Tag Archives: Surgery of the Hand

General Surgery, Vascular Surgery

Experts Clearinghouse LLC consistently delivers the most sought after general and vascular surgeons to law firms, corporations, and governments who need them the most.  Our network includes the absolute best credentialed and respected practitioners who testify in the toughest of scenarios, often when other networks have failed.

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Experts Clearinghouse experts in this Specialty have a certificate issued by:  American Board of Surgery

Subspecialties include:  Complex General Surgical Oncology, Hospice and Palliative Medicine, Pediatric Surgery, Surgery of the Hand, Surgical Critical Care

Expert Witness Location Difficulty Level:  MEDIUM

States represented by the network:  Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Typical minimum fee for Record Review and Report Writing for this Specialty:  $250 per hour

Typical minimum fee for Testimony for this Specialty:  $300 per hour

For a more complete explanation of Fees, click here

Medical Malpractice issues:  Standard of care

Mass Tort involvements:  General surgeons for Prempro related to breast cancer

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Taken from Wikipedia.org:

General surgery is a surgical specialty that focuses on abdominal contents including esophagus, stomach, small bowel, colon, liver, pancreas, gallbladderand bile ducts, and often the thyroid gland (depending on local reference patterns). They also deal with diseases involving the skin, breast, soft tissue,trauma , peripheral vascular surgery and hernias.

Scope

General surgeons may sub-specialize into one or more of the following disciplines:

Trauma surgery/ Surgical Critical Care

In the United States and Canada, the overall responsibility for trauma care falls under the auspices of general surgery. Some general surgeons obtain advanced training in this field (most commonly surgical critical care) and specialty certification surgical critical care. General surgeons must be able to deal initially with almost any surgical emergency. Often, they are the first port of call to critically ill or gravely injured patients, and must perform a variety of procedures to stabilize such patients, such as thoracostomy, cricothyroidotomy, compartment fasciotomies and emergency laparotomy orthoracotomy to stanch bleeding. They are also called upon to staff surgical intensive care units or trauma intensive care units.[citation needed]

All general surgeons are trained in emergency surgery. Bleeding, infections, bowel obstructions and organ perforations are the main problems they deal with. Cholecystectomy, the surgical removal of the gallbladder, is one of the most common surgical procedures done worldwide. This is most often done electively, but the gallbladder can become acutely inflamed and require an emergency operation. Ruptures of the appendix and small bowel obstructions are other common emergencies.

Laparoscopic surgery

This is a relatively new specialty dealing with minimal access techniques using cameras and small instruments inserted through 0.3 to 1 cm incisions. Robotic surgery is now evolving from this concept (see below). Gallbladders, appendices, and colons can all be removed with this technique. Hernias are now repaired mostly laparoscopically. Most bariatric surgery is performed laparoscopically.[citation needed] General surgeons that are trained today are expected to be proficient in laparoscopic procedures.

Colorectal surgery

General surgeons treat a wide variety of major and minor colon and rectal diseases including inflammatory bowel diseases (such as ulcerative colitis or Crohn’s disease), diverticulitis, colon and rectal cancer, gastrointestinal bleeding and hemorrhoids.

Breast surgery

General surgeons perform a majority of all non-cosmetic breast surgery from lumpectomy to mastectomy, especially pertaining to the evaluation and diagnosis, of breast cancer.

Vascular surgery

General surgeons can perform vascular surgery if they receive special training and certification in vascular surgery. Otherwise, these procedures are performed by vascular surgery specialists. However, general surgeons are capable of treating minor vascular disorders.

Endocrine surgery

General surgeons are trained to remove all or part of the thyroid and parathyroid glands in the neck and the adrenal glandsjust above each kidney in the abdomen. In many communities, they are the only surgeon trained to do this. In communities that have a number of subspecialists, other subspecialty surgeons may assume responsibility for these procedures.

Transplant surgery

Responsible for all aspects of pre-operative, operative, and post-operative care of abdominal organ transplant patients. Transplanted organs include liver, kidney, pancreas, and more rarely small bowel.

