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Doctor insights on: Dissecting Forceps

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Could bilateral internal thoracic artery grafting increase surgical risk?

Could bilateral internal thoracic artery grafting increase surgical risk?

Not always : There is some evidence that in diabetic patients it can increase the risk of eternal wound infections. Not in non diabetics. This increase risk in diabetics has been debated and there is some recent data suggesting that it may not be true. ...Read more

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Risks after aneursym clippin in brain?

Risks after aneursym clippin in brain?

Check out these: Links. I wish u the best and a full recovery. God bless u! http://www.bafound.org/rehabilitation-2. http://www.medicinenet.com/script/main/mobileart.asp?articlekey=8708. ...Read more

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Describe a radical neck dissection?

Describe a radical neck dissection?

Remove lymph nodes: The radical neck, or more commonly modified radical neck operation is mostly done for cancers of the head and neck. It is done to remove the lymph nodes from the neck that might harbor tumor cells, or clearly are positive for cancer. ...Read more

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Will general anesthesia rupture a small cerebral aneurysm?

Will general anesthesia rupture a small cerebral aneurysm?

It shouldn't: As long as everyone is aware it is there and your blood pressure is well controlled. Consult with your neurologist prior to surgery. He may want you to undergo a coiling or clipping before elective surgery. ...Read more

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Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.

Posterior cervical fusion which resulted in misplaced screw abutting vetebral artery. Surgeons recommend not to remove, may cause bleeding.

Complex descicion: Removing may very well be riskier than leaving it bleeding from the vert can be life threatening and of course stroke is ever present danger. Cerebral endovascular work has made recent great advancements you might ask interventionslist on the stroke team esp if there is a neuro surgeon on the team with cerebral endovascular experience if they have ...Read more

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My op rpt say 3 bioabsorbable suture anchors containing 6 fiberwire sutures were used to bring the rotator cuff up to the tuberiosity.1or2 row stitch?

My op rpt say 3 bioabsorbable suture anchors containing 6 fiberwire sutures were used to bring the rotator cuff up to the tuberiosity.1or2 row stitch?

Cant be certain. : From the information provided, one can't say for sure. If you had a large rct tear, then it is likely a single row. ...Read more

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38 wk pregnant, bilateral hydronephroses rt kidney7.5mm, 1.5cmlft kidney, bladder elongated, 2vessel cord 1umbilical artery. Complicated & surgery need?

38 wk pregnant, bilateral hydronephroses rt kidney7.5mm, 1.5cmlft kidney, bladder elongated, 2vessel cord 1umbilical artery. Complicated & surgery need?

Fetal hydronephrosis: Mild right, moderate left kidney. Presume normal amniotic fluid. Elongated bladder suggests baby, if male, may have urethral valves, or bladder reflux if of either sex. Should be able to proceed with pregnancy as normal. Suggest contact a pediatric urologist. Baby needs work-up after birth, ultrasound & VCUG (bladder xray). Start antibiotics (amoxicillin) & circ. If a boy. May need surgery later. ...Read more

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"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

"it was circumferencially dissected with right angled forceps and then ligated with #0 prolene, 2 strands. The thrill disapearred upon ligating the pda." what does this discharge summary mean ?

Correct treatment: Patent ductus arteriosus (pda) is a congenital disorder in the heart wherein a baby's ductus arteriosus (connection between two heart chambers) fails to close after birth. A "thrill" is a vibration that tells the doctor that a PDA is present. When the PDA was closed, the thrill disappeared, meaning that the treatment was successful. ...Read more

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Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Anyone done a carotid arteriogram and stenting after carotid artery surgery?

Yes: Usually for re-stenosis most surgeon will perform stenting if indicated instead of redo surgery although no true benefit of stenting over surgery in these cases. In acute sitting , yes stenting is being done to repair a post carotid surgery flap or dissection. ...Read more

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Can carotid artery dissection be cured?

Can carotid artery dissection be cured?

Yes: The vast majority of carotid dissections will heal in their own. The dissection should be followed with ultrasound to monitor the vessel for development of pseudo aneurysm formation. ...Read more

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I received a needle stick from a suture needle while performing external sutures. There was visible blood on the suture needle.The patient had interna?

I received a needle stick from a suture needle while performing external sutures. There was visible blood on the suture needle.The patient had interna?

Employee health: See your employee health immediately or go to the emergency room of the nearest hospital to ascertain if you need post-exposure prophylaxis. The sooner you see a doctor the better. Do not delay! ...Read more

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Will internal foreign object pressing against a vein create a deep vein thrombosis?

Will internal foreign object pressing against a vein create a deep vein thrombosis?

Yes: Even the natural left iliac artery does that to the left iliac vein. Or lymph nodes, tumors, or a foreign object. ...Read more

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Is evacuation of a head laceration scalp hematoma a surgical procedure?

Is evacuation of a head laceration scalp hematoma a surgical procedure?

Yes: Technically yes. It is not a huge procedure as it is technically skin deep. But scalp lacerations can bleed a lot and a hematoma in that location could have lots of clots and therefore will requires a thorough evacuation with good lighting and surgical instruments as in a typical or. ...Read more

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3 years ago patient collapsed d11 vertebral body along with small pre & para vertebral hematoma & adjacent spinal canal narrowing still have back pain?

3 years ago patient collapsed d11 vertebral body along with small pre & para vertebral hematoma & adjacent spinal canal narrowing still have back pain?

Additional informati: If this was associated with a big fall or MVA, you may want to see a spine specialist for medial branch rhizotomies at T11 and T12. These can be done in the office with light sedation and local anesthesia.
I am concerned about thinning of your bones, especially if this fracture happened spontaneously or with only mild trauma. If this is the case, you need a further workup. If you use nicotine STOP ...Read more

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Is vertebral artery dissection curable?

Is vertebral artery dissection curable?

Generally not: The 2 vertebral arteries arise from the left and right subclavian arteries and supply the brainstem and cerebellum. Dissection is rare (2.5/100, 000), affect women to men 3:1 and can cause stroke in people head trauma, yoga, painting a ceiling. 50% have hbp. Treatment is supportive. Blood thinners are used if bleeding is ruled out. Surgery is not usually an option. ...Read more

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15wks postop revision rotator cuff surg w/fullthickness infra tear 1.5cm retracted superior to humeral head & .5cm partial supraspin tear, can fix it?

15wks postop revision rotator cuff surg w/fullthickness infra tear 1.5cm retracted superior to humeral head & .5cm partial supraspin tear, can fix it?

Revision Cuff Repair: Attempting a 2nd revision has a low likelihood of working. If you're having significant pain, weakness and limited range of motion - you may want to discuss superior capsular reconstruction or reverse total shoulder arthroplasty with your orthopedic surgeon. If your symptoms aren't that debilitating - may want to try non-op - PT, injections, etc. ...Read more