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Surgery Health Feed

Minimally Invasive Spine Surgery - Do You Need It?

Dr. Avinash Jain 87% (84 ratings)
MBBS, DNB - Orthopedics/Orthopedic Surgery
Orthopedist, Indore
Minimally Invasive Spine Surgery - Do You Need It?

The spine plays a very crucial role, both from a person’s movement and sensation point of view. It carries the nervous supply for a lot of internal organs and the lower body. By virtue of its structure, it also helps in movement through the disks. Due to various reasons, spinal injury is common, causing pain along the back, lower extremities, neck etc.

Medicines and exercise are the first line of treatment for most spinal injuries. The issue, however, is that these only provide relief from the pain and the medicines, but do not actually ‘rectify’ the underlying problem. Whether it is a herniated disk or a pinched nerve, the medicines and exercise can relieve the symptoms, but the disk continues to be herniated and the nerve continues to be pinched. Definite treatment is in the form of surgery, and with recent advancements in the field of spinal surgery, there are minimally invasive surgical options, which provide complete cure with minimal recovery time. Some of the benefits of this are listed below-

  1. Smaller incision compared to traditional surgical procedures, where only the injured area is accessed

  2. The surrounding tissues are untouched, unless they are injured and require repair

  3. Lesser bleeding compared to earlier techniques

  4. Lesser painful procedure

  5. Reduced hospitalization period

  6. Quicker recovery and return to normal activities

The question, however, is whether this is indicated in everybody. A detailed discussion with your surgeon keeping the below points in mind will help identify the answer for this. The main driver should be the answer to the question – will the surgery be able to effectively relieve you of the pain and symptoms? Additionally, the following factors help in getting better results out of a minimally invasive spinal surgery.

  1. Presence of symptoms relating to nerve compression, including pain from the spine down the leg.

  2. Recent onset of symptoms, with pain starting days to months before seeing the doctor. This indicates the condition is relatively new and so damage is minimal, indicating favorable outcome. Chronic pain conditions take slightly longer time compared to recent injuries.

  3. People with active lifestyle who engage in regular physical exercise are likely to have better benefits from the minimally invasive procedure.

  4. Smoking reduces blood flow to the spine, leading to disk degeneration and weakening of bones. Healing is highly slowed down and recovery is overall delayed.

  5. Excessive weight puts strain on the back, and so healing can be delayed or badly affected with more complications. It is not a contraindication, but be prepared for a longer recovery period.

Talk to your doctor keeping these points in mind, and you can bid farewell to your back pain forever.

Plastic Surgeon - Tips To Choose The Best One

Dr. Abhinav Likhyani 88% (35 ratings)
MBBS, DNB - Orthopedics
Orthopedist, Chandigarh
Plastic Surgeon - Tips To Choose The Best One

Like any other surgery, cosmetic surgery has risks but if you choose the right surgeon, these risks can be effectively lowered. This decision can make all the difference between a surgery that enhances your confidence and one that brings complications and heartache. Your 'gut feeling' is not good enough to pick out a cosmetic surgeon. Being certified by the medical board is an absolute must.

Let's look at a few other things to keep in mind:

What is the doctor's specialty?

Plastic surgery is a vast field. While some surgeons specialize in facial reconstruction, others specialize in breast implants. When picking a surgeon, it is important that they have enough expertise in the procedure you want. Have a candid conversation with the doctor about the risks and benefits of the procedure you are about to undergo. No surgery is without risks and do not believe any doctor who tells you so. Avoid undergoing multiple procedures at once, and trying to find one doctor who can do it all.

What are the operating facilities like?

While some surgeries are performed in the doctor's office, others need a surgical facility. The success of your procedure depends not only on the surgeon but also on his staff and the operating facilities. Do not be afraid to ask about the anesthetist's qualifications and the certification of the operating facility. Ensure that they have key life support equipment on hand just in case. 

Does the doctor's aesthetic sense match yours?

Plastic surgery is largely a matter of aesthetics. What one person considers pretty may not be quite that attractive to the other person. Thus it is essential for you and your plastic surgeon to share a common sense of aesthetics. Ask to see pictures of the results of surgeries similar to what you want performed by the doctor. Depending on the procedure you want and the body part affected, look for patients with similar concerns and facial structure or body shape etc.  These photographs should give you an idea of how the surgeon will tailor the procedure to address your concern. 

Do you feel an emotional connect with the doctor?

'Gut feeling' cannot be completely ignored when it comes to choosing a plastic surgeon. You are putting the way you look in this doctor's hands, and hence it is important for you to feel secure in his care and to trust him. Your doctor should encourage you to ask questions and you should feel comfortable talking about your complete medical history with him or her. Also consider the staff and how you feel about them. 

