Summary
Carpal
tunnel release is a surgery that is designed to treat individuals
with carpal tunnel syndrome. This surgery is done on an outpatient
basis. During the surgery patients are awake, but given anesthesia
to block pain and encourage relaxation.
Carpal
tunnel syndrome is caused by narrowing of the carpal tunnel
passage. The narrowing of the passage leads to compression or
pinching of the nerve. This causes pain and weakness in the hand
and wrist.
Carpal
tunnel release is usually performed on patients who have achieved
little to no relief after being treated with non-surgical methods.
A test called an EMG is done to diagnose carpal tunnel syndrome.
Once diagnosis is confirmed, surgery should be scheduled promptly
to prevent nerve damage.
Length of the
procedure: 1
hour or less.
Hospital Stay:
This is an outpatient procedure.
Recovering before
traveling home: Patients
seeking carpal tunnel release through medical tourism can return
home within 24 hours in most cases.
Procedure Details
Your
surgery begins with the administration of anesthesia to block pain
and promote relaxation. The area will be prepped with a sterile
antiseptic liquid. Then, an incision usually about an inch in
length is made on the palm of the hand.
After
the initial incision is made the surgeon will carefully expose the
carpal tunnel by making an incision through the connective tissue
immediately below the skins surface. When they have the carpal
tunnel in sight they will release it by cutting it with a scalpel
or scissors.
To
finish the procedure the surgeon will stitch the skin together.
The carpal tunnel is left divided. However, the two ends of the
carpal tunnel will fill in with scar tissue over time.
After the Procedure
After
the procedure your wrist will be wrapped in bandages and a splint.
The splint and bandages will need to remain in place for about a
weeks time. You may have some discomfort, but you will be given a
prescription for pain medication to help relieve any discomfort.
One week
after your carpal tunnel release surgery you will need to start
performing motion exercises to promote healing and ensure returned
function. Your doctor will recommend certain motion exercises or
they may prescribe professional physical therapy. Depending on the
extent of your carpal tunnel syndrome it can take a few weeks to
an entire year to completely recover from the procedure.
Results
The
prognosis for carpal tunnel release is very good. This procedure
can effectively get rid of the pain, tingling, numbness and muscle
weakness caused by carpal tunnel syndrome. In fact, nearly 85% of
patients who have this surgery experience relief from their
symptoms. Many also experience increased strength and restored
function.
Risks and
Complications
As is
with any surgery there are risks associated with carpal tunnel
release. However, this is considered a low risk and safe
procedure. The following is a list of the most common risks and
complications:
Infection
Pain
Incision pain
Scar sensitivity
Arterial damage
Inflammation
Stiffness
Hand or wrist weakness
Injury to the median nerve
Nerve damage
Need for repeat repair caused by
improper healing
Scar tissue formation
Any
concerns you have regarding these risks before or after the
procedure should be discussed with your surgeon promptly.
Contact your
physician if:
Swelling increases
Pain increases
Pain is not relieved by medication
Bleeding is excessive or
uncontrolled
Bright red bleeding comes from
incision
The incision feels warm or has a
warm sensation
The incision or surrounding are
becomes red
Discharge accompanied by an odor
comes from the incision
Nausea or vomiting develops
Fever is uncontrolled with Tylenol
or ibuprofen
Dizziness develops
Headache develops
Muscle aches accompanied with
chills
Bunionectomy
Summary
A
bunionectomy is a procedure that excises or removes bunions.
Bunions form between the joint at the base of the big toe. They
occur as a result of inflammation that is typically caused by
shoes that are too tight or fit poorly, combined with the joint
being overly mobile.
When these two factors combine a lump develops on the side of the
joint. Overtime, this causes the big toe to push towards the
second toe. This may also lead to new bone growth or a bone spur.
The bunion is made up of soft tissue, and sometimes a bone spur.
You may consider a bunionectomy if:
Conservative treatment has failed to correct the
problem
Your bunion has caused a foot deformity
Intense pain has led to difficulty walking or
performing other activities
Your bunion has caused you to become unstable when
walking
Length of the
procedure: 1
hour
Hospital Stay:
Depending on the method of surgery used and the severity of your
problem you will be hospitalized for a maximum of 24 hours
following the procedure, if at all.
Recovery before
traveling home:
Patients seeking a bunionectomy through medical tourism can
return home within 24 to 48 hours in most cases.
Procedure Details
Your surgery will begin with the administration of anesthesia.
Depending on what type of surgical method your doctor has chosen
you will be given an ankle block, general anesthesia or a spinal
block. Then, the area will be prepped with an antiseptic liquid.
