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24 votes

Is it possible to survive your appendix bursting without surgical intervention?

Edited to add: This is a useful paper to understand appendicitis, general and best treatment approaches, interval appendectomies, and other aspects referred to in this answer. Please note: I think ...
anongoodnurse's user avatar
20 votes

Why aren't leg amputations done at the knee joint?

If you think about prosthetic devices, the answer will soon become clear. You would not wish to have your thigh bone extended by an extra six or eight inches (about the minimum distance that one ...
Polyhat's user avatar
  • 325
13 votes

Is it possible to survive your appendix bursting without surgical intervention?

I had a dig through the literature, specifically looking for papers prior to the main advent of antibiotic therapy, which, as I am sure you know, significantly reduces mortality from bacterial ...
bob1's user avatar
  • 3,501
12 votes
Accepted

Videos of surgery

Top quality resources for videos will be found at sites from surgical academies, which often offer free or low-price subscriptions to students/residents/trainees: American College of Surgeons ...
DoctorWhom's user avatar
  • 5,814
10 votes

Why is it necessary to fast before a procedure involving anesthesia?

The purpose of fasting before a procedure involving anesthesia is to avoid aspiration of stomach contents, not anything related to drug efficacy. Your anesthesiologist/physician/dentist/nurse wants ...
Bryan Krause's user avatar
  • 14.2k
10 votes

Why aren't leg amputations done at the knee joint?

The bone cut must be proximal enough to perform a myodesis (anchoring the muscle through drill holes near the cut end of the bone) or myoplasty (suturing the fascia of antagonistic muscles together) ...
Dylan Russell's user avatar
9 votes
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Why do surgeons wear blue aprons during surgeries?

Initially surgeons did wear white in the operating theater, but there were two large problems with this. Firstly, under the bright lights, the white reflects too much light making an inordinate amount ...
David's user avatar
  • 104
9 votes
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Doesn't Intraventricular Catheter placement damage the brain parenchyma? Is this damage significant? How is it avoided/minimised?

Insertion will cause local damage. The more carefully you look, the more there can be to find - small volume bleeding is more common than larger bleeds, and symptomatic injuries are even more unusual. ...
Michael's user avatar
  • 759
7 votes
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Can any wound be sutured?

Not necessarily. Here are some examples that aren't good candidates for closing with sutures: A wound that is much wider than it is deep-- a bad road rash abrasion, for example. A wound with ...
Nate's user avatar
  • 1,271
7 votes
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The Ethics of extra treatment

You're describing an unexpected intra-operative finding. The possibility of unexpected findings (and their treatment) is usually discussed during the consent for the original procedure. Of course, in ...
De Novo's user avatar
  • 3,178
7 votes

At which layer in the human anatomy is the mesh placed during Laparoscopic TEP inguinal hernia repair?

I am told that one of the benefits of TEP hernia repair is that it avoids penetrating the abdominal cavity. This implies that the surgeon does not cut into the Transversales Facia or the Peritoneum ...
Mesentery's user avatar
  • 642
6 votes

Are there a maximum number of times for surgical ablations on patients with Atrial Fibrillation?

In 2013, a systematic review and meta-analysis (see ref in source) examined the long term outcome of catheter ablation in patient with atrial fibrillation. They first looked at single procedure ...
M. Arrowsmith's user avatar
6 votes
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Surgery of the hemorrhoid or other veins

What happens when a blood vessel is cut during surgery? Blood vessels (not just veins, but arteries also) are transected (cut), ligated (tied off), and/or cauterized (burned closed) in just about ...
De Novo's user avatar
  • 3,178
5 votes
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adequate exposure of the surgical field

It simply means visually exposing the tissues the surgeon needs to operate on. For example, if the surgeon needs to cut or suture inside one of the chambers and it's full of blood, they would be ...
Carey Gregory's user avatar
  • 9,913
5 votes
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Are Lupus patients typically good candidates for total ankle replacements?

When you browse through Pubmed, there are two articles which provide some insights for your question: Shah U, Mandl L, Mertelsmann-Voss C, et al. Systemic lupus erythematosus is not a risk factor for ...
Felipe's user avatar
  • 882
5 votes
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Which medical specialist should be consulted for anus polyp?

