Doctor insights on:
How Can You Minimize The Risk Of Leg Clotting During Surgery And Recuperation
After having surgery performed to replace the aorta, will you need blood thinners for the rest of the life?
Several choices: For those who want to experience as little pain as possible, there are several choices. Non-medical options include hypnotherapy, guided imagery and visualization techniques, and massage. For those seeking medical interventions, the standard options include narcotic analgesia and epidural anesthesia. Narcotics (those in the morphine family) take the edge off pain at the level of the brain, making you care less about the pain, even though you still feel it. These neurological effects may leave you feeling sleepy, euphoric, or “out of it.” Epidural anesthesia doesn’t affect the brain’s pain centers in the same way, so you’re more likely to feel alert and awake. The epidural numbs the body from the waist down, making you feel pressure, but no- or little- pain, until the very end, when you may feel a bit of pain just as the baby comes out. If you’re very early in labor (less than 4 centimeters dilated), your doctor may encourage you to choose narcotic analgesia until your labor is more active, when you may choose an epidural. If you’re further along, such as 8 centimeters dilated, your doctor may discourage you from using narcotics, since they can depress the respiration of the newborn. In my experience, patients experience the best relief from pain when they combine non-medical pain management techniques with narcotics early in labor and then an epidural in active labor. ...Read more
What is the risk for infection right after a major surgery? How many antibiotics are patients usually put on after major surgery to reduce the risk of infection? Does the chance for infection increase with age?
The : The rate of infection will depend on many factors such as, obesity, diabetes, presence of established infection, the type of surgery as well as if appropriate antibiotics were given as indicated. Completely sterile surgery where there is no entry into the intestinal tract should have a wound infection rate of 1-2%. When the intestinal tract is opened, the patient is obese and open surgery is performed rather than laparoscopy the infection rate can be as high as 15-20%. In the case of established infection such as ruptured appendicitis the infection rate can be 30% or more. ...Read moreSee 1 more doctor answer
Prevent hitting head: Concussions are caused by trauma to your brain. Avoiding activities which involved hitting you head is the best prevention. Wearing a seat belt or using a car seat when driving are important. Likewise, wearing proper helmets for motor sports, contact sports, riding a horse or skiing will minimize chance of concussion. In the home remove tripping hazards and install handrails. ...Read moreSee 2 more doctor answers
Anti-coagulants: These help your body's natural clot dissolving mechanisms work more efficiently, and they reduce the formation of additional clots. ...Read more
Can you tell me in regards to nursing and the joint commission how can you reduce likelihood of patient harm associated with use of anticoagulant therapy?
Depends on injury: One can expect full recovery after minor sprains/strains. More severe injuries (ligament ruptures, cartilage tears) may best be treated surgically to optimize recovery and in theory slow/prevent evolution of arthritis. For symptoms (pain, swelling, catching, locking) persisting for more than 4-6 wks expert opinion should be sought. ...Read more
What type of surgeries can be performed for people with ascites do to cirrhosis, what factors go into deciding when to do the surgeries, and what is the prognosis afterwards? (can the person still be active, do contact sports ect.?)
Ascites: Besides medicines, there are various procedures that are possible for ascites. They range from a shunt which can be placed in the liver without surgery (TIPS) to shunt surgery itself. In addition, a successful liver transplant would cure Ascites. Once healed, some people would be able to engage in contact sports, within reason. Details of these procedures require more than 400 characters. ...Read moreSee 1 more doctor answer
How can I minimize my risk of complications from a revision rhinoplasty? Are there things i can do before my revision rhinoplasty to decrease my risk? What about during healing?
This : This is a very good question for several reasons. Often these risks (primary versus revision) become nearly equal when you have a provider who specializes in revision procedures - so recruiting a specialist for the surgery is one big component. Additionally, i would recommend that you do not have any fillers injected into the nose to correct any contour defects. Although "filler rhinoplasty" is not a common entity, this is often performed by an individual who does not completely understand the anatomy and there are real risks for vascular injury. Finally, hold on any form of anticoagulants, prescription or holistic, for at least 2 weeks before surgery if possible. Be healthy and be well, james m. Ridgway, md. ...Read moreSee 3 more doctor answers
What is the risk of having a vasovagal reaction during pregnancy and birth? How can one mitigate the risks?
Probably more: Vaso vagal syncope is usually triggered by a drop in BP due to reduce venous return. Thus it can occur with prolonged standing which during pregnancy can be worse because of the growing uterus, During birth there is sudden loss of fluid. Prevention include avoiding standing for long periods and hydration ...Read more
Postop Rhino pain?: Pain is a subjective phenomena. Most need a week of pain meds. ...Read more
If you get appendicitis while on Coumadin (warfarin) can they still do surgery? Is the surgery more risky from the chance of bleeding?
