What is Liposuction

tummy tuck pictures

Eliminating excessive fat in the body, natural is only done through diet, exercise and a healthy lifestyle. However, as the development of technology, people find other ways to overcome these problems. This technique is commonly known as liposuction.

Liposuction is a surgery that is done by sucking fat on certain body parts, to get a desirable body shape. The goal of liposuction is not to lose weight, but only used to get beautiful curves.

Liposuction Procedure

Patients who will undergo a liposuction procedure should have optimal health before surgery. Before performing liposuction patients are required to avoid cigarettes and alcohol and not using blood thinning medication. Patients with co morbidities such as diabetes, heart or kidney could basically perform this operation, during the medical examination the patient is in a controlled state.

Liposuction begins by marking certain areas on the body. Parts of the body such as the neck, arms, abdomen, chest, back, hips or thighs are the body area that is often experienced liposuction. The marking process followed by making a small incision in the marking and enter tumescent fluid (a mixture solution of lidocaine, adrenaline, bicnat and NaCl) to facilitate the extraction process and reduce bleeding in patients.

Fat breakdown process can be done by using laser equipment (Vaser), mechanical (Microaire) even manually. After going through the process of extraction, the body will be wrapped by using a special girdle (compress garment) and should continue to be used by patients for 3-6 months. There are also therapeutic uses of Radio Frequency (RF), which can help the healing process of the patient. Compress garment is important to reduce swelling and pain when moving patients.

Fat is removed during the process of liposuction, depends on the amount tumescent fluid given on the patient's body. Patient’s liposuction with local anesthesia process more secure when you get less than 5000 cc of fluid. In this case the patient was discharged without having to go through hospitalization. While if needed more tumescent fluid (more than 5 liters), patients are advised to conduct hospitalization for 1-2 days for observation of postoperative patient's general condition. This procedure can be done if using local or general anesthesia.

Liposuction Side Effects

Liposuction patients typically will not directly change the shape of her body. Precisely swelling and bruising in the area of ​​extraction will occur at 2-3 weeks post-surgery, so as to make the body look bigger. But it will not last long. Usually, the patient will feel the results at one month post-surgery and the best results at 3-6 months post liposuction.

Although the results will be satisfactory, not a liposuction technique also causes complications in the patient's body, such as infection, bleeding, asymmetry, seroma, skin necrosis and death. But the meticulous craftsmanship by experts in the field will keep patients out of it.

Results of liposuction will look best if the patient on a diet and exercise regularly. Diet and a healthy lifestyle should be performed by the patient to prevent the re-occurrence of the accumulation of fat in the body.

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Second Trimester Abortion Methods

Method of Dilatation and Evacuation (D & E)

This method is used to dispose of the fetus until 24 weeks of age . This method is similar to the D & C , and only in the D & E used clamp pliers (forceps) with the tip of a sharp knife to tear the fetus . This is done repeatedly until the entire fetus is expelled . Because at this gestation fetal skull is hardened , then it needs to be destroyed so that the skull can be removed from the uterus . If not careful in spending , cuts sharp bones may pierce the uterine wall and cause uterine wound . Bleeding may also occur . Dr. Warren Hern of Boulder, Colorado, USA, an abortion doctor who often performs D & E said , it often creates a problem for clinic employees and raises concern for the effect of D & E in women who undergo abortions . Hern also viewed trauma doctor who happens to doctors who perform abortions , he said , "cannot be denied , the destruction took place in front of our own eyes . Destruction of the fetus through the forceps like an electric current".

Clamp pliers and central suction tube inserted into the uterus to destroy the fetus.

Poison methods Salt (Saline)

The trick is to poison amniotic fluid. This technique is used when the womb was 16 weeks, when enough amniotic fluid surrounding the fetus. Needle is injected into the woman's abdomen and 50-250 ml (about a cup) of amniotic fluid is withdrawn and replaced with a solution of salt concentration. The baby started breathing, swallowing salt and poisoned. The chemical solution also makes baby skin burn and deteriorate. Usually, after about an hour, the fetus will die. Approximately 33-35 hours after the injection of saline solution that works, the pregnant woman will give birth to a dead child with blacks because of fire. Approximately 97% of women who choose abortion in this way gave birth to her son 72 hours after the injection is given. Injection of saline solution also provides the wearer the side effects on women called "consumption coagulopathy" (uncontrolled blood clotting throughout the body), can also cause severe bleeding and serious side effects on the central nervous system. Sudden cardiac arrest, coma, or death may also be produced by injecting saline through the vein system.

