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Surgery

Plastic surgery encompasses a wide variety of procedures for the face and body. From nose jobs to breast implants, we perform a broad scope of body changes. While the vast majority of these procedures do very well and patients have an uncomplicated after surgery course, some patients will experience complications. The occurrence of complications in plastic surgery, of the minor variety, are not rare. Major complications, fortunately, are very rare.

Interestingly, there is a vast difference in the incidence rate and types of complications between plastic surgery of the face and that of the body. While patients understandably place a greater emphasis on procedures done to their face, the actual rate of significant complications from facial surgery is quite low. There are several reasons for this include; the wonderful blood supply to facial tissues which is quite resistant to infection and allows most wounds to heel quite quickly (including the cleansing of bruising and swelling), cosmetic surgery of the face is really 'wonderful' surgery and does not enter any major body cavities Egypt cause major pain and surgery on the face does not disrupt the body's physiologic functions (like temperature control and fluid lifts) like body plastic surgery does. For these reasons, facial surgery procedures do not pose the same systemic risks as body surgery such as deep vein thromboses, pulmonary embolisms, and infection. Most complications in the face, short of bleeding and hematomas, are mainly about appearance, symmetry, and scarring. Not that these are not significant, but they are rarely life-threatening or invoke major medical problems.

Body plastic surgery, conversely, carries with it bigger risks in my opinion. First, body surgery is 'bigger' and involves more surface area of ​​the body than the face. Whether it be liposuction or a tummy tuck, large body areas are being opened or manipulated. As a result, the issues of blood loss, adverse temperature changes, and fluid shifts are real potential issues and expose the patient to greater medical risks such as fluid collections (seromas) and blood clots. Second, the blood supply below the neck to any one body part is not as great as any part of the face. Therefore, infection rates for body surgery are definitely greater than that of the face. While patients are more tolerant to small differences or asymmetries on the body as opposed to the face, the chances of more significant differences is also likely because the surgery site is much larger and the changes being made are larger. No where are these issues more evident than in bariatric plastic surgery, the extreme end of body surgery, where big skin cutouts, long incisions, and extended operating times test the ability of any patient to heal in an uncomplicated manner.

Potential complications are part of any form of plastic surgery and unfortunately most are reliably minor and are often just a bump (aggravating as that is) along the way of recovery. However, body surgery is associated with longer recoveries (for many of the procedures) and higher rates of complications such as wound dehiscences, seromas, and asymmetry between body parts. This is in contrast to cosmetic surgery of the face where the surgical sites by comparison are smaller and healing is much quicker and less complicated.

Source by Dr Barry Eppley

If you have come face to face with a transnasal turbinate surgery claim, see to it that you put your clinical judgment on high alert considering the diversity of anatomic sites, surgical techniques, and types of instrumentation involved in this type of service.

Here are three FAQs to help master your turbinate surgery coding skills:

Should 30130 and 30140 go in tandem?

Imagine the documentation states that the doctor entered or excised mucosa and subsequently preserved it. This indicates to you that you should use 30140 to report this service. But then simply reporting that the turbinate was excised is most likely not enough documentation for this code. Do not forget to bill 30130 (Excision inferior turbinate, partial or complete, any method) if there is no evidence of the preservation of the mucosa and the op note just indicates that the inferior turbinate was excised or resected.

You shouldn’t bill 30140 with 30130 – you’d bill one or other for a single side. But then if a submucousal resection (preservation of the mucosa) is performed on one side and a straight excision is performed on the other side (no preservation of mucosa), you would code 30140-RT and 30130-59-LT, for instance. The RT and LT would represent which side each procedure was carried out.

Facts: Normally, you’d code 30130 or 30140 separately with septoplasty or a functional endoscopic sinus surgery is carried out along with an inferior turbinate removal, either excision (30130) or submucous resection (30140), preserving the mucosa.

