More & more young & active patients world wide are in need of hip replacement surgery. In such cases, it is imperative to pay special attention to the technique to ensure a successful outcome & longevity of the operation. Traditionally a total hip replacement was performed in the older age group. Young patients with hip pain either had to endure pain or subject themselves to a total hip replacement with its inherent disadvantages of dislocation and life span of 10 to 15 years. Now, recent advances in bio- materials and techniques have made it possible for young patients to get a satisfactory & successful outcome after a hip arthroplasty. Definition of a young patient - The deciding factor is not necessarily the patient's age, but their activity level. Even many older patients like to play Tennis, Golf or participate in physical activity. This applies also to anyone who can be expected to live for a long time, is biologically (not chronologically) young and has good bone quality.
Today even septuagenarians meet these pre requisites. Surgeons have to re think their conventional strategy of putting in a total hip with a metal on poly bearing. Resurfacing also poses several un answered questions and cannot be considered as a panacea. Causes leading to hip pain in young patients- Avascular necrosis is the leading cause leading to hip arthritis followed by developmental dysplasia of the hip.
Perthes disease, slipped upper femoral epiphyses, sickle cell disease and post traumatic arthritis are other causes leading to the common outcome of secondary osteo-arthritis . In middle and older Caucasian patients, Primary osteoarthritis is the commonest cause of hip pain. Limitations of hip resurfacing Off late, hip resurfacing has been vigorously promoted on the internet as a possible & preferred treatment. However there are some inherent un answered problems with hip resurfacing. Elevated metal ion levels, metal allergy, metallosis are some of the side effects of metal on metal hip resurfacing. The long term impact of raised metal ion levels is unknown. Females in all age groups are high risk candidates because of the risk of fertility curbs in young & femoral neck fracture in the older.
However the attraction of a hip resurfacing drives many females to ignore these risks and choose a hip resurfacing. Dr.Venkatchalam discusses an alternate bone sparing safe approach in young & active patients. These approaches combine the advantages of a hip resurfacing and total hip replacement. Why do you prefer the short stem ? The various short stem prostheses like the Proxima hip & METHA combine the advantages of resurfacing & THR. On the acetabular side a full range of options is available to the surgeon.
The force transfer in the femur is more proximal and more biological. Lack of a distal stem component eliminates the incidence of thigh pain. In addition these implants open up the vast range of bio materials available. All bio-material combinations like metal on metal, metal on poly, ceramic on poly, ceramic on ceramic are possible. These promise excellent longevity. If a revision becomes necessary, then one can switch to a standard stem. Some of these models like the METHA hip make it possible for the surgeon to tailor the implant to the individual's anatomy. What other innovations can you use to ensure a proper implant positioning?
Navigation allows the surgeon to place the implant in the optimal position. What are the special considerations in Asian patients? Dysplasia and osteo necrosis constitute the most common indications for total hip replacement in India & Asia. Primary osteo-arthritis is rare. Moreover these patients are younger and more active. Their social and religious habits such as sitting with crossed legs dictate to the surgeon that he must use a prosthesis which provides a large range of movement. Risk of dislocation has to be reduced.
Anatomic differences also exist. All these variables require a special implant concept and very wear resistant materials with a large diameter. To summarize, treatment of hip arthritis in the young poses a challenge to surgeons and scientists. Hip resurfacing while offering a possible solution has some draw backs. Short stem prostheses with newer bio materials promise to overcome these deficiencies and offer a long lasting surgical outcome.
Dr.A.K.Venkatachalam, MS, DNB, FRCS (UK), MCh. (Liverpool)has worked with leading Knee surgeons in the UK, Belgium and Dubai earlier. He is affiliated to the Madras Joint Replacement Centre.
Website- http://www.hipsurgery.in
http://www.kneeindia.com
Article Source: http://EzineArticles.com/?expert=Alampallam_Venkatachalam
Friday, 19 March 2010
I know 1 person very close to me who has had a hysterectomy
When facing a serious, life-changing surgery such as a hysterectomy, it's good to know all the facts before going in for the operation. Your gynecologist can share with you important details about hysterectomies and offer tips to help you cope emotionally and physically. We're going to list some questions you should ask your gynecologist before hysterectomy surgery. But first, let's explore what this surgery is and why it is necessary.
