I am having hip arthroscopy this week. If I test positive for anemia, should they still do the surgery?
Depends... Anemia is not uncommon in many situations... Eg. Menstruating women. It also depends on the severity, your age, co-existent medical problems, etc. Your primary care doctor should be able to answer this more accurately. This is purely elective surgery... Make sure you are in the best health possible before surgery. Do not worry about the inconvenience to the surgeon!
Scopy or plasty? Scopy probably ok, unless anemia severe enough to pose a threat to safely undergo anesthetic or other health problems. Hip replacement -arthroplasty- can lose significantly more blood and lead to transfusion. More important is to find cause for unexplained severe anemia, and that may itself be a reason to delay elective surgery.
Anemia. If you are anemic, surgery should be postponed until a thorough hematologic work up is performed and completed. Hip arthroscopy is "elective.".
It would be ok. The blood loss grom surgeru will be10-20cc its the anesthesiologists call.
It depends. If the anemia is mild, for instance a hemoglobin level of 8 or 9, or chronic and stable, you should be able to have the surgery. A hemoglobin level less than 10 in an otherwise healthy individual should be investigated to see why its low. If the anemia is severe, it will need to be worked up and corrected. Anemia is less acceptable if there is heart disease and certain other conditions.
That depends. Depending on how anemic you actually are, the reason for your anemia, and what is actually planned during your surgery, you may be best to postpone your procedure. While blood loss during hip arthroscopy is typically minimal, it would be smartest not to put yourself at any increased risk for a bit very elective procedure.
Anemia. There are many causes for anemia and depending on the exact diagnosis the surgery may or may not be performed. A hematologist will have to address the causes and may make recommendations re: surgery.
Generally yes. Unless your anemia is critical, you can have surgery. Blood loss is minimal with this procedure.
Yes. Hip arthroscopy looses very little blood. In general, we loose between 1 and 50cc of blood from a hip arthroscopy procedure. I would perform hip arthroscopy on an anemic patient unless there are underlying heart conditions that make the anesthesia more risky.
Y- with MD clearance. The short answer is likely, "yes". You will likely need medical clearance from your primary care provider, and a thorough evaluation by the anesthesia team prior to your date of actual surgery to make sure the entire surgical team is aware of any issues specific to your condition ahead of time.
Yes. There is typically very little blood loss associated with hip arthroscopy.
I am having a left hip arthroscopy in 2 weeks time. I took 150mg testosterone enanthate 4 times overthe last 2 weeks. Will this effect my surgery?
Testosterone surg. You need to ask your doctor who knows you best. We do not have enough information to help.
Not directly, but: Testosterone replacement therapy is associated with increased risk of venous thromboembolism (DVT and pulmonary embolism). The risk is likely small and preventive measures are routinely ordered pre and/or post op to prevent DVT but you should mention this to your surgeon. It may be wise to not take any more testosterone till a month after surgery. Discuss this with your physician.
Carefully... Though initially it may be difficult, you should be able to use the bathroom after hip arthroscopy. Sitting carefully and trying to keep the operative leg straight may be necessary initially. Sometimes an elevated toilet seat or a bedside commode may be helpful. Talk to your doctor about the specifics of your procedure to get a better idea of what to expect.
Yes. The small portal incisions are out of harms way and will not prevent normal use of the bathroom. You may well be significantly slower with all the logistics involved but still able indeed. Sitting with hip flexed to 90 degrees is allowed after arthroscopy. Most arthroscopy distraction systems have a large firm but soft post centered about your perineum. This can cause postoperative discomfort.
Hip arthroscopy. Following hip arthroscopy you must be mindful about not hyper-flexing your hip; as such, you may want to place a higher seat on the toilet;.
Normally. Most people can make it work by just sitting on the commode with their leg straight out. Some people benefit from the elevated commode. You surgeon can order one of these for you. Thanks.
Elevated toilet seat. After arthroscopy of the hip, you can typically sit with your hip flexed up to a right angle, or 90 degrees. Otherwise, an elevated toilet seat can be helpful.
Yes. My typical restrictions for my patients are with regards to weight bearing when walking and twisting of the hip. Sitting is ok.
Bathroom. Consider raised toilet seat and use of hand rails/upper body assistance to sit and elevate body.
Just like you always. I do not require sitting restrictions after hip arthroscopy. Just be careful and deliberate getting up and down from any low chair. In over 3000 cases I have never had a patient need an elevated toilet seat.