Surgical oncology

Surgical oncologist refers to a general surgical oncologist (a subspecialty of general surgery), but thoracic surgical oncologists, gynecologic oncologists and so forth can all be considered surgeons who specialize in treating cancer patients. The importance of training surgeons who sub-specialize in cancer surgery lies in evidence, supported by a number of clinical trials, that outcomes in surgical cancer care are positively associated to surgeon volume—i.e., the more cancer cases a surgeon treats, the more proficient he or she becomes, and his or her patients experience improved survival rates as a result. This is another controversial point, but it is generally accepted—even as common sense—that a surgeon who performs a given operation more often, will achieve superior results when compared with a surgeon who rarely performs the same procedure. This is particularly true of complex cancer resections such as pancreaticoduodenectomy for pancreatic cancer, and gastrectomy with extended (D2) lymphadenectomy for gastric cancer.

Cardiothoracic surgery

Most cardiothoracic surgeons in the U.S. (D.O. or M.D.) first complete a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years).

Pediatric Surgery

Pediatric surgery is a subspecialty of general surgery pediatric surgeons do surgery on patients age lower than 18. pediatric surgery is 5–7 years of residency and a 2-3 fellowship

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Plastic Surgery

Experts Clearinghouse LLC consistently delivers the most sought after plastic surgeons to law firms, corporations, and governments who need them the most. Our network includes the absolute best credentialed and respected practitioners who testify in the toughest of scenarios, often when other networks have failed.

Call us today for your free initial consultation at 713-501-8526 or e-mail at medexperts@gmail.com.

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Experts Clearinghouse experts in this Specialty have a certificate issued by:  American Board of Plastic Surgery

Subspecialties include:  Plastic Surgery Within the Head and Neck, Surgery of the Hand

Expert Witness Location Difficulty Level:  MEDIUM

States represented by the network:  Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Typical minimum fee for Record Review and Report Writing for this Specialty:  $250 per hour

Typical minimum fee for Testimony for this Specialty:  $300 per hour

For a more complete explanation of Fees, click here

Medical Malpractice issues:  Standard of care

Mass Tort involvements:

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Taken from Wikipedia.org:

Plastic surgery is a medical procedure with the purpose of alteration or restoring the form of the body. Though cosmetic or aesthetic surgery is the most well known kind of plastic surgery, plastic surgery itself is not necessarily considered cosmetic;[2] and includes many types of reconstructive surgery,craniofacial surgery, hand surgery, microsurgery, and the treatment of burns.

In the term plastic surgery, the adjective plastic implies sculpting or reshaping, which is derived from the Greek ???????? (?????), plastik? (tekhn?), “the art of modelling” of malleable flesh.[3] This meaning in English is attested as early as 1598.[4]The surgical definition of “plastic” first appeared in 1839, preceding the modern “engineering material made from petroleum” sense of plastic (coined by Leo Baekeland in 1909) by seventy years.[5]

Reconstructive plastic surgery is performed to correct functional impairments caused by burns; traumatic injuries, such as facial bone fractures and breaks; congenital abnormalities, such as cleft palates or cleft lips; developmental abnormalities; infection and disease; and cancer or tumors. Reconstructive plastic surgery is usually performed to improve function, but it may be done to approximate a normal appearance.

The most common reconstructive procedures are tumor removal, laceration repair, scar repair, hand surgery, and breast reduction plasty. According to the American Society of Plastic Surgeons, the number of reconstructive breast reductions for women increased in 2007 by 2 percent from the year before. Breast reduction in men also increased in 2007 by 7 percent. In 2012, there were 68,416 performed.

Some other common reconstructive surgical procedures include breast reconstruction after a mastectomy for the treatment of cancer, cleft lip and palate surgery, contracture surgery for burn survivors, and creating a new outer ear when one is congenitally absent.

Plastic surgeons use microsurgery to transfer tissue for coverage of a defect when no local tissue is available. Free flaps of skin, muscle, bone, fat, or a combination may be removed from the body, moved to another site on the body, and reconnected to a blood supply by suturing arteries and veins as small as 1 to 2 millimeters in diameter.

