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Why You Might Need Hip Surgery

The hip is a crucially important joint in the body. Problems with it create severe difficulties with walking and can subsequently affect the back, knees, ankles, and feet. Issues with the hips are often addressed with surgical intervention, even though they can stem from a variety of conditions and injuries.

For all its vital functions in the body, the hip is a reasonably simple structure; a basic ball-and-socket joint that many people study in elementary school science. That’s why it’s so common for surgery to be used for hip repairs.

The surgery itself involves several variables, primarily focused on just how much of the ball, socket, or cartilage is damaged, and how much must be replaced. A surgical team that devises the ideal plan for repairs will help the patient’s hip surgery recovery to be shorter and less painful.

At the root of the severity of the hip’s condition is the origin of its problems. Each patient has different circumstances for the decline of his or her hip, so it’s important that the patient provides good feedback to the surgeon about the history and decline of the hip.

Most hip problems are associated with old age, specifically with osteoarthritis. The impact of years of activity, such as at manual labor, can be a sharp decline in the condition of joints, particularly the hips. Inflammation and damage to soft tissue in the joint can make movement painful, often leading to reduced physical activity that exacerbates the condition by causing weight gain.

Other problems with the hip can stem from osteoporosis. This is a condition is caused when the body consumes calcium from the bones to compensate for a lack of calcium in the diet. While we often think of the spine as the primary center of this condition, it damages bone throughout the body and can increase the chance of a fracture that either causes or results from a fall.

Younger patients can have hip problems as well. Many athletes experience hip deterioration that can require surgery at a younger age than might be expected. Almost every sport can contribute to hip damage. The rapid stops and starts of tennis can be tough on joints. Contact sports like rugby can damage cartilage. Weightlifting can force the hip to bear more weight than it was designed for. The list goes on and on, but the result is the same: a marked decline in the condition of the patient’s hips. And the treatment is often surgical.

The final factor that can contribute to hip problems is trauma. We know that we can experience an acute hip injury in a car accident or other event, but sometimes the damage is not immediately visible. Symptoms may be difficult to notice due to other, more painful injuries, or they may even be painless until years later. In time, the hip can deteriorate to a point that requires surgical intervention.

The causes of hip problems are numerous, and issues can develop at any age. Today, the surgical repairs made to our hips have almost as much variety as the underlying problems themselves. These innovative techniques are helping us have shorter recoveries, less pain, and a better chance at a life free from hip pain.

The post Why You Might Need Hip Surgery appeared first on talkhealth Blog.

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What to expect after your surgery

So, you’ve been told you need to have an ileostomy formed and the big day arrives for you to go down to theatre and have it formed. All the questions you were going to ask have flown through your ears and back out. You sit there sign the forms and get prepared for theatre and either walked down or wheeled down depending on a planned or emergency surgery.

What is an ileostomy?

An ileostomy is where your small bowel is pulled out through an opening in your tummy and stitched into place and that will have a stoma bag attached to it and that is now how your faecal matter will be exiting your body rather than its usual route.

DISCLAIMER
“I am not a medical professional this is purely based from personal experience and several surgeries”

What happens after surgery?

You will awaken from your surgery in the recovery room and advised your stoma formation was successful and the surgery went well.

You will also be rather hazy and on the drug train that will help with the initial after surgery pain. Honestly it is going to hurt, I can’t lie about that. It will be painful, but the pain medication will take off the edge.

The following day

You have awoken to a new day and you are more lucid and the nurse will want to have you up and out of bed. The nurse is normally an enhanced recovery nurse and studies now show the quicker you are up and about then the quicker you will heal and get home (sounds sadistic) but it is a proven method and cuts discharge times for patients going home and recovering more quickly.

The aim on day one is to get you out of the bed and sitting up in a chair for at least half an hour and then back to bed.

Pain medication

Most patients have one of two options for pain relief. One is an epidural or the other is self-administered pump to top up should you be in any pain. I personally stay away from the epidural and it’s a longer recovery time and it normally numbs your abdomen and legs, so walking isn’t normally an option until it is removed. But please make your own choice depending on your pain tolerance. I prefer the pain relief pump and I am normally off of all Iv pain medication within 48 hrs and back to oral medication.

