Reconstructive surgery with the same clothes

This is an automatically translated article.

The article was professionally consulted with Specialist Doctor I Nguyen Thi Bich Nhi - Ophthalmologist - General Surgery Department - Vinmec Nha Trang International General Hospital.
Reconstructive surgery with the same equipment is a technique to treat the patient with the same equipment to install the prosthetic eye for the patient. This technique is indicated for patients who need to install prosthetic eyes but are exhausted and cannot be fitted. However, in some cases, the patient has a local infection and has a systemic condition that does not allow surgery.

1. What is reconstructive surgery?

The surgery to create the same thing to treat the same thing to install the prosthetic eye for the patient.
Surgery is indicated in the following cases: With the same equipment, the prosthetic eye cannot be fitted.
Contraindicated in the following cases:
Local infection The systemic condition does not allow surgery.

2. Prepare for reconstructive surgery with clothes

The eye specialist is the person who directly performs the reconstructive surgery with the equipment prepared including the eyelid surgery kit, the bipolar electric punch.
For patients performing reconstruction with the same degree of rhyme, their eyes are cleaned before surgery. Take pre-operative photos and get detailed advice from the doctor about the surgery that will take place.
The patient's medical record should have a graphical description, specifying the surgical method expected to be performed for the patient.

3. Steps to carry out reconstructive surgery with map

Before the reconstructive surgery of the same degree, the specialist doctor needs to check the patient's profile and to be ready to perform.
3.1 Anesthesia Give the patient oral or injectable sedatives, analgesics Anesthesia necessary if surgery is planned to be prolonged and in case the patient is uncooperative Local anesthesia

3.2 Technique of Mucosal transplantation (shallow with the same map due to fibrosis of conjunctiva)
Injecting para-ocular anesthetic for patients Sclerosing conjunctival incision, burning hemostasis and determining the size of the area lacking mucosa Take the lip mucosa According to the previously determined size, then put in a cup of water mixed with antibiotics. Liposuction grafted to the location where the fibrous conjunctiva has been separated. Threads are fixed with the device. Put the prosthetic eye shape with the device. Sew the eyelids if necessary. . Fixing the same object to the periosteum (shallow with the meshwork due to eyelid flipping)
Local anesthetic Incision of the lower eyelid skin parallel to and less than 1 mm from the eyelid margin Perform dissection of the sphincter muscle, align the orbital septum, expose expose the periosteum and create a periosteal flap Stitch the Tenon capsule to the periosteal flap with prolene thread 6.0 Stitch the skin closed with vicryl thread 6.0 Place a prosthetic eye Stitch the eyelids if necessary. Orbital fat grafting (shallow with orbital fat atrophy)
Local anesthesia Conjunctival incision, burning to stop bleeding Take fat into a cup of water mixed with antibiotics Graft of orbital fat Organism suture Conjunctival cover Placement of prosthetic eye .

4. Follow-up after reconstructive surgery with map

Patients after reconstructive surgery with the same equipment should be re-examined according to the schedule 1 day, 1 week, 1 month after surgery. Perform prosthetic eye placement after 1 month or depend on the healing status of the clean and dry surgical site as assessed and prescribed by the specialist treating directly.

5. Complications and management after reconstructive surgery with map

After reconstructive surgery, the patient may face orbital hemorrhage, which should be monitored and drained of orbital hematoma if necessary as directed by the doctor. The surgical infection is also difficult to avoid afterwards, the patient will be prescribed antibiotics, perform daily cleaning of the surgical site to limit the risk of complications.
Reconstructive surgery with map is a technique performed regularly at the Eye Department of Vinmec International General Hospital by a team of good and experienced specialists. Patients are completely assured to register for consultation, schedule treatment for eye diseases in general and reconstructive surgery and equipment in particular at Vinmec.

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