Syringe stabbed to reach the amniotic fluid. The needle is then suck fraction of amniotic fluid out, then replaced with a solution of salt toxicity.

Read : First Trimester Abortion Methods

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First Trimester Abortion Methods

The suction method (Suction curettage)

In the first 1-3 months of fetal life, abortion performed by suction method. Technique is the most widely performed for teen pregnancy. Powerful vacuum machine powered with a sharp tip is inserted into the uterus through the cervix is deliberately expanded. Suction dismembers the body developing baby and the placenta (placenta) from the uterus wall. Results sucking blood, amniotic fluid, the placenta and fetal body parts collected in bottles that are connected with this vacuum. Rigor and prudence in carrying out this method needs to be maintained so as to avoid tearing of the uterus as a result of liposuction that can result in severe bleeding which sometimes ended in a hysterectomy. Inflammation can occur easily if there are the remains of part of the placenta or fetus remains in the womb. This is most often the case, known as post-abortion complications.

Method D & C - Dilatation and scrapings

In this technique, the cervix is opened or expanded by force to insert a sharp steel blade. Fetal body part is cut into pieces and removed and the placenta is scraped off the uterine wall. Blood lost during this method does more than the suction method. So is the tearing of the uterus and inflammation most often occurs. This method is not the same as the method of the D & C done in women with symptoms of uterine disease (such as abnormal uterine bleeding, menstruation, etc.). Frequent complications include rupture of the uterine wall which can lead to the bladder.

Curette tool is inserted into the uterus to begin to scrape the fetus, placenta, and amniotic fluid from the uterus.

Mifepristone (RU486) Pill

Society named it "French Abortion Pill". This technique uses two synthetic hormones, namely mifepristone and misoprostol to chemically induce gestational age of 5-9 weeks. In the United States, the procedure is undertaken with strict oversight of abortion clinics requires at least 3 times to the clinic. On the first visit, the woman is given carefully. If no contra-indications (such as heavy smoking, asthma, high blood pressure, obesity, etc.) which can even cause death in a pregnant woman, then he is given a pill RU 486.

RU 486 is working to block the progesterone hormone that functions to keep track of vital nutrients to the placenta remains smooth . Due to this blockade , the fetus does not get his food and be hungry again . On the second visit , the first 36-48 hours after the visit , the woman is given an injection of the hormone prostaglandin , usually misoprostol , which initiates uterine contractions and make the fetus from the uterus . Most women enter the uterus in 4 hours while waiting at the clinic , but 30 % of them experienced this at home , at work , on public transport , or in other places , there is also a need to wait until 5 days later . A third visit approximately 2 weeks after the abortion , to determine whether the abortion has taken place . If not , then surgery should be done (5-10 percent of all cases) . There are some serious cases of the use of RU 486 , as abortions occur until 44 days later , severe bleeding , dizziness , vomiting , pain and death . At least one woman in France died while others suffered heart attacks.

In the United States, the use of RU 486 trial was held in 1995. An unknown woman almost died after losing half his blood volume and ultimately requires emergency surgery. Long-term effects of RU 486 is not known for certain, but there are reasons to believe say that RU 486 could affect not only the ongoing pregnancy, but also may affect subsequent pregnancies, the possibility of spontaneous miscarriage and defects in the baby.

Injections of Methotrexate (MTX)

Procedure with MTX same as RU 486, though the drug is injected into the body. MTX was originally used to suppress the rapid growth of the cells, as in the case of cancer, by neutralizing folic acid necessary for cell division. MTX was also the fast growing trophoblastoid - the membrane that surrounds the embryo which is also a forerunner of the placenta. Trophoblastoid not only serves as a 'buffer system of life' for the developing fetus, taking oxygen and nutrients from the mother's blood and remove carbon dioxide and other waste products, but also produces the hormone hCG (human chorionic gonadotropin), which signals the corpus luteum to continue producing progesterone necessary to prevent breakdown uterus and miscarriages.

