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    Tag: minimally invasive surgery

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    28May 2020

    Get your sinuses ventilated: FESS

    Sinuses are air spaces meant for help in humidify the air and enhance the quality of voice. Do you know recurrent heavy headedness, severe headache while lowering your head, recurrent infection of upper respiratory tract infection can be serious and very problematic? Sinusitis might be the cause. Mostly sinusitis is a rhinogenic in origin, ear infection, or dental infection. Our nose has cilia on its wall which helps in the movement of nasal secretion out of the nose. During nasal infection, these cilia function less efficiently result in the stasis of secretion and mucus in nasal sinus.

    What difficulties you will face when suffering sinusitis?

    Mostly symptoms are rhinogenic and usually same as cold. Following are the symptoms of sinusitis:

    1) Nasal congestion or obstruction.
    2) Pain on sinofacial region.
    3) Headache while lowering or shaking it.
    4) Mucopurulent nasal discharge.
    5) A sensation of sneezing or multiple time sneezing.
    5) The reduced smelling sense thus resulting in the inability to have flavors in food.
    6) Change in voice.

     

    sinus sysmptoms

    How sinusitis is treated?

    Medical management: As per medical management is concerned sinusitis is usually managed medically first with nasal decongestant, antibiotics, antipyretics, anti allergens (antihistamines). If sinusitis doesn’t get relieved by medicines and get recurrent and chronic than it is surgically managed.

    Surgical management: Surgically sinusitis is treated with the endoscopic approach. The rigid endoscope aids the surgeon to visualize the nose in detail. The nasal cavity is a very small area and having a great visualization with the correct idea axis can make the surgery easy. So angled endoscopes are used, a 30° degree endoscope affords an increased view with lesser movements as there are limited spaces. A 30-degree endoscope (sinuscope) can view every corner of sinuses. It provides excellent visibility, easy diagnoses, and surgery more comfortable. Surgery of sinus is called FESS (FUNCTIONAL ENDOSCOPIC SINUS SURGERY).

     

    sinuses ventilated: FESS

    FESS is useful in which kind of sinus problems?

    1) Patient with recurrent acute or chronic sinusitis to increase ventilation of sinus.
    2) People suffering from nasal polyps. This removes polyps by using suction cutters.
    3) Some kind of cancerous growth in the nasal cavity.
    4) Decompression of eye socket (space of eyeball in the skull) like in Graves disease.

    Why FESS is preferred over conventional surgery or treatment?

    As the name suggests it is minimally invasive surgery. So following are the reasons to opt FESS:

    1) Minimal discomfort during and after surgery and heals early.
    2) Performed under local anesthesia with some sedation to calm the patient.
    3) It helps in restoring the ventilation of sinus.
    4) Improves olfaction, sleep, and facial pain.
    5) Enhances voice quality.

    Having clear information about endoscopic treatment for sinus problems can solve your problem with great success. Its efficiency makes it more trendy and easy.

    16March 2020

    FROZEN SHOULDER: WHAT IT IS?

    Have you ever experienced shoulder pain just after waking up in the morning? Or your shoulder gets stiff after 2-3 hours of mobilization. A condition of shoulder joint accompanied by stiffness, tenderness, and pain in your shoulder joint. This condition is also known as ‘adhesive capsulitis‘. Generally, it occurs due to inflammation of the synovial capsule. Most of the time the symptoms occur and get worsen. It takes about two to three years to get normal if left untreated.

     

    How did it feel to have a frozen shoulder?

    Frozen shoulders develop gradually. It has 3 stages each stretches to 3-4 months.

    • Freezing stage – The range of motion from the shoulder gets limited. Shoulder movements are painful.
    • Frozen stage – Pain may get reduce but, your shoulder gets more stuff and movement gets more difficult from the shoulder joint.
    • Thawing stage – Reliving stage pain reduced and range of motion improves.

    Pain may get worsen during night and interrupt sleep.

    Are you at risk of developing a frozen shoulder?

    The joint at the shoulder is encased in a capsule; this capsule gets inflamed and tightens restricting the movement.

    Causes aren’t sure that why it happens, however, some people are at risk:

    1. Age and sex – Age more than 40 years, mostly women are at risk of getting frozen shoulder.
    2. Compromised mobility – People who’ve had compromised mobility of the shoulder. The following are the conditions: Rotator cuff injury, broken arm, Stroke, Recovery from surgery, Systemic diseases.
    3. Some disease conditions likely to aid in frozen shoulder.
    • Diabetes.
    • Hyperthyroidism
    • hypothyroidism
    • Tuberculosis
    • Parkinson’s disease

    How you can prevent it?

