The document discusses various spinal decompression procedures including diskectomy, laminectomy, and foraminotomy. Diskectomy involves removing a portion of a herniated disc to relieve nerve compression. Laminectomy and laminotomy remove part of the lamina bone to widen the spinal canal to relieve pressure on nerves. Foraminotomy enlarges the openings where nerves exit the spine. These procedures provide relief from pain caused by damaged vertebrae or discs pressing on spinal nerves.
Pre- Operative Assessment
Detailed History (Obsteritic & Gynecological h/o)
Chest assessment
Lung function tests (PFT)
Stage of cancer, extent of the disease
Surgical plan should be documented -length & duration of surgery, type of incision & details of the flap used for reconstruction
Assess the involvement of lymph nodes, posture, mobility
Checking of the Exercise capacity considering the patient’s tolerance
Pre- Operative Assessment
Detailed History (Obsteritic & Gynecological h/o)
Chest assessment
Lung function tests (PFT)
Stage of cancer, extent of the disease
Surgical plan should be documented -length & duration of surgery, type of incision & details of the flap used for reconstruction
Assess the involvement of lymph nodes, posture, mobility
Checking of the Exercise capacity considering the patient’s tolerance
Establishing the need for a surgical intervention
Confirmation of relevant physical findings and review of the clinical history and laboratory investigations that support the need of surgical intervention
Type of approach- Benefits & Risks of surgical procedure
The incision site- ease of surgery as well as cosmetic considerations
Type of anesthesia
Lumbar spinal canal stenosis is one of the difficult topic of spine. All the information are taken from Campbell's operative orthopedics Thirteen edition and from internet. I also took help from the lectures of renowned orthopedics professors of Bangladesh.
Hand rehabilitation following flexor tendon injuriesAbey P Rajan
hand rehabilitation following flexor tendon injuries include introduction, clinical anatomy, tendon nutrition, tendon healing, post op. management, special cases, summary
Aarex Medical Services: Save 70% on spine surgery cost in India. World class spine surgery facilities like top spine surgery hospitals in India, microscopic spine surgery in India, low cost & affordable spine surgery in India. Contact us to get most competitive cost of spinal surgery in India, back surgery & microscopic spine surgery in India.
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Establishing the need for a surgical intervention
Confirmation of relevant physical findings and review of the clinical history and laboratory investigations that support the need of surgical intervention
Type of approach- Benefits & Risks of surgical procedure
The incision site- ease of surgery as well as cosmetic considerations
Type of anesthesia
Lumbar spinal canal stenosis is one of the difficult topic of spine. All the information are taken from Campbell's operative orthopedics Thirteen edition and from internet. I also took help from the lectures of renowned orthopedics professors of Bangladesh.
Hand rehabilitation following flexor tendon injuriesAbey P Rajan
hand rehabilitation following flexor tendon injuries include introduction, clinical anatomy, tendon nutrition, tendon healing, post op. management, special cases, summary
Aarex Medical Services: Save 70% on spine surgery cost in India. World class spine surgery facilities like top spine surgery hospitals in India, microscopic spine surgery in India, low cost & affordable spine surgery in India. Contact us to get most competitive cost of spinal surgery in India, back surgery & microscopic spine surgery in India.
Reaching us is easy…
Write to us…
ramesh.aarex@gmail.com
doctor@aarexmedical.com
Call us
+ 91 98201 99574
+ 91 22 2537 2435
+ 91 98192 11068
Speak to us free of cost!
Skype: aarex.ramesh
Google Talk:ramesh.aarex@gmail.com
Browse our site,
www.surgeryinindia.in
Touch base via,
Facebook : www.facebook.com/aarexmedicalservices
Twitter : www.twitter.com/aarexmedicalservices
Blog : www.blogger.com/aarexmedicalservices
A herniated disc most often occurs in the lumbar region (low back). This is because the lumbar spine carries most of the body's weight. Sometimes the herniation can press on a nerve, causing pain that spreads or radiates to other parts of the body.
Treatment Choices for Slip Disc at Gokuldas HospitalGokuldas Hospital
Our spinal cord has various small discs stacked one on top of another. It gives shape to our backs and creates a support system for the body to stand on.
