Cherine El-Dabh, MD
Location and Office HoursCleveland Clinic Main Campus Anesthesiology
5700 Cooper Foster Park
Lorain, OH 44053
- Cleveland Clinic
Can I choose the anesthesiologist for my surgery?
You may have a choice as to who your anesthesiologist will be. Your surgeon may refer you to an anesthesiologist or you may request one based on a personal recommendation or based on your own previous experience. However, you must make that choice known in advance so that arrangements may be made to honor your request. Since your anesthesiologist is responsible for your comfort, safety and medical care during surgery, it is important that you meet before entering the operating room.
What is an open abdomen?
Betty Long, RN, MHA, Nursing, answered
An open abdomen is usually what surgeons call the result of leaving the patient's abdomen 'open' after abdominal surgery so that pressures don't build up causing your abdominal organs to stop working. The most common problems being addressed by an open abdomen is abdominal compartment syndrome (ACS) and intra-abdominal hypertension (IAH). These are very complex problems that require complex solutions.
Upon return to the intensive care unit, the patient's abdomen will be open but covered, no doubt, by a special covering to protect the internal organs. The surgeon and the clinical team in the ICU may assess the inside of the abdomen each day and after a period of time where he feels that it's safe to close the abdomen, will take steps to do that.
What type of nasal surgery can help treat repeated sinus infections?
Surgery is not typically the answer when trying to treat repeated sinus infections (sinusitis), but there are some scenarios when surgery can be indicated. Some of these include severe polyposis (presence of several polyps), erosions reaching to the bony tissue, or sinusitis that returns despite medical treatment. If surgery is appropriate there are a couple of options, including Functional Endoscopic surgery (FESS) or sinus ostial dilation. FESS is an endoscopic procedure in which tissue is removed in an attempt to restore/create normal anatomy.
Sinus ostial dilation is a procedure where the sinuses are dilated using a balloon, but no tissue is removed. The goal of both of these procedures is to restore the functional anatomy of the sinuses and to improve sinus drainage, with an ultimate goal of preventing recurrent/chronic sinusitis. It is important to remember that there are very few circumstances where surgery is the first line treatment for chronic/recurrent sinusitis.
See all Healthcare Basics questions