This decision is not one that can be made hastily, so take your time and make sure that you are going for the best doctor before going under the knife. 

How To Avoid Constipation After Back Surgery?

Dr. Shrikant Kurhade 89% (10 ratings)
M B B S, MS - General Surgery, Fellowship of National Board(Minimal Access Surgery)
General Surgeon, Pune
How To Avoid Constipation After Back Surgery?

For people recovering from a back surgery, constipation is quite common and causes discomfort or pain. There are several aspects of a back surgery which may lead to constipation. They include anaesthesia, changes in diet, stress and the use of some pain relieving medicines.

Symptoms:

  1. The symptoms of constipation are:
  2. Pain and bloating in the abdomen.
  3. Nausea and vomiting.
  4. Hard stools and the inability of bowel movement.

Ways to prevent constipation:
Here are several simple ways by which you can prevent or minimize pain or discomfort due to constipation after a back surgery.

  1. You should increase your daily activities as early as possible after a back surgery. You should walk regularly.
  2. You must reduce the use of narcotic medicines and use only what is needed for controlling pain. Narcotic medicines slow bowel movement and cause constipation. Use non-narcotic pain relieving medicines to prevent constipation.
  3. You can use fiber laxatives, stool softeners or combination products after a back surgery to prevent constipation.
  4. Drinking a lot of water and non caffeinated fluids is very important. You should also have apple cider juice and prune juice, which are effective natural laxatives.
  5. You should eat natural fiber-rich food for intestinal stimulation. These include whole grains, cereals, fresh fruits and vegetables. It is best to avoid cheese, meat and processed food. Instead of large meals, you must have frequent, small meals throughout the day.

Medicines for constipation:
Non prescription medicines can be taken for preventing or treating constipation after a back surgery.
Here is a list of some effective medicines that relieve constipation:

  1. Bulk fiber laxatives, which add bulk to stool and encourage water to stay in the colon. These medicines need up to three days to show effect.
  2. Stool softeners or emollient laxatives help in softening stool by making fluids mix with them.
  3. Stimulant laxatives take action by stimulation of bowel contractions for moving stool out. They are effective and start working very quickly.
  4. Combination laxatives perform the functions of laxatives and stool softeners together.
  5. Suppositories also perform the dual function of stool softening and acting as laxatives. The colon gets contracted, and stool is pushed out and as the stool gets softer, it can pass easily.
  6. Enemas perform the function of bowel movement stimulation. Liquids are injected into the rectum, up into the colon. This stimulates the colon, and stool is passed.

Constipation occurs commonly in patients after undergoing a back surgery. This may cause utter discomfort and pain. You should take proper precautions and remedies in case of constipation after a back surgery.

Jaw Line Surgery!

Dr. Punit Dubey 89% (113 ratings)
MDS - Oral & Maxillofacial Surgery
Cosmetic/Plastic Surgeon, Ghaziabad

A strong jawline portrays confidence, self esteem and strength. A chiselled jaw is frequently desired by both men and women seeking to enhance their face.

To fill in custom made requirements using 3d planning, 3d designing and 3d printing of jaws, it is now possible to get best available and predictable results.

Know more about advance jawline correction.
 

What To Expect From Piles (Hemorrhoids) Surgery?

Dr. Anupama Pujar K 85% (11 ratings)
MS - General Surgery, FMAS, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)
General Surgeon, Bangalore
What To Expect From Piles (Hemorrhoids) Surgery?

Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. Comprised of vital tissues, blood vessels, elastic and muscle fibers, Hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small arteries that make up hemorrhoid causing them to enlarge and swell with blood.

Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors.

Surgery For Piles - What To Expect? 
Piles are a common ailment, albeit distressing, which can be treated with proper operative measures. Piles refer to hemorrhoids which have become swollen or inflamed. 

Comprised of vital tissues, blood vessels, elastic and muscle fibers, hemorrhoids are masses and clumps of tissue cushioning and lining the anal canal. The inflammation occurs when there is a rise in the pressure in the small veins that make up hemorrhoid causing them to enlarge and swell with blood. Besides the fact that piles, also called as pathological hemorrhoids, can be extremely painful, not operating can give rise to severe health issues other than severe anemia and weakness. There are different types of piles surgery procedures conducted according to individual needs as prescribed by individual doctors. 

Sclerotherapy 
This procedure involves injecting a chemical into hemorrhoids. The chemical causes the hemorrhoids to contract and stop bleeding. Most individuals encounter little or no pain with the shot. In the case of small internal hemorrhoids, Sclerotherapy is shown to have the best benefit rates. 

