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Doctor insights on: External Version Risks

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What if an ECV (external cephalic version) fails?

What if an ECV (external cephalic version) fails?

C/section: After a failed cephalic version the baby is typically delivered by c/section. An external cephalic version, where the doctor tries to turn a breech baby on its head is not without risk and is typically done in the OR with the entire c/section team present to be able to do an immediate c/section. ...Read more

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What is the advantage of internal brachytherapy vs external radiation for prostate cancer? Seems as if everyone would prefer the external route.

What is the advantage of internal brachytherapy vs external radiation for prostate cancer? Seems as if everyone would prefer the external route.

Convenience: Historically, there used to be greater advantages. There are many fewer advantages today, since external beam radiation has advanced greatly. You can save time by having brachytherapy. The advantages used to be greater. Cyberknife treatment offers all the benefits of both: only five days, and none of the bruising pain and bleeding of seed placement. Good luck with your choice. ...Read more

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What is the % breakdown in the general population between symptomatic external and symptomatic internal hemorrhoids? 25% external 75% internal?

What is the % breakdown in the general population between symptomatic external and symptomatic internal hemorrhoids? 
25% external 75% internal?

May not be known: Many people have or have had hemorrhoids. I am not aware of anyone trying to figure out how many are internal, external, or mixed, in origin. Perhaps the typical initial treatments would be similar anyway. Hemorrhoids are also classified as 1st-4th degree, depending on whether or not they stick out of the anus, which mixes definitions up some more. A web search also did not find any % statistics. ...Read more

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Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

Any advice please! c-section vs. Vaginal delivery, which is a safer procedure\?

C section: Medical rumors have it that the c section will preserve the pelvic perineum. Keep the vagina tighter and prevent uterine prolapse in the future medical rumors also say that vagina birth is better for the baby, because of a little squeeze it needs on his lungs, and a lot less drugs in his system. Nature, i think, has already decided the best way to continue. ...Read more

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Is external cephalic version dangerous for baby or mom? Could it cause issues with unbiblical cord? I'm 36 weeks with a breech baby. Any advice?

Is external cephalic version dangerous for baby or mom? Could it cause issues with unbiblical cord? I'm 36 weeks with a breech baby. Any advice?

Version aversion?: Version (turning a baby from a breech presentation to vertex (head down)) is not without risk. And you are correct; umbilical cord compression or kinking can occur. This is why your baby is monitored throughout the procedure. Version is not always successful, i.e., babies can flip back. And it may be uncomfortable. It can, however, increase your chance of having a vaginal delivery. Talk with doc! ...Read more

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Does higher diastolic augmentation predict clinical benefit from enhanced external counter pulsation?

Does higher diastolic augmentation predict clinical benefit from enhanced external counter pulsation?

Yes: Yes, it increases the coronary blood flow and promote possible collateral flow. This may help a patient with chronic angina. ...Read more

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Which conditions render a person ineligible for enhanced external counter pulsation?

Which conditions render a person ineligible for enhanced external counter pulsation?

CHF, AF, PAD, Valve: Patients with chf, venous insufficiency, dvt, pulmonary embolism, arrhythmias such as af, claudication/pad, significant valve disease are not usually candidates. ...Read more

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Are penile implants usually safe, or is the complication rate high?

Are penile implants usually safe, or is the complication rate high?

Safe: Penile implants are generally safe with a low complication rate. The most common complications include infection, urethral injury, or bleeding. It can cause chronic pain but is much less common. For the right patient, it is a very viable option and with low morbidity. ...Read more

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Is a halo an internal or external fixation device?

Is a halo an internal or external fixation device?

External: Halo is applied to the outside of the skull, usually to stabilize a part of the spine. ...Read more

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Do there exist procedures where a surgeon actually removes or kills the vein associated with an external hemorrhoid?

Do there exist procedures where a surgeon actually removes or kills the vein associated with an external hemorrhoid?

Depends: External hemorrhoids rarely need surgery except when thrombosis of the hemorrhoid happens. The treatment is excision, if you have many the surgeon could consider excision more an cosmetic indication than medical indication. ...Read more

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For high risks patient desiring future pregnancy (repeated c-section), what is preferred uterine suture? Single v double layer? Locking v nonlocking?

For high risks patient desiring future pregnancy (repeated c-section), what is preferred uterine suture? Single v double layer? Locking v nonlocking?

Surgical technique: Despite its current internet popularity there is no evidence to support a double layer over a single layer uterine closure. Locking sutures are used to stop bleeding (such as the incision in the uterus). Running suture (not locked) are used to bring back non-bleeding tissue layers together. This is Surgery 101. If you are having to explain this to you your doctor it is best to find another. ...Read more

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Nobelbiocare vs straumann dental implants. Which is more expensive and best to use. Cons & pros. Is straumann implant medical grade superior.?

Nobelbiocare vs straumann dental implants. Which is more expensive and best to use. Cons & pros. Is straumann implant medical grade superior.?

Dental Implants: Both are excellent companies with excellent products that have stood the test of time. The training ; experience of the dentist who places the implant fixtures, the dentist who restores them, ; case selection is more important than which dental implant system is used. Trust your dentist ; rely on his\her expertise in this matter. If you needed a heart valve, would you search for brand or best dr? ...Read more

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Is gastric banding surgery safe and worth the risk?

Is gastric banding surgery safe and worth the risk?

Your choice : It is as safe a weight loss surgery as there is and safer than long term risks of obesity. Still there are risks including death. Talk w a surgeon for a complete list. ...Read more

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Which conditions is enhanced external counter pulsation used to treat?

Which conditions is enhanced external counter pulsation used to treat?

Angina: Angina is chest discomfort caused by insufficient blood supply to heart muscle. It can manifest as pain, pressure/tightness, burning, or even shortness of breath. Eecp, while labor-intensive and requiring several months of treatments, is effective in reducing angina severity in patients who are resistant to anti-anginal medications and stents/bypass surgery. ...Read more

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Which is better risk, risk of recurrence in meshless open inguinal hernia surgery or risk of side effects from mesh.?

Which is better risk, risk of recurrence in meshless open inguinal hernia surgery or risk of side effects from mesh.?

Mesh is better: Most of us surgeons agree and the literature is pretty clear, that hernia recurrence rates without mesh are much higher while the risks of using mesh are quite low. ...Read more

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