During the surgery an incision will be made directly on the
swollen area of your foot. The surgeon will remove the lump. They
may also need to reposition the big toe. If this is necessary
another incision may be required. If damage to the joint is
present the surgeon may attach the bones of the foot with screws,
wires or a metal plate. In some cases the joint may need to be
replaced with an artificial joint.
After the Procedure
After the procedure your incisions will be closed with sutures or
tape. The surgical wound will be wrapped in a compression
dressing. The compression dressing will help maintain proper
alignment of the bones and reduce swelling.
After the anesthesia has worn off in most cases you will be
released from care. You will need to elevate your foot for at
least 24 hours following the procedure. It will be at least 6 to 8
weeks before you can return to normal activity. Your surgeon may
require you to wear a special orthopedic shoe or boot during this
time. These orthopedic devices will help accommodate healing and
provide you stability during the healing process.
Results
About 85% to 95% of patients consider their bunionectomy procedure
successful. However, results depend largely upon a number of
factors including age, severity of deformity, and the patients
adherence to their surgical recovery instructions. Many patients
also use orthotics after they heal from the procedure to keep
their feet properly aligned and to prevent another bunion from
forming.
Risks and
Complications
As is with any surgery there are certain risks associated with a
bunionectomy procedure. However, it is important to note that
complications arise in less than 10% of bunionectomy patients. The
following is a list of the most common risks and complications:
Infection
Pain
Nerve damage
Reoccurring bunion
Reaction to anesthesia
Contact
your physician if:
Fever of 100.5 or above occurs and is uncontrolled
by Tylenol or ibuprofen
You have chills
Pain is constant or increases
There is redness of warmth in the surgical area
Swelling develops in the calf
Water or moisture causes the surgical dressing to
come off
The surgical dressing becomes bloody
Shoulder Joint Replacement
Summary
Shoulder joint replacement is used to relieve joint pain and
immobility. However, it is done at a fraction of the rate of other
joint replacement surgeries. There are a number of conditions that
this surgery is used to treat including:
Osteoarthritis
Rheumatoid arthritis
Post-traumatic arthritis
Failed shoulder replacement
Avascular necrosis
Rotator cuff tear arthropathy
The shoulder is a ball and socket joint. A healthy joint has
protective cartilage between the ball and socket. A damaged joint
has reduced cartilage and the ball and socket rub together.
Shoulder joint replacement surgery removes the damaged ball and
socket and replaces them with artificial parts.
Length of the
procedure:
The entire procedure takes 2 hours.
Hospital Stay:
The average hospital stay for patients undergoing a shoulder
joint replacement procedure is 2 to 4 days.
Recovery before
traveling home:
Patients seeking shoulder joint replacement through medical
tourism can usually return home within 3 to 4 days of their
surgery.
Travel Tip:
The hospital stay for this medical tourism procedure can
fluctuate, and there is no definitive way to guarantee whether you
will need to stay 4 days or less. For this reason, it is best to
travel on a flexible schedule or give yourself a buffer in your
travel dates.
Procedure Details
Your surgery will begin with the administration of either a
regional or anesthetic block and general anesthesia. The surgical
area will be prepped with an antiseptic liquid and sterile
draping. Then, the surgeon will make an incision so they have
access to the shoulder joint.
The surgeon will remove the humeral head or the ball of the joint
first. They will also clear away any bones spurs by filing them
off the socket. They will examine the glenoid socket. If it is
severely damaged it will be removed or replaced, otherwise it will
be repaired and left in place.
The artificial parts used in a shoulder joint replacement are made
from metal and plastic. Surgeons use bone cement to secure the
artificial parts in their desired positions. Once everything has
been placed tendons are reattached to the bones and the surgical
incision is closed.
After the Procedure
After the procedure you will be moved to recovery first. You will
be monitored carefully until you recover from your anesthesia.
Then, you will be moved to a regular hospital room for the
remainder of your stay.
You will be given IV pain medication for the first 24 hours
following your procedure. A drain will be placed in your shoulder,
but removed within 24 hours. Your arm will be in a sling and your
shoulder will wrapped in bandages.
During the first few days of your hospital stay a continuous
motion device will be used to apply gentle movement to the
shoulder joint. A physical therapist will prescribe you some
flexibility and strength exercises to do during your recovery.
Upon leaving the hospital the following precautions should be
taken:
Keep the incision dry
Check incision for swelling or drainage
Avoid use of deodorant
Avoid lifting heavy objects
Follow discharge instructions
Results
Most patients achieve a full recovery within 1 year of their
shoulder joint replacement surgery. The majority of patients
experience reduced pain and improved motion, strength and function
following this procedure. However, adherence to the rehabilitation
process is crucial to a successful outcome. An artificial shoulder
joint can last up to 20 years.