Each disc comprises a strong outer ring and a softer, gel-like inner core. When the inner part comes out through the outer ring due to injury or weakness, it results in what’s commonly referred to as a slipped, herniated, or prolapsed disc. This condition often triggers discomfort and pain.
ADVANCED UPPER LIMB ORTHOTIC MANAGEMENT IN STROKE PPT.pptxDibyaRanjanSwain3
In this ppt we have included stroke and its types and causes and advanced orthotic management of stroke for upper extrimity. like shoulder orthosis, elbow orthosis, wrist and hand orthosis and also electrical stimulation. also the biomechanics of shoulder orthosis and elbow and wrist hand orthosis also included.
Left atrial appendage closure device involves a procedure that reduces the risk of stroke in atrial fibrillation patients. It also reduces the risk of bleeding that comes with a long-term use of oral anticoagulants. The WATCHMAN Device is permanently implanted at the site or slightly distal to the ostium of the LAA (the source of more than 90% of stroke-causing bloods clots in atrial fibrillation patients).
It is a minimally invasive procedure that uses ultrasound with an EBUS bronchoscope (thin, long flexible tube with a camera on an end) to see the airway wall and the adjacent structures.
Bronchoscopy is an endoscopic procedure that involves inserting a bronchoscope (a thin, lighted tube with a small camera at one end) inside the lung to diagnose and treat lung diseases.
Retroperitoneoscopic surgery reduces the risks associated with transabdominal surgeries. It can be used for surgeries related to the kidney, adrenal glands, and ureter.
What is Physiotherapy? | Types and Methods of PhysiotherapyYashodaHospitals
Physiotherapy is a non-medical and non-surgical modality to maximize physical strength & function, improve mobility & body balance, improve performance of heart and lungs, heal injuries and reduce pain.
Pacemaker | Implantable Cardiac Devices For Heart FailuresYashodaHospitals
Implantable cardiac devices are electronic, battery-operated medical devices that are implanted to restore the heart's normal rhythm and prevent sudden cardiac death. Implantable cardioverter-defibrillator, Pacemaker and LAVD are such devices that help to maintain rhythm and pumping. A pacemaker is a small implantable cardiac device that is placed under the skin in the chest to help control the heartbeat, improve quality of life and for longevity. It is used to help the heart beat more regularly for irregular heartbeat also known as arrhythmia.
What does it help with?
Pacemaker helps in controlling the rhythm and of the heart by either:
Resynchronizing the rhythm
Correcting the rhythm
Facilitating adequate circulation to support a failing heart
Mechanical thrombectomy for acute ischemic stroke (temporary stroke) is a minimally invasive endovascular procedure to remove blood clots from larger vessels in the brain.
Who is it recommended for?
Mechanical thrombectomy is indicated for patients who:
1. Had an Acute ischemic stroke due to LAO
2. Has failed intravenous thrombolysis
3. Have temporarily or permanent disabilities with the the below mentioned.
Complications:
a. Paralysis or loss of movement in muscles
b. Difficulty when talking or swallowing
c. Memory loss or difficulty in processing thoughts, reasoning or making decisions/judgements
d. Pain or numbness in affected parts
e. Change in moods, behaviour and self-care ability.
However, consulting physicians and surgeons decide if Mechanical thrombectomy for Acute Ischemic (temporary) Stroke is a suitable option for the patient. The decision is made based on various factors, such as age, severity of the stroke, time and test results. Eligible patients should receive intravenous alteplase without delay even if mechanical thrombectomy is being considered.
Recovery after Mechanical thrombectomy:
Recovery of the patient depends on:
1. Overall condition
2. Severity of the stroke
3. Severity of the symptoms
Patients are seen usually walking within 24 hours.of the procedure, but if the injury is severe then doctors recommend a couple of days rest with physiotherapy and rehabilitation.
Benefits of Mechanical thrombectomy for acute ischemic stroke are:
1. Greater Efficacy
2. Cost Effective
3. Larger Treatment window (up to 24 hours)
4. Short Hospital stay and rehabilitation
Mechanical thrombectomy for acute ischemic stroke (temporary stroke) is a minimally invasive endovascular procedure to remove blood clots from larger vessels in the brain.
