Minimal Invasive Surgery

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Joe Doherty

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I'm due to have THR on Sept. 22nd. I was talking to a friend about my anxiety about needing to return to work ASAP (I'm self-employed) and he asked if I was having "minimal invasive surgery." According to my friend this type of surgery speeds up the recovery process. Has anyone heard of this?
 
There are some post on it. Type it in the search section at the top and you should find them
 
I dont understand that surgery but why wouldnt all Drs do that if its great im not being funny/nasty. Im serious it is faster etc but i dont understand why they all dont do it then......Help I really dont know that answer......
 
My doctor had to travel to France to be taught this method, now he's in Zurich doing more study.....Personally having had the really easy time that Ive had with this method, I wouldn't have a thr any other way

There's a lot of politics in these things. A number of surgeons tried to bar my surgeon from operating, because in their eyes there wasn't evidence that it was a superior method....fortunately he had the evidence to present, the facts and figures. The other surgeons probably feel threatened, whilst the older doctors are unwilling to do something new....especially since once the patient recovers from the traditional surgery the patient is usually doing well.....so why change something that is working? as well as all this a particular operating table and equipment is needed

My surgeon says that from a technical point of view it is more difficult, but from a recovery point of view it is so much better, and from a pain point of view....I was on only paracetemol from day 3 ....and only as needed!.....

Minimally invasive/anterior surgery is great
Rachel
 
Joe, I moved your thread into the MIS/Robotics Hip Procedures. As you see, we have our own forum here about it! However, what we haven't had is very many members who've undergone this type of surgery.

Principally it's making two quite small incisions, one to put in the femoral (ball) component and the other, the acetabular (socket)component. There is still some debate about the long term outcomes of this surgery as some argue that it's difficult to make sure the implants are properly placed. Misplaced implants are the greatest cause of failures. That's why some surgeons also used robotics to help them get good placement.

But there is another procedure where the surgeon uses a reduced incision. It has the same advantages of shorter recovery and less pain but fewer of the disadvantages with problems siting the implants.
 
As I mentioned in another post, I am scheduled for MIS THR surgery on October 27th. When I discussed the surgery with the Dr., he said he could not guarantee what size incision I would have since he won't know until he gets in there, as to what he will find, vision wise. He did say that he will be using a computer to situate the appliance and will cut as few muscles as possible. He did say that each surgery is different and he will do what he has to do for me to have a perfect outcome, surgery wise.

So MIS means different things to different doctors.

He also mentioned that the incision would be high on my hip (side) and would be as short as possible, but could end up being long. His comment was that it takes the same amount of time for a long incision to heal as it does a short incision. Well, that didn't make a great deal of sense to me, since if the incision is long, there is more territory disturbed, thus more pain. Oh well.

I will certainly let everyone know what the final outcome is, once I get through the LONG wait.
:zzz:
 
He was right on all counts. Sometimes they start off making the small incision and then have to enlarge it because they can't get the access they need for a whole number of different reasons.

And long incisions do take the same amount of time as short ones because the healing goes on all along the incision at the same time! So each millimetre of incision is healing at the same rate and speed as all the other millimetres of incision. See? So 4 inches or 14 inches, they all have their staples out at 10 days and are all fully healed in about 2-3 weeks.

What does differ is the amount it effects you in terms of tiredness and loss of stamina because, from another point, you are right. Healing takes energy and the human body only has a certain amount at any given time. If quantities are needed for the usual things like breathing, circulation and gut movement, there's so much left for everything else. Healing will take up most of that and therefore a body finds itself easily tired by small amounts of activity during this phase, because the bigger the incision, the more energy it takes for the healing. So it's not a matter of time but of jules (energy measurement)!
 
I'm having this type of hip replacement in December! My cousin had it done last week. She said she feels so great she can't believe it- said she was more comfortable riding home from the hospital than she was riding in.
 
It can be that good sometimes, Loreli. Hopefully your surgery will go that smoothly also.
 
MIS hips is a whole other thing from the MIS knees the ladies were talking about earlier. They are great! But despite the small incisions, still major surgery. People often forget that ....
 
I have only a 3 1/2 inch scar on my right buttock, was full weight-bearing from Day one and only used Motrin after I got home. I was driving and using a cane at week 4, and cane-free at week 6 and have no limp unless I"m really tired, which PT is helping with. I wouldn't have any other kind of THR surgery, but it seems orthopedic surgeons aren't all on board since it is supposed to be more difficult to do. You need one who does LOTS of minimally invasive hips though! Don't be an experiment!
 
Welcome to BoneSmart, NewTatoo....

Your post to Liberty probably won't be answered as she has not been on the forum since last May. This is the case many times with people who get through recovery. They go on to live their lives and don't give a thought to coming back on BoneSmart.

You will probably do better to receive comments if you start a thread of your own in the hip pre-op forum (assuming you are contemplating surgery) and tell us a little about your situation. Please let me know if you need any help getting this done.
 
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