Stapled Hemorrhoidopexy 
Stapled Hemorrhoidopexy, also commonly known as MIPH, is a form of surgery which requires 12 hours of hospitalization. This process necessitates general, regional, or local anesthesia. This kind of surgery is used to handle hemorrhoids that have already prolapsed. A surgical staple fixes the prolapsed hemorrhoid inside your rectum and cuts off the blood supply so that the tissue can contract. Recovery from hemorrhoidopexy is less painful and takes lesser time than the recuperation period of a hemorrhoidectomy. 

Haemorrhoidectomy 
Excision used to be prescribed for hemorrhoid sufferers. This therapy involves the surgical removal of the hemorrhoids with a cautery, laser or knife. Although these methods are slightly different, the outcomes are identical. Excision results in discomfort and pain in the perianal area that lasts from two weeks to two months. The pain during bowel elimination also lasts for approximately the same time. 

Management of the hemorrhoids with proper medication, diet and workout is by far the safest way to go. Only in the case of lifestyle changes failing to solve the condition, surgical interference should be considered.

1 person found this helpful

Surgery For Diabetic Foot - What All Should You Know

Dr. Binod Samal 83% (10 ratings)
MBBS, MS - General Surgery, Laparoscopic, Burns & Plastic
General Surgeon, Delhi
Surgery For Diabetic Foot - What All Should You Know

Surgery is an art and surgeons are artists. It is a grueling process and requires extreme dexterity and quite a bit of courage. It is a process where specialized tools are used to remove unwanted tissues, infections or treat an injury or to reshape the human body.

A surgeon is a person who executes the process of surgery. A surgery team is made for these operations which is highly delicate and life risking task. Surgeon’s have their own assistants who assits or helps with the surgical equipments as instructed by the surgeon.

Foot infections are a very common problem in diabetic people. A very miniscule cut can turn into an untreatable infection and can claim a person’s life. A diabetic person loses the ability to repair and thus  the body is unable to repair itself. Prompt medical actions must be taken to treat the affected person and it is an extremely delicate procedure.

TYPES OF SURGERIESBASED ON TIME

  1. BASED ON PURPOSE
  2. TYPE OF PROCEDURE
  3. BY BODY PART
  4. BY EQUIPMENTS USED

Prevention

There are certain prevention methods of diabetic foot like regulating glucose levels, identification of the problem, proper self-care and self-examination. Doing routine examination of the foot is a necessary step and one should apprise one’s doctor of any development of any kind of infections. Wearing proper footwear is another essential.

Wearing improper footwear that cause repeated trauma to the foot may cause infections. The aim of a foot surgery is to control the infection without losing the limb. The skilled and able surgeons do this by removing the pus, removing every affected tissue and by making a healthy wound bed. In the whole process one should keep in mind the functionality of the affected foot. Untreated infections may create pressure points and trigger the infection again.

Classifications of foot infections

  1. A depth of the infection
  2. The severity of the infection
  3. The amount of tissue involved
  4. The anatomic site affected
  5. The causative factors

The treatment of the infections includes detection of the infection and it is considered an infection if the following symptoms are present

Symptoms

Infections may give rise to recalcitrant hyperglycemia and malaise, but systemic inflammatory manifestations may be absent. Patients with a serious conditions, may have an elevated erythrocyte-sedimentation rate or C-reactive protein level. With deep infections bone involvement is a concern. One study suggested that in the presence of an infection, a high specificity and positive predictive value for osteitis when the bone is felt with a sterile metal probe.

Clinical, radiological, and/or scintigraphic signs compatible with osteitis may lead to suspicion, but MRI is the imaging procedure of choice for classifying osteomyelitis from other conditions, like neuroarthropathy. A  study showed that on MRI of the infected foot, the nonenhanced areas represent infected tissue. Lack of enhancement in these areas can mask the presence of abscesses and osteomyelitis. This type of healing process requires time and patience and utmost self care.

Duodenal Switch With Biliopancreatic Diversion - Know More About This Surgery!

A V Hospital 85% (30 ratings)
Bariatrician, Bangalore
Duodenal Switch With Biliopancreatic Diversion - Know More About This Surgery!

A biliopancreatic diversion with duodenal switch is a less common kind of weight-loss procedure. The procedure is conducted in two steps. The first step involves sleeve gastrectomy, where about 80 percent of the stomach gets removed, hence leaving behind a small stomach, in the shape of a tube. Though the valve, which releases food to the small intestine remains intact along with a small portion of the small intestine that normally stays connected to the stomach. The second step ensures that the major part of the intestine gets bypassed through connecting the end portion of the intestine to the duodenum close to the stomach. A Biliopancreatic Diversion (BPD) puts a limit on how much one can eat and thus reduces the nutrients from getting absorbed, which includes fats and proteins.

