Ako neko zna ili moze da preporuchi nekog dechijeg hirurga javite se!
U pitanju je dechak bebac od 2 meseca, perianalna fistula!
Znam da operacija ne moze da se radi josh mesec dana ali za to vreme da nadjemo doktora!
Hvala unapred svima
Dechiji hirurg u Beogradu!
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tamaraft
- Stalni član
- Postovi: 6556
- Pridružio se: Uto Mar 25, 2008 1:32 pm
- Koliki je zbir brojeva cetiri i pet: 5
- Lokacija: Planeta Zemlja
Dechiji hirurg u Beogradu!
Zdravlje je stanje potpunog telesnog (fizičkog), duševnog (psihičkog) i socijalnog blagostanja, a ne samo odsustvo bolesti i iznemoglosti.
-
tamaraft
- Stalni član
- Postovi: 6556
- Pridružio se: Uto Mar 25, 2008 1:32 pm
- Koliki je zbir brojeva cetiri i pet: 5
- Lokacija: Planeta Zemlja
I poshto ima vishe opcija, osim drenaze koja nam je za sada preporuchena i jedina savetovana, uz povidon jod, zanima me koja se kod nas radi najcheshce!
* Lay-open of fistula-in-ano - this option involves an operation to cut the fistula open. Once the fistula has been layed open it will be packed on a daily basis for a short period of time to ensure that the wound heals from the inside out. This option leaves behind a scar, and depending on the position of the fistula in relation to the sphincter muscle, can cause problems with incontinence. This option is not suitable for fistulas that cross the entire anal sphincter.
* Cutting seton - if the fistula is in a high position and it passes through a significant portion of the sphincter muscle, a cutting seton may be used. This involves inserting a thin tube through the fistula tract and tieing the ends together outside of the body. The seton is tightened over time, gradually cutting through the sphincter muscle and healing as it goes. This option minimizes scarring but can cause incontinence in a small number of cases, mainly of flatus (wind). Once the fistula tract is in a low enough position it may be layed open to speed up the process, or the seton can remain in place until the fistula is completely cured.
* Fibrin glue injection is a method explored in recent years, with variable success. It involves injecting the fistula with a biodegradable glue which should, in theory, close the fistula from the inside out, and let it heal naturally. This method is perhaps best tried before all others since, if successful, it avoids the risk of incontinence, and creates minimal stress for the patient.
* Fistula plug is an "advanced" version of the fibrin glue method. It involves "plugging" the fistula with a "plug" made of porcine small intestine submucosa (sterile, biodegradable), fixing the plug from the inside of the anus with suture, and, again, letting the fistula heal "naturally" from the inside out. According to some sources, the success rate with this method is as high as 80%.
* Endorectal advancement flap is a procedure in which the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening. The flap is lifted to expose the fistula, which is then cleaned and the internal opening is sewn shut. After cutting the end of the flap on which the internal opening was, the flap is pulled down over the sewn internal opening and sutured in place. The external opening is cleaned and sutured. Success rates are variable and high recurrence rates are directly related to previous attempts to correct the fistula.
* Anal Fistula Plug is a recently developed method known as AFP. This treatment requires placement and fixing of a plug in the anal fistula by a special technique. The plug is made of highly sophisticated absorbent material; it provides a scaffold over which body’s collagen gets deposited and closes the fistula. Comparative studies have shown this method to be very effective.
I josh je mali za antibiotike pa ih svi izbegavaju u terapiji!
Pa ako neko ima josh neki savet bila bih vishe nego srecna da to podelite sa mnom!
Da li da nastavljamo sa shirokim povijanjem zbog kukova poshto imam utisak da ga to muchi i da mu dodatno zadaje bol, poshto se mnogo grchi kada mu se nogice saviju kad treba shiroko da se povije.
Da li da smanjimo povez do operacije, da ga vishe ostavljamo razpojasanog tokom dana kada vishe kaki, a samo novu da je shiroko povijen?
Da li Bioptron dolazi u obzir s obzirom da je mali?
* Lay-open of fistula-in-ano - this option involves an operation to cut the fistula open. Once the fistula has been layed open it will be packed on a daily basis for a short period of time to ensure that the wound heals from the inside out. This option leaves behind a scar, and depending on the position of the fistula in relation to the sphincter muscle, can cause problems with incontinence. This option is not suitable for fistulas that cross the entire anal sphincter.
* Cutting seton - if the fistula is in a high position and it passes through a significant portion of the sphincter muscle, a cutting seton may be used. This involves inserting a thin tube through the fistula tract and tieing the ends together outside of the body. The seton is tightened over time, gradually cutting through the sphincter muscle and healing as it goes. This option minimizes scarring but can cause incontinence in a small number of cases, mainly of flatus (wind). Once the fistula tract is in a low enough position it may be layed open to speed up the process, or the seton can remain in place until the fistula is completely cured.
* Fibrin glue injection is a method explored in recent years, with variable success. It involves injecting the fistula with a biodegradable glue which should, in theory, close the fistula from the inside out, and let it heal naturally. This method is perhaps best tried before all others since, if successful, it avoids the risk of incontinence, and creates minimal stress for the patient.
* Fistula plug is an "advanced" version of the fibrin glue method. It involves "plugging" the fistula with a "plug" made of porcine small intestine submucosa (sterile, biodegradable), fixing the plug from the inside of the anus with suture, and, again, letting the fistula heal "naturally" from the inside out. According to some sources, the success rate with this method is as high as 80%.
* Endorectal advancement flap is a procedure in which the internal opening of the fistula is identified and a flap of mucosal tissue is cut around the opening. The flap is lifted to expose the fistula, which is then cleaned and the internal opening is sewn shut. After cutting the end of the flap on which the internal opening was, the flap is pulled down over the sewn internal opening and sutured in place. The external opening is cleaned and sutured. Success rates are variable and high recurrence rates are directly related to previous attempts to correct the fistula.
* Anal Fistula Plug is a recently developed method known as AFP. This treatment requires placement and fixing of a plug in the anal fistula by a special technique. The plug is made of highly sophisticated absorbent material; it provides a scaffold over which body’s collagen gets deposited and closes the fistula. Comparative studies have shown this method to be very effective.
I josh je mali za antibiotike pa ih svi izbegavaju u terapiji!
Pa ako neko ima josh neki savet bila bih vishe nego srecna da to podelite sa mnom!
Da li da nastavljamo sa shirokim povijanjem zbog kukova poshto imam utisak da ga to muchi i da mu dodatno zadaje bol, poshto se mnogo grchi kada mu se nogice saviju kad treba shiroko da se povije.
Da li da smanjimo povez do operacije, da ga vishe ostavljamo razpojasanog tokom dana kada vishe kaki, a samo novu da je shiroko povijen?
Da li Bioptron dolazi u obzir s obzirom da je mali?
Zdravlje je stanje potpunog telesnog (fizičkog), duševnog (psihičkog) i socijalnog blagostanja, a ne samo odsustvo bolesti i iznemoglosti.
