Arthroscopy is defined as a surgical procedure in which an examination and sometimes treatment of damage part is performed using an arthroscopy. In this procedure, an endoscope that is inserted into the joint through a small cut. Arthroscopic procedures can be performed during ACL reconstruction.
In knee arthroscopy , two cuts are made in which one is for arthroscopy and one for the surgical instruments to be used in the knee injury. This reduces recovery time and may increase the rate of success due to fewer problems to the connective tissue. Irrigation fluid (most commonly 'normal' saline) is used to swell the joint and make a surgical space.
The surgical instruments are smaller than traditional instruments. Surgeons view the joint area on a video monitor, can diagnose and repair torn joint tissue, such as ligaments. There are several joints where arthroscopy is performed:
Technologies have made arthroscopy applicable at every joint.
How do you plan for a shoulder arthroscopy?
Your orthopedic specialist may ask you to see your family doctor to make sure that you do not have any health concerns. You may need to have an electrocardiogram, blood tests, and a chest X-ray before your surgery. If you have any health risks, you should discuss this with the surgeon and advise him of any medications or supplements that you are currently taking.
If you are in fairly good health, your shoulder arthroscopy will most likely be performed on an outpatient basis. The surgical centre will contact you before the procedure to discuss the specific details. Make sure that you follow their instructions regarding arrival time and when to stop eating or drinking prior to your operation.
Team of doctors will discuss about the anesthesia before the operation of arthroscopy. Mostly shoulder arthroscopic procedures are performed using regional nerve blocks, which numb your arm and shoulder. The numbing medicine will be injected in the base of your neck or high upon your shoulder. The nerves that control feeling in your shoulder and arm will be targeted, so that you do not feel anything during the operation and for several hours after your surgery.
Many of the orthopedic specialists combine nerve blocks with sedation or a general anesthetic in order to make you comfortable while lying on the operating table. Most shoulder arthroscopy procedures take less than one hour. However, the length of the surgery will depend on what the doctor finds and what repairs are necessary.
Before you undergo a shoulder arthroscopy, plan to wear comfortable clothing that is easy to put on and take off. You should also leave your watch, jewelry, and valuables at your residence. You will also have to arrange to have someone drive you home after your procedure. Plan for assistance for at least two weeks following your shoulder arthroscopy, as tasks at home may be a little difficult.
What happens during a shoulder arthroscopy?
Once you have arrived and are positioned in the surgical room, you will be placed in the beach chair position. This is a semi-seated position which allows you to be essentially reclining in a chair. The surgical team will remove the hair from the operative site if necessary, and then spread an antiseptic solution on your shoulder to properly cleanse and sterilize the surgical site. The shoulder and arm will be covered with sterile drapes, and your arm will be placed in a holding device to keep it safe and stable.
During the arthroscopy, firstly you will be injected with fluid in the incision made inside the shoulder. This makes it easier for the doctor to insert the instruments that will be used to visualize the structures with the arthroscopy. Images from this scope are projected on a TV monitor so the surgeon can see inside your shoulder clearly.
Fluid flows through the arthroscopy as he guides it around the joint space of the shoulder. After Identifying your problem, doctors will insert small instrument inside the body through the hole made of button size to repair the injury form. These specialized instruments are necessary for tasks such as cutting, suture passing, knot tying, or shaving. Once the procedure is complete, the surgeon will close these incisions with stitches or Steri-strips and cover that with a large, soft bandage.
Arthroscopy is process in which risk is very low with lowest rates of serious complication. Commonly, irrigation fluid may leak into the surrounding soft tissue, causing edema which is generally a temporary phenomenon, taking anywhere from 7-15 days to completely settle. Rarely, this fluid may be the course of a serious complication, compartment syndrome.
What should I expect after my shoulder arthroscopy?
During the recovery period, you will stay in a recovery room for a couple of hours before being discharged home. The orthopedic specialist and his team will monitor your condition to make sure you are ready to travel. At home, you can expect some pain and discomfort for at least a week following the procedure. Ice is recommended to help with this and your doctor may prescribe you some medication. You are allowed to shower once your wounds are no longer draining, but should avoid prolonged soaking or scrubbing of the incisions. A special immobilizer will be issued for the purpose of protecting your shoulder. The doctor will advise you on how long this will be needed.
Rehabilitation will allow you to get back to your daily activities. This is an exercise program which help you to regain your range of motion and strength in your shoulder. It is important for you to follow doctor's orders and make a noble effort at your rehabilitation in order for full recovery to occur.
Cost of arthroscopy will be minimum to Rs.75,000 and maximum to rupees Rs.1,50,000.