Surgery Notes

Archive for 2012

Referring to the case of the 16 years Barcelona has become the first minor to undergo a sex change intervention in Spain, the president of the Spanish Society of Plastic, Reconstructive and Aesthetic commented that “no There is absolutely no objection “because” the whole process was carried out according to Spanish law.”

Elective surgery sex change done in less responsiveness offers a “much better” than at older ages, because the youth of the body allows the reconstruction of tissues and vascularization is faster than in patients with higher age, according to the president of the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE), Dr. Ezequiel Rodriguez.

In fact, surgeons who performed the operation “are members of the SECPRE perfectly formed and trained,” said its president. In any case, they “are just the latest link” in a process that “requires the validation of the family, psychologists, endocrinologists and judicial authorities,” he said.

Regarding the surgery itself, Dr. Rodriguez stressed that “there is no age limit to do it, or below or above”, although it can not be “free will”. “In any case, a surgeon can operate to all children at their request, that is tightly regulated in Spain and requires the approval of many professionals, the proof is that the case of Barcelona has been made in a public school,” said.

In this sense, the president of SECPRE recalled that “one can not generalize” when talking about sex changes in children. “Everyone knows that the convictions of adolescence can change upon reaching adulthood but, when indicated and has spent all protocols, it is clear that the operation is positive for both physical and psychological well-being of the patient,” said.

The first sex change operation to a minor to be held in Spain, a boy of 16 who takes over a year and a half in hormonal and psychiatric treatment depends on a judgment. A Barcelona judge must decide whether granting the authorization for the young to undergo surgery.

The law only allows sex change operation at age 18 if they have a warrant. The approval of the parents is not enough. According to Dr. Ivan Manero, head of the gender disorders unit at the Hospital Clinic of Barcelona, ??in this case the operation is fully justified because, although the young are not of legal age, no doubt from the point medically. The family of the boy who wants to be a girl went to the doctor for a solution, and this explained the legal difficulties of the procedure.

Transsexualism is something you have to deal with. All we would get their hands on the head when told that a child with leukemia can not be treated until they turn 18,” he assured Manero. “10 years ago the 16 year olds did not know what to do with your situation, but now find what is wrong and they know they have a solution,” he added.

The president of the Association of Transsexuals of Catalonia, Gina Serra, confident that the judge authorizes the operation of the child. In his view, “a child for eight years and knows what he wants to be and what not, but everything depends on the support it finds in his family.” The minor, Serra explained, went two years ago the association for help, “got into trouble because the other students picked on her and was forced to change schools.” Serra has said that a favorable ruling would serve to “open new perspectives for the transsexual group.”

According Manero, the judge making the decision requested the opinion of independent medical experts who gave an opinion in favor of intervention. If approved the transaction, would be the first to be held in Spain to a person under 18 years and one of the few cases reported worldwide.

The Hospital Clínic of Barcelona held last week for the first time in Spain a sex change operation to a minor after having received court approval in November for this intervention, confirmed to Efe hospital. The operation, one of the world’s first, was not realized through the public system, but it was the responsibility of the private health care company Barnaclinic, according to sources.

The 16-year-old who underwent the sex change operation took more than a year in psychiatric treatment and hormonal, a necessary step to have this type of intervention.

The judge authorized the sex change operation on a minor after analyzing forensic reports were in favor of surgery. Spanish law only allows such operations to adults, unless there are exceptional circumstances, as is the case. The patient is a teenager he was a girl locked in the body of a boy. In fact, it took more than a year and a half following hormone treatment to prepare for surgery.

The operation, which was funded by the family of a teenager, was conducted successfully and the patient is recovering favorably.

The Hospital Clinic of Barcelona last week made ??the first sex change operation to a child in Spain after a judge authorized the intervention in November.

This is the first child who undergoes a sex change intervention in Spain and one of the few in the world. Clinic sources have indicated that the operation was in the hospital, but was the responsibility of the private health care company Barnaclínic, which is linked to the hospital.

The patient, a boy of 16 years, took more than a year and a half following hormonal and psychiatric treatment as a step to have an operation of this type. As recognized by Dr. Ivan Manero, the surgeon who performed the operation, suffered from gender dysphoria since age five. This means that “a woman’s head was in a body that developed in a man.”

The boy who wanted to be a girl had the support of his family and doctors, but the law only allows sex change operation at age 18 if they have a warrant. The judge gave the green light to the operation after analyzing the forensic reports were in favor of the intervention.

The operation, which has been paid by the family, it has successfully developed and she is well, “happy” and already has a normal life.

In the OR
To get what she craved from her infancy, the lowest was in the operating room about two hours and this time he created a space to give it a vagina in the perineum, which was covered with the skin of the penis.

