Daily Medical Records

Archive for the ‘Surgery’ Category

Such interventions are currently considered as a very effective method for the treatment of morbid obesity, reaching 72% success rate (after two years of operation the patients have lost an average of 50% of their excess weight). But … Is it advisable for anyone?.

Bariatric surgery involves reducing, using various techniques (mainly gastroplasty, the gastric bypass and adjustable band), the capacity of the stomach.

It is not plastic surgery, as it pertains to the field of General and Gastroenterological Surgery, and are always aggressive interventions with the body that should only be performed in extreme cases where previous treatments have failed less invasive.

Morbidly obese 1-2% of the population whose Body Mass Index (remember that BMI is obtained by dividing weight in kilos between height in meters squared) greater than 40. Even being in this situation, the requirements that a person must meet to be eligible for this operation are as follows:

1) Have an age between 18 and 60.
2) Submit an evolution of at least 5 years of obesity.
3) does not suffer from mental problems incompatible, as psychotic disorders, cognitive deficits, certain addictions such as alcoholism, bulimia and anorexia.
4) repeated failure of other conventional treatments.

In any case, surgery must always be accompanied by a change in the habits of life of patients and in half the cases, psychological assistance

A nose may show that has been operated is not in line with the rest of the face or if you have imbalance in any of its components.

Depending on the case, it may be possible to modify the shape of a nose only with the removal of small amounts of bone and cartilage, but at other times, to increase the size of a nose too small, to fill areas or to support, it is necessary the use of cartilage grafts from the patient, which may be taken from the nasal septum, the ear through an incision in the fold, or in some cases of nasal reconstruction, bone grafts from the rib, pelvis or skull.

In the East (Japan, Taiwan, etc …) is very common the use of silicone implants to increase the hump or back of the nose, but often this type of implant may have problems during the post-operative and can externalize .

There are several techniques of rhinoplasty (nose surgery), which can be grouped into two groups:

* closed rhinoplasty, where incisions are placed inside the nostrils (nares) and some phases of the operation is performed without directly view the structures.

* open rhinoplasty, in which an incision is made in the skin that separates the two nostrils (columella), to visualize how these are the tissues and treated under direct vision.

At a general level, it is possible to separate the nose areas, each of which must be in perfect relationship with others:

Upper zone: the birth of the nose between the eyebrows is the angle fronto-nasal, which is the angle of the forehead and nose, and is formed by the nasal bones and frontal bone and maxilla. It may be too prominent (Greek nose) or too collapsed.

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Rhinoplasty

The nose has a specific role in the process of respiration to be maintained or improved after an intervention, and how it should be normal enough to pass unnoticed.

The nose does not have much role in the expressiveness of the face, which is carried out by the look and the shaping of the mouth (smile, disgust, etc.).. A nose provided or beautiful is considered a general trait, such as the shape of the face, the definition of the cheekbones or chin.

A nose operated must work properly, be provided in accordance with the whole person and specifically his face, and the result achieved should be natural, ie not appreciate that has been operated.

Many times, the patient can improve your facial profile with rhinoplasty and done at the same time a chin augmentation, to give an appearance more harmonious whole face.

The nose surgery also includes all cases of reconstruction post-cancer (by plasties and flaps), degenerative diseases or proliferative diseases (rhinophyma).

There have been numerous studies that have attempted to establish the ideal proportions of beauty of a face, quantifying degree angles and distances in mm, and have been used by sculptors and artists such as by plastic surgeons in the planning and execution of surgical interventions nose.

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Researchers at the Hospital of National Taiwan University reported new diabetes treatments through bypass surgery and gastric narrowing.

The Taiwanese doctors presented at a press conference the positive results of therapy in 60 cases of operated diabetic gastric surgery over a year ago.

“Diabetes is really a gastrointestinal disease, resulting from problems with the gastrointestinal hormones that influence insulin production, so it can be treated with gastric surgery,” said a spokesman for the doctors, Li Wei-jie.

In an experiment with 60 patients, average age 45 years, found that one year after gastric bypass surgery 93.3% had a normal blood sugar level and in the case of gastric narrowing, the proportion was 46.7%.

Researchers at the Taiwan Normal University said that with current therapies and medication, a year, only 30% of patients achieved a normal level of sugar. Read the rest of this entry »