Lymphedema is a condition that typically affects the arms and legs. The most common cause of this condition is damage to the lymph nodes or their removal as part of a cancer treatment program. There is no known cure for this condition. However, surgeries such as Vascularized lymph node transfer surgery may help deal with it better.

Vascularized lymph node transfer surgery involves replacing the affected lymph nodes with healthy lymph nodes from other parts of the body. This allows blood to flow more easily and restores or augments the lymphatic drainage system. In most cases, the healthy lymph nodes are harvested from the patient s groin. This procedure is relatively new, and its limits are still being explored by doctors. In cases of breast cancer that causes lymphedema in the upper limbs, this procedure may be performed along with breast reconstruction.

To be a viable candidate for this procedure the patient must have maximized control over lymphedema through other forms of lymphedema therapy. This therapy will need to be restarted after the surgery to ensure good results. The lymphedema diagnosis should also be less than 5 years old such that the patient s lymphedema is in its early stages.

As with any other surgical procedure, there are certain risks associated with this procedure. These can include

Reaction to anesthesia
Bleeding
Infection
Scarring at the site and poor healing
Damage to adjacent blood vessels
Nerve damage that can cause a temporary loss of sensation
Muscle weakness
Numbness ta the sites from where healthy lymph nodes were harvested
Risk of Lymphedema in the area where the lymph nodes were harvested from
After the surgery, the patient will need to keep pressure off the site where the lymph nodes have been transferred. The surgery site may be bandaged but compression garments will not need to be worn. On being discharged the patient may resume normal activities such as driving and work. High-intensity exercises that involve the use of the operated limb should be avoided for at least a month after the surgery. Compression garments should not be used until recommended by the doctor or a minimum of 2 weeks post-surgery. They will also need to schedule review consultations with the doctor. The schedule followed usually involves check-ups after 2 weeks, 1 month, 3 months, 6 months, 9 months and 1 year. 

Lymphedema - Vascularized Lymph Node Transfer Surgery!

Microdermabrasion is a quick and painless treatment that accelerates the rate at which dead skin is exfoliated, and jump-starts the proliferation of new skin cells. Your dermatologist may recommend a series of microdermabrasion treatments, which can treat hyperpigmentation, sun-damaged spots, dryness, fine lines and wrinkles and even minor acne scars. Microdermabrasion can be coupled with just about any other type of skin treatment and is usually recommended to be done every few weeks to every two or three months.

Suitable for all but the most sensitive skins, microdermabrasion combines vacuum suction with tiny abrasive crystals to polish away the uppermost layer of skin, eliminating roughness as well as fine lines and wrinkles. It is a quick and virtually pain-free procedure that uses tiny, rough aluminum crystals to vigorously exfoliate the top layer of the skin, removing dead skin cells. 

How is a microdermabrasion procedure performed?

Most often, your microdermabrasion treatment will be performed by a licensed skincare professional in your plastic surgeon's office or medical spa.

There are two general methods for microdermabrasion:

Crystal Microdermabrasion: For this type of microdermabrasion, a handpiece emits crystals onto the surface of the skin, resulting in a gentle abrasion or "polishing" process. Then the dead skin cells along with the crystals are suctioned off either instantaneously (in the same handpiece) or in a secondary process.

Diamond-Tip Microdermabrasion: This type of microdermabrasion works with a diamond-tip handpiece that gently abrades and exfoliates dead skin cells. Like the crystal microdermabrasion, the dead skin is either suctioned off right away in the same handpiece or in a secondary process. The diamond-tip microdermabrasion is safer to perform closer to the eyes and has more flexibility in sensitive areas or on more sensitive skin.?

Ideal Candidates:

Microdermabrasion works best for anyone looking to revitalize their skin. If you have any of these conditions, you are a candidate for microdermabrasion:

 Fine lines and wrinkles
 Hyperpigmentation or sun spots
 Dry skin
 Minor acne scars
 Blemishes or large pores
Acne:

Acne is a skin condition that leads to the outbreak of pimples and sores as well as whiteheads and blackheads. These have a reddish appearance and make the skin look less than ideal. With the help of microdermabrasion, one can gradually reduce the appearance of light scarring and make the skin look even toned.

