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여의사중절수술: The Good, the Bad, and the Ugly

Due to the pollution, contaminated water and food, lifestyle of the people in cities, it has become common that people catch one or more illness very frequently. The disorder can be a small cold to severe diseases. Due to various factors like environment, type of consumed food, the human body has become vulnerable to many air borne and water borne health sickness. Many people catch fever 3-4 times in a year which includes body pain, cough, sore throat, headache etc. Due to increased number of patients going to medical centres, the number of hospitals is also on rise. Many are general hospitals, some are for specific disorders, and still some more are multi speciality hospitals which treat multiple health disorders under single umbrella.

A person may get many different types of sickness during a point of time. For example, a person may get skin disease and diabetes together. In such cases, rather than visiting two different speciality hospitals, he/she would definitely prefer a single place where both the disorders can be treated and cured. In such cases a multi-speciality hospital offer greater advantages compared to single speciality hospital. In cities like Bangalore, India, where the population has crossed one crore in numbers, these kind of medical facilities bring a great solution for their chronic health problems.

A multi speciality hospital should have basic medical facilities like general health check-up, skin care, diabetes care, nephrology, laparoscopic surgery, cardiology, trauma centre, oncology, orthopaedics, paediatric department, maternity facility, neuro surgery, eye care center, ENT, urology, diagnostic laboratory (ultrasound, X-Ray, Echo cardiogram etc), blood bank, a 24x7 pharmacy etc. The hospital should have at least some 100 bed facility to handle good number of patients at a time. Each department is necessary to have well experienced physician/surgeon with supporting doctors, nurses etc. Having 2-3 ambulances to handle emergency cases (like accidents, sudden health disorder) is must for a hospital.

Apart from these a multi speciality is essential to have basic infrastructure like operation theatres, surgical accessories, medical equipments, wheelchairs for patients etc. They need to deploy the highly experienced doctors for surgical procedures especially for critical surgeries like heart, brain etc. The general physicians should be available 24x7 in order to handle emergency treatments for the patients. A medical library in the hospital premises is an added advantage. The hospital must facilitate all insurance schemes from Govt and private companies.

The metro cities like Mumbai, Delhi and Bangalore already have good number of multi-speciality hospitals, treating thousands of people every day. Running these kinds of hospitals is a challenge, considering the facilities they need to have in-house. The future of medical treatment belongs to multi speciality hospitals without any second thought.

Hip replacement surgery is the medical procedure of replacing damaged hip joint with artificially created graft or implant. Our hip joint can get damaged due to a number of reasons, the most common of which is injuries sustained in an accident. Such injuries usually come under trauma and emergency care and the patient needs to be rushed immediately to the hospital for timely treatment as any delay can pose a serious threat to the life of the patient. The doctors first tend to the superficial wounds and focus on stopping the bleeding. A series of tests which include X-rays are performed to determine the adversity of the patient's condition and once the reports are out the doctors proceed with the treatment.

The surgery is performed under the influence of general anaesthesia. If the patient requires a joint replacement surgery doctors remove the affected joint and replace it with a new prosthetic implant. There implant use 여의사중절수술 for the surgery can be cemented or non cemented. Cemented prosthetic joints involve the use of fast-drying bone cement in order to fix the joint to the bone whereas non-cemented prosthetic joint is specially designed in such a way that they can be easily fixed on the bone without the need of any cement.

The type of implant to be used depends upon the choice of the patient as well as his physiology and the type of surgery that is to be performed.

Cemented implants have helped to treat patients from a very long time. They are specially designed to have a layer of bone cement also known as polymethylmethacrylate (PMMA), that is used to fix the prosthetic joint to the patient's bone. The procedure proves to be very helpful in treating patients whose bones have become weak due to osteoporosis as the cement also provides support to the bone. A lot of patients tend to suffer from post-surgical infection. This problem can also be easily avoided by mixing a certain amount of antibiotic in the cement mixture to be used during the surgery. This helps to reduce the chances of infection and inflammation after the surgery. The cement used during the procedure dries very quickly making it easier for the patients and the doctor to determine if the joint has been fixed properly or not.

Although cemented implants have a lot of benefits they also have certain cons associated with it. The cement used during the procedure disintegrate with time and the pieces of cement can break off and damage the surrounding tissues and nerves. This can also loosen the prosthetic joint and it may slip from its place leading to chronic pain and discomfort. In such cases, a revision joint replacement surgery may also be required which can create a dent in your pocket. The cement particles can sometimes mix with the blood and enter the blood channels and block these. Some patients may also develop allergic reactions due to the cement used during the procedure.

It should be noted that you do not always require a revision hip replacement surgery in case the cement breaks off. Sometimes the particles can be easily removed and the damage can be corrected with the help of arthroscopy.

On the other hand, non cemented implants are commonly known as press-fit prosthesis as these are specially designed with a rough and porous coating that allows the natural bone to grow into it. The doctors you specially designed tools and equipment to design the implants. The surgery may even involve the use of certain components like screws and pegs to hold the new implant in position until the bone grows into it.

Non cemented implants are believed to give long-term results as these do not get damaged easily. You do not have to worry about the cement breaking down and leading to complications. There is no chance of an allergic reaction as in the case of cemented implants

Unlike cemented implant that are best suited for patients suffering from osteoporosis, non cemented implants require healthy bones and hence is not usually considered for patients suffering from osteoporosis. It takes a lot of time for the bone to grow into the new joint, unlike cemented implants that give instant results.