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Hip arthroscopy is one of the surgical procedures related to the hip joint. Arthroscopy is a procedure used to get a clear view of what is present inside the joint. It helps the doctors to know, diagnose and treat the problems related to the joints.
Hip joint present in the human body looks like a ball and socket joint. The ball is the upper end of the thighbone or femur and is called as femoral head. The socket is made with acetabulum and also the part of the pelvis bone. The ball and the socket are covered by a slippery tissueConverting the food to energy Regulation of the blood clot Forming the bile and then production of proteins used for blood plasma Clear of the blood from poisonous substances like drugs
The arthroscopy procedure involves a small camera, which is also called as arthroscope is inserted in the hip joint. Through this camera, the pictures are displayed on the screen. Such processes are used for guiding during the miniature surgical instruments. This tissue creates the surface that is smooth and frictionless and so the bones can glide across the other easily.
Selection of the Candidates Hip arthroscopy could be performed to relieve the following problems and symptoms. Hip painful conditions that do not get relief from the non surgical treatments, like medications, injections, physical therapy and restBiliary Atresia – This condition occurs from either absence of the bile ducts or abnormal development of the same. Acute Hepatic Necrosis – This condition is caused because the tissue in the liver dies. Liver Cancers – Primary tumors in the liver, and not yet spread to the external parts of the liver. Metabolic Disease – This is a condition, caused from the chemical activity, caused by the liver in the cells. Autoimmune Hepatitis – Damage and destruction of the liver because of the chronic inflammation caused in the liver.
The candidate gets examined physically to assess the condition of health. It helps identifying any problems that might interfere with the procedure of the surgery. Extensive evaluation is done, if the candidate has certain health risks. Further evaluation is done by the team of anesthesia. Most of the times, general anesthesia is given, where the candidate sleeps over the surgical procedure. Sometimes regional ansthesia is given like at epidural or spinal to numb the surgical area.
The candidate is discussed with the doctors and anesthesia team about the procedure, what and how to be before and after the procedure and also about the preference of the anesthesia. When to stop eating and drinking is also informed by medical team.Blood vessels blocked in the newly transplanted liver Infection Block of bile duct Bile Leakage No function of the new liver.
Initially, when the procedure starts, leg is put in traction. It is done so that the surgeon can insert the instrument, view the joint entirely and start performing the treatment. After the traction, a small puncture is made in the hip. The hole made would about a buttonhole size, for the purpose of arthroscope. With the help of the arthroscope, the surgeon can view what and how the hip and its joint is present and also can identify the damage.
Later other instruments are also inserted by making small separate incisions for the treatment of the problem. Based on the specific condition of the patient, different procedures are chosen and performed. The procedures usually done are smooth off or repair the cartilage, remove the inflamed synovial tissue or trim bone spurs, which are caused by Femoroacetabular Impingement or FAI.
The total amount of time needed for the surgery depends on the procedure conducted and its associated tasks.Treatment regimen noncompliance Serious liver disease persisting, even after the transplantation Other medical conditions, like sever cardiac problem, which could not tolerate the hard surgical procedure Difficult treatment of current or recurring infection Alcohol consumption Metastatic cancer, spread around the source location
If the candidate is generally healthy, hip arthroscopy is done just like for an outpatient and do not need for the stay in the hospital. However, if there are any special medical conditions are present, stay in the hospital is required.
Usually, hip arthroscopy has the complications that are rare and are also uncommon. The surgeries associated with the hip joint are generally have the risks like injury resulted in the vessels or nerves, present in the surrounding or sometimes to the joint itself. The procedure of traction done in this procedure may cause stretch of the nerves and may result in numbness, however this complication is temporary. The other risks can be blood clots, infection in the legs.Urgency – based on the critical condition of the patient Diagnostic Tests – to assess the liver and overall status of health of the patient. Psychological and social evaluation – it includes assessing the stress, family support, financial condition, etc., which influence the final outcome of the transplantation. Blood Tests – to assess matching potential of the donor liver with the liver of the patient
Once the surgery is performed, the candidate is taken to the recovery room for 1 to 2 hours of time. Support of walker, crutches might be needed for some time.You have to wear a gown after removing your cloths It starts with IV or intravenous line on the hand. Heart and blood pressure monitoring catheter are inserted to the wrist and neck. Additional catheters may be inserted at subclavian areas. You need to lye on the table. Excessive hair is removed at the site of surgery A catheter is arranged to drain urine After sedation, a tube is inserted into the lungs to control breathing through a ventilator. Skin is cleaned using an antiseptic solution A slant incision is done under the ribs. The diseased liver is separated from the structure and surrounding organs to remove and the veins and arteries are clamped to control the flow of blood to the liver Donor liver is taken and connected to the blood vessels of the patient, and blood flow is established. Bile ducts are connected Incision is closed Drain may be needed to place in the site of incision to control swelling Dressing is done
Rehabilitation plans are developed by the surgeon, based on the procedures conducted for the surgery. Apart from following the recommended rehabilitation plan, it is also important that the patient has to take the physical therapy for achieving better and faster recovery.
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