Doctor insights on:
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more
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
Complete full-thickness retear of infraspinatus 1.5cm retract @15wks post-op revision rotator cuff repair. Can use bioinductive implant in re-repair?
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
I'm 2.5 yrs post-op massive RTC repair.MRI showed a recurrent tear full thickness supra and infra.I don't have pain just weakness.why did it retear?
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
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 moreSee 1 more doctor answer
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
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
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
6 months: Typically, it takes 6-9 months to recover and get back to normal activities, including sports. ...Read more