Rosacea:

This is an inflammation-based skin condition which leads to the appearance of prominent blood vessels as well as other kinds of skin eruptions. Microdermabrasion can come to the rescue of the patient who is suffering from severe symptoms of this condition.

When to Avoid Microdermabrasion:

This procedure should be avoided by people who have sustained deep scars. Also, anyone who has active keloids and lesions that are yet to be diagnosed should avoid this treatment as it may lead to an aggravation. Further, anyone who is suffering from an immune system disorder or diabetes should also avoid this kind of treatment as it may lead to complications. If you have had a chemical peel recently, you should also steer clear of this kind of treatment as it may lead to inflammation, swelling and bleeding on the skin which is already tender from the previous treatment.

All About Microdermabrasion

Endometriosis is a condition where the endometrial tissue lining the womb, grows outside the urethral lining. This can cause severe pelvic pain and a host of other complications, if it is not treated on time. 

Here is everything you need to know about this ailment.


- symptoms: owing to the location of this tissue and its painful protrusion through the lining or walls of the womb, one of the earliest and most painful symptoms experienced may include severe cramps and pain during the menstrual cycle. Also, the patient will experience pain in the lower abdomen region about a week before the onset of the cycle. Heavy bleeding as well as infertility may be experienced in such cases too. Sexual intercourse will also give rise to pain in the region, while discomfort will be felt during the bowel movements. Pain in the lower back will also be experienced throughout the menstruation period. 


- stages: there are several stages of this disease and its progression, each of which will require a different form of treatment. These four stages usually depend on the location, size, depth and number of the endometrial implants within the body of the patient.


- minimal stages: in this stage, usually there will be small wounds and lesions as well as shallow implants on the ovaries. Inflammation in the pelvic cavity can also be felt in this stage.


- mild stage: in this stage, there will also be light lesions and shallow implants which will spread over the ovaries as well as the pelvic lining.


- moderate stage: in this stage, the implants will dig deeper into the ovaries and the pelvic lining, which will result in the growth of even more lesions.


- severe stage: as the name suggests, in this stage the patient will experience deep implants along with lesions in the bowels and the fallopian tubes.


- treatment: there are varied forms of this treatment including pain relief medication for minimal to mild stage patients. Also, hormonal therapy with the help of supplements may be prescribed. Hormonal contraceptives may also be used. In such cases, medication like danazol, medroxyprogesterone, 

Gonadotripin releasing hormone agonists, and other such elements may be prescribed. Conservative surgery and radical surgery may follow, depending on the severity of the condition. Laparoscopy is the preferred form of treatment in such cases. A hysterectomy can be conducted as a final resort where the surgeon will remove the cervix as well as the uterus of the patient. This will make pregnancy impossible for the patient, thereafter. To stem estrogen production, the ovaries will also be removed. 


One must discuss all risks and complications before going in for a certain form of treatment for this ailment.

Symptoms, Stages and Treatment of Endometriosis

A chemical burn can occur owing to a number of substances, for instance, if the skin comes in contact with strong acids, bases, irritants, gasoline, paint thinner and drain cleaners then it react with your skin. Chemical burns are also termed as caustic burns. The symptoms usually depend on the intensity of a burn, which include redness, irritation, numbness, pain, the skin turning black and dead or even vision loss, if the chemicals come in contact with the eyes.


What are the Do s and Don ts?
Do away with those chemicals, which have caused the burn or wipe off the dry chemicals. It is safe to use towels or put on gloves for this work.
Remove jewelry or any contaminated clothing to avoid further burning and inflammation of the skin.
Rinse off the affected area immediately with cold water. 
Loosely wrap the area with sterile gauze or a bandage.
If required, you can even opt for pain relievers such as naproxen sodium, ibuprofen or acetaminophen.
Consider taking a tetanus injection, but at the same time, ensure that your booster is up-to-date.
Refrain from applying an antibiotic ointment over the burnt area or neutralizing it with an alkali or acid. This may aggravate the burn.


When should you seek an emergency care?
When the person exhibits sign of shock such as shallow breathing, pale complexion or is experiencing bouts of fainting.
When the chemical burn pierces through the upper layer of the skin, occupying an area of above 3 inches in diameter.
When the chemical burn has spread to the buttocks, groin, face, feet, hands, eyes or even the limb.


