I believe Dr Parihar is probably the cheapest best surgeon out there... As he also trained with Dr paley ... I don’t know who this Dr lee is or Dr Halil budul but Dr giotikas seems like a decent surgeon...
Dr. DongHoon lee is actually recommended by Dr. Paley and also trained with him.
Quote from: Infinity on November 13, 2020, 06:41:33 PMIf scars and other other cosmetic factors are an issue the scars on Dr. Lee patients are barely visilble. So far I have see scars only on Parihar's LON/external patients and they a very visible and significant as he uses metal staples for closing of the skin opening. I am not sure how they are with his internal nails.
Metal staples aren't much of an issue long term for scarring, if at all. I had pretty bad scars and my doctor did not use staples. Other factors such as how bad the wound was and genetics determine how bad they are.
Quote from: Medium Drink Of Water on November 13, 2020, 09:04:33 PMMetal staples aren't much of an issue long term for scarring, if at all. I had pretty bad scars and my doctor did not use staples. Other factors such as how bad the wound was and genetics determine how bad they are.
From my limited knowledge base it seems stapling is not the best option for wound closure and from what I have seen parihar was using this method as he is primarily a tauma and deformity correction surgeon, which can be both good and bad when it comes to choosing a surgeon for CLL.. I am not sure if he still does so but this point might be relevant for some people who do LL for cosmetic purposes. Below I share some text I came across, ..
" FACTORS TO CONSIDER WHEN USING STAPLES
1. APPLICATION AND REMOVAL
Stapling can usually be performed quicker than suturing, saving about 2-3 minutes of time, which is why stapling is the preferred method of choice for trauma care involving mass casualties, whether it’s a natural disaster, major vehicular accident, or even a shooting. In a physician’s office. And while both stapling and most suturing require return visits for removal, staple removal in particular requires usage of a special tool versus a simple set of scissors for sutures. There are times when staples can become embedded in the skin, making removal difficult; on rare occasions, staples can become completely lodged within the skin, requiring a new incision to remove the buried staple.
2. RISK OF INFECTION
Wound complications are one of the main sources of illness following surgery, extending a patient's stay in the hospital or even leading to readmission. To find out which were less likely to lead to infection—stitches or staples—researchers analyzed the results of six trials, comparing both methods following surgeries in over 680 adults. They compared the use of staples to sutures following orthopedic procedures in adults. Their conclusion? The risk of developing a superficial wound infection was over three times greater after staple closure than suture closure, and for hip surgery in particular, staples were four times more likely to lead to infection.
3. SCARRING
Just as with sutures, staples can cause scarring. Because staples do not allow for precise wound alignment, healthcare professionals should not use staples on the face or neck (and discomfort makes them a poor choice for usage in the hands or feet). In patients who easily scar, staples could make their scar more pronounced, especially if the staples are left in for any stretch of time (>5 to 15 days, depending upon the location). Between 2013 and 2016, 163 women were analyzed, including 84 who received staples and 79 receiving sutures. There was some variance in weight and aging, but women with staples reported worse median cosmetic scores, darker scar color, and more skin marks compared to women with suture closure. "
Quote from: Infinity on November 13, 2020, 08:21:03 PMDr. DongHoon lee is actually recommended by Dr. Paley and also trained with him.
Suggest me a good diary from Dr Donghoon lee please haven’t really read any of his diaries
I actually would really like to go with Parihar and stay in one of those fancy Mumbai hotels. I’m actually Indian myself living in the US as a US Citizen. I have a Indian Visa that allows me to stay there for 6 months at a time. Would Dr. Parihar allow me to come back to the states after 2 months lengthening is complete?
Quote from: urbuddy on November 22, 2020, 11:46:28 PMI actually would really like to go with Parihar and stay in one of those fancy Mumbai hotels. I’m actually Indian myself living in the US as a US Citizen. I have a Indian Visa that allows me to stay there for 6 months at a time. Would Dr. Parihar allow me to come back to the states after 2 months lengthening is complete?
Yes you can definitely go back after distraction. You can actually leave whenever you want and won't be stopped or anything but you would have to rely on a local surgeon for follow ups and also figure out how to return the ERC machine.
Quote from: Infinity on November 14, 2020, 08:36:28 AMFrom my limited knowledge base it seems stapling is not the best option for wound closure and from what I have seen parihar was using this method as he is primarily a tauma and deformity correction surgeon, which can be both good and bad when it comes to choosing a surgeon for CLL.. I am not sure if he still does so but this point might be relevant for some people who do LL for cosmetic purposes. Below I share some text I came across, ..
" FACTORS TO CONSIDER WHEN USING STAPLES
1. APPLICATION AND REMOVAL
Stapling can usually be performed quicker than suturing, saving about 2-3 minutes of time, which is why stapling is the preferred method of choice for trauma care involving mass casualties, whether it’s a natural disaster, major vehicular accident, or even a shooting. In a physician’s office. And while both stapling and most suturing require return visits for removal, staple removal in particular requires usage of a special tool versus a simple set of scissors for sutures. There are times when staples can become embedded in the skin, making removal difficult; on rare occasions, staples can become completely lodged within the skin, requiring a new incision to remove the buried staple.
2. RISK OF INFECTION
Wound complications are one of the main sources of illness following surgery, extending a patient's stay in the hospital or even leading to readmission. To find out which were less likely to lead to infection—stitches or staples—researchers analyzed the results of six trials, comparing both methods following surgeries in over 680 adults. They compared the use of staples to sutures following orthopedic procedures in adults. Their conclusion? The risk of developing a superficial wound infection was over three times greater after staple closure than suture closure, and for hip surgery in particular, staples were four times more likely to lead to infection.
3. SCARRING
Just as with sutures, staples can cause scarring. Because staples do not allow for precise wound alignment, healthcare professionals should not use staples on the face or neck (and discomfort makes them a poor choice for usage in the hands or feet). In patients who easily scar, staples could make their scar more pronounced, especially if the staples are left in for any stretch of time (>5 to 15 days, depending upon the location). Between 2013 and 2016, 163 women were analyzed, including 84 who received staples and 79 receiving sutures. There was some variance in weight and aging, but women with staples reported worse median cosmetic scores, darker scar color, and more skin marks compared to women with suture closure. "
From my experience, the staples didn't leave any scars. I only have indentations where the pins and wires from the frame were located.
You can see the initial appearance of the staples here:
https://www.turboimagehost.com/p/19408943/fib_osteotomy_close.jpg.html
And what it looked like after the staples were removed while I was still in frames:
http://www.limblengtheningforum.com/index.php?topic=634.msg38454#msg38454
I couldn't even tell there were staples earlier.
Hey KiloKhan,
I was checking the images of your legs after frame removal and then some of your mock-ups came up. Is it still in your plans to get 7cm on femurs and with who would you think of doing this?
very informative
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