Breast Conserving Surgery in Hyderabad | Breast Cancer Treatment in HyderabadYashodaHospitals
Breast-conserving Surgery is also known as lumpectomy or partial lumpectomy, it is a procedure to remove the cancer from the breast and some normal tissue. BCS involves only the part of the breast that has cancer to be removed. BCS is a good option for many women with early-stage cancers. Usually after BCS, radiation therapy is given to destroy cancer cells that may not have been removed during surgery. In some cases, chemotherapy and radiation are both given after BCS.
Who is BCS recommended for?
Not all women with breast cancer are candidates for BCS. However, speak to a doctor to find out whether BCS is an option for you.
BCS might be a good option for the below reason:
1. If the tumor is small and localized.
2. If you are eligible for radiation therapy
3. Do not have inflammatory breast cancer
4. Are not pregnant or, if pregnant, will not need radiation therapy immediately.
5. Do not have a mutation linked to breast cancer.
6. Do not have serious connective tissue diseases such as scleroderma or lupus.
It is a heart valve situated between the left ventricle and the aorta.
The valve regulates the oxygenated blood being pumped to the rest of the body from the left ventricle.
Conditions like aortic valve stenosis may hamper the valve function.
Peroral Endoscopic Myotomy (POEM) | Treatment For Achalasia of Esophagus and ...YashodaHospitals
POEM is a minimally invasive procedure that uses a high definition endoscope (a flexible tube with a mounted camera at end) to help treat certain swallowing disorders and stands for Peroral Endoscopic Myotomy.
Who cannot undergo this procedure?
Although POEM is a safe and effective procedure, it may not be a suitable option in certain cases. People with any of the following conditions are generally not recommended to undergo POEM for achalasia:
1. Disorders of coagulation
2. History of any kind of therapy that is likely to compromise the integrity of the mucosa of the esophagus or lead to fibrosis of the submucosa for e.g. radiation for cancer treatment, endoscopic mucosal resection, or radiofrequency ablation
3. Liver cirrhosis with portal hypertension
4. Severe erosive esophagitis
When should it be done?
POEM is generally indicated for treating the following disease:
1. Achalasia: It is a medical condition that affects the muscles of the esophagus. The lower esophageal sphincter (LES), a muscular valve present between the esophagus and the stomach fails to relax during swallowing in this condition.
2. Diffuse esophageal spasm: Esophageal disorders of muscle spasm that are unresponsive to medical therapies
3. Nutcracker esophagus also known as hypertensive peristalsis is a muscle spasm disorder which needs surgical correction.
Piles Types, Causes and Symptoms | Piles Laser Treatment in HyderabadYashodaHospitals
Piles or hemorrhoids are the swollen and dilated blood vessels in the lower rectum and around the anus. Minimally invasive laser surgeries allow precisive and safer treatment options with less postoperative pain. Our focus is the safety, convenience and complete care for our patients with the help of an integrated team of experts at Yashoda Hospitals Hyderabad.
Symptoms of Piles:
1. Blood visible after passing stool
1. Itchy, sore and red anus
3. Feeling of bowel being full even after passing stool
4. Slimy mucus in underwear or on toilet paper after wiping your bottom
5. Lumps around the anus
6. Experiencing pain around the anus
7. Fecal Leakage
Risk Factors:
1. Hemorrhoids can be passed on genetically from parent to child
2. Consistent heavy lifting
3. Obesity
4. Constant strain on your body can increase your risk of hemorrhoids.
5. Standing frequently without taking a break
6. Consistent anal sexual intercourse
7. Consistent Diarrhea
8. Consistent constipation
9. During pregnancy when the uterus enlarges.
Capsule Endoscopy & Motorized Spiral Enteroscopy for Small Bowel ImagingYashodaHospitals
Many conditions of the small intestine affect digestive health and appetite. Intestinal obstruction due to bleeding, malformations or injury or hernia is a major diagnostic related to these problems. See how capsule endoscopy and spiral endoscopy enables the doctors to not only diagnose but treat the condition right away.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
How many patients does case series should have In comparison to case reports.pdfpubrica101
Pubrica’s team of researchers and writers create scientific and medical research articles, which may be important resources for authors and practitioners. Pubrica medical writers assist you in creating and revising the introduction by alerting the reader to gaps in the chosen study subject. Our professionals understand the order in which the hypothesis topic is followed by the broad subject, the issue, and the backdrop.
