Doctor insights on:
Pneumonectomy Step By Step Procedure
Entire lung: A pneumonectomy is the removal of the entire lung on one side, usually for lung cancer. Thoracic surgeons now trie to avoid pneumonectomy by performing what are called lung sparing procedures, such as sleeve lobectomy. See a board certified thoracic surgeon before undergoing a pneumonectomy. ...Read more
Benefit vs risk: A pneumonectomy is a major surgery in which an entire lung is removed. Like any major surgery, there can be complications - some serious. Risks include bleeding, infection, irregular heartbeat, blood clots after surgery, & even a heart attack. However, if you have a serious illness like lung cancer, the benefit to surgery may outweigh the risks. I urge you to discuss concerns w/ your doctor. ...Read more
Three to six weeks.: The pain will decrease each week as healing takes place. The is mostly from the muscles in between the ribs being stretched. In some cases a small piece of bone or cartilage may have to be removed to create a window for the instrumentation to to be introduced and manipulated through. Use a pillow to hug it and thus support the rib cage when you are doing your breathing exercises. This will help. ...Read more
It depends!: First, were you able to jog before? If so, then you should be able to do so afterwards. More importantly, this is a question that is best addressed by your surgeon, hopefully pre-operatively. S/he should address all your questions & concerns before the operation (given that it's not emergent). S/he can also go over your recovery & what to expect when. Regardless of what we say here, go see ur doc. ...Read more
Depends: Depends on how good your other lung is. One would expect to have less exercise capacity but how much you notice this depends on how your lung function was generally pre-op and by how active you are. Someone who is sedentary may not even miss the lost capacity for example. ...Read more
No: Best to check with your surgeon.Get a more detailed answer ›
No: Pneumonectomy, with correct planning, can be done safely with close to a 3% mortality rate. Left sided pneumonectomy is considered safer than right sided pneumonectomy. That is mostly due to the fact that you are simply taking out slightly more lung on the right than the left. Chemotherapy and radiation all factor in to decisions to proceed with pneumonectomy or not. ...Read more
How much more risky or dangerous is it to perform a pneumonectomy on someone who had a bypass surgery 8 years previous?
Unusual also since pnemonectomy is most common for cancer that is extensive.
If on left must be careful with mammary graft.
Wedge or lobectomy
are well tolerated if the heart function is good.
Consider a cath to be sure of graft status.
With good preparation, it is possible. ...Read more
If a segment of your vagus nerve was surgically removed during a pneumonectomy, is there anything besides reglan (metoclopramide) which can restore esophageal action?
Yes: A lot depends on the symptoms you are having. If you feel that food is hanging up in the esophagus, then fluid should be taken with the meal and between bites to facilitate movement of foods into the stomach. ...Read more
Post left pneumonectomy pain in left arm, shoulder and hand. Work on a computer 7hrs/day. What is causing numbness/pain/tingling in my left arm?
Could be from: The procedure (irritation of pinching of the nerve) but also you may have unrelated cervical or lower thoracic degenerative disease that is causing the symptoms. I believe you need to see either a neurologist have and through evaluation and run certain test like nerve conduction test and possible MRI of the cervical and upper thoracic region. Clinically you have neuropathy. ...Read more
Technique for adults: Sleeve resection circumcision. General anesthesia. Antiseptic paint/scrub. 2 circumferential marks, 1 around outer shaft skin, retract foreskin (stretch if necessary) 2nd mark 5 - 7 mm below groove (coronal sulcus). Cut skin with cautery or scalpel ; remove skin between. Cauterize bleeding vessels. Trim frenulum. Chromic gut sutures to cut frenulum ; advance shaft skin ; suture 2 skin below groove. ...Read more
Depends: Each injury is different. They type of injury dictates the treatment. ...Read more
Not in this space: Not in this space limited area. However, there are several great websites such as spineuniverse. Com or spinehealth. Com or medical society websites like the north american spine society or the scoliosis research society that will have multiple resources that you can review. I'm sure you can even find a video online of a typical surgery but there are several different types that may be done. ...Read more
Please answer! What will be the step by step procedure to manage a edentulous patient with Parkinson's for preparing a complete denture?
The best solution: Implant-tissue supported, magnet-retained overdenture for an edentulous patient with Parkinson's disease is the best solution. Modification in materials and techniques during fabrication would contribute to prolonged usage of dentures and stability. ...Read more
What are the steps to take when a nephrectomy is preformed procedure wise? Dissection, anatomy to know, etc.
Generally...: 1) make incision, 2) find vein and inspect for appropriateness as an av fistula, 3) find artery, 4) connect the vein onto the artery, 5) close incision. The details vary slightly depending on the site on one's arm or leg, but generally the five steps listed is all that's involved. ...Read more
Options: I think the procedure was an ablation - involving burning the inside lining of your uterus. If it was not successful, then you need to have a follow-up evaluation, - a sonogram, and the options (once any precancerous or cancerous conditions are ruled out) include: hysterectomy (if the bleeding is bothersome enough for you to want/need to have additional treatment); or sometimes a repeat ablation. ...Read more
I stepped on a piece of glass. However I did get it. Standing hurts. What should I do? And what is the procedure for removing glass from heel?
Glass: If it still hurts there could very well be pieces left behind sometimes it is very easy in the office other times we have to go to the or to explore the area. ...Read more
Both me and my partner have HPV. She was found to have pre cancer cells and just had the procedure to remove them. What is the next step?
Be grateful: Comply with the instructions you were given, keep an eye on yourself and report any curious lesions to your doctor, and understand that the woman you loved very likely was saved from a premature death. Cancer of the cervix used to Kill more women than breast cancer does today ...Read more
Is it common for a molar to discolor days after initial step in root canal procedure? (therapy completed & hole filled w/temp material, pending crown)
Gets periods delay by one week Still periods didn't come Had protected sex one week back Tell the procedure and the steps to avoid pregnancy?
Re do the test:
You may repeat the test in 4-5 days, unless you get a period by then. Use first morning urine and follow the instructions for the test carefully.
If you do not wish to be pregnant, use contraception all the time, every time. You may consider implanted contraceptive, or IUD.
Practice safe sex.
Get HPV vaccine. ...Read more
What are the steps the doctor uses to remove a third nipple about a centimeter wide? I can't find anything about the procedure on the internet.
4yr old had 2 sets of ear tubes. 2nd set came out and now more ear infections. What's next step? More tubes or a different procedure?
Family practice: More tubes unfortunately. See your dr for sure. See what else can be done to prevent infections. It could be some form of allergy. ...Read more
1. Visual acuity of both eyes and determination of refractive error
2. Pupil exam
3. Evaluation of eye movements and visual fields
4. Exam of the eyelids, anterior segments of both eyes and a check of the intraocular pressures
5. Dilation of the pupils which allow exam of the lenses and retinas.
There are other parts of the exam which are sometimes done based on symptoms. ...Read more
28 year-old woman was found during laparoscopy for endometriosis to have segmental areas of colon missing its musculature, and wonders about pro.....?
Segmental lack muscl: Segmental absence of colonic musculature is congenital and is usually diagnosed in childhood. It can be associated with constipation and also spontaneous perforation which is when it is diagnosed. Would follow up with colon surgeon, regarding the risk for perforation and whether prophylactic removal is warranted. ...Read more
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