Doctor insights on:
How Common Is It For Someone To Need A Total Knee Replacement
Common: In this day & age where people are getting imaging studies more frequently, "incidental" thyroid nodules are found more easily, leading to more biopsy and more surgery. Approx 50, 000 new thyroid cancer cases are expected in 2011 resulting in approx 2000 deaths. The decision to proceed with surgery depends on discussion between you and your treating physicians (surgeon, pcp & endocrinologist). ...Read moreSee 1 more doctor answer
Uncommon: Radical mastectomy involves removing the breast, adjacent nodes, node dissection in the armpit, pectoralis muscle and enveloping membranes. It is disfiguring, painful and rarely needed. On if you have neglected obvious signs of breast cancer would this be considered. Muscle sparing mastectomy is more common as is lumpectomy. ...Read more
Very Common: Many women have fibroids. Some women don't have problems from fibroids, but other women have painful periods, heavy bleeding, pelvic pressure, pain with sex, or infertility. The only way to remove fibroids is surgery and so myomectomy is very common. Myomectomy can be done in different ways so not every surgery is the same. ...Read moreSee 1 more doctor answer
Improved Lifestyle: When knee pain created by arthritis becomes constant, interfering with daily activities and the ability to sleep, then it is time to consider replacement. If medically stable and suitable for postop rehab, then it could be time for replacement. ...Read moreSee 1 more doctor answer
Not too common: Removal of the spleen is generally reserved for conditions such as trauma or accident with spleen rupture. Other conditions could be from disease called itp causing low platelets. There are some rare lymphoma cancers than may need splenectomy. Also rarely is severe spleen enlargement from uncommon blood or bone marrow disorders. ...Read more
Very Common: Hysterosalpingography or hsg is still one of the first tests of infertility for all women. This test helps to determine whether the fallopain tubes are open and whether the uterine cavity is normal. Traditionally it is performed using x-rays and a contrast dye. Recently I have been using a new device (femvue) to inject saline with air bubbles and use ultrasound to determine if they are open. ...Read moreSee 3 more doctor answers
Not common anymore.: Tonsillectomy used to be so common that the family practitioner did it in children in the office, give them ice cream and send them home. Since the 60's, was understood that tonsils are important lymph tissue, that drains uris. Now there needs to be defined indication to do it, such as 3 significant strep infections over 1-2 years. So, an infection disease or ENT expert should be in the decision. ...Read more
Very common: Less then 30% of the american population actually has a normal bmi. Obesity is a major epidemic in this country and is rapidly expanding, especially in the adolescent and preadolescent age groups.Surgery is performed in 1% or less of those individuals who are consider candidates for these procedures. Surgery for obesity, especially over the last ten years has become increasingly more popular. ...Read moreSee 1 more doctor answer
VERY common: App. 750, 000 people/year have this operation in the US, alone! While it certainly is an invasive procedure, it is a relatively painless way to cure people of a very bothersome illness. Perhaps in years-to-come we may discover a non-surgical alternative, but, at this time, this remains the gold-standard for treating gallbladder disease. ...Read more
Very uncommon: The mcl (medial collateral ligament) tears outside of the knee joint. Because of this, the torn fibers are close enough to each other that they almost always heal and scar down own their own. In rare cases where there is persistent instability (looseness), we can repair or reconstruct the mcl. ...Read more
HTO, UKR, TKR option: The younger the patient, the more we like to try and find an alternate procedure to a TKR (total knee replacement). High tibial osteotomy(, HTO), and even more so- Unicompartmental knee replacement (UKR) options are being utilized to improve function in the younger adults. When all else fails or becomes non-feasible, a TKR can be a option even in the mid 30's. Discuss ALL options with your surgeon ...Read more
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