Name of the Procedure:

Connective Tissue, Human (Includes Fascia Lata)

Summary

This procedure involves using human connective tissue, such as fascia lata, for various medical applications including tissue repair, reconstructive surgery, and augmentation. Fascia lata is a type of fibrous tissue commonly harvested from the thigh.

Purpose

The procedure is used to address conditions that require tissue reinforcement or reconstruction, such as tendon or ligament injuries, hernia repairs, and certain types of plastic or reconstructive surgery. The goal is to restore function and provide structural support.

Indications

• Large segmental bone defects
• Tendon or ligament injuries requiring augmentation
• Hernia repairs
• Soft tissue reconstructions post-tumor excision
• Cosmetic or reconstructive surgeries

Preparation

• Pre-procedure fasting may be required, typically for 8-12 hours if sedation is used.
• Patients should disclose all medications and might need to adjust certain medications like blood thinners.
• Preoperative imaging studies such as MRI or CT scans may be necessary for planning.

Procedure Description

1. The patient is brought into the surgical room where initial preparations are made.
2. Anesthesia is administered; this could be local, regional, or general depending on the complexity.
3. The surgeon makes an incision to access and harvest the fascia lata or prepares a pre-harvested tissue graft.
4. The harvested tissue is sterilized and prepared.
5. The tissue is then placed and sutured into the area needing repair or reinforcement.
6. The incision is closed with sutures or surgical staples.
7. A dressing is applied to the surgical site.

Duration

The procedure typically takes between 1 to 3 hours, depending on the complexity and specific application.

Setting

This procedure is performed in a surgical center, outpatient clinic, or hospital operating room.

Personnel

• Surgeons specialized in orthopedic, plastic, or general surgery.
• Surgical Assistants or Nurses
• Anesthesiologists or Nurse Anesthetists

Risks and Complications

• Infection at the surgical site or donor site
• Rejection of the graft
• Nerve or blood vessel damage
• Blood clots
• Scar tissue formation
• Potential for reoperation if complications arise

Benefits

• Enhanced structural support and tissue reconstruction
• Faster functional recovery and rehabilitation
• Reduced pain and improved quality of life once healed

Recovery

• Patients may need a hospital stay of 1-2 days, depending on the surgery.
• Pain management will be provided.
• Instructions include wound care, limiting physical activities, and attending follow-up appointments.
• Full recovery may take several weeks to months, with gradual return to normal activities.

Alternatives

• Synthetic grafts or biologic implants
• Autologous tissue grafts from another part of the patient's body
• Physical therapy and non-invasive management techniques
• The choice depends on specific medical conditions, personal preferences, and potential outcomes.

Patient Experience

Patients might experience some discomfort and swelling post-procedure, managed by prescribed pain medications. Physical therapy may be required to regain full function. The overall pain and discomfort typically lessen over time, with most patients reporting improved quality of life after complete healing.