Meridian Surgical

Once you have been diagnosed with breast cancer, usually treatment starts first with surgery.  There are generally two components to the operation:  1) the breast, and 2) the axilla (armpit).

 

In the breast, there are two choices: 1) lumpectomy (removing the cancer lump and some surrounding tissue), or 2) mastectomy (removing the entire breast).  Just a quarter of a century ago, almost all patients had mastectomy, even if their breast cancer is small.  But over the past few decades, it has been demonstrated that for small cancers, lumpectomy followed by radiation treatment is just as good as mastectomy.  Now, “small” is a relative term.  The goal of a lumpectomy is that the breast would still look like a breast after all the treatment is done.  In someone with small breasts, a “small” cancer may occupy a significant portion of her breast.  An adequate lumpectomy in this case may result in an unacceptable cosmetic outcome, and the patient may actually prefer having mastectomy with plastic surgery reconstruction.  Another factor is the number of cancers in the breast.  Usually, mastectomy is required for multifocal cancer (cancer discovered in two or more locations in the same breast)

 

At the same time as the breast operation, surgery in the axilla also is carried out for invasive (or infiltrating) breast cancer, as well as in selected cases of DCIS (ductal carcinoma in situ).  This is done to determine whether the breast cancer has spread to the lymph nodes in the axilla.  In general, there are two choices:  1) sentinel node resection, or 2) axillary node dissection.  In sentinel node resection, the surgeon maps the lymphatic drainage of the breast cancer to the first lymph node that receives this lymph, i.e. the sentinel node(s).  Only a few (1-3) nodes are then usually removed.  In axillary node dissection, more lymph nodes are resected, usually 8-25.  Sentinel node resection is a good choice for small early cancer that is unlikely to have spread to the axilla.  When the suspicion for cancer already in lymph nodes is high, then full axillary node dissection should be performed.

 

The above are only general guidelines.  No two breast cancer patients are exactly alike, and therefore the decision making process is different and unique for each individual person.  Regardless of any one else’s advice, you should make the choice that you personally will be able to live with for the rest of your life.

Tummy tucks are major surgical procedures that require a surgeon’s artistry and exceptional precision to produce aesthetically satisfying results. Tummy tucks are a big operation, and in my mind, one of the most dangerous cosmetic procedures — and the patients who have them tend to be a high-risk group.

Tummy tucks are best suited to people who are in good shape (aside from the abdominal area) and who are at an ideal weight. Although every procedure is unique, there are several basic variations on tummy tuck surgery that can be used to address different cosmetic goals. Traditional tummy tucks are the most commonly performed type of tummy tuck surgery.

Abdominoplasty, or as it is often referred to, a tummy tuck, is a procedure for people who have excess skin and fat around the abdomen and want to have it removed. Abdominoplasty may involve liposuction, either alone or in combination with removal of skin. Abdominoplasty does not instantly change the way the world perceives the post-surgical patient, but it can greatly improve self esteem and body image, changing the way patients present themselves to the world.

Possible risks of abdominoplasty include: Unfavorable scarring, bleeding (hematoma), infection, fluid, accumulation, poor wound healing, skin loss, blood clots, numbness or other changes in skin sensation, anesthesia risks, skin discoloration and/or prolonged swelling, fatty tissue found deep in the skin might die (fat necrosis), major wound separation asymmetry, recurrent looseness of skin, pain which may persist, deep vein thrombosis, cardiac and pulmonary complications, persistent swelling in the legs, nerve damage, possibility of revisional surgery, and suboptimal aesthetic results.

Liposuction can be ideal for patients who have reached physical maturity, are at or near their ideal body weight, and have stubborn, localized deposits of fat they want removed. The best candidates for a tummy tuck are those bothered by a large fat deposit or a loss of skin elasticity resulting in loose abdominal skin that won’t respond to diet or exercise. This procedure can especially help individuals who have just experienced pregnancy or lost a significant amount of weight, but still possess excess skin and fat in their abdomen.

Tummy tucks are in fact medical procedures, and while many people are quite happy with the results, patients who understand the mechanics and expectations after the procedure are more likely to fair much better afterward. Mini-tummy tucks are used to correct problems from the naval down to the pubic bone, such as: bulging abdomen muscle weakness, sagging skin, and excess fat. Mini tummy tucks are generally directed at situations where the muscle elasticity is lost in the lower abdomen wall only.

