Subacromial Decompression (Shoulder) Rotator Cuff repair (Arthroscopic Procedures)
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Procedure Description
Subacromial decompression and rotator cuff repair are advanced arthroscopic procedures aimed at alleviating shoulder pain and improving functionality in individuals with shoulder impingement syndrome or rotator cuff injuries. These conditions are often caused by repetitive overhead movements, trauma, or degenerative wear and tear over time.
Subacromial decompression involves removing a portion of the acromion, the bony part of the shoulder blade, to create more space for the tendons. This prevents impingement of the tendons as they pass through the shoulder joint, reducing inflammation and pain. The procedure is typically performed using minimally invasive techniques with the assistance of a small camera, known as an arthroscope, which allows for precise visualization of the joint structures.
Rotator cuff repair targets damaged or torn tendons within the rotator cuff, a group of four muscles and tendons responsible for stabilizing the shoulder joint and enabling arm movement. When the rotator cuff is injured, it can lead to weakness, limited range of motion, and significant pain. Arthroscopic rotator cuff repair involves reattaching torn tendons to the bone using sutures, anchors, or other specialized techniques. This procedure helps restore the natural biomechanics of the shoulder, allowing patients to regain strength and mobility.
Both procedures are frequently performed together when necessary, especially in cases where impingement and rotator cuff tears coexist. The arthroscopic approach minimizes tissue damage, results in smaller scars, and reduces postoperative pain compared to traditional open surgery.
Procedure Duration
The duration of subacromial decompression and rotator cuff repair depends on the complexity of the injury and whether the two procedures are combined. On average, the surgery takes one to two hours to complete, but it can vary depending on the individual patient’s anatomy and the severity of the tear or impingement.
Surgery Phases
- Anesthesia and Preparation: The procedure begins with the administration of anesthesia, typically general anesthesia or a regional nerve block, depending on the patient’s condition and preference. Once anesthesia is administered, the surgeon makes small incisions to insert the arthroscope and surgical instruments.
- Subacromial Decompression: If required, subacromial decompression is performed first by removing excess bone and soft tissue that may be causing impingement. This step creates space for the rotator cuff tendons to move freely without rubbing against the bone.
- Rotator Cuff Repair: After decompression, the surgeon assesses the condition of the rotator cuff. Torn tendons are reattached to the bone using sutures or anchors. In some cases, tissue grafts may be used to reinforce the repair.
Recovery Time
Following the surgery, patients usually spend a few hours in the recovery room before being discharged on the same day. The initial recovery phase lasts around 6 to 8 weeks, during which the arm is placed in a sling to protect the repaired tissues. Physical therapy is a key component of recovery, with a focus on restoring range of motion and gradually strengthening the shoulder muscles. Full recovery can take anywhere from 3 to 6 months, depending on the patient’s adherence to rehabilitation and the severity of the injury.
Benefits
- Minimally invasive technique: Smaller incisions result in reduced scarring and quicker recovery.
- Pain relief: Alleviates chronic shoulder pain caused by impingement or rotator cuff tears.
- Improved shoulder function: Restores strength and range of motion, allowing patients to resume daily activities and sports.
- Lower risk of complications: Compared to open surgery, arthroscopic techniques reduce the risk of infection and blood loss.
- Shorter hospital stay: Many patients can go home on the same day, reducing hospitalization costs.
Potential Destinations
For medical tourists seeking high-quality arthroscopic procedures, several destinations offer world-class orthopedic care. Below are five notable locations known for excellence in subacromial decompression and rotator cuff repair.
1. Germany
Germany is renowned for its advanced orthopedic centers equipped with state-of-the-art technology and highly trained surgeons. Many hospitals in Germany specialize in minimally invasive shoulder surgeries, ensuring excellent outcomes for medical tourists. The country’s strong focus on research and innovation in orthopedic surgery makes it a top destination for shoulder procedures.
2. Thailand
Thailand has gained a global reputation for offering affordable, high-quality medical care, including orthopedic surgery. Many hospitals in Thailand are internationally accredited, and their orthopedic departments specialize in arthroscopic techniques for shoulder injuries. The cost savings, combined with luxurious recovery environments, make Thailand an attractive option for medical tourists.
3. Spain
Spain is a leader in orthopedic surgery in Europe, with many facilities excelling in sports medicine and shoulder repair procedures. Patients traveling to Spain for medical treatment benefit from experienced surgeons, modern facilities, and the country’s well-established medical tourism infrastructure.
4. India
India’s healthcare system provides high-quality orthopedic care at a fraction of the cost compared to Western countries. Indian hospitals are known for their expertise in performing arthroscopic shoulder surgeries, and many surgeons have received international training. Medical tourists are drawn to India for its affordability and excellent medical outcomes.
5. Turkey
Turkey is quickly becoming a hub for medical tourism, offering high-quality orthopedic care at competitive prices. With internationally accredited hospitals and a focus on patient-centric care, Turkey’s orthopedic departments are known for their success in treating shoulder injuries using minimally invasive techniques.
Risks & Considerations
- Infection: As with any surgical procedure, there is a small risk of infection at the incision site. Proper postoperative care, including keeping the incisions clean and dry, can reduce this risk.
- Stiffness and limited range of motion: Some patients may experience stiffness or difficulty regaining full range of motion after surgery, particularly if they do not adhere to physical therapy protocols.
- Re-tear of the rotator cuff: In some cases, the rotator cuff may re-tear, especially in individuals with large or complex tears. This may require additional surgery.
- Nerve damage: Although rare, there is a risk of nerve injury during the procedure, which can lead to temporary or permanent weakness or numbness in the arm.
- Pain and swelling: Postoperative pain and swelling are common but typically manageable with pain medications and rest. Patients should follow their surgeon’s guidelines for pain management and activity levels.
How to Choose the Right Doctor and Hospital
When selecting a doctor and hospital for subacromial decompression and rotator cuff repair, it’s essential to consider the following factors:
- Experience and specialization: Look for a surgeon who specializes in shoulder surgeries, particularly arthroscopic procedures. The surgeon’s experience with these specific techniques is critical to ensuring a successful outcome. It is beneficial to ask for patient testimonials and success rates specific to rotator cuff repairs.
- Hospital accreditation and technology: Ensure the hospital is equipped with advanced arthroscopic technology and follows international standards of care. Accreditation from international health bodies can be a good indicator of quality, though the focus should be on the hospital’s experience in orthopedic surgery.
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.
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Punta Mita Hospital - Genesis Cell
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