Surgery Archive

It's important to ask many questions before getting a knee replacement. Suggestions include asking about a surgeon's background, the type of prosthetic that will be used, the surgical approach the doctor will take, how to prepare physically before surgery, how to prepare one's home for recovery, how long the hospital stay will last, how much pain the knee replacement will cause, what rehabilitation after surgery will entail, how long recovery will last, how long it will be until one can resume activity, and how long the new knee will last.

Prehabilitation, or prehab, involves a wide range of steps to take before surgery to maximize recovery afterward. Prehab components include nutritional support, strength and fitness, blood sugar control, medication management, smoking cessation, pain management, and delirium prevention. Research suggests prehab can increase the odds people will heal faster, experience fewer complications, and recover more smoothly over all.

By age 75, about half of all Americans develop at least one cataract, a cloudy area in the eye's lens that can make it harder to read, do handiwork, golf, or drive. Stopgap measures—such as using brighter lights, avoiding nighttime driving, or wearing tinted glasses to reduce glare—can delay the need for cataract surgery. Cataract surgery has evolved to offer a variety of artificial lens options to replace the natural lens removed. Most lenses can reduce the need for glasses or contact lenses. People should check their health insurance coverage since most advanced lenses aren't covered.

People younger than 65 with a bicuspid aortic valve who develop aortic stenosis may need open heart surgery to replace the valve. A less invasive procedure isn't possible for several reasons, including challenges related to the valve anatomy.

Ovarian cancer, which claims about 13,000 lives each year, is hard to detect in early stages. Recent guidance from professional groups recommends removing fallopian tubes to help prevent ovarian cancer if women are undergoing gynecologic surgery and are finished with childbearing.

A 2022 study found that among adults 65 and older who undergo major surgery, nearly one in seven dies within a year. Dementia or frailty greatly increase the odds of postoperative death.

People with knee arthritis who don't feel ready for joint replacement can take a number of steps as they ponder the possibility. These include getting knee injections or wearing a brace to reduce pain, modifying activities (such as exercise) that aggravate knee pain, losing weight to take pressure off the knee joint, exercising more to help with weight control, seeking physical therapy, getting underlying health conditions under control, doing research about knee replacement, and talking to an orthopedic surgeon.

A pre-surgery consultation with the surgeon can feel overwhelming. Many people are anxious and have questions about what's to come. Setting the right expectations on both sides can ease anxiety and help define a successful outcome.

Pain in the shoulder, elbow, or wrist without obvious injury is common. Possible causes include arthritis, bursitis, frozen shoulder, rotator cuff tear, tendinitis, or nerve compression in the carpal tunnel or the cubital tunnel. Home remedies include rest, ice, compression, or elevation; over-the-counter anti-inflammatory pain relievers; and devices such as a splint or brace. Other treatments include physical therapy or steroid injections. Surgery is usually a last resort.

A 2022 study found that physical therapy works as well as surgery for degenerative meniscal tears in the knee, an injury related to tissue aging that can lead to osteoarthritis. This approach offers an alternative for people concerned about surgery's costs and possible complications.