A few shortcuts on weight loss are becoming more and more popular, but are they good for you? Will they prove effective and safe in the long run?

Surgery has established itself as a great way to lose weight and it benefits is known tremendously from all the medical research and development we have witnessed in the past decades. But is it really your best option when it comes to losing weight?

There are some doctors and then there are good doctors. If you are seriously overweight and you believe surgery is for you, then you can go to almost any clinic and be assessed for operation. Some doctors will tell you there are risks involved – these are the “good guys”; some doctors will tell you that you first have to enroll in a weight loss program and prove you are committed to changing your lifestyle – these are the “great guys”; and some doctors will just let you know how much it will amount to – these are the “butchers”.

The first thing a doctor can do is to talk you out of surgery. You can cut and weld a sheet of metal, but it doesn’t work the same for a living body.

And there is no sign that medicine will progress so far as to make plastic surgery 99% safe for the patients.

You have to ask yourself just how much pain you can take. Plastic surgery is very painful. And it’s not like you are a teen anymore – your body doesn’t have the same regenerative strength that you used to take for granted when you were younger and a twisted or even broken arm was nothing more than a reason to show off in front of your friends.

Surgical solutions for weight loss are dangerous – the skin doesn’t heal as easily, the scars will be there forever, sometimes swollen and infected for months. Take surgical breast enhancement for example. It is so common that almost all the women feel tempted to try at some point in their life. Yet common as it is and comparatively simple as it is, there is a high percentage of women who need a second operation to remove implants because of infections, or who need a operation to hide the scars of the first operation or to have their breasts remodeled to look even because the tissue did not react the same on both sides of their body.

Once you get under the knife there will be no turning back. And if you think you can always sue the doctor and win, then think again. No amount of money will help you get through the pain more easily. Plus, if the surgery was correctly performed and your body reacts badly to it – that’s it. The doctor will never be found guilty – you do sign an agreement and you take full responsibility for the way your body may react.

So think very hard before losing money at the surgery roulette. Plastic surgery clinics can very well survive without your contribution and you can gain a lot more in terms of health and confidence in yourself employing other ways to lose weight.

As it is known, medical procedure prices are extremely high in the United States. In the past 30 years, the costs of health care have soared in developed countries, especially in the United States. Due to rapidly escalating health care costs, Americans, Europeans, Canadians and Australians in ever increasing numbers began to search for alternatives that could reduce their personal out of pocket medical expenses. In the last few years, millions of people from developed nations have chosen to come to India. India facilitates uninsured and underinsured American patients seeking affordable medical treatments along with an opportunity to explore mystic Asia and near by tourist locations. Health care in India is comparable too much that is available in the United States, and at a far lower cost. Medical procedures in India cost approximately 20% to 30% compared to the ones in America. A growing number of uninsured and underinsured Americans seeking low cost quality medical care and surgery are boarding plane to India. India has the top-notch centers for open heart surgery, pediatric heart surgery, hip and knee replacement, eye surgery, dentistry, bone marrow transplants and cancer therapy and virtually all of India’s clinics are equipped with the latest electronic and medical diagnostic equipment.

What is a laparoscopic pyeloplasty?

A laparoscopic pyeloplasty is a minimally invasive surgical procedure for correcting a kidney ureteropelvic junction obstruction. Laparoscopic pyeloplasty is suitable for patient with ureteropelvic junction obstruction of the kidney.

Who is an ideal candidate for Laparoscopic Pyeloplasty Surgery?

If a patient have obstruction of the ureteropelvic junction (UPJ) which can be caused by congenital abnormalities like horseshoe kidney, fibrous scarring due to stone or previous operation, or if patient have a blood vessel which may cause ureteropelvic junction (UPJ) to kink or if patient have a stone that gets impacted in the upper part of ureter, then patient is an ideal candidate for Laparoscopic Pyeloplasty.

What to expect prior to the Laparoscopic Pyeloplasty surgery:

Once surgical date is secured, patient will receive a form along with a letter of explanation to take to patient’s primary care physician or family doctor in order to have the following preoperative testing done prior to surgery.