CPT 31240 describes the removal of a middle turbinate endoscopically. You’d code this when the concha bullosa is removed during endoscopic sinus surgery. CPTs 30130 and 30140 shouldn’t be used if the turbinates excised non-endoscopically were middle turbinates. If the doctor removed the middle turbinates through excision or resection, as in a middle turbinectomy and septoplasty, you’d use the unlisted nasal code for the middle turbinectomy, 30999.

Important: You should always take 30130 and 30140, along with 30930 and 31240 as unilateral codes. This means that you add the modifier 50 if the doctor carried out the procedure bilaterally. CPT 30140 is “modifier 50-allowed.

How much can we get from uni turbinate claims?

You should note the different RVUs that unilateral turbinate codes carry so you can have an idea how much you’d be paid.

Remember that when the turbinate procedure is part of a multiple procedure surgery, it’ll be divided in half when adjusted for the multiple-surgery reimbursement.

Does inferior and middle turbinates point to the same thing?

While billing 30130 or 30140 (inferior turbinates), the payer should not confuse your billing for it with the middle turbinates. Since year 2006, 30130’s definition has been changed from “any turbinate” to “inferior turbinate.” This was done since so many payers denied 30130 and 30140 when coded for inferior turbinates and endoscopic sinus surgeries thinking that the resection was performed on the middle turbinates which are considered access to the sinuses. By changing the wording and definition of the codes, there can be no question by the payer as to whether the procedure was carried out on the inferior turbinates.

If you’re still puzzled, consult a good one-stop medical coding guide like Supercoder.

Source by Michele James Smith

Technological advancement has answers to several questions. Inception of robotics in surgery has blessed millions of patients with accurate surgical procedures along with faster relief. The Da Vinci robotic surgical system is now popular due to the highest effectiveness in its class. Expert doctors handle the robot arms through a console and perform the laparoscopic surgery. The distinct features offered by this system are

• Lesser blood loss
• Minimally invasive method
• Faster recovery
• Accurate surgical processing with precise monitoring methods
• Lesser pain and scarring
• Faster reduction of daily routine

These advantages prove to be beneficial for patients and even for the treating hospitals. They have complete control of the entire operation. The state of the art system transfers the movement of Surgeon's hands and fingers into the robot arm in real time. The 3D projection of the inside of the patient's body is visible in the console window, and Surgeons can decide over the surgical process. This is good news for patients who fret about surgical incisions. Da Vinci robotic surgery is now preferred by thousands of patients over to the regular surgical process.

Bleeding in Urine is alarming – Wake up before it's too late!

Some diseases are silent till they sore to be the worst nightmare. Bladder cancer is such a disease, where acute symptoms are visible only during the advancement of cancer. Unfortunately, at this stage the cancer is not curable, at the most with proper care and treatment it can be controlled from growing into further complications. Some signs you need to watch:

• Hematuria – In this case, blood is found in urine. In earlier stages of bladder cancer, the blood occurrence can be identified only by laboratory tests. However, in advanced stages, red colored urine with blood clots is observed.
• Burning sensation- This is one of the predominant symptoms of bladder cancer. However, this symptom is also found in urinary tract infections.
• Painful urination – When patients complain about painful urination, there are high chances of positive bladder cancer. However, pathological tests can diagnose the exact cause of painful urination.
• Change in pattern – The normal urination pattern is disturbed and people complain of sudden urge for urination without much urination.

All these symptoms together are indicative that the person may be a candidate of bladder cancer. However, it is not compulsory that the occurrence of these symptoms is confirmation of cancer. Consultation from expert doctors and pathological reports offer the exact diagnosis of bladder cancer.

Source by Pete Jameson

A variety of thyroid conditions have thyroid surgery as the answer, including cancerous and non cancerous thyroid nodules, overactive thyroid glands and large thyroid glands (goiters).

Thyroid operations that a surgeon may perform are of various kinds including:

1. Lumpectomy or Biopsy – removal of a small part of the gland.

2. Lobectomy – removing half of the thyroid gland

3. Removal of nearly the entire gland.

( Subtotal Thyroidectomy – is leaving a small amount of thyroid tissue bilaterally or Near Total Thyroidectomy – leaving a gm or cm of thyroid tissue.)

