Meniscal Repair

Steps Involved in IVF:

Procedure Description

Meniscal repair is a surgical intervention aimed at treating a torn meniscus, a C-shaped piece of cartilage in the knee that acts as a cushion between the thighbone and shinbone. The meniscus plays a crucial role in stabilizing the knee joint, distributing weight, and reducing friction during movement. Injuries to the meniscus are common, especially among athletes, and can result from sudden twisting motions, trauma, or degenerative changes due to age. Without proper repair, a torn meniscus can cause pain, instability, swelling, and limit the knee’s range of motion.

Meniscal tears can vary significantly in size and severity, influencing the approach taken for repair. When feasible, meniscal repair is preferred over meniscectomy (removal of the torn meniscus) to preserve the structure and function of the knee. Repair can be performed using various techniques, including arthroscopic (minimally invasive) methods, where small incisions are made to access and suture the damaged tissue. The primary goal of meniscal repair is to promote healing, restore stability, and ensure the longevity of the knee joint.

The decision to proceed with a meniscal repair often depends on several factors, such as the type, location, and extent of the tear. Horizontal tears that are located near the outer edge of the meniscus (the "red zone," which has better blood supply) are often more amenable to repair, whereas tears closer to the center (the "white zone," with poor blood supply) might require different management.

Procedure Duration

The duration of meniscal repair surgery can vary based on the type of tear and the surgical technique used. On average, the procedure takes approximately one to two hours. It is often performed on an outpatient basis, meaning the patient can typically return home the same day. The surgery is usually conducted under regional or general anesthesia, and involves arthroscopy, where a small camera (arthroscope) and surgical tools are inserted through small incisions to access the torn meniscus.

Post-operative recovery involves several phases. The initial phase focuses on pain control, reducing swelling, and allowing the knee to rest. Most patients are required to use crutches for the first few weeks to avoid putting weight on the knee. Depending on the repair's stability, patients may also wear a knee brace to protect the joint and prevent movement that could disrupt the healing process.

The second phase of recovery emphasizes physical therapy. A structured rehabilitation program is crucial to restore range of motion, strengthen the muscles around the knee, and promote proper alignment and function. Most patients can expect a return to full activity, including sports, within three to six months, although the exact timeline depends on the individual's condition and adherence to rehabilitation protocols. Regular follow-up appointments with the surgeon are essential to monitor healing progress.

Benefits of Meniscal Repair

  • Preservation of Knee Structure: Repairing the meniscus maintains the knee's natural anatomy, promoting better long-term joint health.
  • Reduced Risk of Osteoarthritis: Preserving meniscal tissue reduces the likelihood of developing knee osteoarthritis, a common complication following meniscectomy.
  • Improved Knee Stability: A successful repair restores stability and prevents "giving way" of the knee during movement.
  • Enhanced Mobility and Function: Proper meniscal healing allows patients to regain a full range of motion and return to daily activities or sports.
  • Minimally Invasive Techniques: Arthroscopic approaches offer shorter recovery times, reduced pain, and minimal scarring compared to traditional open surgeries.

Potential Destinations

  • South Korea South Korea is renowned for its advanced orthopedic techniques and modern healthcare infrastructure. Patients benefit from experienced surgeons, state-of-the-art facilities, and comprehensive rehabilitation programs. The country's focus on medical innovation makes it a popular destination for meniscal repair procedures.
  • Turkey Turkey has emerged as a key destination for orthopedic surgeries, offering a combination of skilled surgeons and affordable treatment options. The country’s strategic location between Europe and Asia, combined with modern medical facilities, makes it accessible and attractive to medical tourists seeking high-quality care.
  • India India is known for its cost-effective medical services and well-trained orthopedic specialists. With a vast network of hospitals equipped with the latest surgical technologies, India attracts patients looking for both arthroscopic and open meniscal repair. English-speaking medical staff and the opportunity for personalized care are added benefits.
  • Germany Germany boasts a strong reputation for excellence in orthopedic surgery and medical technology. Patients seeking meniscal repair in Germany benefit from advanced surgical techniques, thorough pre-operative planning, and high standards of post-operative care. The country is also known for its rigorous training of surgeons and strict adherence to healthcare quality standards.
  • Thailand Thailand is a well-established destination for medical tourism, offering top-tier healthcare services at competitive prices. Orthopedic clinics in Thailand provide high-quality meniscal repair procedures with the added benefit of a warm, tropical environment that aids recovery. Many hospitals cater specifically to international patients, ensuring seamless communication and care.

