With the right technique and positioning, this can be done through a short incision eg 2cm in a lean patient
(best position is with the arm at about 70-80 degree angle from the body)
A grooved director is used to protect the median nerve as the transverse carpal ligaments is cut
One cannot see the benefit from doing it endoscopically from making two cuts instead of one – in fact the serious risk of median nerve injury is well documented in endoscopic carpal tunnel release. In addition, on is dividing the transverse carpal ligaments – hence pilar pain postop(the main cause of chronic pain after the surgery) can still be present
Dr LP Cheah has had a lot of request to do scopes on a Saturday morning.
He will be having a list on Saturday August 27th at John Fawkner Private Hospital.
Dr Cheah normally prefers to see all his patients beforehand so that full informed consent can be obtained. Dr Cheah will be consulting at:
The Clinic Footscray (Wednesday) – Aug 17th and 24th
1st Floor, 91 Paisley Street, Footscray 3011 Tel: 9687 2271 Fax: 9689 6008
John Fawkner Private Hospital Consulting Rooms(Monday – Aug 22nd)
267 Moreland Road, Coburg 3058 Tel: 9385 2285
Caroline Springs Specialist Centre Suite 3-5, 224-226 Caroline Springs Blvd, Caroline Springs 3023 Tel: 8361 7655
(Please inform the reception that this is consult is for endoscopy on Sat Aug 27 if there is no appointment times available)
Please bring along a referral from the general practitioner. (If you have seen Dr LP Cheah before, you would need a new referral if the last referral letter from your GP was more than 12 months old)
If it is not possible to come for a consult before hand or it is an urgent referral(ie acute bleeding from haemorrhoids) – please contact Dr LP Cheah directly through the rooms.
For more information about the procedures and the bowel preparation please see www.melbournesurgery.com
Eating a healthy diet and having a healthy lifestyle can lower your risk of developing bowel cancer.
Lifestyle steps you can take include;
1. Having a healthy body weight(ie body mass index below 25)
2. Regular exercise 30-60minute a day
3. Limiting alcohol drinks to not more than 2 standard drinks a day for a man(and not more than one standard drinks a day for a woman)
4. Not smoking
Your diet should:
1. Have adequate fibre( 30G/day) – take lots of poorly soluble fibre(eg wheat bran), have at least 5 serves of vegetables a day, have at least 2 fruits a day
2. Take adequate calcium 1-1.2G/day (may need calcium supplements)
3. Restrict daily energy intake to <2500 calories/day for a man and <2000 calories/day for a woman
4. Be low in fat – <25% of total energy intake should be from fat. (eg avoid fried oily food like fish and chips, be aware too that even instant noodles have a lot of fat in them as they are sprayed or fried in fat in their preparation!!)