Ophthopedia’s Post

Cyclodialysis Clefts followed up by Full Range SS-AS-OCT ! A 58-year-old male was diagnosed as cyclodialysis clefts and lens subluxation in his right eye. The high-resolution anterior segment OCT (AS-OCT) from 16mm x 12mm 3D AS-OCT revealed the separation of the longitudinal ciliary muscle fibers from the scleral spur (before surgery, arrow), secondary cataract and shallow anterior chamber caused by subluxation of lens. This patient underwent direct cyclopexy and IOL implantation. After surgery, the fine reattachment of ciliary body (after surgery, arrow) and the position of IOL could be confirmed on AS-OCT. A 100kHz full range swept source OCT (#YAlkaid, from TowardPi Medical) was used in this case to image the panoramic anterior segment in high-resolution 3D scan mode. Case courtesy of: team of Dr. Shouxiang Ni from Shihezi People's Hospital. Editor: Dr. Chloe Li, TowardPi Medical #ophthalmology #SSOCT

A recent study in "Kyobu Geka" sheds light on the complications of postoperative care in patients with acute #aortic dissection surgery. The study emphasises the importance of careful blood delivery methods, especially for young, muscular male patients, to avoid the development of #compartmentsyndrome. What protocols do you follow to mitigate such postoperative risks? Check out the study here: https://lnkd.in/ej96zdZn Kaga T, Ezure M, Hasegawa Y, Yamada Y, Hoshino J, Okada S, Morishita H, Seki M, Konno N, Oi A, Tamura N, Atomura D, Yamatsu Y. [Compartment Syndrome After Stanford Type A Acute Aortic Dissection Surgery:Report of a Case]. Kyobu Geka. 2023 Sep;76(9):714-718. Japanese. PMID: 37735732. #healthcareexcellence #SentinelpH

Off for now, spine specialist appointment this morning for this... Cervical spine ACDF surgery last March T12-L1: Small cranially migrated extruded disc fragment in anterior epidural space causes mild right-sided spinal canal narrowing.   L1-2: Diffuse disc bulge with superimposed left central disc protrusion causes left-sided spinal canal narrowing and likely impingement of underlying traversing left-sided nerve root.   L2-3: There is small right foraminal disc protrusion causing narrowing of right neural foramen inferiorly.   L3-4: Left laminotomy changes are noted. No significant spinal canal narrowing.   L4-5: Diffuse disc bulge and bilateral facet arthropathy with ligamenta flava thickening results in mild to moderate spinal canal narrowing.   L5-S1: Unremarkable disc. Right facet arthropathy is noted.

The rocking of an aortic prosthesis is a concerning sign that may indicate dehiscence, an uncommon but serious complication observed in very few patients following aortic valve replacement. Dehiscence can arise from several known risk factors, including bacterial endocarditis, the presence of an ascending aorta aneurysm, and significant calcification of the native aortic valve prior to surgery. Diagnosing dehiscence can be particularly challenging, as the acoustic shadowing produced by the prosthetic valve may obscure clear imaging and recognition of the issue. Routine surveillance of prosthetic aortic valves with TTE and TOE is important, as these techniques allow accurate detection of prosthetic valve dysfunction. When results of TTE and TOE are inconclusive, cardiac CT and MR imaging should be considered.

Patellar chondral fracture: diagnosis and treatment A 14-year-old patient with gonalgia and repeated joint effusion for three weeks, with a slight sensation of joint blockage. An MRI was performed, which showed a chondral defect in the internal patellar facet associated with an intra-articular chondral fragment in the anterior recess of the intercondylar space. Chondral fracture is a complication of patellofemoral instability. It is more frequent between 9 and 15 years of age and has traditionally been considered an indication of early surgery. MRI is the technique of choice for its diagnosis, with a sensitivity and specificity of around 90% for chondral injuries. Treatment consists of fixing the fragment with headless compression screws or bioabsorbable pins. (Chondral Injury in Patellofemoral Instability. Cartilage. 2014 Jul; 5(3): 136–144. doi: 10.1177/1947603514530142)

A hernia tacker is a medical device used to secure mesh or other materials in place during hernia repair surgery. Benefits: 1. Improved patient outcomes: Precise mesh fixation and minimally invasive design lead to faster recovery and reduced complications. 2. Enhanced surgical efficiency: Streamlined design and easy operation enable faster procedure times. 3. Reduced hernia recurrence: Secure mesh fixation minimizes the risk of hernia recurrence. 4. Versatility in hernia repair: Suitable for various hernia types and surgical approaches. 5. Trustworthy performance: Hernia tackers are designed for reliable and consistent performance, ensuring confidence in the operating room. The hernia tacker is a valuable tool in hernia repair surgery, offering precise mesh fixation, minimally invasive design, and reliable performance to improve patient outcomes and enhance surgical efficiency.

A hernia tacker is a medical device used to secure mesh or other materials in place during hernia repair surgery. Benefits: 1. Improved patient outcomes: Precise mesh fixation and minimally invasive design lead to faster recovery and reduced complications. 2. Enhanced surgical efficiency: Streamlined design and easy operation enable faster procedure times. 3. Reduced hernia recurrence: Secure mesh fixation minimizes the risk of hernia recurrence. 4. Versatility in hernia repair: Suitable for various hernia types and surgical approaches. 5. Trustworthy performance: Hernia tackers are designed for reliable and consistent performance, ensuring confidence in the operating room. The hernia tacker is a valuable tool in hernia repair surgery, offering precise mesh fixation, minimally invasive design, and reliable performance to improve patient outcomes and enhance surgical efficiency.

What does haemorrhoid surgery involve? Haemorrhoids are a common problem, and they are when blood vessels in or around your anus become enlarged. They usually clear up on their own, but there may be times when you need surgical intervention to help. Haemorrhoid surgery involves carefully removing your haemorrhoid permanently. First, an ultrasound probe locates the arteries supplying blood to the haemorrhoid. Then the arteries are stitched up to stop blood flowing to the haemorrhoid. This causes the haemorrhoid to shrink. We perform minimally invasive haemorrhoid surgery to provide you with enhanced recovery and fewer risks of complications. Learn more about haemorrhoid surgery at the Royal Free London Private Patients unit. https://bit.ly/3w9sxwb #HaemorrhoidSurgery #Haemorrhoids #PrivateSurgery

Reverse tummy tuck surgery is a specialized cosmetic surgery technique that targets the upper abdomen, offering benefits such as improved skin tightness, enhanced abdominal definition, and a more attractive silhouette. https://lnkd.in/g53ueZfM

💔 The 77-year-old patient presented with symptomatic severe MV regurgitation due to PML prolapse. Initial therapy with transapical neochordal implantation was unsuccessful and the patient underwent open heart surgery. 👀 After exposure, the valve appeared myxomatous altered with bileaflet prolapse and multiple ruptured chordae. The P3 segment showed a significant tear.   ✂ MV repair was performed with a 30 mm Simulus annuloplasty ring and placement of neochordae at P1, P2, and A2. The P3 segment was resected and a P2 sliding plasty was performed. ❔ What is your experience with open heart redo mitral valve surgery after transapical neochordal implantation? #CardiacSurgery #MVrepair #Neochordae #CatchOfTheWeek8 Prof. Dr. med. Markus Krane, Prof. Dr. med. Bernhard Voss, PD Dr. med. Keti Vitanova, Deutsches Herzzentrum München des Freistaates Bayern - Klinik an der Technischen Universität München, Technische Universität München