Ng Tubes

Now not everyone will wake up with one of these delightful tubes, but should your bowel be inactive and frozen then this is in until you start having normal bowel sounds and your bowel is active. If you do wake with one of these then it will be nil by mouth until normal action resumes and they will have other options of getting fluids and nutrition into your body. The Ng tube will be used to pull out any fluid collection’s and gas build up via a syringe they attach to an outlet on the tube.

Walk the line

Most gastro wards have a lovely yellow or red line that goes around the outer hub of the ward in a rectangle. The aim before discharge is to have you be able to walk that without getting breathless and experiencing pain. I have walked this many time with bits attached to me as I find I recover better at home and want to get out of the hospital.

Catheters

You will have a catheter inserted when you are under anaesthetic and this will remain in place to catch your urine and measure the output until you are mobile and able to get to the toilet to pass urine as normal. Don’t be alarmed at this, you won’t feel it unless you catch the tube when moving on the bed.

Drains

You will wake up and have one or maybe two drains attached to you that have the tube stitched into your abdomen with a bottle or drainage pack attached to the bottom. This is purely to drain any fluid or excess blood from your abdomen caused by the initial surgery. Sometimes these are removed quickly or on the day of discharge as long as the drain isn’t draining. My advice for when having these removed is to have oral pain relief half hour prior to removal. The pain is a weird one having these removed, it’s like a pressure and then a pop and it’s all over and removed. The site is dressed and left to heal on its own.

All expelled bodily functions are monitored

So, you are thinking yes, the catheter has gone and that’s a step forward to going home “It’s a brilliant step”. However once removed you will still have to pee in a pot until they are happy with the tests run on that and your output is in conjunction with what you are taking in with fluids. No, you can’t cheat. This is essential and needs to be monitored to make sure it is deemed safe for you to be sent home.

Ileostomy output

Your ileostomy output Is monitored until the day of discharge. They will not discharge you until your output has reached a porridge like consistency and the output is in line with what you are in-taking. There is food to help with this and that will be on a following post.

First bag change

If this is your first stoma then apologies as this will be daunting for you. General consensus from my experience is that if you can’t change your bag then discharge won’t be possible until you have a handle on the change. The stoma nurse will sit with you and show you how to change the appliance. Should you not feel comfortable with changing it then they will do that for you. The stoma will not be hurt by you changing it. It has no feeling. It may take several attempts but once you have mastered changing it yourself then that will be a weight off of your mind.

Stitch removal

It is normal to have the stitches removed from around the ileostomy site prior to discharge. This does not hurt and it’s better to have them removed as healing tissue can make them pull tight and cause discomfort. Please make sure you speak to your stoma nurse about this as some issues with leaking stomas and sore sites post-op are related to stitches not being removed and healthy tissue growing over the stitches.

Clothing

Track suit bottoms, leggings or good old-fashioned pyjamas will be your friend as they are light and don’t impact the surgery sites and rub on healing wounds.

Warfarin injections

Due to the surgery and risk of blood clots due to bed rest then these are injected once a day to thin your blood and prevent the risk of blood clots. You will also have to wear teddy stockings both for your entire hospital stay and for a month after discharge at home. They will also send you home with a 4-week supply of these to inject daily with a waste disposal for the needles.

Discharge

For you to be discharged you have to have a collective all clear from your consultant, surgeon and stoma nurse. Your stoma nurse has the final say and you won’t be discharged until she agrees that you are ok with your stoma and with its output and you are eating well.

I am hoping you found this informative and not to daunting.

Many Thanks
Louise aka CrohnsFighting Xx

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What is the recovery time for knee realignment surgery?

Like any type of surgery, it’s useful to know the recovery time so you can make any necessary changes or arrangements for your care. So, how long does it take to recover from knee realignment surgery? Find out more about what the procedure involves and how this affects recovery time from Prof Adrian Wilson, one of the Consultant Orthopaedic Surgeons specialising in knee realignment surgery at BMI The Hampshire Clinic.

What is knee realignment surgery?

An osteotomy (knee realignment surgery) is carried out to change weight-bearing away from the damaged part of the knee and is especially good in younger, more active patients. A knee realignment surgery can be carried out for several reasons; however, the most common is to take pressure off a damaged part of the knee to relieve pain. It will also help restore function of the knee without having to have the whole knee replaced.

What does a knee realignment surgery involve?