https://pubrica.com/academy/case-study-or-series/how-many-patients-does-case-series-should-have-in-comparison-to-case-reports/
We understand the unique challenges pickleball players face and are committed to helping you stay healthy and active. In this presentation, we’ll explore the three most common pickleball injuries and provide strategies for prevention and treatment.
One of the most developed cities of India, the city of Chennai is the capital of Tamilnadu and many people from different parts of India come here to earn their bread and butter. Being a metropolitan, the city is filled with towering building and beaches but the sad part as with almost every Indian city
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
India Clinical Trials Market: Industry Size and Growth Trends [2030] Analyzed...Kumar Satyam
According to TechSci Research report, "India Clinical Trials Market- By Region, Competition, Forecast & Opportunities, 2030F," the India Clinical Trials Market was valued at USD 2.05 billion in 2024 and is projected to grow at a compound annual growth rate (CAGR) of 8.64% through 2030. The market is driven by a variety of factors, making India an attractive destination for pharmaceutical companies and researchers. India's vast and diverse patient population, cost-effective operational environment, and a large pool of skilled medical professionals contribute significantly to the market's growth. Additionally, increasing government support in streamlining regulations and the growing prevalence of lifestyle diseases further propel the clinical trials market.
Growing Prevalence of Lifestyle Diseases
The rising incidence of lifestyle diseases such as diabetes, cardiovascular diseases, and cancer is a major trend driving the clinical trials market in India. These conditions necessitate the development and testing of new treatment methods, creating a robust demand for clinical trials. The increasing burden of these diseases highlights the need for innovative therapies and underscores the importance of India as a key player in global clinical research.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
QA Paediatric dentistry department, Hospital Melaka 2020Azreen Aj
QA study - To improve the 6th monthly recall rate post-comprehensive dental treatment under general anaesthesia in paediatric dentistry department, Hospital Melaka
2. Spine Structure
The spine is made up of
a series of stacked bony
vertebra with spongy
cushions called discs,
located between them.
3. Nerve Compression
A damaged vertebra or a
protruding disc
can compress the nerves that
passes through the openings
between the vertebrae,
causing pain.
4. Nerve Compression
• Nerve decompression is a surgical
procedure to relieve symptoms associated
with a compressed nerve.
• It is usually recommended when the
symptom relief is not achieved
through conventional therapies.
• Decompression is achieved either by
- Removing the structure that is creating
pressure or
- Opening up the narrowed space for the
nerves
5. Types of Spinal Decompression
Diskectomy:
Removing a portion of a disk.
6. Types of Spinal Decompression
Laminotomy or Laminectomy:
Removing a section of lamina (bony
arches of the vertebral arch) or entire
lamina.
7. Types of Spinal Decompression
Foraminotomy or forminectomy:
Enlargement of the openings from
which the nerves exit the spinal cord
by removing the sections of bone or
tissues.
8. Types of Spinal Decompression
Osteophyte (bone spur)
removal:
Removal of bony growths called bone
spurs.
9. Types of Spinal Decompression
Corpectomy:
Removal of damaged portion of
the vertebrae and the
intervertebral disks.
14. The muscles are moved to
expose the spine and the
damaged tissue causing
pressure on the nerves is
located and removed,
leaving most of the disc
intact.
16. The incision is closed with the
help of stitches or staples.
17. Post-surgical Care
Use pain medication as
recommended
Follow wound care
instructions
Avoid strenuous activity
like heavy lifting, for about
three months
Consider
rehabilitation
program
Follow these tips after the surgery:
Return to work as
per doctor’s
advice
18. Prognosis
With diskectomy, many patients
experience quick relief from
pain and other symptoms.
The recovery time is usually
short i.e. one to four weeks and
the patients may expect quick
return to a normal activity.