Cosmetic surgery

Cosmetic surgery is an optional procedure that is performed on normal parts of the body with the only purpose of improving a person’s appearance and/or removing signs of aging. In 2014, nearly 16 million cosmetic procedures were performed in the United States alone.[19] The number of cosmetic procedures performed in the United States has almost doubled since the start of the century. 92% of cosmetic procedures were performed on women in 2014 up from 88% in 2001.[20] Nearly 12 million cosmetic procedures were performed in 2007, with the five most common surgeries being breast augmentation, liposuction, nasal surgery, eyelid surgery and abdominoplasty. The American Society for Aesthetic Plastic Surgery looks at the statistics for thirty-four different cosmetic procedures. Nineteen of the procedures are surgical, such as rhinoplasty or facelift. The nonsurgical procedures include Botox and laser hair removal. In 2010, their survey revealed that there were 9,336,814 total procedures in the United States. Of those, 1,622,290 procedures were surgical (p. 5). They also found that a large majority, 81%, of the procedures were done on Caucasian people (p. 12).[21] The increased use of cosmetic procedures crosses racial and ethnic lines in the U.S., with increases seen among African-Americans, Asian Americans and Hispanic Americans as well as Caucasian Americans. In Europe, the second largest market for cosmetic procedures, cosmetic surgery is a $2.2 billion business.[22] In Asia, cosmetic surgery has become more popular, and countries such as China and India have become Asia’s biggest cosmetic surgery markets.[23]

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Orthopaedic Surgery

Experts Clearinghouse LLC consistently delivers the most sought after orthopedic surgeons to law firms, corporations, and governments who need them the most. Our network includes the absolute best credentialed and respected practitioners who testify in the toughest of scenarios, often when other networks have failed.

Call us today for your free initial consultation at 713-501-8526 or e-mail at medexperts@gmail.com.

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Experts Clearinghouse experts in this Specialty have a certificate issued by:  American Board of Orthopaedic Surgery

Subspecialties include:  Orthopaedic Sports Medicine, Surgery of the Hand

Expert Witness Location Difficulty Level:  MEDIUM

States represented by the network:  Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Typical minimum fee for Record Review and Report Writing for this Specialty:  $250 per hour

Typical minimum fee for Testimony for this Specialty:  $300 per hour

For a more complete explanation of Fees, click here

Medical Malpractice issues:  Standard of care

Mass Tort involvements:  Fosamax related to osteonecrosis of the jaw and femur fractures, DePuy implant failures.

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Taken from Wikipedia.org:

Orthopaedic surgery or orthopaedics (sometimes spelled orthopedic surgery and orthopedics) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopaedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, sports injuries,degenerative diseases, infections, tumors, and congenital disorders.

According to applications for board certification from 1999 to 2003, the top 25 most common procedures (in order) performed by orthopedic surgeons are as follows:[11]

  1. Knee arthroscopy and meniscectomy
  2. Shoulder arthroscopy and decompression
  3. Carpal tunnel release
  4. Knee arthroscopy and chondroplasty
  5. Removal of support implant
  6. Knee arthroscopy and anterior cruciate ligament reconstruction
  7. Knee replacement
  8. Repair of femoral neck fracture
  9. Repair of trochanteric fracture
  10. Debridement of skin/muscle/bone/fracture
  11. Knee arthroscopy repair of both menisci
  12. Hip replacement
  13. Shoulder arthroscopy/distal clavicle excision
  14. Repair of rotator cuff tendon
  15. Repair fracture of radius (bone)/ulna
  16. Laminectomy
  17. Repair of ankle fracture (bimalleolar type)
  18. Shoulder arthroscopy and debridement
  19. Lumbar spinal fusion
  20. Repair fracture of the distal part of radius
  21. Low back intervertebral disc surgery
  22. Incise finger tendon sheath
  23. Repair of ankle fracture (fibula)
  24. Repair of femoral shaft fracture
  25. Repair of trochanteric fracture

A typical schedule for a practicing orthopedic surgeon involves 50–55 hours of work per week divided among clinic, surgery, various administrative duties and possibly teaching and/or research if in an academic setting.[12]

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