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MG has different presentations and affects patients differently. Thus, this has to be examined on a patient to patient basis. Certain patients are more likely to have complications than are others.Kenneth Hughes, MDLos Angeles, CA
Thanks for your question. Patients with myasthenia are able to have surgery, but the drugs must be appropriately tailored. Removal of the thymus was classically performed for the treatment of Myasthenia. The question really is, are these elective surgeries worth the risk?As a board certified plastic surgeon I would need to communicate with your internist for more information and then speak to our anesthesia staff. Your PS will likely want to do the same. With further information you will be able to make an informed decision.Best wishes.
My only experience with MG is that I have carried out a mini-TT on someone with myasthenia graves. It required careful pre operative assessment by the anaesthetist. I think it is not impossible but it would depend on the severity of the MG and finding a suitable facility in which the surgery would be carried out. I suspect that to have all 3 procedures carried out at one operation may be too much. You should be prepared that it may not be sensible for you to have surgery.You should seek the advice of an trained and experienced PS who has links to or works in a relatively large hospital with facilities such as intensive care. Good luck.
It appears from the photo that there is a stitch in place. I recommend call up the doctors office and make arrangements to see them this week.
In my own practice I like to see the JP out when it is lighter in color and less than 30 CC over a 24 hour period. The color of your JP generally means there is some old blood that is still liquefying. When I have drainage that is still dark I usually leave the drain in a bit longer until the d...
Thank you very much for sharing your concerns with us.To reduce the swelling I recommend you perform daily lymphatic drainage massage therapy over the abdomen and wear a postoperative girdle from thigh to the breasts.If after six months post-op, I recommend you send us your photos again, to g...
Thanks for your question. With no clotting disorder it is not likely that your risk will be any different than the average for a tummy tuck. Your PS will certainly want to confirm this with appropriate blood tests. While the Pre eclampsia will likely not increase your TT risk there are still r...
Most patients will be placed in an abdominal binder, which they will wear the first week. There is usually a fair amount of swelling and the binder should be opened several times a day so that there are no pressure points. After the first 7 to 10 days the patient is placed in an elastic garment...
Swelling can persist for several months and will gradually improve and will look better at three months, six months, and even one year. Frequently the pubic area can become very swollen and discolored during the first two weeks due to gravity as this is the lowest area for swelling to accumulate...
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