Risks & Considerations

  • Infection: Although rare, any surgical procedure carries the risk of infection. Proper pre- and post-operative care is necessary to minimize this risk.
  • Re-tear or Incomplete Healing: There is a possibility that the repaired meniscus may not heal fully or may re-tear, requiring additional treatment.
  • Stiffness or Reduced Range of Motion: Some patients may experience stiffness in the knee, which can be managed with physical therapy and stretching exercises.
  • Blood Clots (Deep Vein Thrombosis): Surgery, especially when involving immobility, increases the risk of blood clots. Preventative measures, such as early mobilization and blood-thinning medications, are often taken.
  • Nerve or Blood Vessel Damage: Although rare, there's a potential risk of damage to nerves or blood vessels around the knee during surgery.

How to Choose the Right Doctor and Hospital

Choosing the right doctor and hospital for meniscal repair is crucial to ensure a successful outcome. Begin by researching orthopedic surgeons who specialize in knee surgeries and have extensive experience with meniscal repair. Look for board-certified surgeons who are part of reputable professional organizations, as these credentials demonstrate commitment to quality and continuous learning.

When it comes to the hospital, prioritize those with dedicated orthopedic departments, modern equipment, and comprehensive post-surgery rehabilitation programs. Patient reviews and testimonials can provide valuable insight into the quality of care. Additionally, it's beneficial to choose a facility that is accustomed to treating international patients, as they are more likely to have streamlined processes for consultation, treatment, and follow-up care.

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.

Orthopedics Stem Cell

Knee

Research on mesenchymal stem cells regenerative properties in knee osteoarthritis. In these studies, researchers suggest that Stem Cell Therapy has the potential to regenerate lost cartilage, stop and reverse cartilage degeneration, provide pain relief, and improve patient mobility.

Shoulder

Stem Cell Therapy as an Alternative to Rotator Cuff & Shoulder Replacement Surgery. Stem cell therapy may offer an excellent alternative for patients looking to avoid shoulder joint replacement surgery, as well as many other surgical treatments for shoulder pain.

Ankle

If you suffer from chronic or acute ankle pain or instability due to arthritis, cartilage loss, ligament strain or tear, or tendon damage, then you may benefit from non-surgical stem cell treatments or stem cell-enhanced surgery.

Back Pain

Patients now have a minimally invasive option. Stem cell therapy for back pain and disc herniations can potentially repair the damaged disc or facet joint, restore function, rehydrate the disc, and ultimately alleviate chronic pain.

Anti-Aging Stem Cell

Hair Loss

Stem cell therapy and PRP therapy have been shown to be most effective for: Those in the early stages of hair loss, patients who are not viable candidates for surgery and women who prefer to avoid hair surgery.

Facial Anti-Aging

Aesthetic Anti-Aging. The Aesthetic Stem Cell Localized Treatment is a non-surgical minimally invasive procedure to enhance the appearance of aging skin and hair restoration. This all-natural technique combines dermal injections of bone marrow or adipose tissue derived stem cells and growth factors.

Fertility Stem Cell

Endometrial PRP

The stem cells used for treatment of a thin endometrium include mesenchymal stem cells. In addition, successful repair of the endometrium in pregnancy with stem cells has been reported previously.

Low Ovarian Reserve (PRP)

The treatment uses PRP (Platelet-Rich-Plasma), which with stem cell therapy is the novel therapeutic approach for restoring the quality of the ovarian reserve.Your PRP will contain a physiologic balance of platelets, growth factors and white blood cells tailored specifically for you.

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