Growing popularity of bone lengthening surgeries: Doctor discusses the safety of surgical intervention
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Aaj Tak
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Growing popularity of bone lengthening surgeries: Doctor discusses the safety of surgical intervention

Currently, there is a growing interest in surgical height increase, thanks to advancements in medical science. However, experts emphasize that height-increasing operations are not a standard procedure and involve several risks that require prolonged caution from the patient. Nevertheless, the desire to look taller motivates people to undergo such operations, which include bone amputation.

In this regard, it is important to understand the level of safety of such procedures. Professor (Doctor) Rajesh Bhalla, a specialist in bone diseases from JMC Hospital in Delhi, provided detailed information on this issue.

According to Dr. Bhalla, height-increasing surgery involves lengthening bones using the Ilizarov technique. Initially, this method was used to treat patients whose bones did not heal properly after fractures or who had leg length discrepancies. Now, people seeking to increase their height also undergo this operation.

Dr. Bhalla explains that during this operation, the bone is first cut into two segments, and then a special apparatus is installed. This device gradually increases the distance between the two bone parts, with an increase of about one millimeter daily. As the bone segments separate, the body naturally begins to form new bone tissue in the created gap. Simultaneously, surrounding nerves, muscles, and other tissues have time to adapt to the increasing length.

For example, if a 5-centimeter increase in leg bone length is required, the gradual buildup process may take about 50 days, but this does not complete the treatment. After that, the newly formed bone needs about 100 days or even more to strengthen. Thus, the entire procedure for a 5-centimeter increase can take approximately five months or more, although this period depends on the patient's age, bone condition, and the body's recovery rate.

According to Dr. Bhalla's opinion, in some cases, the femur is planned to be lengthened by about 7.5–8 centimeters, and the tibia by 5–6 centimeters. When performing operations on both bones at different stages, there is potential to increase the total length by 12–15 centimeters. However, such a procedure is not considered safe for every patient. Possible complications include joint stiffness, muscle spasms, delayed bone healing, and the need for repeat surgeries.

Dr. Bhalla also notes that before starting the operation, it is crucial to understand the reason why the patient wishes to increase their height. It must be determined whether this is their own decision or if they are under pressure from someone else. Furthermore, the patient's bone strength should be tested, and their mental state assessed. If necessary, involving a psychologist is recommended.

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Sewing needle found in woman's abdomen; doctors were surprised after hospital visit
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Sewing needle found in woman's abdomen; doctors were surprised after hospital visit

Sometimes minor health issues can have unexpected causes. This happened to a 50-year-old woman in Australia. She suddenly experienced severe abdominal pain. When she sought medical attention at the hospital, doctors were shocked: a sewing needle, about 4 centimeters long, was discovered inside her abdomen. The woman herself did not know how this object had entered her body.

This case was documented by doctors from John Hunter Hospital in Australia in a medical report. According to the report, the woman felt intense abdominal pain that lasted for about a day. Subsequently, she went to the emergency department. Upon examination, mild tenderness was noted upon palpation of the abdomen, along with a rapid pulse—heart rate reached approximately 130 beats per minute. General blood tests showed no serious abnormalities. Doctors then performed a computed tomography (CT) scan, which revealed a metallic object about 4 centimeters long in the left side of the abdomen. Initially, the doctors could not determine how this object had gotten inside.

The woman was kept under observation all night. When the pain subsided, she was discharged with a warning to return to the hospital if the pain recurred. However, the pain returned the next day. An X-ray revealed that the metallic object inside the abdomen had shifted. At this point, the woman recalled something old: before the incident, she had been sewing and had fallen asleep. She hypothesized that she might have accidentally lain on a sewing needle in her sleep, allowing it to penetrate her skin without her realizing it.

The main concern for the doctors was that the moving needle could damage the intestines or blood vessels. This could lead to serious internal injuries, bleeding, or infection. Therefore, the doctors decided to perform surgery to remove the needle using laparoscopic surgery, which allows intervention through small incisions without the need for large cuts.

During the operation, doctors found a small collection of blood near the tissue supporting the small intestine. Locating the needle itself was difficult. Using several X-rays and specialized equipment, they were able to pinpoint the needle's location. It was determined that the needle was lodged in a specific fatty tissue inside the abdomen called the Greater Omentum, which is a layer of fat around the abdominal organs. The needle was near a part of the large intestine. The doctors carefully extracted it. Fortunately, during the operation, the woman's intestines and other organs were unharmed.

The day after the successful removal of the needle, the woman remained under observation. She was discharged the day after the surgery. Later, she developed a mild infection around her navel, which the doctors treated with oral antibiotics. In their report, the doctors noted that foreign objects entering the body can change position, posing a risk of intestinal perforation, infection spread, and blood vessel damage.

Meta-analysis shows duloxetine may slightly alleviate osteoarthritis pain but increases the risk of side effects
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Meta-analysis shows duloxetine may slightly alleviate osteoarthritis pain but increases the risk of side effects

According to a systematic review and meta-analysis conducted by scientists from Australia and China, taking the antidepressant duloxetine is associated with a slight reduction in pain syndrome and improved motor abilities in adults suffering from osteoarthritis.

The study results, published in the journal eClinicalMedicine, indicate that alongside the potential benefit of taking duloxetine, there was an increased probability of adverse reactions occurring.

Nevertheless, the study authors concluded that the overall comparative effectiveness of using duloxetine remains uncertain.

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