·Physical exam

·EKG (electrocardiogram)

·CBC (complete blood count)

·PT / PTT (blood coagulation profile)

·Comprehensive Metabolic Panel (blood chemistry profile)

·Urinalysis

Procedure of Laparoscopic Pyeloplasty Surgery:

Laparoscopic Pyeloplasty is performed under a general anesthetic. The typical length of the operation is 3-4 hours. The surgery is performed through 3 small (1cm) incisions made in the abdomen. A telescope and small instruments are inserted into the abdomen through these keyhole incisions, which allow the surgeon to repair the blockage without having to place his hands into the abdomen.

A small plastic tube (called a ureteral stent) is left inside the ureter at the end of the procedure to bridge the pyeloplasty repair and help drain the kidney. This stent will remain in place for 4 weeks and is usually removed in the doctor’s office. A small drain will also be left exiting patient’s flank to drain away any fluid around the kidney and pyeloplasty repair.

What are the advantages of the procedure of Laparoscopic Pyeloplasty Surgery?

• Reduced hospital stay and faster healing

• Less postoperative pain and less need for pain medication

• Quicker return to normal activity and work

• Smaller incisions and less scarring

What to expect after the Laparoscopic Pyeloplasty Surgery:

During patient’s hospitalization

Immediately after the surgery patient will be taken to the recovery room and transferred to hospital room once patient is fully awake and patient’s vital signs are stable.

Hospital Stay:

The length of hospital stay for most patients is approximately 1-2 days.

Diet:

Patient can expect to have an intravenous catheter (IV) in for 1-2 days. (An IV is a small tube placed into patient’s vein so that patient can receive necessary fluids and stay well hydrated until patient is able to tolerate a diet; in addition it provides a way to receive medication). Most patients are able to tolerate ice chips and small sips of liquids the day after surgery and regular food the next day. Once on a regular diet, pain medication can be given by mouth.

Postoperative Pain:

Pain medication can be controlled and delivered by the patient via an intravenous patient-controlled analgesia (PCA) pump or by injection (pain shot) administered by the nursing staff. Patient may experience some minor transient shoulder pain (1-2 days) related to the carbon dioxide gas used to inflate patient’s abdomen during the laparoscopic surgery.

Nausea:

Patient may experience some nausea related to the anesthesia or pain medication. Medication is available to treat persistent nausea.

Urinary Catheter:

Patient can expect to have a urinary catheter draining patient’s bladder (which is placed in the operating room while the patient is asleep) for approximately 2 days after the surgery. It is not uncommon to have blood-tinged urine for a few days after surgery.

Drain:

Patient will have a drain coming out of a small incision in side. This drain is placed in the operating room around the operative site to prevent blood and fluid from building up around the kidney and pyeloplasty repair. The drainage typically appears blood-tinged. It is usually removed the day the urinary catheter is removed. If persistent high volume drainage occurs, patient may have to go home with the drain and have it removed in doctor’s office.

Fatigue is common and should subside within a few weeks following surgery.

Incentive Spirometry:

Patient will be expected to do some very simple breathing exercises to help prevent respiratory infections by using an incentive spirometry device (these exercises will be explained to patient during patient’s hospital stay). Coughing and deep breathing is an important part of patient’s recuperation and helps prevent pneumonia and other pulmonary complications.

Ambulation: On the day after surgery it is very important to get out of bed and begin walking under the supervision of nurse or family member to help prevent blood clots from forming in patient’s legs. Patient can expect to have SCD’s (sequential compression devices) along with tight white stockings to prevent blood clots from forming in patient’s legs.

Constipation/Gas Cramps:

Patient may experience sluggish bowels for several days following surgery as a result of the anesthesia. Suppositories and stool softeners are usually given to help with this problem. Taking a teaspoon of mineral oil daily at home will also help to prevent constipation. Narcotic pain medication can also cause constipation and therefore patients are encouraged to discontinue any narcotic pain medication as soon after surgery as tolerated.

Travel to India for Laparoscopic Pyeloplasty Surgery:

Several superspeciality hospitals in India offer comprehensive urological services to diagnose and treat stone disease, urological cancer, incontinence, infertility, impotency and other urinary difficulties. Advanced methods such as lithotripsy for treating kidney and ureteric stones without surgery are available with complementary methods of treating stones endoscopically. Advanced machines like the Lithostar obvert the need for anaesthesia in the treatment of kidney and ureteric stones. High tech facilities for the treatment of prostate, bladder cancers, urethral strictures are also available. Investigation and treatment facilities for impotence and male/female infertility exist with specialised facilities for pharmacotherapy, cavernosometry and cavernosography.