4. Total Thyroidectomy – removal of all identifiable thyroid tissues.

The main risks of a thyroid operation involves possible damage to important anatomical structures near the thyroid, especially the parathyroid glands (that regulate calcium levels) and the external and recurrent laryngeal nerves (that control the vocal cords)

Extensive surgery is associated with higher complications. Therefore surgeons, who are inexperienced in thyroid surgery, choose to remove less thyroid tissue to decrease the risk of complications. The amount of the surgery performed depends on the thyroid conditions. Surgery should be recommended only if the condition can not be treated appropriately, medically.

After a thyroid surgery, patients are advised not to drive for some time because of the pain in the neck muscles and also the pain medication that may make the patient feel drowsy.

To know more in detail, please visit: Thyroid Symptoms and Causes

For the pain physiotherapy is also advised after the surgery. The recovery period is different for different people; there are those who are up and about in 2 weeks.

Certain problems may arrise after the surgery like you may have a hoarse voice, need calcium replacement, thyroid hormone replacement, swelling numbness, soreness or an infection. But all this generally subsides in four to six weeks. Even the scar left by the surgery becomes less noticeable as time progresses. The risk of death from thyroid surgery is minimal, probably less that one in 1,000, and is usually caused by other medical problems, such as heart attack.

More answers on Thyroid at: Thyroid Solutions and Problems

Source by Arjun Mukherjee

If you are sent due to unshaped breasts, silicone prosthesis can open new doors for you. The multi-faceted benefits of plastic surgery offer natural and proportional body parts. It is among the top ranked surgery which demands a fine touch of aesthetics. Protese de silicone or silicone prosthesis is now commonly accepted as a cosmetic surgery.

The major goal behind this surgery is to enhance the physical appearance in women who wish to change the size of their breasts. The purpose of the surgery is mainly to shape the breastfeeding while keeping the aesthetic values ​​in right amount. It responds to the social rights and ethnic customs in the perfect manner. Women's breasts always faced shape problems due to factors like pregnancy and feeding. When the elasticity of the skin is in question, the breasts begin to fall.

The loss of shape and firmness of breasts always affects the confidence of women and hence protege de silicone has gained special importance in the beauty world. The cost of such plastic surgery has also skyrocketed so that common people can not afford the huge expenses. The service of expert doctors are required for a successful surgery and keeping this point in front, Brazilian plastic surgeons are the experienced hands for silicone prosthesis at affordable rates.

This surgery is mainly focused on enlarging the breasts using silicone and helps in making the body more proportional to the breasts. Asymmetric breasts, fall of breast and age changes can be successfully modified using protease de silicone. Most widely used implantation is silicone and the prosthesis is implanted into the breasts. Although there are some suspensions about the use of silicone into the body, but these were not scientifically confirmed. The implants are available in various shapes in different sizes ranging from profile round to tear drop. The size and bulk of the implants differs in each case according to the desire of the patients.

There are several types of silicone prosthesis and the most widely used one is the round format as it can be easily shaped to body positions. The surgery planning is the most vital step in the silicone prosthesis and the initial consultation phase needs an open discussion with the doctor. From the clinical point of view, the surgeon examines all the aspects of surgery and studies about the nature of body. If needed, expert advice from cardiologists and others are also taken prior to the surgery.

For the success of the silicone prosthesis, a good communication line has to be established between the patient and surgeon. It is important to consider the surgeon's assessment about the treatment method regardless of the size of prosthesis chosen. After care instructions has to be followed strictly for the success of the surgery. If you are looking for prote de silicone, Brazil would be your first choice with expert surgeons. Skilled Brazilian surgeons are well experienced with sophisticated apparatus and ensure cost-effective treatment to enhance your appearance.