What is a Hysterectomy?
A hysterectomy is the surgical removal of the uterus. Various types of incisions may be used to perform this procedure, such as vaginal, abdominal or laparoscopic. Hysterectomies are often performed in combination with an oophorectomy, or the removal of the ovaries. There are also alternatives to a hysterectomy such as medications or less invasive outpatient procedures. Every woman's body and needs are unique; therefore, it's a good idea to go over all the possible solutions with your gynecologist or surgeon before opting for a hysterectomy.
Reasons Why a Hysterectomy is Recommended
There are numerous health issues that call for a hysterectomy, particularly in cases where a woman's life may be in danger. Some conditions in which a hysterectomy may be recommended include cancer in ovaries or uterus, endometriosis, fibroids, cervical cancer, prolapse, pre-cancer of the uterus, pelvic pain, heavy bleeding during menstruation, and pelvic adhesions. Although a hysterectomy may help heal certain conditions, one must consider the life-long repercussions. A woman who has a hysterectomy will never again be able to have children. On the positive side, however, she will also likely never experience her period again...a result that many women welcome!
Ask Your Gynecologist these Questions:
If your doctor has recommended a hysterectomy, here are some questions to ask your gynecologist or surgeon beforehand.
1. If I want to have children in the future, are there any viable alternatives to having a hysterectomy?
2. Will my health condition possibly go away if I don't have surgery?
3. Are there any non-surgical alternatives that can help my condition?
4. Will I enter menopause after surgery?
5. What type of procedure will be used to remove my uterus and/or ovaries? Please explain the pros and cons of various procedures if applicable, such as laparoscopy, abdominal or vaginal incisions.
6. How long will the surgery last?
7. How long will I remain in the hospital after surgery?
8. Will I be limited in physical activity after surgery?
9. Will the hysterectomy cure my condition completely or will it only address the symptoms?
10. How long should I wait before engaging in sexual intercourse with my spouse after surgery?
11. What treatments (if any) are recommended after surgery?
12. Will I still be required to have pap smears after the hysterectomy?
13. Do you recommend removal of my cervix?
14. If I'm nearing menopause, should I wait to see if this relieves my symptoms?
15. Will you speak with my family about the surgery to help them understand the procedure and what to expect?
These questions may seem personal, but should be asked to give you a better understanding of hysterectomies before having surgery. It's better if you can talk with your gynecologist in advance to prepare for surgery. You may feel more comfortable speaking with your gynecologist instead of the surgeon, if these are two different persons. You probably know your gynecologist well and are able to open up and ask more in-depth questions. Your gynecologist can also help with other concerns such as pelvic pain, infertility, ovarian cysts, tubal ligation, fibroids, etc. Print this list of questions to ask your gynecologist about hysterectomies or create your own to prepare for your next visit. Knowing what to expect will help ease your mind as you make important decisions about your health.
Chris Robertson is an author of Majon International, one of the worlds MOST popular internet marketing companies on the web.
Learn more about Hysterectomy Questions.
Article Source: http://EzineArticles.com/?expert=Chris_Robertson
What is a Hysterectomy?
A hysterectomy is the surgical removal of the uterus. Various types of incisions may be used to perform this procedure, such as vaginal, abdominal or laparoscopic. Hysterectomies are often performed in combination with an oophorectomy, or the removal of the ovaries. There are also alternatives to a hysterectomy such as medications or less invasive outpatient procedures. Every woman's body and needs are unique; therefore, it's a good idea to go over all the possible solutions with your gynecologist or surgeon before opting for a hysterectomy.
Reasons Why a Hysterectomy is Recommended
There are numerous health issues that call for a hysterectomy, particularly in cases where a woman's life may be in danger. Some conditions in which a hysterectomy may be recommended include cancer in ovaries or uterus, endometriosis, fibroids, cervical cancer, prolapse, pre-cancer of the uterus, pelvic pain, heavy bleeding during menstruation, and pelvic adhesions. Although a hysterectomy may help heal certain conditions, one must consider the life-long repercussions. A woman who has a hysterectomy will never again be able to have children. On the positive side, however, she will also likely never experience her period again...a result that many women welcome!
