How Do Physicians Manage Complications?
Cosmetic Surgery Complications All surgery is serious.
Responsibilities are shared by both patient and surgeon from the initial
consultation meeting in the pre-operative phase through to the post-operative
recovery phase. A statement of risks and contraindications is prepared by your
surgeon in order to guide the patient's understanding. How will the surgery
procedure be performed? What is the role of the surgeon's staff members? Will
anesthesia be administered? How much pain will the patient feel after the
surgery? What can go wrong? Each cosmetic or reconstructive surgery creates
specific recovery outcomes in terms of protocols and the amount of time to
realistically expect recovery and return to normal activities. Rest, diet,
avoidance of heavy lifting, keeping the treatment area (head or feet as the
case may be) elevated in order to promote good vascular circulation and to
avoid blood pooling. Smoking in any part of the patient's environment should be
avoided pre-to-post period wherever possible. Surgical scars should be
consistently treated with skin lotions such as aloe vera or vitamin-e enriched
formulation to aid the healing process. All antibiotics should be taken for the
full course and without interruption. While the incidence rate of post-surgical
complications is low, "stuff happens". Most complications are
treatable. The three broad categories for complications are scarring, infection
and bleeding.
Managing Unexpected Operating Theatre Conditions The
unexpected occasionally surfaces as either an in-surgical or post-operative
condition. The plastic surgeon relies on his training and experience to give
early recognition to pre-existing symptoms or to track earlier symptoms in a
cause-effect chain to current indicated conditions. Clearly by the time that
you go online to investigate the location of suitably experienced professional
plastic surgeons in your state or community, you've accumulated a life time of
observations about yourself. Your sense of self, your self esteem and your
overall confidence seem tied to your appearance and your health. Both aesthetic
and reconstructive surgery focus on physical and psychological outcomes. The
procedure, such as a facelift, merely enhances their positive self-image. If a
person seeks the procedure in order to influence a change in someone else's
view, then there's a risk of disappointment.
Surgical Team Strategy For You Where an eye injury has
occurred, the physician is advised to reach out to trained and experienced
ophthalmologists with whom the physician has worked and who can be relied upon
without condition or hesitation.When an eye injury occurs where the symptoms
might include eye pain or changes in the corneal surface or is possible in the
procedure, then the surgeon needs to consider the use of scleral shields.
Symptom: Bacterial or Fungal Infection When the plastic
surgeon observes a skin condition bearing indications of bacterial or fungal
infection, he must remove all dressings, and then take a sample or culture for
biopsy or lab analysis. The patient's wound must be sterilized and kept in a
clean condition. Essentially, the surgeon will treat this condition as though
it was a burn wound, avoiding maceration and avoiding eschar in line with the
conservative suspicion of the situation being a high index probability for the
prescribed course of treatment.
One simple but effective mixture is to use vinegar plus
water and pat over the wound area until it dries. More aggressive approaches
rely upon drugs and compounds such as diflucan (anti fungal) 150 mg for a
number of days continuously until symptoms abate. Alternative drug therapies
include the use of duricef 500mg or keflex 500mg for a similar treatment
period.
Handling Scars Hypertrophic scars require a special
response. Early palpable induration may signal to the plastic surgeon the need
for extra precision and care when dealing with a hypertrophic scar. The
surgical procedure should not go too deep. It's critical to avoid infection and
avoid maceration. Pre-operative skin regimen is highly recommended. When
post-operative problems arise then an aggressive ten day regimen may be
necessary in order to temovate the area. Even breast implants, like the lateral
research taking place with ordinary chewing gum, may become safe and effective
drug transport media. Consider that the silicone breast implants, because they
are covered by permeable membranes, can be drug carriers to time release drugs
which might lessen surgical scarring, combat infection, and promote internal
healing.
Herpes Complex Redness and localized pain along with full
thickness and presence of tzanck smear may suggest herpes simplex. The surgeon
needs to consider the patient's history, plus introduce a prophylactic, along
with use of a drug such as valtrex 500mg in a subscription program commencing
one day pre-operation and ending about ten days post-operation.
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