MTX integration of destroying the environment that sustains , protects and fosters the growth of the fetus , and because of lack of nutrition , the fetus being dead . 3-7 days later , misoprostol tablet inserted into the pregnant woman 's genitals to trigger the release of the fetus from the womb . Sometimes , this happens a few hours after the inclusion of misoprostol , but often also occurs the need for additional doses of misoprostol . This makes the way of abortion with methotrexate can last for weeks . The pregnant woman will get bleeding for weeks (42 days in a case study) , even heavily . May abort anytime - at home , in the bus, at work, in the supermarket , and so on . Women were found to still contain the next visit to the abortion clinic , would not want to have surgery to remove the fetus . Even doctors who work at abortion clinics are often reluctant to give an injection of MTX because MTX is actually toxic and side effects occur unpredictable .

Side effects were noted in the case studies were headache, pain, diarrhea, blurred vision, and the more serious is bone marrow depression, blood deficiency, liver damage, and lung disease. In packs of MTX, the manufacturer writes a stern warning that MTX is useful for the treatment of cancer, some cases of arthritis and psoriasis, "deaths have been reported in people taking MTX", and the plant was suggested that only the doctors who are experienced and knowledgeable about the therapeutic antimetabolic are allowed to use MTX. Although abortion doctors are using MTX, dismissed the side effects of MTX and said low-dose MTX for use in the process of abortion, abortion doctors and others disagree, because the injection of packets used for abortion also contained toxic hazard warnings despite MTX use in low doses.

Read : Second Trimester Abortion Methods

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Weight Loss Surgery and Knee Pain Osteoarthritis

Obese patients who lose weight 57 pounds in 6 months saw a significant improvement, from the findings of a study. Losing weight can help reduce the pain experienced by obese people with knee osteoarthritis, researchers say.

Recent study with 24 obese adults aged 30 to 67, with knee osteoarthritis who undergo weight loss surgery (Weight Loss Surgery - Bariatric surgery). Knee patients were assessed before surgery and at six and 12 months after surgery.

Patients who lost an average of 57 pounds in six months undergoing bariatric surgery showed a significant improvement of the knee pain, stiffness and physical function, the researchers found. These patients also experienced an increase in quality of life, ability to perform everyday tasks and sport activities.

None of the patients received other treatments for their knee osteoarthritis. The findings were scheduled and presented on Saturday at the American Orthopedic Society program for Sports Medicine's Specialty.

"Every individual has improved on their pain as losing weight," said lead researcher Christopher Edwards, of Penn State College of Medicine.

"There are few studies that have examined the role of weight loss in the absence of additional arthritis treatment on those individuals with radiographic osteoarthritis," he added. "Further studies are needed to investigate whether knee arthritis symptom continues to increase from time to time applicable to only those who are overweight, but our research suggests the strong possibility of an improvement."

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FDA Approves First Cancer Vaccine

FDA approved the first time and allows the use of a cancer vaccine is a vaccine for prostate cancer. Previously existing research on prostate cancer vaccine, the vaccine is still only in the research.

Called Provenge, a vaccine targeting prostate cancer. This vaccine is not for healing, also not as given preventive vaccine for measles, hepatitis or cervical cancer. But this is a therapeutic vaccine, which means enhancing the immune system of patients. This vaccine is used after prostate cancer has been diagnosed with certainty.

Dozens of other vaccines are being developed for various types of cancer, but Provenge is the first to obtain FDA approval stamp.

Current cancer treatments, such as radiation, chemotherapy and even removal of the prostate, can cause damage to other body functions. This vaccine is beneficial for the body's natural defense system is an important alternative therapy. It also has fewer side effects - most of the patients who use Provenge reported fever, fatigue and pain.

Provenge is intended for men with prostate cancer that has spread throughout the body. In 2009, we are about 192,000 new prostate cancer cases are diagnosed and about 27,000 people die from the disease, according to the National Cancer Institute.

Official Website Provenge - www.provenge.com

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Right Side Back Pain

Right back pain can occur in two places on the body. This can occur on the right side near the upper thighs or hips may occur in the groin area where the hip joint is located. Back pain can be felt in the joint itself or in the tissue around the hip joint hip pain that makes it difficult to diagnose.