Risks and
Complications
As is with any surgery there are certain risks associated with
shoulder joint replacement. The following is a list of the most
common risks and complications:
Infection
Loosening of the artificial joint
Dislocation
Arterial damage
Nerve Damage
Stiffness
Pain
Any concerns you have regarding these risks and complications
before or after your procedure should be discussed with your
physician.
Contact your
physician if:
Blood soaks through the surgical dressing and is
not affected by pressure
Pain is not alleviated by pain medication
Swelling in the arm occurs
Redness, pain or swelling of the surgical wound
develops
Discharge from the surgical wound is yellowish or
foul smelling
Temperature rises above 101
Meniscal Repair
Summary
Meniscus repair surgery is done arthroscopically or through open
surgery. It is done when the meniscus becomes torn or injured. The
meniscus is the cartilage that stabilizes and cushions the knee
joint.
The meniscus repair surgery is performed in an attempt to save
cartilage. When successful, it enables patients to have a
healthier knee for a longer span of time. However, it is not as
common as some of the other related surgeries.
There are many factors taken into consideration when deciding to
perform a meniscus repair surgery. However, the tear pattern and
location are the two deciding factors for most surgeons. Certain
tears cannot be repaired including a horizontal, long-standing,
degenerative or flap tear.
Length of the
procedure:
1 to 2 hours
Hospital Stay:
Generally, this surgery is done on an outpatient basis.
Recovery before
traveling home:
Patients seeking
meniscus repair through medical tourism can return home within 24
hours in most cases.
Procedure Details
Your surgery begins with the administration of anesthesia either
general or spinal block. The area will be prepped with an
antiseptic liquid. Then, the surgeon will begin by evaluating the
structures within the knee joint for damage.
When your surgeon isolates the areas of meniscus that need to be
repaired they will use small sutures or absorbable tacks to rejoin
the pieces. To finish the repair they will reevaluate the meniscus
to ensure the repair is sufficient. Then, they will close the
incisions with sutures or tape and dress the wound with bandages.
After the Procedure
After the procedure you will spend an hour or two in recovery.
Once the anesthesia has worn off you will released. You will be
wearing a knee brace or an immobilizer and be given crutches to
use for several weeks following the procedure.
To adequately heal after meniscus repair you need a significant
amount of non-weight bearing time. It is important to remember the
meniscus is essentially the shock absorber of the knee. Any weight
placed on the leg can pull apart the repaired meniscus.
In addition to the non-weight bearing time, your surgeon will also
recommend some physical therapy. The physical therapy will help
you regain your range of motion, balance, strength and endurance.
Generally, it takes between 2 to 3 months to fully recover from
meniscus repair surgery.
Results
Meniscus repair surgery is successful for most patients. In fact,
about 95% of patients who have meniscus repair surgery have a
successful outcome. Patients who have meniscus repair report that
they have less pain and increased mobility after healing from the
procedure.
Risks and
Complications
As is with any surgery there are risks associated with meniscus
repair surgery. However, it is important to note that the risks
are relatively uncommon. The following is a list of the most
common risks and complications:
Infection
Nerve damage
Arterial damage
Blood clots
Pulmonary Embolism
Reaction to anesthesia
Insufficient Repair
Inadequate Healing
Contact your
physician if:
Bleeding of surgical wound increases
Pain increases and is uncontrolled by pain
medication
Temperature rises about 101.5 and is uncontrolled
by Tylenol or ibuprofen
Circulation seems to decrease
Tingling sensation or numbness occurs in legs feet
or surgical area
Rash develops
Discharge from surgical wound occurs and is
accompanied by foul odor
Surgical wound feels warm to touch or has warm
sensation
Fever is accompanied by sweating or chills
Pain or swelling in the calf develops
Shortness of breath or breathing difficulty occurs
Rotator Cuff Repair
Summary
The rotator cuff is part of the shoulder. When functional, the
rotator cuff is what enables you to rotate, raise and lower your
arm. When the rotator cuff becomes injured or damage the strength
and mobility of the shoulder and arm can be limited significantly.
Then non-surgical treatment fails to restore strength and mobility
surgical rotator cuff repair is merited. Rotator cuff repair can
be done in one of three ways, open, mini-open or arthroscopic.
These methods are all done in an operating room using either
general anesthesia or a nerve block.
You may qualify for a rotator cuff repair if:
Your injury has failed to heal
after 3-6 months of physical therapy
You are young and need full
shoulder function and strength
You are in optimal health, giving
you the ability to heal properly and commit to
rehabilitation
Length of the
procedure:
1 to 3 hours
Hospital Stay:
Depending on the method used you will be hospitalized 0 to 3 days
after rotator cuff repair.
