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Doctor insights on: Dief Reconstruction

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Bilateral mastectomies & lat tram reconstruction, what to do?

Bilateral mastectomies & lat tram reconstruction, what to do?

Bilateral mastectomy: Without the use of prosthetic implants like saline or silicone, your surgeon perhaps feels one or the other muscle flaps is best suited for you. If you are having radiation now or later, implants alone may not be helpful. Microsurgical DIEP and modified DIEP flaps may also be considered. An exam doctor to patient can only determine what is best. . ...Read more

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Cabg bypass graft. What to expect long-term?

Cabg bypass graft. What to expect long-term?

Good results: CABG surgery has good long term results. You can expect to live longer, have less cardiac interventions, and relief from angina. The lima graft has >90% patency at 20 years. The radial artery graft about 70% at 10 years and vein grafts 50% at 10 years. About 10% of patients need a redo operation at 10 years. ...Read more

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What causes hematoma after mastectomy with reconstruction surgery?

What causes hematoma after mastectomy with reconstruction surgery?

Blood: After mastectomy then reconstruction that gets a hematoma is caused by blood. The blood vessels supply oxygen to the breast tissue. This can occur with any surgery and will most likely resolve on its own. It may require drainage. Talk to your surgeon and they will discuss it with you. ...Read more

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What's having a patellar graft ACL reconstruction?

What's having a patellar graft ACL reconstruction?

Graft choice: Acls are reconstructed in several ways. One way is to take the central third of your patella tendon with bone attached at either end and reconstruct your acl using this tissue. ...Read more

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Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more

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Recovery from rotor cuf surgery ?

Good: Please can you state your question about rotation cuff surgery recovery. ...Read more

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Muscle loss after arthroscopic knee surgery?

Muscle loss after arthroscopic knee surgery?

Very common: Quad muscle atrophy after knee surgery is very common and often overlooked as a continuing source of problems. Several months of routine thigh strengthening exercises are needed post-op to return to 100%. ...Read more

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Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?

Had an mpfl reconstruction now need ACL hamstring reconstruction are there major risks with the ACL recon due to hypermobility and previous MPFL recon?

On thing is if Ur-: -own tissue is 2 B used, it is of poor quality due 2 Ur general condition of hyper-mobility means Ur tissue will also B effected since it will also become hype-mobile meaning it will stretch. Best option is cadaver bone-tendon-bone allograft. It will not stretch like Ur own will. Also I would B tested 4 Marfan's. There R 3 grades of this malady. 1= people who R short in stature with Ur symptoms. ...Read more

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Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?

Rotator cuff tear: Yes if you are going to have another surgery, an augmentation patch should be available and also check in the operative report or with the surgeon if a single row or double row repair was done the first time ...Read more

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How painful is heart bypass surgery recovery?

How painful is heart bypass surgery recovery?

Not very: As expected, the first few days are rough and intravenous narcotics are given to relieve pain and promote sleep. By a week the pain is usually just soreness and easily controlled with oral meds. By a month, most people really don't have much pain or any at all. For some, the vein harvesting site in the leg stays sore longer than the chest. ...Read more

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How strong is an allograft tendon for ACL reconstruction surgery?

Very strong: One criteria for an allograft and the way it is fixed is that's its strength need to be as strong as the original acl. At the time of surgery, if done properly, the pullout strength is higher than the native acl. As the body grows into the graft, there is some weakening, followed by strengthening when the graft matures. ...Read more

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I'm having surgery for maltracking (lateral release medial pattellfemeroral reconstruction and autograft on hamstring) what should I expect?

I'm having surgery for maltracking (lateral release medial pattellfemeroral reconstruction and autograft on hamstring) what should I expect?

Bracing & therapy: Bracing is usually warranted after patellar stabilizing surgery. Physical therapy is also important to help regain motion & strength. Your surgeon will have a specific rehabilitation regimen for you to follow for the 6-12 weeks following surgery. The layerl release decreases the tethering affect on the outside of your knee, and the mpfl reconstruction prevents patellar subluxation/dislocation. ...Read more

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Dr. Allen Lu Dr. Lu
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What's PCL reconstruction surgery?

Dr. Allen Lu Dr. Lu
1 doctor agreed:
What's PCL reconstruction surgery?

Restoring stability: There are many different methods for PCL reconstructions, depending on the surgeon you go to. There are single versus double bundle, bone block versus soft tissue, and various numbers are sizes of incisions. I tend to perform an all-inside minimally invasive PCL reconstruction using a double bundle configuration. Most of my patients have minimal pain after surgery, however, there rehab is the same. ...Read more

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Unfused sternum after bypass surgery resulting in chronic pain two years after surgery...treatment options?

Unfused sternum after bypass surgery resulting in chronic pain two years after surgery...treatment options?

What did surgeon say: This is going to be a problem for you if not addressed, as even simple things like inhaling, sitting, or anything requiring your ribs to expand or contract is destabilized from not having your sternum connected (fused) from the CABG surgery/stenting. Have you spoken to your surgeon? That is a good place to start, so you can discuss options. Hard to replace Mother's Nature's own design. Start there ...Read more

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Does ACL reconstruction cause pain in hamstring?

Does ACL reconstruction cause pain in hamstring?

No: The repair itself does not cause hamstring pain. The pain is secondary to either weak hams or from hamstring spasm from inflammation in the knee joint. ...Read more

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How many years survival after triple bypass heart surgery?

Variable: Depends on age, left ventricle, other risks etc. Depends on conduits- internal mammary grafts. The point is that most do well and for along time. I have patients at 30 years. ...Read more

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How long to recover from ACL reconstructive surgery?

How long to recover from ACL reconstructive surgery?

6 months: Typically, it takes 6-9 months to recover and get back to normal activities, including sports. ...Read more