Surgery can be done: In cases in which patients are anticoagulated with warfarin and need emergent surgery fresh frozen plasma transfusion and vitamin K can be used to reverse the anticoagulation effect by warfarin and decrease bleeding during and after surgery resulting from warfarin treatment. Every time there is a higher chance of bleeding there is a higher chance of adverse events and risk to the patient. ...Read moreSee 1 more doctor answer
Absolutely!: Yes. Yes. Yes.Get a more detailed answer ›
What kind of and intensity of exercise can I do 6-7 weeks post op from a radical hysterectomy to improve abdominal musculature and reduce tummy overha?
Core muscles buildup: If surgery is recent then allow the swelling to settle. After a few weeks, your surgeon will allow you to start diet and exercise. Start with aerobic workouts like treadmill or elliptical. At the gym, there will specific machines which support your back while you exercise your core muscles. If the pannus does not settle then you may need a tummy tuck. See a plastic surgeon to discuss your options. ...Read moreSee 1 more doctor answer
Fractured leg: The treatment for a fracture leg depends on the location of the fracture and the displacement of the fractured fragments. A simple nondisplaced fracture can be treated in a cast and more complicated fracture may require a rod insertion or plates and screws. ...Read moreSee 1 more doctor answer
What type of dr might help with recurring compartment syndrome of leg & foot after multiple fasciotomies had failed? All sutured closed during surgery
Orthopedic surgeon: Orthopedic surgeon.Get a more detailed answer ›
My husband's patella tendon was torn during surgery for a total knee replacement. How will the recovery from the tendon injury effect tkr recovery?
It will definitely: prolong recovery to a degree as the patellar tendon is a significant part of knee stability and mobility. ...Read more
What if there are EKG changes during surgery? What does that mean? I had a knee replacement surgery and my EKG had changes during, I am 59 and female.
Recovery: A few days.Get a more detailed answer ›
Recuperation is more important than cost. I'm also looking into a gastropexy at the same time, can anyone offer their advice/opinions on this surgery?
I had a car accident 3months ago i had spinal cord surgery my recuperation it's good, the only thing is I can't move my left arm and the doctor just s?
Not clear: It isn't clear what you are asking here, but with such a brief history, it is clear you should be speaking with your surgeon or physiatrist (physical medicine and rehabilitation) doctor(s). They can best assess your progress regarding recovery and provide any advice regarding your clinical state. Good luck. ...Read more
How long does clindamycin given during surgery stay in the system I had a reaction to it blistered rash and want to know how to minimize the reaction benedryl does not help ?
Only hours: Clindamycin is only around for a few hours. It should be completely gone by 24 to 36 hours. Reactions are commonly caused by histamine. Any antihistamine such as tagamet or Zantac (ranitidine) may provide some relief as well. You should make sure your doctor knows about your issues in case you need something stronger like steroids. ...Read moreSee 1 more doctor answer
Information on cellulitis front sprained ankle. Recuperation time. Treatment besides antibiotics, elevation and ice?
Per doppler I & doc knew per doppler right leg vein no good still he removed vein of right leg during bypass surgery & found it no good. doctor error?
This is not...: ...a question that can be answered on Health Tap's Q & A feature. But your concern is understandable. Please get a second opinion from a doctor who is NOT associated with the physician who performed your surgery. I truly hope all eventually goes well with you. Dr. Anne. ...Read moreSee 1 more doctor answer
My femoral nerve was damaged during surgery. During physical therapy i tore my patella now I have shooting pain down my right leg starting at my knee
I have loss of leg strength and patellar reflex due to herniated discs at l3-l5; do I need surgery to recover? About 9 weeks ago, i had an episode of sciatica during a hiking trip. I still have significant loss of strength in the left quadricep (especiall
Had Laminectomy at L-3 in May 2016, post surgery numbness of right leg from waist to toes, surgeon knicked dura during surgery with CSF leakage.
I just had surgery to fix my tibial avulsion fracture. I cant do PT for 5 weeks (12 weeks total since break). How do I minimize the atrophy in my leg?
This is difficult: There aren't too many exercises you can do to avoid atrophy after surgery especially if you are limited in your activities (ie weight bearing vs non-weight bearing). The type of cast or splint you are in and type of surgery may also limit the activities you can do. If it is ok to do quad sets or straight leg raises with the splint or cast on, this can help prevent atrophy of the quadriceps. ...Read more
It is rare: Unless it is cardiac surgery on cardiopulmonary bypass. If you have peripheral vascular disease or audible bruit of your carotid artery, you should get a duplex ultrasound to assess possibility of a plaque. If you don't have this, chances of a stroke during surgery and general anesthesia is low. ...Read more
You would need: To be more specific than that, it could range from minor reversible problems to serious including death. ...Read more
Clarify question : I am not clear on your question. If you are referring to washing out the abdominal cavity/pelvic cavity it would usually occur at the end of the surgery. If there was a lot of contamination then it would occur at the beginning. Please clarify your question and re-ask. ...Read more
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