Music in the operations room:
If you are into medical TV shows such as ER or Gray’s Anatomy you might have noticed that the surgeons in these shows sometimes play music during surgery, but you might be surprised to learn that this is also a common practice in real life, from classic to rock, music can be heard in operating rooms throughout the world, in earlier times when anesthesia wasn’t as effective as today music might have been played to help calm the patients and distract them from the horror of the situation, but today it is a means to calm the surgeon and reduce anxiety, with many renowned surgeons saying music helps them relax and keep focused.
An Incisional Hernia is a type of hernia that occurs through a previously made incision in the abdominal wall (The scar left from previous surgical operation) typically between three and six month after the surgery, although it can occur before or after this time. It appears as a bulge near the incision site and is usually most visible when you strain your muscles, such as when you stand up, lift something heavy, or cough.
Reasons and risk factors:
Incisional hernias are basically the result of a surgical wound in the abdominal wall failing to heal properly, on the surgeon’s side the sewing technique used to close the incision can play a part, and on the patient’s side getting back to physical activity too soon or not having enough rest after a surgery can increase the risk greatly.
Other risk factors include wound infection, existing health conditions, obesity, smoking and some medications. The best way to lower the risk of a hernia is by taking the recommended amount of time to heal after a surgery and following the doctor’s instructions.
That being said, sometimes there is no clear reason why a surgical cut does not heal properly, and a hernia can occur even in the absence of any other risk factors.
A doctor will determine the best course for treatment depending on several factors such as the hernia’s size, location and weather it affected the results of the original surgery, the treatment is usually through:
Open Hernia Repair: A surgical procedure, in which the surgeon makes an incision in the abdomen above the hernia, pushes the protruding intestine back into the abdomen and repairs the muscle wall while reinforcing the weak with or without a mesh.
Laparoscopy: a minimally invasive procedure, in which the surgeon makes several small incisions in the lower abdomen and inserts a tube-like instrument equipped with a camera into one of them, the surgeon then uses the images captured by the camera to guide small instruments inserted through the other incisions to repair the hernia.
Hammurabi’s laws of surgery!
The “Code of Hammurabi” is a collection of 282 laws enacted by the sixth Babylonian king about 1754BC! The laws regulated many aspects of society such as religion, trade and justice, and some even dealt with the practice of surgery! Some laws set the payment surgeons received after a successful operation; interestingly Noblemen would pay higher wages than poor people or slaves. Another law states the punishment for failed surgeries, in Hammurabi’s law if a surgery results in the death of a patient the punishment would range from cutting the surgeon’s hands off! (If the patient was a Nobleman) to financial fines (if the patient was a slave).
One law even regulates the wages of surgeries performed on animals.