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Should I Get Mesh Fixed Before Knee Replacement Surgery?

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Posted on Mon, 18 Aug 2014
Question: TTwo years ago I had severe Pulmonary Embolism , Today I need to have knee replacement. My doctor said that I must have a mesh (filter) before the surgery because is risky to have it without the filter, is he right or wrong? Thanks for the information

XXXXXXX
doctor
Answered by Dr. Shashi Dangwal (27 minutes later)
Brief Answer:
Yes, your doctor is right.

Detailed Answer:

Hello XXXXXX,

Yes, your doctor is right.

You are already a high risk case in view of past history of pul embolism. The source of embolus is usually the deep veins of lower limbs. Any surgery on lower limbs makes you prone for developing deep vein thrombosis and from this thrombosis, a piece can get detached and form an embolus which can travel upto your lungs, get lodged over there and cause pulmonary embolism.

Hence it`s recommended that you follow your doctor`s advice.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shashi Dangwal (4 days later)
My G.I. doctor said I could have surgery, I checked with a lood doctor and he believe the same say but the ortophedic doctor said he will not do it if I don't get a mesh in or filter.
Which is your opinion?
doctor
Answered by Dr. Shashi Dangwal (14 minutes later)
Brief Answer:
You should get a mesh/filter fixed

Detailed Answer:

As already mentioned above, I am also of the opinion that you should get a mesh fixed prior to your knee surgery as chances of recurrent pul embolism are high.

Take care.
Above answer was peer-reviewed by : Dr. Ashwin Bhandari
doctor
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Follow up: Dr. Shashi Dangwal (45 hours later)

I'm taking Waferin, I want to try a Herb call "Collagen 2", thiis is for the joint pain and help a lot but I have to take it with orange juice, I have ulcerative colitis and two years ago I was told that citric juice was not good for the colon because because of it, is it true?
doctor
Answered by Dr. Shashi Dangwal (4 hours later)
Brief Answer:
You should continue warferrin under supervision of

Detailed Answer:

You should continue warferrin under supervision of your doctor.

I`ll not be able to comment on any herbal medicine since I do not practice it.

Raw fruits may aggravate the symptoms because of high fibre. Similarly fruit juices may aggravate the symptoms. You should consult a GE physician for your ulcerative colitis as he is the right person to advise you on this topic..
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shashi Dangwal

Pulmonologist

Practicing since :1979

Answered : 1157 Questions

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Should I Get Mesh Fixed Before Knee Replacement Surgery?

Brief Answer: Yes, your doctor is right. Detailed Answer: Hello XXXXXX, Yes, your doctor is right. You are already a high risk case in view of past history of pul embolism. The source of embolus is usually the deep veins of lower limbs. Any surgery on lower limbs makes you prone for developing deep vein thrombosis and from this thrombosis, a piece can get detached and form an embolus which can travel upto your lungs, get lodged over there and cause pulmonary embolism. Hence it`s recommended that you follow your doctor`s advice.