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Doctor insights on: Surgical Instruments

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Can you get HPV from a contaminated surgical instrument?

Can you get HPV from a contaminated surgical instrument?

Very Unlikely: We don't know the exact answer to your question, but i would say you are not at risk of getting hpv from an instrument used in surgery. The only exception i can think of is a vaginal retractor that was in contact with active hpv infection (warts) and then that retractor immediately coming in contact with you--contact with your hands probably would not put you at risk of getting hpv. ...Read more

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During my tubal ligation, my ob/gyn used a surgical instrument that is contraindicated for tubal sterilization. Is that ok to do?

During my tubal ligation, my ob/gyn  used a surgical instrument that is contraindicated for tubal sterilization. Is that ok to do?

Get second opinion: this story sounds incorrect. tubal ligation done properly is a very easy procedure and it is unusual that mistakes are made like this. the consequences of mistakes, like unintended pregnancy make doctors pretty careful about this stuff. get the operative report and review it with another gyn surgeon to put your mind at ease. ...Read more

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Are the titanium instruments going to remain on my spine the rest of my life if I do a kyphosis surgery ?!

Are the titanium instruments going to remain on my spine the rest of my life if I do a kyphosis surgery ?!

Most likely: Usually do remain in spine when for correction of curvature of spine. They help to maintain the correction. Complications such as infection, broken rods and screws may require removal of part or whole device. Most spinal fusions usually are intended to last forever. ...Read more

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Is there an option to straighten up my postural kyphosis instead of just doing a risky surgery ? I don't want no instruments on my body !

Is there an option to straighten up my postural kyphosis instead of just doing a risky surgery ? I don't want no instruments on my body !

Your righNo surgery: For postural kyphosis indication forfusion forckyphosis is rigid ( not postural) progressive structural curve greater than 60 degrees of positive saggital rotation huge severe curve postural kyphosis is treated with therapy and corrects lying supine can't be confused for a structural deformity by the learned an instrumented fusion for postural kyphosis is madness the cureis worse than the disease. ...Read more

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Should all hospitals use/have a instrument-intraoperative nerve monitor , used to safeguard the recurrent laryngeal nerves during thyroid surgery?

Should all hospitals  use/have a instrument-intraoperative nerve monitor , used  to safeguard the recurrent laryngeal nerves  during  thyroid surgery?

Nerve monitoring: At the present time this is not considered standard of care for routine initial thyroidectomy. Operative technique is more important. Nerve monitoring is an adjunct for primary surgery. In repeat surgery or very complicated cases it would be expected that the surgeon use it. It can be very helpful under those conditions. ...Read more

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Should all hospitals use/have a instrument-intraoperative nerve monitor , used to safeguard the recurrent laryngeal nerves during thyroid surgery?

Should all hospitals  use/have a instrument-intraoperative nerve monitor , used  to safeguard the recurrent laryngeal nerves  during  thyroid surgery?

No proof: I agree with dr. Wing. Although I use a nerve monitor in all of my thyroid surgeries, there is no proof that it's use decreases the risk of recurrent nerve injury. ...Read more

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Gyno surgery. What to expect?

Gyno surgery. What to expect?

Depends: This is a very large area of surgery and the outcomes and surgery are vary different depending on what it is for. This could include small outpatient surgeries that can be performed in the office in 15 minutes to large complex surgeries requiring general anesthesia (going to sleep) and several hours of complex operating. Best is to get specific info from your surgeon. ...Read more

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Is there a risk to the surgery?

Is there a risk to the surgery?

Which surgery?: In general all surgery has some risks. The risk from the anesthesia ( severe allergy, hypotension, respiratory or cardiac arrest) the risk during surgery of bleeding, perforarion of viscera, leaving instruments, gauze or towels inside, the risk after the surgery with infections, the risk of clots, the risk of not achieving the desired goal, the risk of scars internally (adhesions) or externally. ...Read more

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Is there such a thing as sutureless surgery?

Is there such a thing as sutureless surgery?

Yes: Most cataract surgeries performed today do not use sutures. The procedure is performed through a 2.5-3.5 mm incision and at the end of the case is hydrated to form a self sealing wound from the internal pressure of the eye. ...Read more

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Please describe the most challenging surgical specialty?

Please describe the most challenging surgical specialty?

Depends: Depends on what you mean by "challenging"? Neurosurgery is commonly referred as challenging due to the risks involved, but elective plastic surgery may be considered "challenging" due to the patients involved. Surgical oncology may be "challenging" as well due to definitive removal of tumors but keeping healthy tissue intact. Opthomalogist have to deal with microscopic nerves in the eye. ...Read more

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In your 30's 40's and 50's, what are the chances of needing any kind of surgery?

In your 30's 40's and 50's, what are the chances of needing any kind of surgery?

Not rare: I can't give you a percentage, but if you consider all the variety of procedures possible, from oral extractions to skin lesions to orthopoedic repairs to simple hernias to the complex GI procedure to cardiothoracic procedures, there's a good chance something will be needed, and i'm not even including colonoscopy and other endoscopic procedures. Good luck. ...Read more

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What are tracheotomy instruments?

What are tracheotomy instruments?

Knife, dilator: it doesn't take much. A skin incision, a dilator to open the trachea and an airway (or tube) to put in the trachea hole ...Read more