India is considered the leading country promoting medical tourism-and now it is moving into a new area of “medical outsourcing,” where subcontractors provide services to the overburdened medical care systems in western countries. Western patients usually get a package deal that includes flights; transfers, hotels, treatment and often a post-operative vacation, the reasons patients travel for treatments vary. Many medical tourists from the United States are seeking treatment at a quarter or sometimes even a 10th of the cost at home. From Canada, it is often people who are frustrated by long waiting times. From Great Britain, the patient can’t wait for treatment but also can’t afford to see a physician in private practice. For others, becoming a medical tourist is a chance to combine a tropical vacation with surgery.

To know more about Hospitals in India and the Laparoscopic Pyeloplasty surgery packages available in Hospitals,

Please visit – http://www.dheerajbojwani.com

Important Details:

Medical Treatment in India at affordable prices – http://www.dheerajbojwani.com

International Patient experiences – http://www.dheerajbojwani.com/experience-treatment-patients-india.html

Pennsylvania Surgical Technology Programs are technology degree programs geared towards training people to become members of an operating room team. Graduates from McCann’s PA surgical technologist college are ready to work in entry-level operating room jobs at hospitals and medical centers all over the country.

The Pennsylvania surgical technology programs are offered by several PA technical schools and Pennsylvania vocational schools. Students enrolled in these programs are well on their way to a surgical technology career. They study anatomy, physiology, microbiology, pharmacology, professional ethics and medical terminology as part of their course schedule, and graduates can find work as scrub surgical technologists, circulating surgical technologists and second assisting technologists.

Surgical technicians perform the vital roles of maintaining the sterile field in the operating room, handing sterile items and equipment to the surgeon, maintaining sterility in the OR, and preparing patients and all of the instruments, supplies and necessary equipment needed preceding and following an operation. They work with all members of the medical team including surgeons, anesthesiologists, and nurses to help create a sterile, safe environment in the operating room.

If you are thinking of enrolling in a Pennsylvania surgical technology program, and pursuing a surgical technician career, keep in mind that there are physical and mental demands involved in the job that favor someone who enjoys working with people and who is able to perform the delicate tasks associated with operating room procedures. They also need to be very responsible because they are in charge of interviewing patients, stocking the operating room, sterilizing the equipment, assisting the surgeon and surgeon’s assistants in the OR, maintaining order in the OR and protecting the patient from infection.

If you are a “people person” with a kind heart and a generous nature, who is also organized and responsible, a surgical technology career may be for you. The need for PA surgical technologists is growing as the population ages and there are many positions in hospitals, medical offices and dental offices that need qualified medical technicians. You can have your degree in as little as eighteen to twenty-one months.

Visit our PA Surgical Technology College and find out how easy it is to get your diploma or Associates degree today.

The anticipated pain of surgery, and even post-operative pain, is keeping a lot of patients from going for that much needed treatment. Although anesthesia has been effective for keeping a patient asleep, immobile, and out of pain during complicated surgeries — it can hardly prevent pain from recurring once the patient wakes up.

Due to the limitations of anesthesia, the medical and research community has been looking for a suitable substitute or alternative. Recently, scientists have made experiments on substances that are used to make hot sauce. Surgeons have tried to use the chemical that gives chili peppers their “fire” as an experimental anesthetic by directly pouring the said substance into open wounds during knee replacement and a few other highly painful operations. The experiments made use of an ultra-purified version of capsaicin to avoid infection. Volunteers were under placed under anesthesia so that they don’t feel the initial burn.

Treating surgically exposed nerves with a high dose of capsaicin will numb them for weeks, so that patients suffer less pain and require fewer narcotic painkillers as they heal. According to Dr. Eske Aasvang, a pain specialist in Denmark who is testing the substance, “We wanted to exploit this numbness.”

For centuries, chili peppers have been part of folk remedy and heat-inducing capsaicin creams are a familiar drugstore cure for muscle spasms. Today, however, the spice is also commercially “hot” due to research showing how capsaicin targets key pain-sensing cells in a unique way. Aside from California-based Anesiva Inc.’s attempt to harness that burn for more focused pain relief, Harvard University researchers are also mixing capsaicin with another anesthetic drug in hopes of developing epidurals that would not confine women to bed during childbirth, or dental injections that don’t numb the whole mouth. At the National Institutes of Health, scientists hope that by early next year, they can begin testing in advanced cancer patients a capsaicin variant that is 1,000 times more potent, to see if it can zap their intractable pain.

