SURGICAL CORRETION

Otoplasty (ear pinning)

 

Otoplasty is a surgical procedure that corrects the appearance of protruding or otherwise deformed ears and is the most common reconstructive surgery in children. In order to improve aesthetic appearance an alteration of the external part of the ear is necessary to bring the ear closer to the head.

When to have an otoplasty procedure?

In order to avoid teasing and self-esteem issues, that children with protruding ears are frequently exposed to, is the surgery indicated at around the age of 6. The main issue remains the personal decision of the child (not only that of the parents) to improve its appearance, one that makes the major contribution to good cooperation during the procedure and good tolerance the post-operative recovery. There is no upper age limit and the procedure outcome is permanent.

The operation is preferentially performed under local anesthesia, since the patient must be conscious to cooperate. In children under 6 years of age general anesthesia is usually selected. The child must be healthy. In case the child has just recovered from infection of airways, treated by antibiotics, at least a 3 week hiatus should be inserted before the surgery.

Any incisions made are located on the back side of ear lobe, the wounds being in case of child patient closed by resorbable material – a choice that makes unpopular pulling of stitches unnecessary.

After the procedure

The procedure has a short recovery time and the patient leaves right after surgery with his/her head bandaged. In order to avoid asymmetric swelling, sleeping on the back is recommended. Unless there are complications, after a week the patients are invited for the first inspection, in order to replace the cover, the bandage being removed altogether on the 14th day after surgery. It is recommended that the following 4 weeks an elastic headband is worn to fix the ear lobes in their new position.

What should the surgery be preceded with?

It is recommended that on the evening prior to surgery the head is washed and the ear canal cleaned.

Tummy tuck (abdominoplasty)

 

Abdominoplasty is a surgical procedure to remove excess overhanging skin from the middle and lower abdomen, usually associated with restoring muscles of the abdominal wall. Typical patients for this type of procedure are women after several pregnancies.

The procedure is performed under general anesthesia, and antibiotic screen. The incision is made low abdomen, later to be covered by underwear. Post-operational drains are applied to the would, the abdomen is tightened by an elastic bandaging.

After the procedure

Depending on the volume of aspirated blood the drains are removed 3-5 after procedure. The bandages are replaced by elastic underwear or abdominal band and the patient can continue recovering at home. The sutures are removed after 12-14 days. Elastic underwear is worn at least another 4 weeks, standard physical activity is recommended after 10 days, full physical activity should be taken up after 2 months.

What should the surgery be preceded with?

The day before surgery consume only light meals and do not apply any fatty cream to your abdomen. All other recommendations for general anesthesia procedures apply too. Immediately before the procedure any hair should be pared off.

There is no such thing as risk less surgery, no surgeon can guarantee perfect success of the surgery, even though it has been carried in accordance with the latest medical knowledge . The effect of drugs, anesthetics and of the surgery itself is specific for each human body. Performed on two patient in exactly the same manner and precision does not necessarily produce the same result. Consult possible risks, surgical and post-surgical complications during the introductory consultation. A conscientious surgeon would bring these up himself.

Carpal tunnel syndrome

 

What is carpal tunnel syndrome and how is it?

The carpal tunnel is formed by the carpal bones and tight band. In him extend a portion of the finger tendons and a nerve, the median nerve. This nerve supplies certain muscles of the hand and is responsible for the sensitivity (sensitivity) of the palm and fingers of the specific areas.

Carpal tunnel syndrome is based on a chronic pressure load of this nerve. The carpal tunnel is a bottleneck for the nerve, thus swelling of the tendons and Bindegewebswucherungen can compress it. These occur, for example during pregnancy or with certain metabolic disorders such as gout

 

The lack of space in the carpal tunnel is due in some cases to injuries in the wrist. Thus, a narrowing caused by malposition after fractures or after injuries in the wrist area. Also rheumatic diseases such as rheumatoid arthritis can lead through the formation of malpositions or scar tissue to pressure on the nerves. A rare cause of nerve compression are tumors in the area of ​​the wrist. Likewise, a congenital obstruction of the carpal tunnel reinforce the pressure load.

 

Woman are three times more likely than men of carpal tunnel syndrome affects obese people also suffer more frequently than normal weight it. Most patients are between 40 and 70 years old, but also have teenagers or seniors sometimes carpal tunnel syndrome on. There is often on both hands.

What solution do we offer?

When staying with a proven carpal tunnel syndrome with considerable feeling and movement disorders therapy experiments described without success or if the complaints continue to increase or recur at short intervals, you should think about an operation. In this way the pressure loading of the nerve in the carpal tunnel can significantly reduced and permanent nerve damage can be prevented.

The process takes about 30 minutes. in general anesthesia or local anesthesia. In general, patients are free of pain immediately after the operation and they remain there most of the long term. Physiotherapy exercises can help quickly to normalize the Hand function again.