Recovery before
traveling home:
Patients seeking rotator cuff repair through medical tourism can
return home within 24 to 72 hours in most cases.
Procedure Details
Your surgery begins with the administration of anesthesia, either
general or nerve block. Then, you shoulder is prepped with a
sterile antiseptic wash. Before the surgeon begins operating he or
she will examine the shoulder for stability and range of motion.
The surgeon will begin operating by making the necessary
incisions. They will examine the damage to the rotator cuff before
making any repairs. Then, they will repair the rotator cuff by
reattaching the muscle that has detached from the bone. This is
done with screws or stitches. They may need to remove bone
fragments or spurs, shave bone repair tendons or shave bone down
to repair the rotator cuff.
After the Procedure
After the procedure you will be taken to recovery. You will
monitored for about 2 hours and either released or admitted to a
room after that time. You will be given pain medication to ease
discomfort and prescribed physical therapy to ensure optimal
healing.
Physical therapy may include:
Extensions of the wrist, elbow and
hand
Flexing the wrist, elbow and hand
Stretches of the arm and shoulder
Strength Building exercise
Things to expect during postoperative healing:
One month recovery
Immobility of arm and shoulder
Use of an arm sling
Results
The prognosis for rotator cuff repair is good and the surgery can
restore normal function in most cases. Generally, it is best to
have rotator cuff repair done relatively soon after injury or
damage occurs. The greater the damage or tear to the rotator cuff
the less likely it will be successfully repaired.
Risks and
Complications
As is with any surgery there are risks associated with rotator
cuff repair. The following is a list of the most common risks and
complications:
Infection
Pain
Blood clots
Arterial damage
Inflammation
Stiffness
Weakness
Damage of the deltoid tendon
Damage of the deltoid muscle
Nerve damage
Need for repeat repair caused by
improper healing
Reflex sympathetic dystrophy
Any concerns you have regarding these risks before or after the
procedure should be discussed with your surgeon promptly.
Contact your
physician if:
Swelling increases
Pain increases
Bleeding is excessive or
uncontrolled
Drainage from incision occurs
Nausea or vomiting develops
Fever is uncontrolled with Tylenol
or ibuprofen
Dizziness develops
Headache occurs
Muscle aches are severe
ACLS
Summary
Anterior Cruciate Ligament Repair or ACL repairs or reconnects the
torn ACL ligament. The ACL is one of the four ligaments that
stabilize the knee. The ACL is the most common of the four knee
ligaments to become damaged or torn.
The anterior cruciate ligament restrains forward motion of the
shin bone. In other words, it prevents the shin from going past
the knee. Without it the shin and knee are unstable. In actuality,
the ACL needs to be replaced rather than repaired if it is torn.
Reasons to choose ACL repair:
You have a complete or partial
tear of the ACL
You completed rehabilitation and
your knee is still unstable
You are active in sports or work
and your knee is unstable
Chronic ACL deficiency has become
life altering
Length of the
procedure:
1 to 2 hours
Hospital Stay:
ACL repair
is done arthroscopically and does not require a hospital stay.
Recovery before traveling home: Patients
seeking and anterior cruciate ligament repair through medical
tourism can return home within 24 to 48 hours in most cases.
Procedure Details
When your procedure begins you will be given general anesthesia or
a spinal block. The surgeon will make 2 to 3 small incisions
around the knee. Saline solution is pumped in one of the incisions
to expand the area and make the structures of the knee more
visible. A tiny camera is inserted in another so an image of the
underlying structures can be transmitted for the surgeons viewing.
The surgeon will drill small holes in the surrounding bones of the
upper and lower leg. These holes will be used to anchor the
ligament graft that will repair/replace the damaged ACL. The graft
ligament is pulled through two of the anchor holes and secured
with screws or staples. The incisions are closed with sutures or
tape.
After the Procedure
When the surgery is complete you will be moved to a recovery area
to be monitored. Once you have recovered from the anesthesia you
were given you will be released from care. It is best to take part
in some type of professional physical therapy to ensure proper
healing and full restoration of mobility. It takes between 6 to 12
weeks to return to sports and normal activities following the
procedure.
Results
Anterior cruciate ligament repair is chosen because it enables
injured individuals to return to normal activity. It stabilizes
the knee and prevents further injury from occurring. Studies show
that close to 90% of individuals who have their ACL repair achieve
favorable results.