Nerve cells that sense a type of long-term throbbing pain contain a receptor, called TRPV1. Capsaicin binds to this receptor and works to produce a painkilling action on specific pain-receiving fibers.

These so-called C neurons also sense heat; thus capsaicin’s burn. But when TRPV1 opens, it lets extra calcium inside the cells until the nerves become overloaded and shut down. That’s the numbness. “It just required a new outlook about … stimulation of this receptor to turn those cellular discoveries into a therapy hunt,” says NIH’s Dr. Michael Iadarola.

In a meeting of the American Society of Anesthesiologists, Aasvang reported that forty one men were tested and underwent open hernia repair. Capsaicin recipients experienced significantly less pain in the first three days after surgery. Another U.S. study of 50 knee replacements, half were treated with capsaicin who used less morphine in the 48 hours after surgery and experienced less pain for two weeks. Several on-going studies are experimenting with larger doses in more patients to find out whether the effect is real.

“There’s a huge need for better surgical pain relief,” said Dr. Eugene Viscusi, Director of Acute Pain Management at Thomas Jefferson University in Philadelphia, Pennsylvania, one of the test sites. “Morphine and its relatives, so-called opioid painkillers, are surgery’s standby. While they’re crucial drugs, they have serious side effects that limit their use.”

The following article presents the very latest information on weight loss surgery. If you have a particular interest in weight loss surgery, then this informative article is required reading.

See how much you can learn about weight loss surgery when you take a little time to read a well-researched article? Don’t miss out on the rest of this great information.

Recently, a number of high-profile celebrities, from TV weatherman Al Roker to American Idol’s Randy Jackson, have made headlines as a result of undergoing weight loss surgery. Supporters of such surgery say that it offers hope for people who seem unable to lose weight any other way. They maintain that it is difficult to lose 50 or more pounds without surgical intervention. Critics, however, maintain that surgery—especially stomach surgery—is risky business and should be approached with the utmost caution. They worry that surgery is a quick fix which does not help to resolve an individual’s problem dealing with food.

You might wonder under what conditions surgery would be recommended. Generally speaking, surgery is only an option for those who have suffer from obesity for a protracted period of time (meaning years), have a body mass index or BMI of more than 40, and whose lives could be cut short because of their excessive weight gain. Also, stomach stapling surgery is usually limited to those who have already reached adulthood.

Conversely, you would not be a candidate for stomach reduction surgery if you have been severely overweight for a short period of time; if you suffer from drug or alcohol addiction; or you have been diagnosed with mental illness. In other words, you need to be fully cognizant and have a detailed understanding of the reasons for your obesity.

You should know that stomach reduction surgery is a proven weight-reducer. You could lose nearly all of your extra weight by undergoing the procedure. Thus, surgery may negate the need for a diet plan, although there is the slim possibility that you could end up putting on additional pounds after your operation.

There are a myriad of reasons why you might consider stomach stapling surgery. For instance, if you are suffering from adult onset diabetes or heart trouble, you might want to undergo the operation. If you are so obese that you can barely walk, surgery might be for you. If your weight has gotten to the point where you literally find it difficult to get out of bed, an operation might be appropriate.

Of course, stomach stapling surgery is not without its risks. In less than two percent of the cases, death may occur. Also, there is the possibility that after surgery you may experience vomiting if you attempt to eat too much. And then there’s the psychological fallout. If you’ve been a heavy person all your life, you may have trouble adjusting to your new thin status. You may even find that your relationships with relatives and friends change after you have undergone surgery. As a result of this, some physicians recommend that candidates for stomach stapling surgery meet with a psychotherapist who can help them develop coping mechanisms before and after the surgery.

Obviously, undergoing surgery is a serious step—one that should not be undertaken lightly. As a result, you might want to ask yourself some questions before going under the knife: Why do I want to undergo surgery? What if I discover there are unexpected side-effects from surgery? Will I be able to deal with them? What are my options if I do not undergo surgery? Will my family and friends support my decision to undergo an operation? Am I considering surgery out of vanity, or because of a serious health threat? Will years be added to my life after I undergo surgery?

