Lose Weight Before Weight-Loss Surgery

It is found that losing at least a little bit of weight before having weight-loss surgery can reduce the risk of having surgical complications. Medical records of 881 patients who had weight-loss surgery show that the more weight patients lost before surgery, the less likely they suffered from post-operation complications, such as infection, blood clots, and kidney problems. The post-surgery complication rate was almost twice as much in patients who gained weight before surgery than patients who lost weight before surgery.

All of the patients had open Roux-en-Y gastric bypass surgery where staples are used to create a pouch in the stomach that can hold only a small amount of food at a time. A part of the small intestine is attached to the pouch so that food bypasses the rest of the stomach and part of the small intestine. Some of the surgeons who perform weight-loss surgery mandate that certain high-risk patients lose weight before having the surgery.

First Face Transplant Done in America

In Cleveland, reconstructive surgeon Dr. Maria Siemionow and a team of specialists performed the first face face transplant done in America by replacing 80 percent of a disfigured woman's face by using the face of a female cadaver. Many details of the surgery have not been released but surgeons that do this usually transplant skin, facial nerves, muscles, and other deep tissue.

Skin is considered an organ and it still runs the risk of the body rejecting it, as with other organ transplants. Recipients of transplants have the risk of deadly complications, such as the new facial tissue attacking the recipient's body and the recipient's body attacking the bone marrow or the transplanted face to cause inflammation at the area of the new tissue. They also have to take immune-suppressing drugs for the rest of their lives to prevent the body rejecting the organ. This raises the risk of cancer and other diseases.

This is the fourth one done worldwide. Two have been done in France and one was done in China. The first one was a partial face transplant done in France in 2005 on a woman who had been mauled by her dog and received a new nose, chin, and lips from a brain-dead donor. Another was done in France on man disfigured by a genetic disease. One was done in China on a farmer that had been disfigured by being mauled by a bear.

Leg Pain Symptom of Deadly Blood Clot

It is found that having leg pain can be a symptom of having a deep vein thrombosis. A deep vein thrombosis forms in large veins and it is usual for them to develop in the leg and groin area. It can kill a person quickly if it moves up to the lung area where it would become a pulmonary embolism.

Symptoms of a deep vein thrombosis in the leg area includes swelling, pain, a warm spot, or discoloration of the skin. Other symptoms may include shortness of breath or having pain when breathing deeply. There are many things that can cause a thrombosis, including recent surgery, broken bones, falling, pregnancy, birth control pills, menopause hormones, and being immobile for a long period of time, and the risks increase with age, especially in people over 65, and with those who smoke or are obese.

Heart Doctor Pioneer Michael DeBakey Dies

Dr. Michael DeBakey, the famous cardiovascular surgeon that pioneered the bypass surgery and inventor of many devices to help people with heart problems, has died at the age of 99 from natural causes at the Methodist Hospital in Houston, TX. In 1932, while he was still in medical school, he invented the roller pump, which later became the most important part of the heart-lung machine. The machine takes over the responsibilities of the heart and lungs during surgery. He was also the pioneer in the development of artificial hearts and heart pumps to help people waiting for transplants. He had helped to create more than 70 surgical instruments in his lifetime.

In the 1950s, DeBakey was the first person to perform the replacement of arterial aneurysms and obstructive lesions. He had developed bypass pumps and connections to replace parts of diseased arteries.

He had performed more than 60,000 heart surgeries in his career that lasted 70 years. His patients had included the Duke of Windsor, the Shah of Iran, King Hussein of Jordan, Turkish President Turgut Ozal, Nicaraguan leader Violetta Chamorro, President Kennedy, President Johnson, and President Nixon. He was a consultant when Russian President Boris Yeltsin had surgery.

He served as the chairman of the President’s Commission on Heart Disease, Cancer, and Stroke during President Johnson’s administration. He had helped to establish the National Library of Medicine and was the author of more than 1,000 medical reports, papers, chapters, and books on surgery, medicine, and similar topics.

In 1953, he performed the first Dacron graft to be able to replace part of occluded arteries. In the 1960s he started coronary artery bypasses. In 1966, he was the first person to successfully use a partial artificial heart. In the 1990s, he helped to create the Michael E. DeBakey Heart Instititute at Hays Medical Center.

