Doctor insights on:
Flap Surgery For Pressure Ulcers
Is gum flap surgery for a 5 mm pocket considered a minor type dental procedure when compared to other invasive surgical types?
Flap surgery is technique in plastic & reconstructive surgery where any type of tissue is lifted from donor site & moved to recipient site with an intact blood supply. Similar to but different from a graft, which does not have an intact blood supply & thus relies on growth of new blood vessels. Used to fill a defect such as a wound resulting ...Read more
Can surgery cause a rise in a ca 27-29 tumor marker two months after reconstructive diep flap surgery?
No: This is a tumor marker...So like all tumor markers, its value is variable. So we use it, yet not rely on any single reading because the test results fluctuate. Because of this, many doctors do not use this test. Those who use it, are cautious not to take any one value on its face value and end up repeating it 2-3 different times. So i would ask your doctor to recheck it once or twice over 3-4 mos. ...Read more
Pressure sore: Most pressure sores, once identified and treatment initiated, do not require surgery to treat. Surgery is reserved for severe and or deep injuries in which the best course of treatment is to have surgery performed to close before other issues arise (infection, debility, etc.) these surgeries are complicated and should be performed by a surgeon that does many of these procedures. ...Read moreSee 2 more doctor answers
What alternative surgeries exist for non diabetic ulcer on sole of the foot vs skin graft. I'm offloading in cam Walker daily for 5 years. need help?
Depend: it is really depend on the size of the ulcer, and the depth and the staging of the ulcer, and last if the ulcer is necrotic,or infected. Debridment of the necrotic and infected tissues is essential for the ulcer to heal. Skin coverage could varies to many options including skin graft. You can discuss the different options with your surgeon,general,vascular,foot,or orthopedist ...Read moreSee 2 more doctor answers
Ent stated risk of synechiae and stenosis for surgery to remove ethmoid mucocele and turbinate reduction. How likely the risks?
Applies to all: Any nasal or sinus surgery includes the risk of scar bands in the nose(synechiae) but this is quite rare in a well performed operation. Even if it occurs, many can be easily lysed(cut) in the office post-op. So, not really a big concern. Stenosis of what? The nostril can narrow, the sinus cavity can narrow, so not sure what she/he was referring to there. Get more details. ...Read more
Trabecular treatment: The trabecular meshwork, underneath the edge of the cornea and in front of the iris, is the drainage site for the aqueous humor, the fluid that bathes the inside of the eye. Laser treatment termed ALT or SLT is commonly used to make the area more porous and allow the fluid to drain more easily. This lowers the eye pressure in many cases as part of the treatment for glaucoma. ...Read more
If I have an ulcer, will i need lap band revision surgery? I'm nervous about having lap band revision surgery on my stomach. Is this kind of surgery usually successful? Is it any riskier than my original surgery?
Although : Although the situation you describe is unclear, it seems that you may have had a lap band and now found to have an ulcer near the area of the band and that you have been suggested to have this revised. If indeed this is the case, you should consider whether you have taken medications that may have increased the risk for stomach ulceration, such as the use of Aspirin or steroids. It that is not the case and the ulcer is near the vicinity of the lap band, then one should consider whether this is a lap band erosion, which can occur if the reservoir is overfilled, incorrectly placed, or other events, such as prolonged vomiting may have preceded this. As this occurs in about 3-5% of cases, it is not common, but the treatment will require removal of the lap band. In this case, another lap band is not usually recommended, but rather consideration to conversion to another bariatric procedure, such as sleeve gastrectomy, after the ulcer is healed. ...Read moreSee 4 more doctor answers
Yes: Heart surgery is definitely major surgery. It requires the coordinated effort of several doctors, nurses, and technicians. Often the patient is placed on the heart lung machine and the heart is stopped temporarily. The arteries on the heart are usually only 1-2 mm in size - the size of a wire in a paper clip. Fortunately the rate of complication is very small. ...Read moreSee 1 more doctor answer
How Low?: There are many factors that can cause low pressure after rd surgery, including redetachment of the retina. A rapidly shrinking gas bubble can cause the pressure to be temporarily low, as well as post-op inflammation. Have a discussion with your retinal surgeon about whether the pressure is seriously low and what to do about it. ...Read moreSee 1 more doctor answer
Are prophylactic antibiotics required for patients whom have had heart valve surgery when having open incision procedures such as breast core biopsy?
No.: Core biopsy is a clean procedure done with a needle (8g-14g) via a small puncture site (no major incision). As long as standard sterile technique is maintained and the skin is prepped/cleaned (i.e. Alcohol wipe), there is minimal if any risk of seeding infection. The need for antibiotic prophylaxis with valves is primarily in contaminated fields (i.e. Mouth, bowel, etc) or more major intervention. ...Read moreSee 2 more doctor answers
Not many: It is not uncommon for patients to develop low eye pressure after retinal detachment surgery. If the pressure is so low that it is affecting your best potential vision, you may require further intervention (evaluate for leaks, control inflammation with eye drops). Unfortunately, there are some times when the low pressure cannot be adequately improved. Speak with your surgeon about your options. ...Read moreSee 2 more doctor answers
What complications can there be after vascular bypass surgery with a graft. Surgery done 11/23/2016 and in horrendous pain almost numb feeling now.
What causes a hernia in a female after abdominal surgery (lap band removal)? Incision is four steri strips long
Many factors: There are many factors that contribute to hernia formation after an operation, including a genetic predisposition, suturing technique, obesity, post-op activity level, immune system suppression, and infection to name a few. Hope you don't get a hernia. ...Read moreSee 2 more doctor answers
A bed sore is an injury to the skin, and tissues beneath the skin, caused by pressure. They can range from a stage one pressure sore (tender, red and does not blanch) to stage four (an open wound extending down to the bone). Early stage pressure sores can respond to off-loading, while deep ulcers require debridement, dressing ...Read more
Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more
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