Source by Jesna Jamal

Oral surgery is a well known specialty in dentistry which includes the diagnosis, surgical and relevant treatment of diseases, defects and injuries involving both the functional and esthetic aspects of the soft and hard tissues of the teeth, gums, neck, jaws and head. Oral and maxillofacial surgery also includes dental implants, wisdom teeth removal, oral pathology, bone grafts, TMJ disorder, anesthesia, apicoectomy, corrective jaw surgery, facial trauma along may other procedures. Have a glance on various procedures that are stated below:

Dental Implants: It has become one of the most common procedures to replace missing teeth or provide stability to an existing or a new denture. These procedures are performed by a dentist or an oral surgeon. There are various techniques which are used to perform such procedures. These techniques may vary, depend on surgeons or dentists.

Corrective Jaw Surgery: It is also known as orthognathic surgery which is performed by an oral and maxillofacial surgeon. There are various reasons for this surgery which are as follows

Incorrect or malocclusion bite
Un-Proportioned facial appearance and incorrect jaw position
Temporomandibular Joint Pain (TMJ) and dysfunction caused by deformation or trauma.
Difficulties in chewing, eating, opening & closing the mouth.
Minor or major trauma
Grinding or clinching of the teeth that causes excess tooth wear

Tooth Extractions: It's also known as one of the most recognized oral and maxillofacial surgery procedures. Following reasons may be responsible for this:

Primary teeth that have failed to fall out, preventing the eruption of permanent teeth.
Partially or injured eruted wisdom teeth
Teeth beyond repair either from root fraction, trauma or tooth decay.
Orthodontic treatment plan may require removal of some teeth to achieve the best result.

There are various other procedures are associated with oral and maxillofacial surgery. If you have any kinds of problem in your teeth, you must consult to a reputed dentist who has been achieved great feat for providing various kinds of dental treatments as per patients' specific needs and requirements. In this way, you may become healthy.

If you have no any idea about reputed dentists, go through online resources. There may be many reputed websites which provide detailed information about reputed dentists. You should also make sure that they follow the systematic surgical procedures that are ideal for health perspectives. If you want to know detailed information about the procedures, online resources may be helpful for you. So, you should get the detailed information on online resources which may be helpful for your dental treatments.

Source by James C William

If you are looking to undergo eye surgery, there are certain things that you should expect. First of all, not all eye surgeries go the way they intended as nobody is perfect and secondly, even if it looks fine at first, the problem may not manifest itself until until years to come. Whilst this may scare you off eye surgery, it should be noted that the overwhelming majority of patients have had positive experiences and in all cases, have given consent and known what complications they were expecting.

One of the common eye surgery complications that you can expect after surgery is dry eye. This does not just apply for laser based surgeries but for most other surgeries as well, such as cataract surgery. This usually resolves itself over time and your doctor should have given you artificial tears and advised you to drink plenty of water and eat foods rich in omega 3 fatty acids, such as fish, walnuts and flaxseeds, in order to help reduce the symptoms of dry eyes, itching, burning and general ocular discomfort.

There are also long term consequences stemming from surgery of the eye, since any kind of surgery would have physically altered the normal functioning of the eye, prior to surgery. In the case of LASIK surgery, there is a low chance of the patient developing glaucoma, an even lower chance for cataracts, retinal detachment and also vision loss. In order to minimize these catastrophes from occurring, it is recommend that you continue to consult with your doctor regularly every week for at least 6 months after the surgery to see how well your eye is healing or adapting to your new found vision.

Laser eye surgeries, especially LASIK, tend to have quite a few eye surgery complications that some others do not have. For example, another notable LASIK risk is flap complications. In other words, the flap cut out by the surgeon during the procedure could have been poorly placed back on the cornea or become infected which could result in either keraectasia or diffuse lamellar keratitis. Both of these conditions can become fairly serious and once again, there is a need to follow up with your doctor, and also your eye surgeon, to see how well your eyes are healing.

These are just some of the eye surgery complications that you can expect from a typical surgery. It is not particularly encouraging to someone wishing to have surgery on their eyes but if you are informed about such things, then you will know how to react to these situations more appropriately and be able to treat or avoid these complications which could make or break your vision.

Source by Joseph Nguyen

In a surgical procedure, incisions are made in order to treat a disease or injury. The tissues are cut to allow the required manipulation. Surgery is of different types, and they are divided into different classes on the basis of many factors like the surgery timing, purpose, and the type of equipment used.