Risks and
Complications
ACL surgery is generally a safe procedure, but as with any medical
procedure there are some risks. The following are the most common
risks associated with ACL repair:
Allergy to anesthesia
Breathing problems from anesthesia
Numbness in scar
Infection
Knee structure damage
Nerve damage
Arterial damage
Blood clots
Loosening of the graft tendon
Limited mobility
Bleeding
Weakness in the knee
Pain
Chronic pain
Swelling
Chronic inflammation
Repeat Injury
Any concerns you have before or after your ACL repair procedure
regarding these risks and complications should be discussed with
your surgeon.
Contact your
physician if:
-
Bleeding is soaking
through your bandages and
pressure applied to
the area does not control the bleeding
-
Pain does not subside
with pain medication
-
Swelling or pain in
the calf develops
-
Your toes or feet are
cool to the touch and or darker than normal in color
-
Redness of the
incision develops
-
Swelling of the
incision develops
-
The incision is
throbbing or has localized pain
-
The incision begins
to ooze or has a yellowish discharge
-
Your temperature is
above 101 degrees and does not reduce when you take Tylenol or
ibuprofen
Total Knee Replacement
Total Knee
Replacement Summary
Total knee
replacement or TKR is a procedure that replaces a severely
damaged knee joint with an artificial knee joint. During the
procedure the knee will be resurfaced and cartilage and bone
will be replaced with metal and plastic. This procedure is
performed by an orthopedic surgeon under general anesthesia or
epidural anesthesia.
The knee joint is
like a hinge that helps facilitate motion in the leg. Knees
become damaged for a number of reasons; including arthritis and
injury. Total knee replacement is in order when a patients knee
has been damaged beyond repair. This damage may cause continuous
pain, stiffness and it usually impairs normal function.
Length of the
procedure:
1 to 3 hours
Hospital Stay:
If you
seek a total knee replacement through a medical tourism program
you will stay 7 to 10 days depending on how well you heal after
the procedure. Your surgeon will expect that you meet certain
criteria before they release you:
Bend
your knee at a 90 degree angle
Get
out of your bed on your own
Extend your knee straight out
Walk
using crutches or a walker
Complete on rep of your prescribed home exercises
Recovery before
traveling home:
Patients should
expect to fly home within 10 days of their procedure.
Procedure Details
Before surgery can
begin either general anesthesia or epidural anesthesia must be
administered. Once the anesthesia has taken effect the knee will
be prepped for surgery. It will be scrubbed with an antiseptic
liquid.
During the procedure
the knee is flexed at a 90 degree angle using a special device
that holds the lower leg and foot in place. The surgeon will
make an incision. The damaged bone and cartilage will be removed
first.
Bone will be removed
from other areas to ensure proper fit of the artificial knee.
The front and back of the femur will be removed. The top surface
of the tibia will be removed along with the back of the knee
cap.
To complete the
procedure the surgeon will repair the attached muscles and
ligaments. They will close the wound with sutures and wrap the
knee in a sterile bandage. A tube may be placed to the wound to
drain properly.
Artificial Knee
Components
The artificial knee
is made of metal and plastic. Metal meets the end of the tibia
and femur and a plastic spacer acts as buffer between them. The
implant for the knee cap is made of plastic.
The artificial knee
can come in a number of designs. Many artificial knees are
designed with pegs that require small holes be drilled into the
bone surface for placement. Other implant styles would include
implants that are secured with central stems or screws.
After the
Procedure
Many patients feel
dizzy, sick or tired immediately following their procedure. This
is perfectly normal and is a result of the anesthesia. Hospital
staff will closely monitor the patient for complications during
this time.
Results
The total knee
replacement is life altering for many patients. Once healed most
patients are able to participate in activities they were unable
to prior to their procedure. Knee replacement has a life span of
10 to 15 years on average.
Risks and
Complications
Knee replacement
surgery is rather common. However, that does not mean it is risk
free. It is important to discuss the risks of total knee
replacement before you consent to surgery. The most common risks
would include:
Blood
Clots
Blood
Loss
Infection
Stiffness
Hip
Dislocation
Contact your
physician if:
You develop
any swelling
Your
pain increases
If
you develop drainage from the incision site
If
you develop redness around the incision
If
you develop a fever
Hip Replacement
Summary
THR or total hip replacement is a common surgical procedure. The
procedure rebuilds a deteriorated or damaged hip joint to make it
more functional. During the procedure the damaged joint is
replaced with an artificial prosthesis.
Signs that a hip replacement may benefit you:
-
Hip pain is limiting
your daily activities including walking and bending.
-
Hip pain persists
when you are resting during the day or night.
-
Stiffness in the hip
has reduced your ability to move or lift your leg.
-
Anti-inflammatory
drugs or glucosamine sulfate do not provide relief.
-
Hip medications are
causing harmful or unpleasant side effects.
-
Treatments like
physical therapy or using a cane do not relieve your pain.