Ask Your Gynecologist these Questions:
If your doctor has recommended a hysterectomy, here are some questions to ask your gynecologist or surgeon beforehand.
1. If I want to have children in the future, are there any viable alternatives to having a hysterectomy?
2. Will my health condition possibly go away if I don't have surgery?
3. Are there any non-surgical alternatives that can help my condition?
4. Will I enter menopause after surgery?
5. What type of procedure will be used to remove my uterus and/or ovaries? Please explain the pros and cons of various procedures if applicable, such as laparoscopy, abdominal or vaginal incisions.
6. How long will the surgery last?
7. How long will I remain in the hospital after surgery?
8. Will I be limited in physical activity after surgery?
9. Will the hysterectomy cure my condition completely or will it only address the symptoms?
10. How long should I wait before engaging in sexual intercourse with my spouse after surgery?
11. What treatments (if any) are recommended after surgery?
12. Will I still be required to have pap smears after the hysterectomy?
13. Do you recommend removal of my cervix?
14. If I'm nearing menopause, should I wait to see if this relieves my symptoms?
15. Will you speak with my family about the surgery to help them understand the procedure and what to expect?
These questions may seem personal, but should be asked to give you a better understanding of hysterectomies before having surgery. It's better if you can talk with your gynecologist in advance to prepare for surgery. You may feel more comfortable speaking with your gynecologist instead of the surgeon, if these are two different persons. You probably know your gynecologist well and are able to open up and ask more in-depth questions. Your gynecologist can also help with other concerns such as pelvic pain, infertility, ovarian cysts, tubal ligation, fibroids, etc. Print this list of questions to ask your gynecologist about hysterectomies or create your own to prepare for your next visit. Knowing what to expect will help ease your mind as you make important decisions about your health.
Chris Robertson is an author of Majon International, one of the worlds MOST popular internet marketing companies on the web.
Learn more about Hysterectomy Questions.
Article Source: http://EzineArticles.com/?expert=Chris_Robertson
Family health and relationships
Obesity is becoming one of the serious problems day by day all over the world. Obesity is termed as increase in the body weight of an individual due to excessive accumulation of fats. The World Health Organization (WHO) predicts that by 2015, there will be 2.3 billion overweight adults in the world and above 700 million of them will be obese.
Are obesity and over-weight similar?
Generally, people treat the terms 'obesity' and 'over-weight' as similar, but in fact, these are two different terms. Obesity is purely associated with excessive fat accumulation in body whereas the term over-weight is related to increased body weight due to excessive weight of the muscles and bones.Why is obesity a major problem in UK?According to a survey, in 2008, 61 percent of adults (aged 16 and over) in United Kingdom were considered obese. Obesity is behind over 9000 premature deaths only in UK every year. A number of factors can cause obesity such as heredity, sedentary life style, food habits, physical inactivity etc. In UK, lack of physical activities and eating fast food are the main factors responsible for obesity. These factors are considered to be far more significant contributors to the increase in obesity than overeating. Thus, exercise is always considered as a main part of any obesity treatment and weight loss plan.
Why is it important to reduce obesity?
The effects of obesity can lead you to serious health risks, some of them include:
* Hypertension
* Coronary heart disease
* Diabetes (TYPE 2 diabetes)
* Digestive disorders
* Gallstones or Cirrhosis
* Arthritis (inflammation of joints)
* High blood cholesterol (LDL cholesterol)
* Breathing problems
* Menstrual irregularities in women
* Psychological disorders such as depression
Each year in UK, 270000 people encountered with heart attack due to coronary heart disease. Obesity is not a medical condition that arises overnight, neither there is any treatment to control or prevent it instantaneously. People, who are obese, can reduce weight by numeral ways like regular exercise, healthy lifestyle and taking proper care of food habits like reduction in the amount of calories they consume everyday (e.g - food loaded with sugar, junk food, fats etc).