And with a piece of glans and penile dorsal nerves, which are removed in surgery, he built a clitoris “fully functional and fully sensitive” and cut his urethra to leave it as that of women, the level of the vaginal entrance. The intervention also removed the testicles and scrotum were reconstructed with the labia majora.

After surgery, the child will no longer require psychological support, but hormone treatment-estrogen-female, for life to prevent early decalcification of the bones, as in women with menopause by the decline in hormones.

Seven out of ten people home undergoing gender reassignment intervention, as this surgery Mañero called, occurs in men who feel women.

I will talk about the different types of surgery for snoring laser available today. Snoring can be considered one of the major problems of life. It can affect you and your partner sleeps. A permanent solution to snoring is the surgical laser.

This type of surgery is the best solution for snoring problems to date. It is popular because its effect is permanent and is technically safe. The effectiveness of surgery for snoring laser evidenced poruvuloopalatopharyngoplasty or UPPP.

But to be really safe, you have to be in the hands of an expert when subjected to this type of treatment therapy. You need the help of a qualified health expert. After surgery and recovery time, you will experience almost immediate relief to snoring.

When comparing surgery with laser tools and devices used for snoring, the first would fair better. All others can only provide a temporary solution to snoring. surgery with laser, on the other hand, can give permanent relief. This is why laser UPPP is today the most popular.

While other types of surgery for snoring laser, one thing is their main goal – to remove all locks in the mouth or throat that are causing you to snore. The uvuloopalatopharyngoplasty or UPPP is a type of surgery laser that aims to remove the tonsils of the patient, along with some parts of the uvula and suavepaladar.

There are actually two types of surgery for snoring laser. The most preferred is assisted by laser, which is the main point of interest here. When it comes to prices, the laser-assisted UPPP is much cheaper than traditional UPPP. Here, the uvula, not completely eliminate, rather abbreviated. The soft palate is evaporated with the use of the laser beam.

Have heard of laser hair removal system, but the idea of ??laser for hair re-growth is impressive. How could a system work both ways? You have many questions, but do not know where to start, and the vast amount of information on the Internet is helping to understand the difference between the two. You want to treat thinning scalp but do not want to become bald if the decision is wrong

first loss of hair occurs for many reasons. Hormones, diet, stress and concurrent medical conditions and medications can contribute to hair loss. In this case, the laser only works under certain conditions of hair loss, such as male pattern baldness and female hair thinning due to the hormone dihydrotestosterone (DHT), this treatment only works on mild to moderate only condition. Laser hair therapy using photons to stimulate hair growth in hair follicle, you can use the shampoo and creams as recommended by the manufacturer for best results.

By contrast, depilatory system uses a different type of laser, which generates a wavelength selective attack melanin heat to the hair without damaging the skin. Hair Removal system kills the follicles of the area concerned and leaves around alone, making it a popular method among women. This system is quite permanent after a few months of treatment, the hair follicles do not grow back.

Hair loss can cause loss of confidence and self esteem. You can re-grow hair using a home kit some manufactures, but it is recommended to visit a doctor trained to treat your scalp with hair loss problems. While lasers are safe to use in the modern world, improper use can cause irreversible damage to the skin. Therefore, it is important to follow the instructions of the manufacturer to the greatest extent possible.

Before initiating treatment, the assessment will start for the potential patient. Only certain merits hair loss condition hair regrowth laser. The professional will consider many factors before deciding whether treatment is appropriate. If you are advised against laser treatment, you can consider other methods such as surgery or medication. Hair loss is part of aging and that is affected by many other causes, so it is important to accept the fact and carefully decide on its strategy to control or slow the progression of hair loss.

While the breast implants are becoming more risky when performed and postoperative effects less bothersome and complex, there are, for this surgery, effects of secondary type, which occur at much time on the operation, but that somehow manage to cause serious inconvenience, such as breastfeeding, as breast implants may interfere very seriously on this issue.

It is necessary that before having a plastic surgery , your doctor is aware of his desire to be a mother to breastfeed her baby, so the doctor will perform the implant with much more tact and prevention.

There is also the risk of breast implants can prevent the detection of breast cancer. These are often not perceived during mammography, X-rays or ultrasound, have been many cases of breast implants could hide suspicious tumors or lesions. In loslaboratorios where mammograms are performed, the special care specialist and quite detalloso patients with breast implants. We need more observation and more time for imaging. When you schedule a mammogram, tell the receptionist about implants so you can schedule overtime. Read the rest of this entry »

The Ministry of Health, Social Services and Equal, has granted assistance to women who have been implanted with breast implants Implant Prothèse Poly (PIP) in private consultations that have closed or no longer exist, or were operated out of Spain.

This has been assured the new general secretary of Health, Pilar Farjas, told the media after visiting the Instituto de Salud Carlos III, where the Minister Ana Mato and the director of the National Transplant Organization (ONT), Rafael Matesanz , took stock of donations and transplants in 2011 .

