Doctor insights on:
Injury To The Trachea During Thyroid Surgery
80yr.Has a cerebrovascular event in the early perioperative stage of an open heart surgery operation. Abort operation or go on ? The surgeon choose not to abort the operation to assess for the severity of injuries to the brain. The outcome of the operatio
I : I do not believe any physician reviewing this comment will be able to appreciate the condition of this patient going into surgery to assess the risk factors, rationale and options for treatment. I doubt that the surgeon would have known the patient was having a stroke during the cardiac procedure. It is not the usual practice of monitoring brain activity during cardiopulmonary bypass. Clearly there was significant cardiac problems, if indeed this patient required two valve repair/replacement, coronary artery bypass grafting and thromboendarterectomy. The fact that the patient suffered multiorgan system failure (as you suggest with the comment that there was "sustained irreversible vital organs damage"), suggests that the pump time was perhaps longer than usual, but understanding also that the organs of an 80 year old patient are fragile to start with. The finding of bilateral strokes on post-op day 3 would be consistent with events that occurred during or shortly after surgery, but likely not known during surgery. So unless there were other indications for the surgeon to abort, then continuing with the operation was understandable. I suggest you make an appointment with the surgeon to discuss your concerns and questions personally, to iron out any confusion or misunderstandings that exist and to bring closure to this case. ...Read moreSee 1 more doctor answer
Surgical removal of the thyroid can be performed safely in experienced hands. Risks include general anesthesia, bleeding, infection, injury to nerve that moves vocal cord causing hoarseness and swallowing difficulties, injury to parathyroid glands causing low calcium and need for medications, need for thyroid medications, scar and ...Read more
Can you have scar tissue under your kneecap? When someone arthroscopic surger can the doc view the back of the knee during the scope? Please explain
Sure you can have scar: Anywhere there's been an injury. As far as the back of any yet see you can see the back of the knee with arthroscope within the joint space. What you cannot see is the back of the knee where the jerk where you go outside the joint space so sometimes if you're asking the physician about condition at the very back of the knee they may tell you they can't see it arthroscopically because it's outside the joint capsule. ...Read more
No: Thyroid function is independent of traumatic injuries, unless they occur to the thyroid itself. ...Read more
Before suctioning an intubated patient hooked to mechanical ventilator, is it right to increase the fio2 to 100% to hyperoxygenate the patient?
Usually: That is usually the norm because, you are technically suctioning out air (and thus oxygen) from the lung when you suction. In all reality, does it affect oxygenation that much? Probably not. But, turning up the oxygen to 100% for a few seconds usually causes no harm. ...Read moreSee 1 more doctor answer
For patients who have bladder sling removal surgery (mini arc) to remove a portion of the mesh due to tissue and nerve injury, how often do they have to have more surgeries due to the remaining mesh?
Can an internal infection due to surgery to partially remove mesh of a tvt bladder sling cause an enhancing lesion to develop on the lumbar spine?
Avoid complications: Your spine infection after surgery to remove an implanted medical device is tough. Case review with your surgical team, and/or second opinion review would be needed to properly address all the nuances to answer your question. Many hospitals, insurance providers, and state medical boards can provide this service for you. Be well. ...Read moreSee 2 more doctor answers
Very rarely: Serious' nerve damage is very unusual after arthroscopic knee surgery."inside out" meniscal repair which is still being done by some orthopedists can put the saphenous nerve@ risk w/ medial meniscus repairs and the peroneal nerve@ risk w/lateral meniscus repairs...With' all-inside' repairs now being most common these nerve injuries are rare. ...Read moreSee 2 more doctor answers
Procedure: Tracheostomy is most commonly done for people you need to be on a ventilator for more than a week or so (depending). It can be done in the or or even at the bedside. It involves making a surgical opening in the windpipe to have better access to the lungs. It is usually straightforward and can take as little as 20 minutes. It is more difficult who are extremely sick or have obese. ...Read moreSee 1 more doctor answer
What might be the cause of throat bleeding and split uvula during placement of tracheal tube during surgery?
Traumatic intubation: Airway management carries certain risk, such as trauma like you describe. Make sure your surgeon is aware and monitors your progress through this complication. ...Read more
No.: The key issue here is that if there is enough active thyroid tissue remaining after radio-iodine ablation to produce 100% of one's thyroid hormone, there is enough tissue remaining to become hyperthyroid again. Even if there were an amount of tissue that would be enough, but not lead to recurrent hyperthyroidism, we don't have the ability to dose the radio-iodine precisely enough to get there. ...Read moreSee 1 more doctor answer
Is the removal of the wires used to close the sterum after heart bypass sugery a valid option in an effort to reduce non-cardiac chest pain?
Can damage to the obturator nerve during total laparoscopic hysterectomy cause the adductor minimus to have complete atrophy to nothing?
Perhaps but why?: Any muscle that loses its innervation may atrophy, but in this case there is collateral innervation from a branch of the sciatic (tibial) & possibly an accessory obturator nerve. Bigger question is function. With physical therapy adduction is usually recovered, especially since there is also the adductor magnus & if damage was not total interruption it will also heal. If concern see neurosurgery. ...Read more
After surgery to remove a portion of mini arc bladder sling, when path report shows chronic inflammation and foreign body reaction to material and mesh, will portion not removed likely cause problems?
Possibly: It is possible.Get a more detailed answer ›
Excision of the nonunion of navicular fracture and curettage of the cysts in the area. Is this surgery recovery going to be lengthy?
What damage can be done from barium remaining in the esophagus? In sept i had an attempted tif procedure done. However, while inserting the equipment into my esophagus, the physician sliced into my esophagus wall creating a pocket. At the time the physici
A : A tear in the lining of the esophagus will repair itself. It is likely that you were kept from eating to make sure the tear was not deeper, going throught the entire wall of the esophagus leading into the chest between the lungs (the mediastinum). Given that this was in september and you are not extremely sick (or worse), that likely did not happen. Barium remaining in the esophagus should not be problematic. There are many variable to the story you give that can make any answers difficult to give, but the time course you describe leaves me to believe that you do not have a hole in the esophagus. ...Read moreSee 1 more doctor answer
Will continuous exposure to cold weather to the head region cause pituitary gland malfunction after some years?
Need to strengthen the muscles that support my knee? Had an operation to remove the cartilage. Painful and twisting to the side.
Physical therapy: Working with a pt after knee surgery will be the best way for you to recover strength and conditioning for your thigh and keg muscles. ...Read more
Blunt trauma: If you have undergone surgical repair of a ruptured duodenum, you need to wait until you are completely healed before playing soccer again. If you return to play too early, there is a risk of reopening the surgical wound should you fall. I hope that you recover quickly. Wait until your surgeon clears you to return to soccer, since he sees you regularly post-operatively and knows your condition. ...Read more
Can lengthened costal cartilage (rib-cage cartilage) due to mechanical stress decrease in length after the stress is removed?
Do rib cartilages shrink
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