How is membrane removal performed in the retina?
Although most cases can be tackled unimanually and the dissection of membranes performed with the probe, very adherent membrane removal can sometimes require viscodissection with hyaluronic acid or bimanual techniques with chandelier illumination.
How is a vitrectomy done on the retina?
Depending on the individual case the surgeon will then: use forceps, scissors, and cutters to peel back scar tissue from the retina insert a silicone-tipped needle to drain infected, cloudy, or bloody fluid use a laser probe, to treat abnormal blood vessels, clots, and seal off retinal injuries, such as tears or holes 10.
How is fibrovascular tissue separated from the retina?
Fibrovascular tissue had to be separated from the retina, either by segmentation or by delamination with instruments since bringing the vitreous cutter close to the retina resulted in iatrogenic breaks.
Which is the best technique to remove fibrovascular tissue?
The lift and shave technique is an all-probe membrane removal technique that makes optimal use of 25- and 27-gauge instruments. 10 It can efficiently remove fibrovascular tissue in both TRDs and TRRDs with minimal use of ancillary instruments. Most surgical cases can be performed with probe-only membrane dissection.
Is it possible to remove a large fibroid tumor?
The surgeon’s skill: Even with a large fibroid or many of them, minimally invasive fibroid removal is possible.
Which is the best surgery for uterine fibroid removal?
Laparoscopic. During this procedure, your surgeon makes small cuts in your abdomen that let them use tools to remove the fibroids. This surgery removes your uterus. It may be the best option if your fibroids are large, you have very heavy periods, or if you know you don’t want children in the future.
What are the benefits of laparoscopic fibroid removal?
Laparoscopic fibroid removal uses small, specialized surgical instruments inserted through one or more tiny incisions in the abdomen, eliminating the need for traditional open surgery. Patients benefit from shorter hospital stays, if any, less pain, less scarring, fewer complications, faster recovery and faster return to normal activities.
What can you do to make your fibroids smaller before surgery?
Gonadotropin-releasing hormone agonists (Lupron, Synarel) block the production of estrogen and progesterone, and put you into temporary menopause, which shrinks your fibroids. Your doctor might prescribe these to make your fibroids smaller before surgery. Tranexamic acid (Lysteda) reduces heavy bleeding during your periods.