Arthroscopic Ligament Reconstruction (Shoulder – Bankart)
Steps Involved in IVF:
Procedure Description
Arthroscopic ligament reconstruction, specifically the Bankart repair, is a minimally invasive surgical procedure aimed at addressing shoulder instability caused by recurrent dislocations. The shoulder joint, known as the glenohumeral joint, is highly mobile and relies on ligaments and surrounding tissues for stability. When a dislocation occurs, particularly in cases of trauma, the ligaments attached to the glenoid (the socket portion of the shoulder) may tear. The most common type of injury in this context is a Bankart lesion, which occurs when the labrum (a ring of cartilage around the shoulder socket) and ligaments are damaged.
In a Bankart repair, arthroscopic techniques are used to reattach the torn ligaments and restore the shoulder's stability. Small incisions are made around the shoulder to insert a camera and specialized instruments, allowing the surgeon to view and operate on the joint without the need for large, open incisions. The torn ligaments are anchored back to the bone using sutures or small implants, which allow the tissues to heal in their correct anatomical position. By reinforcing the stability of the shoulder, this procedure helps prevent future dislocations and the development of chronic instability.
This procedure is widely regarded for its minimally invasive nature, which results in less tissue damage, reduced postoperative pain, and faster recovery times compared to traditional open surgery. It is a common choice for athletes and individuals with active lifestyles who have experienced repeated shoulder dislocations and wish to return to high levels of activity. The success rate of Bankart repairs is high, especially when performed early after the initial injury, preventing further damage to the shoulder.
Procedure Duration
Arthroscopic ligament reconstruction for a Bankart lesion typically takes between 60 to 90 minutes to complete, depending on the severity of the injury and the complexity of the repair. Patients undergoing this procedure are usually placed under general anesthesia, ensuring that they are asleep and pain-free throughout the surgery. In some cases, regional anesthesia may also be used to provide additional pain relief in the postoperative period.
The procedure begins with the insertion of an arthroscope, a small camera that allows the surgeon to visualize the interior of the shoulder joint. Once the injury is confirmed, surgical tools are introduced through small incisions to reattach the ligaments. The surgeon uses suture anchors to secure the torn labrum and ligaments to the glenoid bone. These anchors are often bioabsorbable, meaning they will dissolve over time, allowing the ligaments to heal in their natural position.
Postoperative recovery varies, but most patients can expect to wear a sling for 4 to 6 weeks to protect the shoulder and facilitate healing. Physical therapy is an essential part of the recovery process, beginning with gentle range-of-motion exercises and gradually progressing to strengthening exercises over the following months. Full recovery typically takes 4 to 6 months, with patients resuming regular activities by the 6-month mark. Athletes and individuals engaged in high-impact sports may require up to 9 months before returning to full activity levels, depending on the demands of their sport.
Benefits
- Minimally Invasive: Arthroscopy involves small incisions, resulting in less postoperative pain and scarring compared to open surgery.
- High Success Rate: The procedure restores shoulder stability and has a high success rate, particularly in preventing future dislocations.
- Faster Recovery: With arthroscopic techniques, recovery time is shorter, and patients can resume activities sooner than with traditional open surgery.
- Reduced Risk of Complications: Smaller incisions reduce the risk of infection and other complications associated with open surgery.
- Improved Quality of Life: Restored shoulder stability allows patients to return to their normal activities, including sports and physical exercise, without fear of recurrent dislocations.
Potential Destinations
1. South Korea
South Korea is renowned for its advanced medical technologies and highly skilled orthopedic surgeons. The country is a leader in minimally invasive procedures, including arthroscopic surgeries, and offers competitive pricing for international patients. Medical tourists are drawn to South Korea for its high standards of care, excellent rehabilitation programs, and seamless integration of medical services with state-of-the-art facilities.
2. Germany
Germany is known for its world-class healthcare system and expertise in orthopedic surgery. The country offers cutting-edge arthroscopic procedures, including Bankart repairs, performed by highly trained specialists. Germany's commitment to quality healthcare, modern infrastructure, and advanced rehabilitation programs makes it an ideal destination for medical tourists seeking comprehensive treatment for shoulder instability.
3. Thailand
Thailand is a popular destination for medical tourists seeking affordable yet high-quality healthcare services. The country has a strong reputation for offering advanced orthopedic procedures, including arthroscopic ligament reconstructions, at a fraction of the cost compared to Western countries. Thailand’s internationally accredited hospitals and skilled surgeons provide excellent care, attracting patients from around the world.
4. India
India has become a hub for medical tourism, offering a wide range of orthopedic surgeries at affordable prices. The country boasts highly experienced surgeons, modern hospitals, and comprehensive post-surgical rehabilitation programs. For patients seeking Bankart repair procedures, India offers excellent medical care, with some of the shortest wait times and a strong emphasis on patient comfort and recovery.
5. Turkey
Turkey’s healthcare system has gained international recognition for its quality and affordability. The country offers advanced orthopedic treatments, including arthroscopic shoulder surgeries, performed by experienced specialists. Turkey is an attractive destination for medical tourists due to its modern medical facilities, experienced healthcare professionals, and competitive pricing for international patients.
Risks & Considerations
- Infection: Although rare, infections can occur after surgery. It’s crucial to follow postoperative care instructions and keep the surgical site clean.
- Nerve Damage: There is a small risk of nerve injury during surgery, which could lead to temporary or permanent weakness or numbness in the shoulder or arm.
- Stiffness: Some patients may experience shoulder stiffness after the procedure, particularly if rehabilitation is delayed or incomplete.
- Recurrent Instability: In some cases, the surgery may not fully restore stability, and patients may continue to experience dislocations, requiring additional treatment.
- Healing Complications: Improper healing of the ligaments or labrum can occur, especially if the shoulder is not properly immobilized during the recovery phase.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for arthroscopic ligament reconstruction, it is essential to prioritize experience and expertise. Look for surgeons who specialize in orthopedic surgery with a focus on shoulder procedures, particularly those with extensive experience in arthroscopic techniques. Board certification in orthopedic surgery and fellowship training in sports medicine or shoulder surgery are important qualifications to consider.
In terms of choosing the right hospital, ensure that the facility is equipped with modern technology and has a dedicated orthopedic department. Hospitals with robust rehabilitation programs are ideal, as postoperative physical therapy is a critical component of recovery. Additionally, research the hospital's success rates for arthroscopic procedures and patient satisfaction reviews to make an informed decision.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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Punta Mita Hospital - Genesis Cell
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