First, the limb is analysed with special x-rays, which are loaded into a software programme and this is used to plan to within a millimetre how much the bone needs to be opened or closed just below or less commonly above the knee.

Specially designed instruments are used to allow this procedure to be carried out quickly, accurately and safely. A precise cut is made in the bone and a wedge alters the angulation; the new position is then fixed with a plate and screws.

How long does it take to recover from surgery?

Like any operation, the recovery time for an osteotomy procedure varies, however some patients can fully bear the weight from day 1 and can usually get back to work by 4-6 weeks; patients undergoing a knee replacement, often go back to work between 6 and 12 weeks after surgery. You’ll have regular follow-up visits with your consultant to monitor your recovery.

Recovery time after knee realignment surgery can vary depending on a range of factors including:

  • Whether the surgery was closed wedge (removing bone) or open wedge (inserting bone)
  • Size and location of the wedge of bone that was either inserted or removed
  • The patient’s overall health and any complications during surgery

Professor Adrian Wilson:

Professor Wilson runs a bespoke research team that follows up all of his osteotomy patients, collection of both clinical information and patient reported outcome measures. It is from these results that they draw conclusions about their surgery and present their data.

What are the benefits of knee realignment?

A knee realignment procedure is joint preserving and can be highly successful. Osteotomy can be life changing for patients with both early wear and tear and bone on bone arthritis. With people living much longer and with a limited life expectancy of a joint replacement, we believe everything should be done to preserve the knee and knee function for as long as possible.

What is the success rate?

From personal results, 80% of patients with knee replacements are happy with the outcome. Our research has confirmed an overall patient satisfaction score of 8.5/10 on over 1000 patients. This is in line with other outcome studies.

You can find out more about knee realignment surgery, including risks and side effects in BMI Healthcare’s consultant Q&A with Professor Adrian Wilson. Alternatively you can find out more about joint pain and download their free guide here.

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Weight loss surgery: which option is best for me?

Being overweight can have all sorts of side-effects. There are lots of well-advertised health risks associated, like heart attacks and strokes, but it can affect you in other ways too. It can cause your joints to hurt, make it difficult to get pregnant, or drag down your self-confidence and make you miserable.

If you’ve been trying to lose weight but struggling using the conventional methods of diet and exercise, weight loss (otherwise known as ‘bariatric’) surgery could be an option.

There are different types of weight loss surgery and BMI Healthcare have written this guide to explain how they work. Some options are usually only recommended for people with a body mass index over 40, or 35 if you have certain medical conditions.

Some procedures are more extreme than others, and your doctor can talk you through which options are available for you based on your current health.

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Option 1: Gastric Balloon

Gastric balloon surgery  is temporary. A soft, silicon balloon is inserted into your stomach through your gullet and filled with sterile saline. By partially filling your stomach, the balloon will make you feel less hungry, and also feel fuller much sooner whenever you eat. As a consequence, you should lose weight because you’re eating less. The balloon is removed after six months.

While the balloon is in your stomach you’ll undergo a healthy eating and drinking programme, in which dieticians and nurses will teach you about how to maintain a healthier lifestyle after the balloon is removed. After it is removed, you could regain weight if you allow your new diet and exercise regime to slip, but help and support is on hand to ensure this doesn’t happen.

Option 2: Gastric Band

With gastric band surgery, an inflatable band is placed around your stomach to (not quite completely) divide it into two parts. When you eat, your stomach will be tricked into thinking you’re full much sooner. Your food will then pass into the second, larger part of your stomach and continue through your gut as normal. The band isn’t inflated until you’ve recovered from the surgery, and can be adjusted to change the size of the opening into the lower part of the stomach.

If you lose weight successfully and are confident about keeping it off, the procedure can be reversed and you will be able to eat full-sized meals again.

Option 3: Banded Gastric Band

If your BMI is over 40 and you are at least 100lbs overweight, you may be considered for banded gastric band surgery, in which the stomach is divided into two parts using an elasticated band. Your gut is re-routed to connect it to the new, smaller stomach, and an additional ring is placed between the new stomach and the gut to prevent it from stretching – and you from regaining weight. As with gastric band surgery, this is reversible.

Option 4: Gastric Bypass

During gastric bypass surgery, a stapler is used to divide your stomach into two parts, leaving you with just a small, pouch-sized stomach. Your gut is then re-routed and connected to this small, remaining part. Because you eat much less than before and you’re bypassing part of your bowel, you’ll lose a significant amount of weight very quickly.