Of course, you cannot make the decision for stomach surgery on your own. You will need to consult your family physician to determine if an operation is right for you. If your doctor gives the O.K., you will then have to meet with the surgeon. Make sure to check the surgeon’s credentials and consider having a second opinion. The more preparation you do before your operation, the better off you will be. Obviously, stomach stapling surgery is not for everyone. It carries with it physical and emotional risks. However, the prognosis for those who undergo such surgery is good. And you could end up being in much better health in the long run, if you are able to successfully lose your excess weight.

The day will come when you can use something you read about here to have a beneficial impact. Then you’ll be glad you took the time to learn more about weight loss surgery

 

Hydrocele Operation in India

 

About hydrocele

Hydrocele is common in men aged over 40 years, new-born babies and young children.

In men, it usually occurs as a result of injury, infection or, rarely, because of testicular cancer. It may also occur after surgery on the testis, for example after vasectomy or reversal of vasectomy. If the cause is unknown it is called an idiopathic hydrocele.

In babies, hydrocele usually improves without treatment but surgery is recommended if it persists beyond 24 months of age…..

 

Diagnosis of hydrocele

Contact your GP if you notice any change in the shape and size of your scrotum. Your doctor can usually diagnose hydrocele by shining a light underneath the scrotum (called transillumination). You may need a scrotal ultrasound to confirm the diagnosis. Surgery is usually recommended if the hydrocele is causing discomfort….

 

Preparing for your operation

Your surgeon will explain how to prepare for your operation. For example if you smoke, you will be asked to stop as smoking increases your risk of getting a chest and wound infection, which can slow your recovery….

 

About the operation

The operation takes about 10 to 20 minutes. A small cut is made in your scrotum to reach the hydrocele. The fluid is drained from around the testicle through a cut in the tunica vaginalis or ‘envelope’ surrounding the testis. The tunica is stitched in such a way that fluid can’t reform in this layer. The cut is closed with dissolvable stitches….

 

Recovering from hydrocele surgery

If you need pain relief, you can take over-the-counter painkillers such as paracetamol or ibuprofen. Always read the patient information that comes with your medicine and if you have any questions, ask your pharmacist for advice. General anaesthesia can temporarily affect your coordination and reasoning skills, so you shouldn’t drink alcohol, operate machinery or sign legal documents for 48 hours afterwards….

 

What are the risks ?

Hydrocele surgery is commonly performed and generally safe. However, in order to make an informed decision and give your consent, you need to be aware of the possible side-effects and the risk of complications of this procedure….

 

Side-effects

These are the unwanted but mostly temporary effects of a successful treatment, for example feeling sick as a result of the general anaesthetic.

You will have some bruising and swelling in the scrotal area for the first two weeks…..

 

Complications

bleeding inside your scrotum (haematoma) – you may need further surgery to stop the bleeding and drain the area difficulty in passing urine – you may need a temporary catheter to help drain the urine from your bladder….

 

 

 

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We Care Core Values

We have a very simple business model that keeps you as the centre.

Having the industry’s most elaborate and exclusive Patient Care and Clinical Coordination teams stationed at each partner hospital, we provide you the smoothest and seamless care ever imagined. With a ratio of one Patient Care Manager to five patients our patient care standards are unmatched across the sub continent.

 

 

The most important consideration for sleeve gastrectomy is knowing about your surgeon.One should always meet with the surgeon prior to the surgery and discuss potential issues. One should have absolute faith in one’s doctor. The quality of aftercare program should be accessed prior to the surgery as a short stay and regular check up is required after the surgery.

 

 

The education of the patient is very important. There are a number of educational seminars conducted free of cost where one can get information required for sleeve gasectromy.Some institutions offer video based education in their offices. One may also collect printed procedure related information including what to expect and how to deal with it. Some hospitals offer direct interaction with the staff and surgeon where they impart education on various subject related to the operation. They answer the questions of the patients clearly and explain the exact details of the procedure, the extent of recovery period and the reality of the follow-up care that will be required.

 

 

After becoming thorough with information about all aspects of the surgery, comes the physical and psychological evaluation. Each patient is required to have a physical with their primary care physician within six months prior to surgery. This is done to determine that the patient does not have any underlying medical conditions that would prohibit them from having surgery. Many surgeons require these letters or copy of these reports to be sent to their office even before scheduling the appointment. Some surgeons perform Endoscopy is performed on the patients if there is a doubt about stone formation.

