How is the surgery performed?
There are several available surgical methods. In the most common method, implantation of the brain electrode is performed with the patient awake, using only local anesthetic and occasional sedation. The basic surgical method is called stereotaxis, a method useful for approaching deep brain targets though a small skull opening. For stereotactic surgery, a rigid frame is attached to the patient’s head just before surgery and after the skin is anesthetized with local anesthetic. A brain imaging study (MRI or CT) is obtained with the frame in place. The images of the brain and frame are used to calculate the position of the desired brain target and guide instruments to that target with minimal trauma to the brain. After frame placement, MRI/CT, and calculation of the target coordinates on a computer, the patient is taken to the operating room. At that point an intravenous sedative is given, a Foley catheter is placed in the bladder, the stereotactic frame is rigidly fixed to the operating
The surgery is a simple procedure performed by aspiration (suction). This procedure is referred to as a D&C (Dilation and Curettage) and is chosen method to empty the contents of the uterus. The method takes about 2 to 5 minutes. If you are over 14 weeks pregnant, you will first have your uterus dilated with a sterile product made specifically for cervical dilation called Laminaria. You will return for the actual surgery on the second day. This procedure is referred to as D&E (Dilation and Evacuation). In some cases, a patient will require two consecutive days of dilation and will return for the surgery on the third day. The dilation procedure takes just a few minutes and you will be in the clinic for approximately 2 hours the day or days that you are dilated.
Prior to surgery, Dr Goldstein will perform a physical examination, evaluate your condition, and prepare you for your surgery. Any questions or concerns are answered and addressed and then the informed consent process is completed. Operative markings are made prior to surgery with you standing in a relaxed upright position, delineating appropriate surgical landmarks. These markings are essential for symmetry between the breasts and allow for the placement of the implants to be as exact as possible. Because the surgery is performed lying flat on your back, its imperative that these markings be made while standing to avoid any shifting and distortion that may occur when lying down. In addition, correlation between your photographs are made and utilized during the operation as an additional reference. Several times during the operation, by means of the mechanized operating table, you will be placed in the upright position ensuring that proper placement of the implants has been achieved. Y
