay Joshi is a Consultant in Thoracic Surgery and an Expert Witness. He is instructed by both Claimants and Defendants on cases of clinical negligence and personal injury. He has completed the Bond Solon expert witness course and holds a CUBS certificate in Civil Law. Mr Joshi has experience in joint expert meetings, criminal cases, single joint expert cases, regulatory cases, and has experience giving evidence in court. He holds a post-graduate certificate in Medical Law and earned an LL.B (Honours) from Nottingham Law School.

Mr Joshi has extensive experience in cases associated with:

Clinical negligence relating to:

General thoracic surgery
VATS lobectomy
Minimally invasive surgery
Lung cancer surgery, including delayed diagnosis and prognostic implications
Pleural surgery:
- Empyema and lung / chest cavity infections
- Pneumothorax, failed pleurodesis, trapped lung
Thymic surgery
Diaphragm palsy and hernia
Chest wall tumour resection and reconstruction
Lung volume reduction
Airway and tracheal procedures
Complex and high risk thoracic surgery
Complications following chest drain insertion

Personal injury relating to:

Chest trauma
Rib Fractures
Sternal Fractures
Chest Wall plating
Traumatic Diaphragm injury / hernia
Long-term implications of chest wall fractures including their impact on quality-of-life
Complications following chest trauma
Chronic chest wall pain including costochondritis

Mr Joshi’s appointment availability is from 2-4 weeks and he has a report turnaround time of 4-6 weeks.

Clinical Experience

Vijay Joshi is a U.S and U.K trained Cardiothoracic 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 both elective and as well as emergency general thoracic surgery; including trauma.

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 successfully completing the specialty board exam in cardio-thoracic 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, U.K.

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 LL.B (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, Vijay spends time mentoring regional and international medical students.

Frequently Asked Questions

Is sternal fracture within Mr Joshi's expertise?

Yes, sternal fracture is 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.

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

Is sternal fracture 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?

Publications

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Venues

Hale Private Clinic

Charterhouse Clinic

72 Rodney Street

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