Arthroscopy is a minimally invasive technique developed since the early twentieth century with progressive increase in the diagnostic and therapeutic capacity of a large number of pathologies in the area of Orthopedics. It consists of the introduction of an amplifier optics inside a joint, connected to a light source, and with signal transmission to an external monitor, allowing to see what is happening inside the cavity where it is.
Since this diagnostic part was the one that initially fostered its development, it was soon realized that with its help one could also evolve to treat many pathologies using direct visualization of the anatomical structures.
As added value brought us the use of small incisions and less tissue destruction necessary to reach the joint to study / treat, because each entrance door (portal) for each joint has no more than 0.5 to 1 cm and can make several portals as needed. Indirectly, this added value allows less postoperative pain; less damage to the structures surrounding the joint that only happens so that we can access the joint; faster rehabilitation process.
It was also thanks to the introduction of shoulder joint arthroscopy that many pathologies / diseases were discovered / better known, as direct observation of the joint is always more complete than the indirect observation provided by other complementary means of diagnosis (rx, echo, CAT). , NMR, arthography, etc.).
Patients who were condemned to live their lives with the diagnosis of “tendonitis” had their lesions diagnosed and treated.
Arthroscopy therefore had the merit of allowing us to understand that many pathologies do not have a structural basis but a functional basis. The disease is not a consequence of damage that occurs in a particular structure but results from a change in the way that structure works or in its interaction with adjacent structures.
To accompany all this evolution, both the surgical instruments and the materials used had to adapt to the arthroscopy area because they had specifics not previously placed.
Arthroscopy allowed for shorter hospital stays and increased the likelihood of outpatient surgery, with less direct and indirect economic resources being consumed.
Arthroscopy as a technique increasingly used in pathologies and surgeons should not be viewed as minor surgery because as with any surgery has risks common to all and specific to arthroscopy. And, it’s not a panacea, as it leaves many fields where “classic” surgery has the advantage.
In the week prior to the surgery you will be informed of the expected time of surgery, the time of entry into the CUF Discoveries hospital and the time from which you should not eat or drink anything.
The surgery is done by arthroscopy. It is a mini-invasive technique that, through small incisions (0.5cm), allows the introduction of an optical system and instruments to perform the surgical procedure. This consists of visualizing the entire shoulder joint, cleaning the inflamed tissues and repairing the injuries of your shoulder.
To perform this procedure there are 3 possibilities of anesthesia. General anesthesia, locoregional anesthesia (only shoulder and arm become anesthetized and conscious) or combined anesthesia(does not feel arm but is sedated by unconsciousness). Choosing the type of anesthesia is conditional on your overall health and will be discussed at a prior Anesthesia appointment.
Although this type of surgery can be performed without hospitalization we think it is more protected to be hospitalized.
You are expected to be hospitalized for only one day. In the immediate postoperative period, if locoregional or combined anesthesia is performed, you will not feel the arm for a period of 12 hours. This way there is no pain and comfort is much greater.
On discharge day you will be wearing waterproof dressings that allow you to bathe. Your doctor tells you what exercises to do, tells you when you will see him again to make the dressing and remove the stitches, and to give you pain medicine. You will be discharged with your arm to your chest, and you can take it off to get dressed, do your personal hygiene and do the exercises as directed by your doctor, which you can refer to in the postoperative indications of the disease you are suffering from.
It is important that you hold the device that supports your arm until further notice. During your surgery will be repaired structures whose injury causes pain and / or inability to perform movements. These need time and protection to heal. The device guarantees the indispensable protection during this period.
You will need postoperative physiotherapy. Its onset depends on the disease you suffer from (see postoperative indications). Physical therapy may last for 2 months or more depending on the disease and the course. Initially it has daily periodicity, and it is expected that after 6 weeks it will be 2-3 times a week.
You will be poorly autonomous (difficulty dressing, feeding and bathing) for approximately 7 days and should only drive after 4 weeks.
With this information you can prepare yourself and those around you for surgery. The whole team will work to alleviate your discomfort. Think of this step as the resolution to your problem.