Which medical specialist should be consulted for anal polyp? A physician specialised in disorders of the colon, rectum and anus might be the person of choice. This could be a proctologist (a ...
M. Arrowsmith's user avatar
5 votes
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Indications for surgery for Haglund's heel?

Haglund's syndrome is defined as soft tissue and bony abnormalities in the retrocalcaneal region such as retrocalcaneal bursitis, superficial tendo Achilles bursitis, and thickening and/or ...
M. Arrowsmith's user avatar
5 votes
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Is there a common standard to assess the safety of medical procedures?

No. There is not a set standard for the safety of medical procedures. The risks of procedures varies and is balanced against the potential benefits of the procedure (which will also vary). Unlike ...
De Novo's user avatar
  • 3,178
5 votes
Accepted

Why don't dentists use stitches after doing a tooth extraction?

It is not a black-and-white rule that no sutures are used in dental surgery. There are disadvantages to suturing, e. g.: Clinical disadvantages of suturing: Although suturing postsurgically has ...
Thomas's user avatar
  • 1,161
4 votes
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why is it not allowed to take aspirin based medicines before a day and after a week of cataract surgery?

Aspirin has a "blood thinning" effect; it inhibits platelet aggregation. Therefore, it gives a higher risk of bleeding in the period surrounding the surgery. I have not found a review about ...
Tami's user avatar
  • 466
4 votes
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How is "histologically invasive diameter" assessed in live patients?

These patients were staged on surgery. Typically whole tumor is excised with clear margins confirmed intraoperatively. Note the measurement is diameter of the primary tumor. Nodes and mets are ...
De Novo's user avatar
  • 3,178
4 votes
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What would a nearly-universal list of medical specialties look like

The best way to answer this would depend on your reason for making the list, which I do not know. Also, I am not sure how to create an international list, as specialties within a country are defined ...
DoctorWhom's user avatar
  • 5,814
4 votes
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How do neurosurgeons drill into skull without damaging the brain?

The drill is a specialised device and not a standard type of drill. It is called a trephine, which is an instrument used for cutting out a round piece of skull bone to relieve pressure beneath a ...
Chris Rogers's user avatar
  • 6,225
4 votes
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Ice cream after surgery (Forrest Gump)

TL;DR: No, there is no medical reason to feed ice cream to surgery patients. Although it's just a fictional movie, the premise is probably sound. He was recovering from surgery for a gunshot wound to ...
Carey Gregory's user avatar
  • 9,913
4 votes

Is the treatment of any type of ectopic pregnancy still called an embryectomy?

The word is not and has never been used by doctors and medical researchers outside of animal studies, which probably explains why some medical dictionaries include it. Therefore, the peaks of usage ...
Carey Gregory's user avatar
  • 9,913
3 votes
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How common is Anaesthesia Awareness?

Previous estimates were at 1 in a 1000 patients (1‰) suffer from intraoperative awareness: The medical literature suggests that in- traoperative awareness with recall while under general anesthesia ...
Narusan's user avatar
  • 6,921
3 votes

Medical procedure to sever the brain's ability to communicate with the heart?

I believe the term you're looking for is cardiac sympathetic denervation (CSD). This is a fairly non-technical explanation of the procedure. It can be left side only (LCSD), right side only (RCSD), or ...
Carey Gregory's user avatar
  • 9,913
3 votes
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Safe and state-of-the art method of laser vision/eyesight correction/surgery?

Brief description: LASEK and LASIK - cut a flap in the eye, use a laser to remove material underneath to reshape the lens and correct vision. LASIK has been around for a while, so there have been a ...
argentum2f's user avatar
3 votes
Accepted

Are there a maximum number of times for surgical ablations on patients with Atrial Fibrillation?

This is a subject I'm very well versed in since I've had paroxysmal atrial fibrillation (PAF) and atrial flutter (AFL) for a number of years and I've undergone no fewer than five ablation procedures. ...
Carey Gregory's user avatar
  • 9,913
3 votes
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How does gallbladder removal affects fat digestion?

The bile is produced in the liver and stored in the gallbladder. After a meal, fats trigger gallbladder contraction, which results in the release of the bile into the small intestine. The bile helps ...
Jan's user avatar
  • 15.9k

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