BPD is usually conducted as a single procedure but in some selective situations, the procedure might get performed as two separate operations, sleeve gastrectomy and that is followed by intestinal bypass once the process of losing weight has begun.

Why the surgery is conducted?
A Duodenal Switch with Biliopancreatic Diversion is done in order to assist a person in losing excess weight and thus reduce the risk of developing potential life-threatening health problems related to health, which includes:

Eligible candidates for the surgery

  • This surgery is mostly done only when people have tried to lose weight by making improvements in their diet and exercise habits.
  • Still, this surgery is not for every individual who is overweight. People would have to go through an extensive process of screening to determine if they qualify.
  • Patients, who become eligible, have to be willing to make permanent changes so as to lead a healthy lifestyle both before as well as after the surgery.
  • This might include long-term plans where they follow-up by monitoring if they are maintaining their nutrition, lifestyle, behaviour and also their medical conditions.

Risks associated with the surgery
This particular surgery, as with any other surgery, carries some potential risks. They are both in the short-term and in the long-term.

Risks associated with BPD/DS are similar to any abdominal surgery and include:

When Is Brain Surgery Most Required?

Dr. Ravindra Srivastava 84% (31 ratings)
M.Ch, MS, MBBS
Neurosurgeon, Greater Noida
When Is Brain Surgery Most Required?

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson's disease
  9. Any kind of pressure after an injury
  10. Abscesses9290
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding9290
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease.

How To Treat Vaginal Vault Prolapse?

Dr. Tejaswi Kamble Kamble 91% (10 ratings)
MS - Obstetrics and Gynaecology, MBBS
Gynaecologist, Mumbai
How To Treat Vaginal Vault Prolapse?

Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse.

The treatment of Vaginal Vault Prolapse varies with the severity and extremity of your symptoms. Your healthcare provider may suggest medications and physical therapy to treat your condition, if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.  You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include, backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

Treatments:

  1. Medication: Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your healthcare provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.
  2. Physical therapy: Most healthcare experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms. 
  3. Surgery: Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments, which support the uterus to solve the problem.

Liposuction Surgery Is The Best Option To Get Rid Of Genetic Fat!

Dermatologist, Pune
Liposuction Surgery Is The Best Option To Get Rid Of Genetic Fat!

Your genetic background influences where your body fat is stored. In case your mother or father has fat stored in the abdomen, hips, waist or in the thigh, it is likely for you to develop deposits of fat in the same regions.

Circumstances of genetic fat

1. You may have a proper or a balanced BMI (body mass index) but still tend to develop bulges in areas, which are likely to make you look disproportional.

2. You may become obese by development of excess fat accumulation in the lower abdomen region, referred to as pannus. Extra fat may accumulate in your lower back and hips as well, which cannot be lost in spite of taking weight losing measures.

Liposuction to get rid of extra fat

Liposuction is a cosmetic surgery that allows you to remove genetic fat or any extra fat from the body, in order to change the body's shape. Liposuction does not remove cellulites and tightening of loose skin cannot be done.

Liposuction removes excess fat from the body by suction. Small, narrow tubes with blunt tips known as the cannulae are inserted through incisions in the skin surface. The tubes are moved under the skin to target the suction of fat deposits.

There are several types of liposuction techniques.

1. Tumescent liposuction: In this form of liposuction, a wetting solution such as lidocaine with a local anesthetic is injected into the patient before surgery. This causes the shrinking or constriction of blood vessels due to which it allows liposuction to be performed while the patient is under local anaesthesia. Blood loss and post surgical pains are reduced.

2. Suction assisted liposuction:This mode of liposuction also known as SAL is the most primary form of liposuction. It involves drawing out of fat using a vacuum.

3. Power assisted liposuction: This liposuction technique called PAL in short involves the process of SAL with an extra tool for increasing the motion of the cannula. The process is faster.

4. Ultrasound assisted liposuction: This process (UAL) involves the transmission of energy via a specialized hand piece for loosening and melting of fat. A greater volume of fat can be removed via UAL. VASER is a variation of the UAL method where an ultrasonic cannula with grooves helps in energy disruption to improve removal of fat.

5. Laser assisted liposuction: LAL is a newly developed liposuction technology where a laser works like an ultrasound for disruption and removal of fat cells. This mode is more efficient and involves less trauma.

Liposuction is an effective way to remove unwanted, genetic fat from your body, which may be harming your body image. However, liposuction is associated with severe side effects.

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