    Regular exercise – If you have any risky condition. Then talk to your doctor for a minimum range of motion you can practice preventing it.

     

    How you will get it diagnosed?

    1. Physical examination — during this doctor ask you to do a range of motion by own then he will move your hand checking range of motion. Active and passive range motion both are affected in this condition.
    2. Usually, signs and symptoms are enough to diagnose. But a doctor can advise radiological tests — X-rays or an MRI — to rule out problems.

    What are the treatments for frozen shoulder?

    • The first aim of treatment is to control pain and preserving the range of motion of the shoulder.
    • Medications- anti analgesic and anti-inflammatory drugs given to relieve pain.
    • Therapy- Physiotherapist teach you a range of motion to restore movement.
    • Surgical and other procedures

    Most of the time frozen shoulder gets better on its own. For frequent and persistent condition your doctor may suggest

    • Steroid injections – in the shoulder joint.
    • Joint distension – by injecting sterile water in a joint to stretch the tissue for good movement.
    • Shoulder manipulation – The doctor moves the shoulder in a different direction to relieve tightness of joint
    • Shoulder Arthroscopy Surgery – If the above methods are not helping you, your doctor may recommend surgery to take out scar tissue and adhesion of joint.

     

    A surgeon performs this surgery with the tubular camera having attached light to examine or repair the tissues inside or around your shoulder joint and with minimally invasive procedure scar and adhesion is removed with the help of arthroscopy. The camera displays pictures on a video monitor and the surgeon uses these images to guide miniature surgical instruments. Along with the endoscopic camera system, an endoscope trolley is also needed to place instruments and monitor. Endoscope trolley helps in minimizing the extra burden to arrange the endoscopy devices like LED cold light, CO2, Suction irrigation, Monitor with MIS instruments.

    After surgery, after two weeks you can resume a normal routine life. The procedure is easy and heals fast.

    11March 2020

    ASHERMAN SYNDROME: ALL YOU NEED TO KNOW.

    Are you having absent periods? Getting cramps but not menstruating? And you have a history of frequent abortion, injury or any scaring. Then you may need to see a gynecologist. You may be suffering from ASHERMAN syndrome.

    What is known as asherman syndrome?

    Asherman syndrome is an uncommon uterine condition. In which scaring of the inner wall of uterus causing adhesion of anterior and posterior wall of the uterus. It may vary from mild to severe. Depending on areas of adhesion and type of adhesion (thick or thin). This condition leaves very little space in the uterus.

    Presented with what kind of symptoms?

    • absent periods or very light periods (amenorrhea or hypo menorrhea)
    • severe cramps during the period date but menstruating sparsely
    • unable to get pregnant

    What is the cause or risk factor of asherman syndrome?

    Near about 90 percent of Asherman syndrome cases occur due to dilation and curettage (D and C) procedures. D &C is usually done for missed abortion, elective abortion, retained placenta after delivery or incomplete abortion.

    If a woman undergone D&C many times then it’s a high risk that a woman may develop asherma syndrome.

    Sometimes adhesions can happen following pelvic surgeries, like a caesarean section or surgeries of uterine or ovarian cyst, fibroid or polyp.

     

    How do I get diagnosed with asherman syndrome?

    • Assessing the symptom you have
    • A blood test to evaluate other illnesses.
    • Ultrasonography.

    Hysteroscopy is the final diagnostic procedure for asherman syndrome. The procedure involves dilatation of the cervix and inserting a hysteroscope. A small slender telescope. It can help to view inside of the womb for any scaring.

    Hysterosalpingogram, inject dye and imaging it’s a pathway in uterine cavity on x-ray.

     

    How to get it treated?

    Operative Hysteroscopy (minimally invasive surgery):

    Asherman syndrome can be treated by using minimally invasive surgery known as an operative hysteroscopy. Minimal invasive surgical instruments are attached to the Hysteroscope (endoscopic surgery instrument) used to separate adhesions. This minimally invasive surgery is performed under general anesthesia.

    Antibiotics and estrogen tablets after surgery. A repeat hysteroscopy (endoscopic procedure) may be done after a few days to check the uterus condition.

    Why Operative Hysteroscopy to be performed for asherman syndrome?

    Operative Hysteroscopy (minimally invasive surgery) is the only technique to remove scaring and improve uterine quality. If you want to conceive and you have to scare of uterus you have to undergo the procedure.

    Usually done on an outpatient basis.

    It’s a minimally invasive surgery, making it tolerable and acceptable to the patient.

    Getting a life inside you is a matter of immense pleasurable feeling. Consult you, gynecologist, if you are having a recurrent abortion. This minimally invasive surgery can do wonder in your life. Visit our site for more information http://diasurge.com