Farjas stressed the “commitment and effort” made ??by Health “to ensure continuity of care to women who received the implant warning order “and has insisted that the department went to work at the start with a group of experts scientific societies related to the subject.

He also praised the work done with the Autonomous Regions and the Committee on Safety of Health Products in the EU and has stressed that the results so far allow to reach the commitment that all women who have been implanted with this prosthesis “fraudulent” have “a center where the continuity of care is guaranteed. “

Women are being cared for and treated
Specifically, as explained, the women who received an implant of its kind in public schools are already being addressed and treated, and those that were operated at private schools, which have produced most of the implants, will these revisions in these last.

“A priori, the doctor to go is to that prescribed surgery,” he explained Farjas, who has said however that the operated women in private offices that have been closed, which do not exist or if the intervention was done outside Spain will have a reference unit in public health where you can make a review.

Silicone breast implants manufactured by the company Poly Implant Prothèse (PIP), the subject of scandal that was uncovered in France after detecting breast tumors in women with these prostheses, continues to generate thousands of obvious uncertainties involved, that are being forced to remove their implants despite themselves having to assume the costs of the intervention, resulting from the malpractice of a company whose creator is even wanted by the Interpol.

The president of the Association of the Patient Advocate, Carmen Flores, warning that many concerned who, unable to bear the charges stemming from a new operation to remove the defective implants, are still awaiting to find an adequate solution to negligence that never waited. For its part, the Director of Plastic, Reconstructive and Aesthetic Surgery of the University Hospital of Navarra, Bernardo Hontanilla gives us one of the keys that you necessarily know if you in your day to an intervention subdued breast enlargement with implants PIP:

1. Do I have to go immediately to withdraw my implants? “In the event that any of the prosthesis has been broken, you must go as soon as we withdraw them,” says Dr. Hontanilla. Although health authorities have warned even a cause-effect on the tumors detected in several women who took these implants, “the withdrawal should be immediate, speaking a few days.”

2. If the implant is not broken, do you also should remove it? “should be removed in any way”, says the doctor. “He has broken or not, my personal opinion is that we should not let too long before removing defective implants. One month, two at most, in my view, the time limit to wait to remove them.”

3. Is it possible not to realize that it broke? : It is “a very common case.” “On many occasions, says the doctor breaks prostheses are not noticeable. In fact, when performing a breast implant is advisable to perform an MRI after ten years in order to detect breaks that the patient has not noticed. ” For this reason, and yet they have not seen evidence of breakage, you should immediately seek a review if you relocate the PIP implants. Read the rest of this entry »

Increase Breast Fat Transfer Information

More and more people today talk about the revolutionary breast augmentation methods such as using stem cells,’s own fat or hyaluronic acid injections. Under these circumstances, it seems that traditional methods begin to fade in terms of efficiency.

However, breast augmentation with stem cells, hyaluronic acid and increased fat own breast are techniques that have not been used for many years, so long term complications are still unknown for most patients. More research is obviously necessary in a considerable number of women who undergo these interventions carried out over a period of at least 10 years to eliminate the possible relationship between these procedures and breast cancer or similar diseases. There have been numerous studies that have shown no link between breast implants and cancer and the risk of breast cancer in women without implants is the same as in women with implants. The same stands for other diseases suspected of being related to the enlargement of the breasts.

Chest fat gain transfer is a relatively new surgical intervention, which involves the use of cells other areas of the patient’s body to provide firm and large breasts. It is a complex process that involves removing fat from the abdomen or thighs through a liposuction procedure, and then continue with a process of separation of fat from other compounds.

Finally, other advanced techniques are used to inject fat into the breasts. Besides the fact that no known risks and that the breast volume can not be controlled because some cells have the ability to grow after being injected, the biggest disadvantage is the cost of the procedure, which is higher than that of a normal breast implants surgery. With the increasing use of chest fat transfer, the patient will get a more pleasing appearance of the breasts in a few months after surgery.

The obvious advantage is that no foreign materials are used, so there is no risk of rejection of the substances used by the body. On the other hand, hyaluronic acid injections are another method again the ladies are tempted to try to reshape their breasts. This non-surgical breast augmentation and breast lift is too recent and takes about 45 minutes. The results are maintained according to the injected substance, after which more injections are required maintenance (because the substance is resorbed).

But unlike surgical treatment, this process is irreversible. Injected substances can not be eliminated from the body. You should also know that hyaluronic acid or own fat is injected directly into the mammary gland and the process is quite aggressive for a very sensitive organ.

The recommended technique for most patients is breast augmentation with silicone breast implants, as it comes with a full stock of knowledge, and a long tradition and experience gained through the years of transition. This involves inserting breast implants behind the breast tissue to increase the existing volume and reshape the breasts.