Length of the
procedure:
1 to 3 hours
Hospital Stay:
4 to 10
days
Recovery before
traveling home: When
seeking a total hip replacement via medical tourism you can expect
to travel in 7 to 10 days.
Procedure Details:
When
you arrive for your procedure you will be prepped for surgery and
administered anesthesia. During the procedure your surgeon will
remove diseased cartilage and bone first. They will also remove
the ball and socket of the hip.
The ball and socket of the hip is then replaced with a metal ball
and stem that is positioned inside the femur. Cement is used to
attach this prosthesis to the femur. In some cases the prosthesis
is placed without cement. This prosthesis has microscopic pores
that connect to the femur bone over time.
After the Procedure
When the procedure is complete you will be in recovery for about 2
hours. You will be bandaged for about 24-48 hours. IV antibiotics
will be administered to prevent infection, along with pain
medication to ensure your comfort level. Blood thinners will be
given to prevent clot formation.
Dislocation is common after total hip replacement. Certain
measures will be taken to prevent this for the first 6 to 8 weeks
after the procedure. These Measures include:
placing one pillows between your legs
avoiding crossing your legs
not bending forward 90 degrees
using a higher toilet seat
not letting your knees and/or toes turn
in
You will start physical therapy shortly after your procedure and
continue with it for several weeks. Exercise will be prescribed
for you to do independently and with a physical therapist. You
will also use crutches or a walker for several weeks.
Your physical therapy regimen should include:
-
Returning to sitting,
standing, and walking up and down stairs
-
Exercises several
times a day that are designed to restore movement
-
Exercises several
times a day that are designed to strengthen your hip joint
-
A graduated walking
program that begins in your home and moves outside
-
A walking program
that slowly and steadily increases your mobility and endurance
-
Returning to other
normal household activities
Results
Most patients resume normal activities about three months after
their procedure. Total hip replacement can help reduce pain,
increase mobility and get you back to enjoying normal activities.
The longevity of prosthetic hips varies, but can range from 10 to
25 years.
Risks and
Complications
As with any surgery, there are certain risks and complications
associated with total hip replacement including:
Blood Clots
Infection
Dislocation
Extra Bone Formation
Femur Fracture
Pain
Stiffness
Shortening of the Leg
Arterial Injury
Bleeding
Allergy to Prothesis
Allergy to Anesthesia
Fat Embolism
It is important to discuss any concerns you have about the risks
and complications with your surgeon before and after your total
hip replacement.
Contact your
physician if:
-
You develop a
persistent fever (higher than 100°F orally)
-
Have excessive
shaking chills
-
You notice increasing
redness, tenderness, or swelling of the hip wound
-
Drainage from the hip
wound occurs
-
You have increasing
hip pain with both activity and rest
-
Pain in your calf and
leg develops that is unrelated to your incision
-
Tenderness or redness
of your calf begins
-
Your thigh, calf,
ankle, or foot begin to swell
-
Shortness of breath
occurs
-
Chest pain develops,
especially with breathing
Disk Replacement
Summary
A laminectomy is a surgical procedure that removes the two small
bones called the lamina that make up the vertebra of the spine. It
is also used to remove bone spurs from your back. The goal of this
procedure is to alleviate the spinal nerves or column of pressure.
Before this procedure patients suffer from a host of symptoms
including:
Leg pain
Numbness of the legs
Weakness in the legs or buttocks
Heaviness in the legs or buttocks
Increased symptoms when standing or walking
Poor bowel or bladder control
These symptoms are caused by a condition called spinal stenosis.
The symptoms of spinal stenosis typically become worse overtime.
When the symptoms of this disorder have become severe or they are
interfering with daily life surgery is usually merited.
Length of the procedure: 1
to 3 hours
Hospital Stay:
Most patients are released from care within 1 to 3 days of their
procedure.
Recovery before traveling home: Patients
seeking a laminectomy through medical tourism can return home
within 2 to 4 days of their procedure in most cases.
Travel Tip:
When seeking a laminectomy through medical tourism it is important
to choose your hotel wisely. Chances are you will stay at least
one night after you are released from the hospital. Ask for a room
that is either on the first floor or close to the elevator.
Additionally, ask for a room that is handicap accessible so you
have the proper accommodations while you convalesce.
Procedure Details
During your surgery you will be given general anesthesia. You will
lie face down on the operating table. The surgical area will be
prepped with a sterile drape and an antiseptic liquid.
The surgeon will begin the procedure by making an incision either
in the middle of your back or neck. They will carefully move the
skin, muscles and ligaments aside. They will remove part or all of
your lamina bones. They will remove any disk fragments, bone spurs
and damaged soft tissue.