The art of surgery is also known as “surgical procedure” or “operation”. Primarily, surgery is done by a surgeon. Typically, he performs the surgery with the assistance of other specialists like a surgical technologist, circulating nurse and anesthesia provider.

Types of Surgery

There are many types of surgery. Based on different parameters, they can be put under many categories.

Timing Based

This category involves different types of surgeries based on need and urgency.

1. Elective Surgery

As the name suggests, this type of surgery is optional. This type of procedure is planned in advance and is not ideal to deal with an emergency situation. Many procedures come under this category of elective surgery, such as cosmetic surgeries.

2. Semi-Elective Surgery

Semi-elective surgery is done in order to save a patient’s life. However, it can’t be done in an emergency.

3. Urgent Surgery

As the name suggests, urgent surgery is done only when the patient is stable.

4. Emergency Surgery

This type of procedure is done without any delay as the patient’s condition requires it. If not done right away, the patient’s life may be at risk.

Body Part Based

Based on the body part, this type of surgery is done. Usually, it’s done on a specific structure or organ system. Let’s know about other types.

1. Gastrointestinal Surgery

Gastrointestinal surgery is done in the digestive tract and the related organs, such as the esophagus, rectum, large intestine, small intestine, and stomach. Aside from this, it includes pancreas, gallbladder, and liver.

2. Orthopedic Surgery

This involves the muscles or bones of the patient. This medical specialty is related to the diagnosis, treatment, and prevention of the injuries of the nerves, tendons, ligaments, joints, spine, bones and muscles.

3. Cardiovascular Surgery

It involves the surgical treatment of different disorders and diseases of the blood vessels and the heart. Examples include open heart surgery and vascular surgery.

4. Gynecology

This surgical specialty is related to the female reproductive system i.e. ovaries, vagina, and uterus.

5. Neurosurgery

This specialty involves the treatment of different disorders of the peripheral nerves, spinal cord, and the brain.

6. Ophthalmology (Eyes)

Ophthalmology diagnosis and treats different disorders of the eye. Some common conditions include conjunctivitis, glaucoma, and cataracts.

7. Oral and Maxillofacial Surgery

This dental specialty helps to perform the diagnosis and treatment of many injuries, diseases, and defect of gums, teeth, and mouth. In other words, doctors perform these procedures for jaws repair, palate repair, facial injury repair and the repair of wisdom teeth.

8. Otolaryngology

Otolaryngology involves the procedures that treat the neck, head, nose, ears, and throat.

So, this was a brief introduction to different types of surgery based on body parts and timing. Hope this guide is helpful.

Source by Shalini M

After undergoing dental surgery, it might not be pleasant for you. Pain in teeth or jawbones, swollen gums, bleeding teeth are common after a dental surgery. But if you take enough care, the pain and wounds heal quickly. During this period, it is crucial to maintain an infection free environment in the mouth because, it is not possible to provide a sterilized condition there.

In this article, we discuss tips to follow for maintaining oral health after undergoing a dental procedure.

Avoid rinsing for the first 24 hours of dental surgery

After having undergone dental procedure, avoid rinsing your mouth for at least 24 hours. Next day, add ½ teaspoon common salt to a cup of lukewarm water. Take a little water into mouth and gently move your head to allow water to run around in the mouth. Rinse four to six times a day for removing germs.

Avoid noisy rinsing, it may hurt gums where surgery was performed. Stay away from eating stored foods, having alcohol and tobacco for at least two weeks.

If you had root canal treatment or gum graft, avoid using a brush for at least a week. To get rid of bad breath, soak a sterilized cloth in salt-water and gently clean around teeth. Avoid touching jawbones where surgery was performed. If you do, it may cause infection and the surgical procedure done may fail.

Avoid opening the mouth forcibly

After dental surgery, your jawbones tend to become stiff and unpleasant because, dental procedure makes your mouth to open wide for long hours. This makes hard to open mouth even for a week.

