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Doctor insights on: Internal Surgery

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How to remove internal knee surgery scarring?

How to remove internal knee surgery scarring?

Motion and therapy: Internal scar formation can occur after significant injury or surgery. If the scar formation cannot be overcome with standard motion and strengthening surgery (and perhaps local steroid injection), an arthrscopic lysis of adhesions may become warranted. Discuss options with your orthopaedic surgeon. ...Read more

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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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What is the surgery to remove internal hemorrhoids?

What is the surgery to remove internal hemorrhoids?

Many options: Exist for internal hemorrhoids. Injections in the office and rubber band ligation in the office are simple ways to alleviate bleeding internal hemorrhoids. Using a doppler guided device to attack the blood supply (thdamerica.Com) or a stapling device are very effective for internal hemorrhoids that fall out or prolapse. ...Read more

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Are there 2 types of ACL reconstruction surgeries? Open surgery or arthroscopy?

Are there 2 types of ACL reconstruction surgeries? Open surgery or arthroscopy?

Multiple: There are multiple variations in ACL reconstruction which revolve around the choice of graft used and the surgical technique. Make sure you have an understanding of the basic porosity and cons of different approaches and don't hesitate to seek a second opinion. ...Read more

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After-effects of internal medical operations?

After-effects of internal medical operations?

As with all surgery.: The complications (I think this is what you mean by after effects) are universal. Pain, bleeding, infection, wound dehiscence (opening) bowel dysfunction, blood clot formation, unintentional damage to other organs and possible need for return to the OR. Most surgeries have a specific set of post op signs to watch for. If in doubt ask your surgeon. Also the surgery can fail to relieve the problem. ...Read more

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Explain the surgery to repair vaginal rectal fistula?

Explain the surgery  to repair vaginal rectal fistula?

Options: Depending on the cause of the fistula, additional diagnoses, age and health of the patient your surgeon will discuss the options. Have friends and family with you to help with this discussion. Usually diagnostic tests colonoscopy, ct scan of abdomen and pelvis are done before final surgical planning. ...Read more

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Can surgery repair melanoma?

Can surgery repair melanoma?

Hopefully: If the lesion is superficial, only excision of the skin site is needed. If it is deeper then removal of one or more of the lymph nodes in the area is usually recommended. If there is lymph node involvement, chemotherapyay help improve survival. Seek treatment at a center with experience in melanoma. ...Read more

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Has minimally invasive surgery replaced open surgery in gynecology?

Has minimally invasive surgery replaced open surgery in gynecology?

Not yet: Not yet but that's the goal. The advantages of minimally invasive surgery is incredible, but there is a high learning curve to master which makes it a little more challenging to make this into the gold standard. We are making great strides however. ...Read more

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Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vaginal vault prolapse surgery--what kind of surgeon performs this procedure?

Vag Vault Prolapse: Generally performed by a urogynecologist. Make sure you find out in advance whether or not your doctor performs these with or without mesh, the route of surgery (vaginal vs. abdominal), and how often the doctor performs this type of procedure. ...Read more

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Is internal radiation still necessary after hysterectomy and external radiation?

Is internal radiation still necessary after hysterectomy and external radiation?

Not likely: It depends on the location and type of cancer. However, combination of external and vaginal radiation are not commonly needed. Please see your doctor and ask. ...Read more

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Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Does excessive internal post-surgery scar tissue/adhesions reflect on surgeon's abilities? After a scalenectomy and rib resection for thoracic outlet.

Not typically.: Scar tissue/adhesions is a natural process that occurs as a result of any operation, no matter how skilled or novice a surgeon. It is a particular issue following surgery for thoracic outlet syndrome and can sometimes cause issues as bad or worse than the original reasons for having the surgery in the first place. Discuss with your surgeon on what steps can be taken to relieve your symptoms. ...Read more

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Do trauma surgeons do laparoscopic procedures?

If appropriate: Most trauma surgeons are well skilled in laparoscopic procedures. However, in many trauma situations, time is of the essence to save a life. It may be more appropriate at those times to do an open procedure to get the situation under control quickly, rather than the slower more meticulous work with laparoscopes. ...Read more

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Is labral tear surgery of the hip major surgery?

Is labral tear surgery of the hip major surgery?

Every surgery is: Every surgery is major, those labar tear could be done by hole in the skin around the hip joint or some time need open surgery. The open surgery is more involved. ...Read more

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Are healthcare specialties "plastic surgery" and "reconstructive surgery" the same?

Are healthcare specialties "plastic surgery" and "reconstructive surgery" the same?

No, but...: Both are done by plastic surgeons. Reconstructive surgery starts with an abnormality; the surgeon attempts to bring things back towards normal. Cosmetic (or aesthetic) surgery starts with the normal and tries to make it better. Plastic surgeons may perform one or the other and/or hand surgery, craniofacial surgery, microsurgery, and other procedures as well. ...Read more

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What is involved with meniscus removal arthroscopy surgery?

What is involved with meniscus removal arthroscopy surgery?

See below: It depends on what it done. A meniscal repair takes a 5week-6week non wt bearing and brace time. Simple triming of a tear takes only as long as the skin wounds heal. The internal mechanics of the knee are ready to go right away, as the mechanical problem has been removed. ...Read more

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Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Can open repair surgery be done on bilateral popliteal aneurysm in 1 surgery? medial approach

Popliteal aneurysms: Bilateral popliteal aneurysm repairs can be done at the same sitting but I prefer staged procedures as it is easier on the patient and the surgeon. Get one leg fixed, make sure it's ok then get the other fixed. Alternatively placement of popliteal stents is a viable option that I prefer to popliteal bypass and aneurysm exclusion. Bypass option is still available if it becomes necessary. ...Read more

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