Our Summary

This article talks about the potential problems that can come up during a less invasive procedure for treating a foot condition called hallux valgus, commonly known as a bunion. The number of complications and the results of the surgery are similar to the traditional open surgery method. The authors believe that a technique involving a small skin puncture offers the best environment for healing. However, there are certain risks specific to this less-invasive surgery, like damage to soft tissues that can’t be directly seen or skin burns, which can occur if the surgery is not performed correctly. Therefore, it’s essential for surgeons to receive adequate training, such as practicing on cadavers or shadowing experienced colleagues, as they would do when learning traditional surgery.

FAQs

  1. What are some possible complications of minimally invasive surgery (MIS) for hallux valgus?
  2. How does the rate of complications in minimally invasive surgery compare with open techniques?
  3. What kind of training is necessary to prevent complications in minimally invasive surgery for hallux valgus?

Doctor’s Tip

One helpful tip a doctor might tell a patient about minimally invasive surgery is to ensure that the surgeon performing the procedure has received proper education and training in MIS techniques. This can help minimize the risk of potential complications that may arise from technical mistakes during the operation. Additionally, patients should inquire about the surgeon’s experience and success rate with minimally invasive procedures to ensure the best possible outcomes.

Suitable For

Patients who are typically recommended for minimally invasive surgery (MIS) include those with hallux valgus, as discussed in the article. Other types of patients who may benefit from MIS include those with hernias, gallbladder issues, joint problems, and spine conditions. MIS is often preferred for patients who are looking for quicker recovery times, less scarring, and less pain compared to traditional open surgery. However, it is important for patients to discuss with their healthcare provider whether MIS is the best option for their specific condition.

Timeline

  • Before minimally invasive surgery: The patient will meet with their surgeon to discuss their condition and treatment options. They may undergo various tests and evaluations to determine if they are a good candidate for minimally invasive surgery.

  • Day of surgery: The patient will be prepped for surgery and given anesthesia. The surgeon will make small incisions and use specialized instruments to perform the procedure, such as correcting a hallux valgus deformity.

  • After surgery: The patient will be monitored in the recovery room before being discharged home the same day. They may experience some pain and discomfort, but this can usually be managed with medication. The patient will be given post-operative instructions on how to care for the incisions and when to follow up with the surgeon.

  • Weeks to months post-surgery: The patient will gradually resume normal activities and physical therapy as directed by their surgeon. They should experience improved symptoms and function as the surgical site heals. Follow-up appointments will be scheduled to monitor progress and address any concerns.

Overall, minimally invasive surgery offers a quicker recovery time, less pain, and lower risk of complications compared to traditional open surgery. Proper patient education, pre-operative preparation, and post-operative care are essential for a successful outcome.

What to Ask Your Doctor

Some questions a patient should ask their doctor about minimally invasive surgery for hallux valgus include:

  1. What are the potential complications associated with minimally invasive surgery for hallux valgus?
  2. How do the complication rates and outcomes of minimally invasive surgery compare to traditional open techniques?
  3. What steps do you take to minimize the risk of complications during minimally invasive surgery?
  4. How experienced are you in performing minimally invasive surgery for hallux valgus?
  5. What type of training or education have you received in minimally invasive techniques?
  6. Are there any specific risks or complications that are unique to minimally invasive surgery for hallux valgus?
  7. How will you ensure that the soft tissue structures and skin are protected during the procedure?
  8. What is the expected recovery time and outcome for minimally invasive surgery compared to traditional open surgery for hallux valgus?
  9. Are there any specific precautions or post-operative care instructions that I should be aware of following minimally invasive surgery?
  10. Can you provide me with any additional information or resources about minimally invasive surgery for hallux valgus?

Reference

Authors: Hochheuser G. Journal: Foot Ankle Clin. 2020 Sep;25(3):399-406. doi: 10.1016/j.fcl.2020.04.002. Epub 2020 Jun 18. PMID: 32736737