 

 

A pre operative psychological evaluation is an essential part of preparing for Sleeve Gastrectomy. The comprehensive psychological evaluation consists of a detailed clinical interview and objectively scored psychological tests. Many insurance companies require an evaluation for benefits and our surgeons require an evaluation for all patients. Some hospitals offer education and counseling for family also available but it is optional.

 

Patients who have high intake of caffeine are suggested to gradually decrease the amount of caffeine they consume. Patients who stop caffeine suddenly at the time of surgery may experience withdrawal symptoms such as intense headaches. Remember that there is a significant about of caffeine in coffee, tea and many soft drinks.

If one consumes carbonated drinks regularly, he should stop this habit before the surgery. When cold compressed gas hits our stomach which is a 99.5 closed system it expands and in turn expands the stomach too. It can be very problematic after the surgery. So it is wise to put a full stop to this habit. It is also advisable to reduce the amount of intake of refined carbohydrates one consumes. This group includes food such as white rice, pasta and cookies.

One more pre operative condition is to get into a habit of exercising. After surgery regular exercise etc are prescribed by the surgeon. So it is wise to start some aerobic activity such as walking or swimming for 20 minutes, four times a week. This should be done after the approval of your physician.

Stop smoking. This is another condition before sleeve Gastrectomy. Cigarettes interfere with the lung’s ability to exchange oxygen and nicotine can impair circulation, which can impede healing after surgery and increase the chance of infection.

There are some pre operative tests to be performed. A convenient day is decided beforehand by the patient and the surgeon. The patient gets to meet with the anesthesiologist before the surgery. Hospital tour can be done if the patient is interested.

Some hospitals provide the facility of support groups for the pre operative patients. There are structured monthly meeting at offices and hospitals where the patients get to meet some post operative patients.

 

Lastly, one should check with their Insurance companies if Sleeve Gastrectomy is included in their list. The benefit department should be consulted  and asked if one has benefit for bariatric surgery.

 

What are the benefits of compression garments?

compression garments have several medical benefits such as reducing swelling from a surgical procedure and decreasing the risk of a blood clot. By speeding up the blood flow, compression garments also assist in flushing harmful fluids out of the body during post-surgical recovery. They also help control sudden uncomfortable movements (i.e. cough or sneeze), which is especially important during the immediate post-operative stage. Compression garments provide patient comfort and accelerate the healing process.

When is a compression garment used?

Compression garments have several uses but were intended to be used during surgical recovery. Plastic Surgeons generally recommend the usage of compression garments after a tummy tuck (abdominoplasty), liposuction, arm lift (brachioplasty), facelift (rhytidectomy), gastric bypass, breast surgeries, and gynecomastia (male breast reduction).

Dermatologists can also recommend compression garments for patients with lymphoma, burns, and varicose veins in an effort to increase quality of life.

A popular trend with compression garments is their non-medical use for body shaping and body slimming, which makes clothing fit better.

What is the difference between regular or retail garments (a.k.a. sportswear) and medical compression garments?

There are vast differences between retail garments and medical garments. For example, medical wear has a much higher level of compression than retail. When using additional fabric layers, panels, and a higher Lyrca®/Nylon (or Powernet) content, a medical garments compression rating can be 3-4 times that of sportswear.

Medical garments are also much more durable than retail compression wear. As long as product care instructions are followed, medical compression garments are designed to be worn 24/7 for up to 6 to 8 weeks without losing its integrity. Retail sportswear is only designed to be worn for the short term (4-6 hour increments) and would rapidly lose its compression if it was worn all day everyday.

What are the different types of compression garments?

Important points to remember when choosing a post operative compression garment is selecting the applicable garment and getting the right size. Choosing the incorrect post surgical compression garment can do more harm than good. The basic compression garments are girdles, pants, vests, sleeves, stockings, and binders. Always ask your surgeon or patient coordinator for advice to make sure you get the proper coverage.

What is the proper care for compression garments?

Our compression garments can be put in the washing machine on gentle cycles and always use a lower cycle when putting in the dryer. Compression garments need to be consistently snug to the body in order to maximize the results after plastic surgery.