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MEDICAL ANIMATION TRANSCRIPT: Su médico puede recomendar una hemorroidectomía para extraer sus hemorroides si no responden a un tratamiento más conservador. Las venas hemorroidales son vasos sanguíneos dentro de las paredes del recto y del canal anal. Las hemorroides, también conocidas como almorramas, se presentan cuando estas venas se hinchan y el tejido que las rodea se inflama. Una vena hinchada cerca de la entrada del canal anal, se denomina hemorroide externa. Una vena hinchada dentro del recto, se denomina hemorroide interna. Las hemorroides internas se clasifican según su nivel de avance. Las hemorroides internas de primer grado son aquellas que siempre permanecen dentro del recto. Las hemorroides internas de segundo grado se expanden fuera del recto durante la defecación y luego regresan al interior del recto automáticamente. Las hemorroides internas de tercer grado, se extienden fuera del recto durante la defecación y luego deben ser empujadas dentro del recto. Las hemorroides internas de cuarto grado, siempre permanecen fuera del recto y no pueden ser empujadas hacia adentro. Antes de una hemorroidectomía, es posible que reciba anestesia local o general. Si recibe anestesia general, recibirá medicamentos para dormir a través de una máscara de oxígeno o por vía intravenosa. Se le insertará un tubo respiratorio por la boca y en la tráquea que le ayudará a respirar durante la operación. Su cirujano empezará utilizando un bisturí, electrocauterización o láser para hacer una incisión en el tejido que rodea a la hemorroide para exponer la vena hinchada. Su cirujano puede ligar la vena hinchada para evitar que sangre cuando sea extraída. Su cirujano extraerá la vena hinchada y el tejido inflamado. Su herida puede quedar abierta o su cirujano puede suturarla. Finalmente, su cirujano colocará vendas medicadas sobre la herida que le ayudarán a sanar y la protegerán de infecciones. Generalmente, el procedimiento dura cerca de una hora. Después de su procedimiento, se le retirará el tubo de respiración, se le ordenará consumir una dieta alta en fibras y tomar mucho líquido para evitar el estreñimiento durante su recuperación que, normalmente, dura de dos semanas a dos meses. Su médico puede recomendar baños tibios, medicamentos y/o laxantes que le hagan sentir más cómodo los días posteriores a su procedimiento. La mayoría de personas pueden regresar a casa el día del procedimiento, pero algunas deben permanecer en el hospital de uno a dos días. Después de regresar a casa, debe llamar a su médico inmediatamente si tiene fiebre, dolor excesivo, drenaje de la herida, enrojecimiento o hinchazón.
"Whether it's demonstrating a rotator cuff tear, neck movement a few
milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
represents an instant on-line database of medical illustration for
health-care and legal professionals.
Illustrations can be purchased 'as is' or modified within hours and sent
either electronically or mounted on posterboard. An illustration is worth a
thousand words, as juries perk up and look intently to capture concepts
that are otherwise too abstract. Start with good illustrations, a clear and
direct voice, a view of the jury as 12 medical students on day one of
training, and your expert testimony becomes a pleasure, even on cross
examination. An experienced trial lawyer should also emphasize these
illustrations at the end of trial, as a means of visually reinforcing key
concepts covered.
As a treating physician, I also use these accurate illustrations to educate
my own patients about their medical conditions. The Doe Report is an
invaluable resource, and its authors at MLA have always been a pleasure to
work with."
Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
www.seattlespine.info
"The Doe Report's Do-It-Yourself Exhibits program enables easy customization
of complex medical exhibits at a reasonable expense and in a timely manner.
Practically speaking, custom medical exhibits are no longer an unthinkable
luxury, but a routine necessity."
Jack S. Cohen
Levy, Angstreich, Finney, Baldante & Coren
Philadelphia, PA
"We got a defense verdict yesterday! Your exhibit was extremely helpful in
showing the jury how unlikely it is to damage all four of the nerve branches
which control the sense of taste."
Karen M. Talbot
Silverman Bernheim & Vogel, P.C.
Philadeplphia, PA
"I just wanted to let you know that after several days on trial, I settled
[my client's] construction accident case for $4.5 million. Immediately after
the jury was discharged, I spoke with several jurors who told me that they
really appreciated the medical illustrations for their clarity in dealing
with [my client's] devastating injuries. They also expressed their gratitude
in being able to read from a distance all of the notations without
difficulty. Obviously, the boards were visually persuasive. I am certain
that this contributed to our successful result."
Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
Medical Legal Art creates medical demonstrative evidence (medical
illustrations, drawings, pictures, graphics, charts, medical animations,
anatomical models, and interactive presentations) for use during legal
proceedings, including research, demand letters, client conferences,
depositions, arbitrations, mediations, settlement conferences, mock jury
trials and for use in the courtroom. We do not provide legal or medical
advice. If you have legal questions, you should find a lawyer with whom you
can discuss your case issues. If you have medical questions, you should seek the advice of a healthcare provider.