The surgeon will also remove the sharp part of your spine called
the spinous. Then, they will make the opening of the spinal column
wider, so the spinal nerves have more room. In some cases the
surgeon may do a spinal fusion to ensure the stability of the
spine.
After the Procedure
After the procedure you will be taken to recovery. You will be
monitored for about 2 hours and admitted to a room after that
time. You will be given pain medication to ease discomfort. If you
did not have a spinal fusion the hospital staff will help you get
up and walk around within hours of recovery.
Most patients have difficulty sleeping and moving following this
procedure. The following tips may help you rest and move easier:
Lie on your back with a pillow under your neck and
knees
Lie on your side with a pillow between your knees
Tighten your abdomen before rolling over or moving
Use your arms to support your body when getting
out of bed
Bend at the hip rather than the waist
Avoid twisting at the hips and shoulders
Many doctors recommend physically therapy after this procedure. It
may help ensure healing and the restoration of function.
Results
Most patients who have this surgery experience less pain and
increased mobility once they are healed. Nearly 80% of patients
who had a laminectomy would say they were satisfied with the
outcome of the procedure. However, between 10% to 20% require
additional surgery in the future.
Additional surgery may be required if:
Tissue re-growth causes the lamina to compress the
spinal cord or nerves
Spinal stenosis occurs in another part of the
spine
The spine does not fuse and instability develops
as a result
The first surgery fails to alleviate symptoms
Risks and Complications
As is with any surgery there are risks associated with laminectomy.
The following is a list of the most common risks and
complications:
Infection
Blood Clots
Blood loss
Reaction to medication
Reaction to anesthesia
Breathing problems
Damage to spinal nerves
Arterial damage
Weakness
Pain
Loss of feeling
Return of pain or symptoms
Contact your physician if:
Drainage from the incision occurs
Stitches or staples come loose or fall out
Bandages are soaked with blood
Fever is 101 or above
Redness develops at incision site
Pain increases
Numbness develops in your legs, back or buttocks
Loss of ability to urinate
Loss of bowel or bladder control
One leg becomes painful, swollen or red
Severe headache develops
Laminectomy
Summary
A
laminectomy is a surgical procedure that removes the two small
bones called the lamina that make up the vertebra of the spine. It
is also used to remove bone spurs from your back. The goal of this
procedure is to alleviate the spinal nerves or column of pressure.
Before this procedure patients suffer from a host of symptoms
including:
Leg pain
Numbness of the legs
Weakness in the legs or buttocks
Heaviness in the legs or buttocks
Increased symptoms when standing or walking
Poor bowel or bladder control
These symptoms are caused by a condition called spinal stenosis.
The symptoms of spinal stenosis typically become worse overtime.
When the symptoms of this disorder have become severe or they are
interfering with daily life surgery is usually merited.
Length of the
procedure: 1
to 3 hours
Hospital Stay:
Most patients are released from care within 1 to 3 days of their
procedure.
Recovery before
traveling home:
Patients seeking a
laminectomy through medical tourism can return home within 2 to 4
days of their procedure in most cases.
Travel Tip:
When seeking a laminectomy through medical tourism it is important
to choose your hotel wisely. Chances are you will stay at least
one night after you are released from the hospital. Ask for a room
that is either on the first floor or close to the elevator.
Additionally, ask for a room that is handicap accessible so you
have the proper accommodations while you convalesce.
Procedure Details
During your surgery you will be given general anesthesia. You will
lie face down on the operating table. The surgical area will be
prepped with a sterile drape and an antiseptic liquid.
The surgeon will begin the procedure by making an incision either
in the middle of your back or neck. They will carefully move the
skin, muscles and ligaments aside. They will remove part or all of
your lamina bones. They will remove any disk fragments, bone spurs
and damaged soft tissue.
The surgeon will also remove the sharp part of your spine called
the spinous. Then, they will make the opening of the spinal column
wider, so the spinal nerves have more room. In some cases the
surgeon may do a spinal fusion to ensure the stability of the
spine.
After the Procedure
After the procedure you will be taken to recovery. You will be
monitored for about 2 hours and admitted to a room after that
time. You will be given pain medication to ease discomfort. If you
did not have a spinal fusion the hospital staff will help you get
up and walk around within hours of recovery.
Most patients have difficulty sleeping and moving following this
procedure. The following tips may help you rest and move easier:
Lie on your back with a pillow under your neck and
knees
Lie on your side with a pillow between your knees
Tighten your abdomen before rolling over or moving
Use your arms to support your body when getting
out of bed
Bend at the hip rather than the waist
Avoid twisting at the hips and shoulders
Many doctors recommend physically therapy after this procedure. It
may help ensure healing and the restoration of function.