It’s a major procedure with permanent effects and lots of risks associated. You won’t be able to eat a full-sized meal ever again, and will need to take nutritional supplements for the rest of your life. A gastric bypass is therefore only recommended for a small number of patients.

Option 5: Sleeve gastrectomy / ‘Gastric Sleeve’

When you undergo a sleeve gastrectomy, about 75% of your stomach is removed, turning it from something that looks like a bag into something that looks like a sleeve. Aside from this, everything else remains unchanged, so your stomach continues to function in the way it used to – you’ll just feel fuller much sooner.

As a result, there are fewer side-effects and complications associated with gastric sleeve operations than with a gastric bypass. You can lose weight quickly, although it’s possible your stomach will stretch again in future if you overeat. This means you could regain weight in future if you don’t permanently change your lifestyle.

Life after surgery

Weight loss surgery is usually a last resort for those people who cannot lose weight through diet and exercise. To keep the weight off, you’ll need to change what you eat, stop smoking and, if possible, start exercising.

Some options can have a profound and permanent impact on your day-to-day lifestyle, so think carefully about how this will make you feel. If you have a gastric bypass, for instance, this will make going out for a meal with your family or friends extremely challenging.

Rapid weight loss resulting from surgery can also leave you with sagging or excess skin that requires more operations to remove. These additional surgeries can leave you with large and visible scars, so you should take this into account.

Find out more about weight loss surgery options here, or you can make an online enquiry and a member of the BMI Healthcare team will be in touch.

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8 Facts you should know about laser eye surgery

There are different types of laser eye surgery
There are three main types of laser eye surgery, LASEK, LASIK and Smile. LASEK involves removing the epitheral layer to perform the surgery, which then grows back within a few hours. Recovery for LASEK is longer than LASIK, as LASIK involves cutting a small flap on the surface of the cornea, reshaping the cornea with a laser and then folding the flat back over.

Smile surgery is the least invasive of the three. A small incision is created inside the cornea, eliminating the need for a flap and increasing recovery time.

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It is extremely safe
The chances of going blind through laser eye surgery is in the region of 1 in 5 million and there is only 0.1% chance of getting a minor vision complication which makes laser eye surgery one of the safest clinical procedures.

It’s a quick procedure
It only takes a minute to treat each eye and a day to recover. Most people are able to drive and go back to work the next day.

It doesn’t hurt
LASIK surgery is performed whilst the patient is awake so there is a common misconception that the procedure is painful. Some people experience slight discomfort when the surgeon is creating the flap and reshaping the cornea, but the patient will generally feel very little sensation throughout the rest of the treatment. Contrary to popular belief the lasers used in this surgery are actually cold, so they cannot burn your eyes or the skin surrounding them.

Cost
The cost of laser eye surgery is dependent on the type of surgery chosen and can vary from clinic to clinic. On average the cost of laser eye surgery in the UK ranges from from £595 right up to £2,300 per eye. However, the majority of clinics offer finance options with 0% interest to help manage the payment.

Due to cost demands, some people decide to have laser eye surgery abroad. For example in Turkey or Hungary, patients could save between 20-50%. Whilst prices may be cheaper it’s vital to consider the quality of the surgery. Patients who are considering laser eye surgery abroad should carefully research the clinic, the surgeon and any additional costs such as aftercare and accommodation.

20/20 vision may not last forever
Whilst laser eye surgery can give you 20/20 vision there still might be a chance that you’ll need glasses in the future. This is because your eyes are continuously developing, so if you had laser eye surgery when you were 21 there might be a chance that you will need glasses when you’re older.

Laser eye surgery is 28 years old
Whilst the technology for laser eye surgery began in 1970, the first human laser vision correction surgery happened in 1988 to a woman who was diagnosed with malignant melanoma, which resulted in a growing black spot on her eye.

It’s not available for everyone
In the UK, the minimum age restriction to undergo laser eye surgery is 21 and there is no upper limit. Your eye prescription must have stabilised for at least a year. If you are pregnant or breastfeeding. Whilst 98% of people can be treated with laser eye surgery, patients suffering from diabetes or glaucoma and other eye conditions will need to see an eye specialist first.

Content written by Shreena Patel, Brand Manager, Clinic Compare

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