New Delhi: Not less than 20 sufferers, largely girls of their late 20s and 30s, have undergone hip alternative surgical procedure at AIIMS utilizing a modified method by which the incision is made throughout the pores and skin fold of the bikini line or the frontal groin crease. The surgical procedure is also known as “bikini hip alternative surgical procedure”.
Dr Rajesh Malhotra, professor and head of orthopaedics at AIIMS, instructed TOI that not like the traditional method for conducting hip alternative, which leaves behind a noticeable scar, the modified method is completed in a fashion that few can inform surgical procedure has been accomplished even when the affected person wears a bikini.
“Only a few centres on the planet do that surgical procedure. It’s difficult and takes longer than common, however we determined to undertake it to assist younger girls who’re hesitant to endure the process for worry of the residual scar,” added Malhotra.
There are three most important approaches for a hip alternative surgical procedure. Within the posterior method, the surgeon makes an incision on the again of the hip joint and cuts the gluteus maximus muscle to take away the broken joint and replaces it with synthetic elements. Within the anterolateral method, the incision is made on the outer aspect of the thigh. Within the anterior method, a vertical incision is made on the entrance of the hip to switch the joints with out slicing or splitting the muscle tissues.
The bikini surgical procedure is a modified model of the anterior method the place the surgeons make a horizontal incision alongside the bikini line to make sure minimal scar. Additional, particular beauty stitches are used to minimise the noticeability of the scar.
Malhotra stated the operation via the bikini incision, which is barely 6-8cm in width, was tougher than the opposite approaches as a result of the sight view and operation was much less. “It wants a whole lot of expertise and the proper number of sufferers to succeed,” he added.
AIIMS performed the primary such surgical procedure final yr. Until date, 20 surgical procedures have been carried out. 9 sufferers suffered from avascular necrosis of the pinnacle of the femur, six sufferers had a historical past of injury to the hip joints because of rheumatoid arthritis, two others suffered from arthritis brought about because of lupus and bone injury because of tuberculosis, and one affected person developed avascular necrosis of the hip and excessive ache post-Covid. A lot of the sufferers have been younger girls.
A mini-review on the psychology of scars printed within the journal Psychiatria Danubina in 2018 said that scarring could also be pores and skin deep, however psychological affect went deeper. “The proof is decisive; the presence of scars may end up in clear markers of psychological disturbance in sufferers with related signs of despair, anger, anxiousness and post-traumatic stress.”