Disease-Related Symptoms of Right Side Back Pain

Arthritis

One form of arthritis that can affect your right thigh is osteoarthritis. Types of arthritis can affect people who have suffered a broken right leg or right pelvic area.

Avascular necrosis Waist

According to the Mayo Clinic, when blood flow to the broken right hip, a condition called Avascular Necrosis may occur. Bone tissue dies as a result of blood flow stops. Avascular necrosis usually affects the femur but can occur in other areas of the hip. Patients with this condition may experience pain radiating to the leg.

Bursitis

Bursitis is a condition that occurs when the 'market' or a fluid-filled sac surrounding tissues and joints become inflamed. Waist area is a common spot for bursitis occurs. Patients may experience pain, stiffness or redness around the area of ​​the joint.

Lupus

Patients with joint pain may have a condition called Lupus. Lupus is an autoimmune disease that attacks a person and causes tissue inflammation. Along with joint pain, patients may experience fatigue, fever, mouth sores and skin lesions.

Hip fractures

Hip fractures are common in patients over 65 years old. Hip fractures are also more common in women because of lost bone density as they age. Patients usually experience severe pain and unable to support the weight on the hips and legs are affected.

Hip labral Tear

Hip labral tear can affect athletes who have sports injuries. This disease occurs in tissue near your hip joint. In addition to pain, patients with hip labral Tear may feel inhibited movement inside or near the joint.

References: Mayo Clinic: Hip Pain Causes, The University Hospital: Hip Pain, Mayo Clinic: Avascular Necrosis

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Tuberculosis Arthritis & Rheumatoid Arthritis: Differences MRI overview

Arthritis Tuberculosis (AT) is generally a monoarticular disease that usually involves the spine and medium or large joints, such as hips and knees. Rheumatoid Arthritis (RA) is usually a symmetrical polyarticular disease with peripheral joint involvement common. However, AR may also manifest as monoarticular disease and survive for such a long time. RA and TB arthritis may have similar clinical characteristics, consisting of a chronic form of the periarticular soft tissue swelling, and similar radiological findings, such as periarticular osteoporosis, bone erosion, and the presence of joint effusion, differential diagnosis difficult. Actually, there are reports of cases of arthritis where TB is misdiagnosed as AR or juvenile AR. Value of MRI (Magnetic Resonance Imaging) has been supported in each of the two diseases because of superior soft tissue contrast and the ability to describe changes in cartilage, ligaments, and synovial tissue, especially in the evaluation of early changes. With MRI, the two diseases have been reported heterogenositas low signal intensity in the joint due to body mass, fragments of cartilage, and bleeding.

Monoarticular disease is most commonly caused by a contagious disease process but can also come from non-communicable diseases, such as metabolic or immunologic. In some cases, it is difficult to distinguish the origin of monoarticular disease. Differential diagnosis includes infectious arthritides, such as phylogenic arthritis or tuberculosis, or non-communicable diseases, such as synovial osteochondromatosis, pigmented villonodular synovitis, rheumatoid arthritis, gout, and hemophilic arthropathy, and many others. Appropriate treatment after an accurate diagnosis is essential for a good prognosis and improved joint function, final pathologic diagnosis usually requires a culture of synovial fluid or synovial biopsy or both.

Tuberculosis Arthritis & Rheumatoid Arthritis

RA is a chronic inflammatory arthritis, which affects approximately 1% of the population worldwide, leading to cartilage and bone breakdown and eventual loss of function. Arthritis, tuberculosis is the second in frequency of involvement with spinal tuberculosis, osteoarticular TB is estimated to occur in 1.5-3% of patients with musculoskeletal tuberculosis. The incidence of tuberculosis has increased over the last decade due to increased travel and immigration, an increasing number of elderly, chronically ill patients, or immunosuppression, and an increasing number of patients with AIDS.

RA and TB arthritis, may not only similar clinical manifestations, but also similar radiographic findings, such as periarticular osteopenia, marginal erosion with relatively late from the joint space, and increased joint effusion, which can make differential diagnosis difficult in some cases.

