If the big toe starts to deviate inward in the direction of the baby toe the condition is called hallux valgus. As the big toe drifts over into valgus, a bump starts to develop on the inside of the big toe over the metatarsal bone. This bone prominence on the inner edge for the metatarsal is referred to as a bunion. When this deformity limits normal activity because of the pain no matter what kind of shoe you use surgical treatment should be considered.
Procedure: The surgery length is about one hour and, depending on the severity of the problem, you could be hospitalized for a maximum of 24 hours following the procedure, if at all. Regional anesthesia is used and the surgical wound will be wrapped in a compression dressing. The compression dressing will help maintain proper alignment of the bones and reduce swellin. Patients seeking a bunionectomy through medical tourism can return to the hotel within 24 to 48 hours in most cases although it will be at least 6 to 8 weeks before you can return to normal activity. And compression dressing and stitches should not be removed in 2 and a half weeks which is the time we suggest you should stay in Madrid. We may require you to wear a special orthopedic shoe or boot during this time. These orthopedic devices will help accommodate healing and provide you stability during the healing process.
Results: About 85% to 95% of patients consider their bunionectomy procedure successful but it depends on the severity of the deformity.
Includes: Preoperative, surgical and operating room duties, osteosynthesis material, rx control, surgical team (surgeon, assistant, anesthesia and nursing), one day admission to a single room. Cura and medication. Foot orthoses, muletasy review when required in hotel or clinic.
Gastroenterology is the medical speciality concerned with all the diseases of the digestive system including:
Liver and bile ducts.
Small intestine (duodenum, jejunum, ileum).
Colon (large intestine).
The Gastroenterology Department with its specialists and new techniques, offers treatments which include the following:
Changes in oesophageal movements.
Dyspepsia (stomach ache).
Prevention of colorectal cancer.
Gastric protection in anti-inflammatory treatments.
Blood in faeces.
Irritable bowel syndrome.
How is ectropion treated?
Treatment of ectropion should address the underlying causes in an attempt to correct them.
If this problema is associated with age laxity, surgery is the most effective treatment. This consists of stretching and anchoring the lid on its side angle, a procedure known as canthoplasty, lateral tarsal strip or canthopexy, depending on the type of surgery used and the anatomical elements that are repaired.
In cases of scarring skin grafos are usually added
Sometimes the tarsal strip or skin grafts are not sufficient and more complex surgeries should be performed. Thes include lifting the middle third of the face or palate grafts or cartilage in an attempt to support a damaged eyelid.
Conventional ectropion surgery is performed under local anesthesia and usually takes 30-60 minutes. Sutures must be given on the side of each eyelid. These sutures must be withdrawn after a week
Surgery is usually comfortable for the patient. It is usually associated with palpebral hematoma which can last 7-15 days.
How is entropion treated?
Currently there are three therapeutic options.
1 - One method is the use of tapes in small strips that prevent the eyelid from turning towards the eyeball. This is a purely temporary procedure until a definitive surgical solution is undertaken.
2 -Infiltration of botulinum toxin. Used properly and only in cases amenable thus the result is usually good. The downside is that it is a temporary method that can last between 3-6 months and in any case the result is predictable.
Botulinum toxin injection in preseptal orbicularis
3 - Surgical method. It alone can settle the problem.
There are many surgical techniques that are designed to correct the different factors causing entropion. Your specialist in oculoplastic surgery will explain which procedure is most likely to provide better results in your case.
The rate of disease recurrence after surgical treatment, which is based on the technique chosen and the complexity of the case ranges between 5 and 20%.
The surgery is performed under local anesthesia as an outpatient procedure and is usually painless.
Operative time can vary between 30 and 60 minutes.
Grafts may need to be obtained in cases of cicatricial entropion.
In senile entropion, the most common type, this possibility is not usually contemplated.
The surgical technique may require the use of visible sutures close to the eyelashes and the lateral canthus. These dots are removed after one week leaving no visible marks or scars in most cases.
In the upper eyelid there are different techniques, such as laminar sliding lid, lid margin rotation, tarsotomy, etc.
Deep brain stimulation (DBS) has been used for over a decade to treat movement disorders such as Parkinson’s disease, essential tremor, and dystonia.
It has become the gold standard for surgical care of these diseases; over 40,000 patients have had DBS devices implanted worldwide. DBS uses a pulse generator implanted in the chest, similar to a pacemaker, to deliver pulses to specific regions of the brain via a permanently implanted electrode. The traditional method of surgical implantation involves placement of a stereotactic head frame and an awake implantation procedure using a technique known as microelectrode recording (MER). During MER, the surgeon passes small microelectrodes into the region of the intended target and observes the pattern of neuronal activity to physiologically confirm accurate placement of the stimulating electrode. Although this technique is widely used, it is technically demanding, time consuming, and often difficult for patients to tolerate.
It is applied through injections, no creams, pills or drops.
In the periocular region 30G needles are used, which are slightly thinner than the thickness of a hair. Generally 0.1 cc is injected. in each puncture.
We must never exceed more than one vial of 100U in three months.
The number of injections is variable: 5-6 in crow's feet, frown and variable 5-6 in front 10-30.
The process takes 10-15 minutes.
Its use is restricted to competent medical professionals.