Severely obese people, who have failed to lose weight by diet control and regular exercise, mostly go for weight loss surgery but these surgical methods are very expensive. And as every surgery has complications, a patient requires lifelong monitoring after a weight loss surgery.
Along with these solutions, slimming pills are more effective way to rid off the excess weight. There are various kinds of slimming pills available in the UK market. People can also buy these medicines from online clinics but it is recommended that people should always buy genuine medication like Xenical (Orlistat).
Xenical is authentic, economical and effective slimming pill to combat obesity, which is also available online in UK. Xenical contains orlistat as its main ingredient, which acts as fat inhibitor. It works in stomach and small intestine of a person and blocks the absorption of about one-third of dietary fats by the body. Undigested fat easily move out from body through normal bowel movements. Therefore, Xenical is a safe way to lose weight considerably. Anyone can reduce weight in a very short period, if they take Xenical in combination with balanced diet and regular exercise. Xenical is the only treatment available in market today which has FDA approval for its efficacy and safety.
Xenical is one of the safe and economical obesity treatment pills available in UK. It is suggested that people should buy xenical online from an authentic online clinic.
Article Source: http://EzineArticles.com/?expert=Nicole_A_Smith
Are obesity and over-weight similar?
Generally, people treat the terms 'obesity' and 'over-weight' as similar, but in fact, these are two different terms. Obesity is purely associated with excessive fat accumulation in body whereas the term over-weight is related to increased body weight due to excessive weight of the muscles and bones.Why is obesity a major problem in UK?According to a survey, in 2008, 61 percent of adults (aged 16 and over) in United Kingdom were considered obese. Obesity is behind over 9000 premature deaths only in UK every year. A number of factors can cause obesity such as heredity, sedentary life style, food habits, physical inactivity etc. In UK, lack of physical activities and eating fast food are the main factors responsible for obesity. These factors are considered to be far more significant contributors to the increase in obesity than overeating. Thus, exercise is always considered as a main part of any obesity treatment and weight loss plan.
Why is it important to reduce obesity?
The effects of obesity can lead you to serious health risks, some of them include:
* Hypertension
* Coronary heart disease
* Diabetes (TYPE 2 diabetes)
* Digestive disorders
* Gallstones or Cirrhosis
* Arthritis (inflammation of joints)
* High blood cholesterol (LDL cholesterol)
* Breathing problems
* Menstrual irregularities in women
* Psychological disorders such as depression
Each year in UK, 270000 people encountered with heart attack due to coronary heart disease. Obesity is not a medical condition that arises overnight, neither there is any treatment to control or prevent it instantaneously. People, who are obese, can reduce weight by numeral ways like regular exercise, healthy lifestyle and taking proper care of food habits like reduction in the amount of calories they consume everyday (e.g - food loaded with sugar, junk food, fats etc).
Severely obese people, who have failed to lose weight by diet control and regular exercise, mostly go for weight loss surgery but these surgical methods are very expensive. And as every surgery has complications, a patient requires lifelong monitoring after a weight loss surgery.
Along with these solutions, slimming pills are more effective way to rid off the excess weight. There are various kinds of slimming pills available in the UK market. People can also buy these medicines from online clinics but it is recommended that people should always buy genuine medication like Xenical (Orlistat).
Xenical is authentic, economical and effective slimming pill to combat obesity, which is also available online in UK. Xenical contains orlistat as its main ingredient, which acts as fat inhibitor. It works in stomach and small intestine of a person and blocks the absorption of about one-third of dietary fats by the body. Undigested fat easily move out from body through normal bowel movements. Therefore, Xenical is a safe way to lose weight considerably. Anyone can reduce weight in a very short period, if they take Xenical in combination with balanced diet and regular exercise. Xenical is the only treatment available in market today which has FDA approval for its efficacy and safety.
Xenical is one of the safe and economical obesity treatment pills available in UK. It is suggested that people should buy xenical online from an authentic online clinic.
Article Source: http://EzineArticles.com/?expert=Nicole_A_Smith
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