Body Dysmorphic Disorder

People who have body dysmorphic disorder (BDD) believe that at least one part of their appearance is very unattractive, even after cosmetic surgery. Researchers have found that people with BDD process visual information differently that most other people do and rely more on the analytical left side of the brain. Their brain also focuses on details without putting them into the context of the whole face, which can lead to a distorted self image. BDD can be biological and genetic so that it is not just caused because of society’s obsession on appearance.

Weight Reduction to Treat Diabetes

It is found that weight reduction surgery works better than standard medical therapy to treat type 2 Diabetes in people who are obese. The surgery is also recommended for people who are not morbidly obese but still overweight.

In a recent study, researchers monitored two groups of obese people with type 2 diabetes. Half of the people had gastric binding done, where surgeons put a silicone strap around the stomach so that less food goes into it. The other half of the people was put on a standard diet and exercise plan. After two years passed, the people on the diet lost an average of 3 pounds while the people who had surgery done lost an average of 46 pounds. 22 of the people that had surgery also had their diabetes go into remission while only 3 of the dieters had that happen.

Teenagers and Plastic Surgery

The rise continues with teenagers and preteens having plastic surgery to fix what they think are flaws. The United States has the highest number of plastic surgery patients per year with Brazil and Spain following next. At least 10 percent of the patients are minors under the age of 18.

Most surgeons refuse to operate on minors, even with the parent’s consent, but there are some surgeons that wouldn’t have a problem with it. Some parents even encourage plastic surgery on their children and give nose jobs or collagen injections as gifts.

Hypnosis Used for Post-Surgery Pain

It is found that 15 minutes of hypnotherapy can reduce the amount of anesthesia that is needed during surgery and also reduces the amount of pain, nausea, and fatigue that comes after the surgery. Doctors at New York City’s Mount Sinai School of Medicine gave 200 women preoperative hypnosis and found that they were out of surgery 11 minutes earlier than average.

Removing Blood Clots Helps Heart Attack Recovery

A new research shows that more people survive major heart attacks and have fewer problems if doctors use a mini-vacuum to clear out an artery blockage instead of pushing it aside to help blood flow. Suctioning out a clot before implanting a stent could lead to wider use in heart attack treatment.

Most heart attacks occur when a buildup of plaque in a coronary artery ruptures and a blood clot forms that blocks the flow of oxygen-rich blood to the heart. The most preferred treatment is an angioplasty to reopen the artery.

Doctors would use a procedure that would snake a tube through a blood vessel to the blocked artery and use a small balloon to compress the blockage and restore blood flow. A small metal-mesh stent is placed to keep the artery open. A bad thing about the procedure is that sometimes pieces of the clot or plaque breaks off and plugs the tinier vessels to restrict the blood flow to the heart.

Scientists Developing Surgical Robot for Surgeries

There are scientists in London that are developing a surgical robot that could help surgeons do complex surgical procedures without having to cut into the patient’s skin. A team at the Imperial College has been given $4.5 million to build and test a surgical robot that is called the “i-Snake”.

The robot is made up of a long tube that has special motors, sensors, and imaging tools inside of it. It would be inserted through the patient’s mouth or other orifice and would eliminate the need for a keyhole surgery, where several cuts would be made. The i-Snake would cause less invasive treatments, surgeries would be faster, and recovery times would be quicker.


Read More: http://news.bbc.co.uk/2/hi/health/7155635.stm

Hospital Fined After Operating on Wrong Side of Body Again

A Rhode Island hospital was fined $50,000 and reprimanded by the state Department of Health Monday after their third situation this year of a doctor performing brain surgery on the wrong side of a patient’s head. The most recent situation happened on Friday when the chief resident started brain surgery on the wrong side of the head of an 82 year old patient. The patient is okay, but back in August, a patient died a few weeks after a doctor performed brain surgery on the wrong side of the head. After that the hospital received an independent review of its neurosurgery practices and it has to have better verification from doctors of its surgery plans. The hospital says that it is currently working with the Department of Health to reduce the risk of medical errors. They also say they are re-evaluating their training policies and providing more oversight by giving the nursing staff the power to make sure that the procedures are properly followed.

Along with the fine, the state has ordered the hospital to make a neurosurgery checklist that has information about the location of the surgery and the patient’s medical history. They also have to make a plan to train the staff of the new checklist.