AR and TB arthritis synovial hypertrophy have chronic inflammation. However , on microscopic examination , AR synovium showed infiltration by plasma cells and lymphocytes with or without lymphoid follicles and fibrin deposits are often seen close to the synovial lining or in the stroma , whereas in rheumatoid synovium TB containing material such as fibrin and necrotic , caseous areas , and the number of leukocytes and mononuclear phagocytes . AR consists of articular disease manifestations immunoregulatory dysfunctions are linked by a complex process. In addition to lymphocytes and plasma cells, many different cells, as well as their variable products (cytokines), which contribute to the disease process Lymphocytes , plasma cells , and a large number of cells in the synovium produces many AR , hipervaskular , proliferative lesions , almost resembling a tumor , in response to a proliferative factor produced by activated immune response . In fact, synovial tissue taken from knee arthritis can weigh up to 500 grams or more, in contrast to normal synovium in the knee, which in total is usually, weigh less than 5 grams.

Nonuniform and a greater degree of synovial thickening is more frequent in the AR (p <0.01), the thicker the synovial membrane, the more likely the AR (p <0, 01). TB arthritis bone erosion greater (p <0.01), and the possibility of TB arthritis increases proportionally with the increase in the size of bone erosions (p <0, 01). Rim enhancement in bone erosion in arthritis TB more frequently (p <0, 01). Extra articular cystic masses more and more often seen in arthritis TB (p <0, 01).

Uniform synovial thickening, bone erosion size, rim enhancement in the area of bone erosion, and extra articular cystic masses more often and more on TB arthritis. MRI may help in the differentiation between RA and tuberculosis arthritis.

Reference: AJR 2009; 193:1347-1353

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About Breast Cancer Biopsy

Breast Cancer Biopsy - If a woman or a doctor suspects a lump, or a picture that showed a suspicious area, then the woman should do a biopsy. This procedure will take a sample of tissue is examined under a microscope to see if there is cancer or not view, or rather whether the lump is benign or malignant.

Types of Breast Cancer Biopsy

There are several types of biopsies for breast. The way biopsy can be performed with a needle (needle), in which the doctor takes a bit of breast tissue by inserting a needle through the skin into the breast. With surgical biopsy techniques, tool scalpel (scalpel) is used to lift the breast tissue is greater. Each type of biopsy has advantages and disadvantages of each. Types of biopsy procedures are performed on women depending on the condition and health.

In most cases, using a needle biopsy is preferred compared with surgical biopsy, which was performed as a preliminary step to diagnose breast cancer. Needle biopsy can provide more rapid diagnosis and only a little discomfort.

Some types of needle biopsy are used to diagnose breast cancer. The most widely used is the core needle biopsy, in which a small cylinder size of breast tissue removed. Another type of biopsy that is fine-needle aspiration biopsy (FNA). FNA uses the smallest size needle is used to remove the core of the network to be evaluated under a microscope. FNA is also used to remove fluid from the cyst suspicious.

Breast Cancer Biopsy Technique

Some types of breast cancer biopsy techniques can be seen in the image below:

A doctor can doing core needle or FNA biopsy at her workplace without having to use x-rays as a tool in guiding biopsy, only if the lump can be felt.

If the lump cannot be felt easily, the ultrasound or mammogram may be used to guide the needle during a biopsy is performed.

Biopsy technique with the help of mammogram is called stereotactic needle biopsy. in this procedure, the computer will show the picture of mammograms that will help physicians in guiding a needle to take tissue to a more appropriate area. So is the biopsy technique with the help of ultrasound.

The choice biopsy technique, between a mammogram and ultrasound, depends on the type and location of the suspect in accordance with the experience and preference of the physician.

Some patients require surgical biopsy (excision). General surgery to remove the entire lump or suspicious area and includes areas that appear normal surrounding breast tissue, called the margin.

If the tumor cannot be felt, the mammogram or ultrasound is used to guide the surgeon. After numbing the area to be biopsied under local anesthesia, picture of x-ray or ultrasound is used to guide the needle into the abnormal area of the breast. A thin wire is inserted through the center of the needle, then the needle is removed, and the wire will lead surgeon on the right areas.

Most breast biopsies cause discomfort. Only with local anesthesia required for biopsy with needle. For surgical biopsy, most experts using local anesthesia and intravenous medications to make the patient feel a little sleepy. General anesthesia / general are not needed for most cases of breast biopsy.

Reading medical article about 3 Biggest Risk Factor for Breast Cancer

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