To cure this difficulty (in opening mouth), massage gently on the face and around the jawbones using a moist cloth. Forcing your mouth to open wide will not help.

Avoid chewing on the wound

The dentist may cover your tooth with gauze pad to stop bleeding from the portion where surgery was done. You need to remain calm for at least an hour, take rest and keep your head raised to stop excess bleeding. Since you do not make any movement in the oral cavity, saliva and blood get mixed up and it gives you an appearance of bleeding. During this period, avoid chewing on the gauze pad or on the wounded portion, no matter how much it irritates you. When your gums are bleeding, avoid hard and chewy foods.

Avoid applying heat near the swollen area

Dental surgery may cause swelling near wounded portion. This swelling may remain for at least a week depending on the extent of surgery. The swollen jaw muscle gives you unusual facial appearance and this might tempt you to apply heat to reduce the swollen area.

But in reality, applying massage with hot material tends to increase blood flow, which in turn increases swelling. Massage gently around the jaw muscles on the face. Give cold massage using an ice cube in a piece of cloth or towel for 10 minutes and repeat the process for every hour. This helps you restore jaw muscles rather than increasing swelling.

Take soft food – rich in protein and vitamins

To aid healing of wounds, your diet should include soft foods that are rich in proteins and vitamins. The soft food sources include milk products, eggs, bananas, fruit juices, etc. Have vitamin supplements like vitamin C, which helps heal wounds. Have multi-vitamin pills, at least once a day. Try to chew and take in food from opposite side of wounds. If you allow food on wounded region it could lead to growth of germs around the wound. Rinse your mouth with lukewarm salt-water.

Avoid placing finger or other objects on teeth

Avoid using fingers, tongue, cheek, or other objects on teeth, even if it irritates you after dental surgery. Frequent touching with fingers could cause infection around the wound. To clean near the wounded region, use sterilized cloth. Replace the cloth for every use.

Ensure to get checked by qualified dentists. This will help you improve the over-all oral health condition with fewer complications.

Source by Henry A Blodget

Cosmetic dental services do not just work to create beautiful smiles. They are important in correcting conditions that many patients struggle with. These conditions do not just alter the person’s appearance but also interfere with normal functions of the mouth. In such cases, patients are not just looking to improve their looks but also correct a problem they are struggling with.

That said, it is important to understand how cosmetic dental surgery is important for you.

Eases discomfort

Having an incorrect bite occurs when the teeth do not align together. It can also occur when you have missing teeth that you are yet to replace. Sometimes the teeth may not align in balance with the rest of the face. When this occurs, you will suffer from discomforts such as headaches and even neck pain. You may also suffer from pain in other parts of the body. Cosmetic surgery helps to rectify this by offering solutions that treat the underlying cause of the incorrect bite. You may have to get veneers for your teeth, braces or crowns fitted. The solutions will ease the discomfort that you may have been suffering from. This shows that cosmetic surgery can do more than just improve your looks.

Strengthens your teeth

The cosmetic dental procedures allow your teeth to be strong and therefore function better. When you have broken teeth, you will not chew properly and this may, therefore, lead to poor digestion. You may also not be able to feed well and you may end up malnourished. The solutions such as crowns, bridges, and veneers protect your existing teeth and at the same time reinforce the weak teeth, allowing them to serve their function well. Replacing the missing teeth also grants you better service from your teeth as the replacements will perform the function of the missing teeth. At the end of the day, you will not have replaced your teeth just to improve your smile but also to enable you to chew better and to give your face the required support.

Improves your appearance

The poor dental formula will alter the shape of your face. Teeth do so much more than just chew food. They help to define the jawline. They prevent sagging and other unattractive changes to your face. Replacing the missing teeth and correcting other issues that interfere with the shape of your face will improve your looks. Some procedures require the reconstruction of the mouth. Sometimes the correction needed is as minor as replacing one missing tooth. You will see the big difference it will make to your face. Cosmetic dental surgery will prevent stuck-out chins and drooping smiles. You will be glad that you went for the procedures.

Source by William Jam Smith

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