Results
Most patients who have this surgery experience less pain and
increased mobility once they are healed. Nearly 80% of patients
who had a laminectomy would say they were satisfied with the
outcome of the procedure. However, between 10% to 20% require
additional surgery in the future.
Additional surgery may be required if:
Tissue re-growth causes the lamina to compress the
spinal cord or nerves
Spinal stenosis occurs in another part of the
spine
The spine does not fuse and instability develops
as a result
The first surgery fails to alleviate symptoms
Risks and
Complications
As is with any surgery there are risks associated with laminectomy.
The following is a list of the most common risks and
complications:
Infection
Blood Clots
Blood loss
Reaction to medication
Reaction to anesthesia
Breathing problems
Damage to spinal nerves
Arterial damage
Weakness
Pain
Loss of feeling
Return of pain or symptoms
Contact your
physician if:
Drainage from the incision occurs
Stitches or staples come loose or fall out
Bandages are soaked with blood
Fever is 101 or above
Redness develops at incision site
Pain increases
Numbness develops in your legs, back or buttocks
Loss of ability to urinate
Loss of bowel or bladder control
One leg becomes painful, swollen or red
Severe headache develops
Spinal fusion
Summary
The lumbar spinal fusion procedure is used to unite two vertebrate
together in order to eliminate motion or friction between them.
Lumbar spinal fusion is used to treat a number of conditions
including degenerated disk, slipped disk, herniated disk,
scoliosis or injury. It is done only when conventional treatments
have failed to alleviate pain.
This surgery may be done alone or in conjunction with other spinal
surgeries. There are a variety of techniques used to complete the
procedure based on the type of damage being repaired. Patients who
have this procedure are asleep and feel no pain.
Length of the procedure:
3 to 4 hours
Hospital Stay:
Patients are hospitalized an average of 3 to 4 days following a
lumbar spinal fusion.
Recovery before traveling home:
Patients seeking a lumbar spinal fusion through medical tourism
can return home within 5 to 7 days.
Travel Tip:
Most professionals recommend that you wait about a week to travel
when you seek a lumbar spinal fusion through medical tourism.
After the procedure immobility and pain are two things you need to
consider. It is best to find a comfortable, handicap accessible
hotel and travel when you are beginning to feel a little better.
Procedure Details
Your surgery begins with the administration of general anesthesia.
You will lie face down on the operating table so that your surgeon
will have access to your spine. The spinal area will be prepped
with a sterile drape and an antiseptic liquid.
The surgeon will make an incision to expose the spine. They will
move muscle and tissue aside. If another procedure is being done
simultaneously they will perform the other procedure first in most
cases. Then, they will use a graft to hold the bones together.
Different methods of bone grafts used in spinal fusion:
Bone graft strips are placed over the affected
area of the spine
Bone graft is placed between the two affected
vertebrate
Cages of graft material is placed between the
affected vertebrate
Different bone graft materials used in lumbar spinal fusion:
Pelvis bone
Donor bone
Synthetic bone
After the graft is placed the surgeon may use a cage, screws or
plates to hold it in place. These things ensure that the
vertebrate stay in place until they are fully healed. The surgeon
will close the muscle and tissue upon completion of the spinal
fusion.
After the Procedure
After the procedure you will be taken to recovery. You will be
monitored carefully until you recover from anesthesia. The surgeon
will prescribe pain medication so that you are comfortable.
In the first few days following your procedure your spine needs to
remain in the correct position. This helps ensure proper
alignment. In some cases you will be fed with an IV for 2 to 3
days. You may also have a drainage tube for the first 2- 3 days.
During your hospital stay the staff will teach you how to sit,
stand and walk while you are healing. This will ensure you do not
injure yourself or delay the healing process. You will also wear a
back brace or cast during and after your hospital stay.
Results
Lumbar spinal fusion is quite effective. In fact, most patients
who have the procedure achieve full or partial relief from their
symptoms. However, it is important to note that patients who have
spinal fusion may develop problems in other areas of their back
over time.
Risks
and Complications
As is with any surgery there are risks associated with having a
lumbar spinal fusion. The following is a list of the most common
risks and complications:
Infection
Blood clots
Breathing problems
Blood loss
Heart attack
Stroke
Reaction to anesthesia or medication
Damage of the spinal nerve
Weakness
Loss of sensation
Bowel and Bladder problems
Back problems
Contact your physician if:
Fever above 101 degrees or chills
Pain increases
Drainage from incision is green, yellow or foul
smelling
Numbness in arms develops or change in feeling of
arms, legs or feet occurs
Chest pain or shortness of breath occurs
Swelling develops
Back pain worsens and is not subsided by rest or
medication
Bowel or urination problems develop
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