Chemical Burns - Do's and Don'ts You Must Follow

It is hard to escape the harsh rays of the sun during summers. Staying outdoors for too long will lead to tanned skin, which is a sign of skin damage. Sometimes skin damage can get severe and lead to diseases like skin cancer. To prevent your skin from damaging and keep it healthy, here are seven pro tips:

1. Aever skip the sunscreen: sunscreen with spf 15 or more will help in protecting your skin from harmful uv rays. Even if you are going to be out in the sun for more than 15 minutes, make sure to apply sunscreen generously. Remember, the higher the spf, the better is the protection.

2. Always wear sunglasses: sun damage can lead to premature signs of aging; especially wrinkles around the eyes since the skin around your eyes are very thin. Wider lenses that can block out 99% of sun rays are recommended to protect your eyes.

3. Your lips need protection too: just like your eyes, the skin is much more delicate and thinner on your lips. Your lips are susceptible to tanning as well, along with the risk of fine lines around the mouth if not well protected. Always apply a lip protection balm when going out.

4. Upf clothing: garment with special upf (ultraviolet protection factor) coating can shield you from harmful uva and uvb rays. Like spf, the higher the upf, they better it will protect you. Regular clothes can protect you as well, provided they are woven tightly and are of a darker color.

5. Keeping a close look at the time: uv rays are the strongest and mostly harmful from 10 a. M. To 4 p. M. If you are out during these hours, do not forget the sunscreen, umbrella and sunglasses.

6. Don't forget to protect your head: a hat with a brim of 2 to 3 inches all around shield the skin of your neck, face and ears and protects you from skin damage.

7. Apply religiously: even if your sunscreen promises that it is sweat proof, waterproof or rub proof, it never completely is, as no product works the same for everybody. So apply your sunscreen throughout the day.

How to Prevent Our Skin From Sun Damage

The tissue that lines the uterus is known as the endometrium. In some cases, it can grow outside the uterus. This is known as endometriosis. Endometriosis usually involves organs in the pelvic cavity such as the ovaries, fallopian tubes, bowel and lining of the pelvic cavity. In rare cases, it may involve the vagina, cervix and bladder as well.

Depending on the location and extent of endometrial tissue, it can be classified into four stages ranging from minimal to severe. Most cases of endometriosis fall into the minimal or mild category which involves mild scarring and superficial tissue implants. Moderate or severe endometriosis can cause cysts and severe scarring. Infertility is also commonly associated with severe endometriosis.

Pain in the pelvic area just before and during menstruation is one of the most characteristic symptoms of this disorder. This is because the overgrown endometrial tissue acts like normal endometrial tissue and is shed during menstruation. The only difference is that since there is no exit for this overgrown tissue, it is trapped in the pelvic cavity. The location of the implantation of endometrial tissue also plays a role in the amount of pain experienced. The deeper the implant, more the pain. Implants near areas with high nerve density are also more likely to be painful than implants in areas with low nerve density.  These implants may also release substances into the blood stream that can cause pain.

Other symptoms associated with this disorder are:
  Painful intercourse
  Painful urination
  Pain during bowel movements
  Infertility

These symptoms especially the pelvic pain can vary from month to month in terms of duration and intensity.

A few simple changes in your diet can help manage the symptoms associated with this disorder and in some cases, prevent it as well. Avoid processed food and foods that are high in sodium content. You should also avoid high-fat dairy and food that is rich in arachidonic acid. Instead, increase your consumption of carbs and green leafy vegetables. You could also add two tablespoons of walnut oil a day to your diet to help combat inflammation and the other effects of arachidonic acid.

Early stages of this disease can be treated with hormone therapy, but if it has progressed to the later stages, surgery may be needed. This surgery is performed laparoscopically and aims at removing all the implanted tissue from outside the uterus. However, in cases where the anatomy of the pelvic organs has been distorted by the implants, a hysterectomy may be required. This option, however, it usually considered only in cases where a woman does not have any plans of conceiving more children. 

Endometriosis - How It Is Affecting Your Life?

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