Recommendations: Urologic Surgery

In patients undergoing transurethral or other low-risk urologic procedures, we recommend against the use of specific prophylaxis other than early and persistent mobilization (Grade 1C + ).

For patients undergoing major, open urologic procedures, we recommend routine prophylaxis with LDUH twice daily or three times daily (Grade 1A). Acceptable alternatives include prophylaxis with IPC and/or GCS (Grade 1B) or LMWH (Grade 1C + ).

For urologic surgery patients who are actively bleeding, or are at very high risk for bleeding, we recommend the use of mechanical prophylaxis with GCS and/or IPC at least until the bleeding risk decreases (Grade 1C+).

For patients with multiple risk factors, we recommend combining GCS and/or IPC with LDUH or LMWH (Grade 1C+).

Laparoscopic surgery

The expanding use of laparoscopic techniques over the past 2 decades has profoundly changed surgical diagnosis and therapy. There is, however, considerable controversy related to thromboembolic complications after these pro-cedures. Laparoscopic cholecystectomy is associated with a modest thrombogenic activation of the coagulation system, as well as stimulation of fibrinolysis. In some studies, the magnitude of these changes was similar to that of changes seen after open cholecystectomy, while other studies found smaller changes among the patients undergoing laparoscopic cholecystectomy.  Canadian Health Blog here.

Laparoscopic operations are often associated with longer surgical times than are open procedures. Both pneumoperitoneum and the reverse Trendelenburg position reduce venous return from the legs, creating lower extremity venous stasis. While laparoscopic procedures are generally associated with a shorter hospital stay, patients undergoing them may not mobilize more rapidly at home than those undergoing open procedures.

Although the risks of VTE and its prevention have been less intensively studied in laparoscopic procedures compared with other abdominal procedures, the risks appear to be low. For example, among 417 UK surgeons, 91% reported having never encountered a thromboembolic complication following laparoscopic cholecystectomy, although the majority reported using LDUH routinely in these patients. About impotence.

A Danish survey found that 80% of surgical departments were not aware of any thromboembolic complications following laparoscopic surgery, although, again, prophylaxis was commonly used. In another study, no DVT or PE was encountered in the first month after laparoscopic cholecystectomy among 587 cases, of whom only 3% received thromboprophylaxis.

Among 25 patients undergoing laparoscopic cholecystectomy without any thromboprophylaxis, screening contrast venography on postoperative days 6 to 10, failed to detect any DVT.

These men offered to the populace various natural remedies for male patterned baldness. And even down to our time various natural substances are offered as male pattern hair loss treatment. As a basic ground rule for our discussion, let us agree that the term natural means any substance or ingredient as found in nature and that remains unaltered in any way before being used in treating hair thinning.

The most common cause of female hair loss is androgenic alopecia, also known as female pattern baldness. Women with this condition typically have too much of the hormone dihydrotestosterone (DHT) in their bodies. DHT deprives the follicles of nutrients. As a result, the strands start shedding excessively.

Green tea and rosemary are herbs which help block the production of DHT.

Women spend so much time taking care of others they often neglect themselves. As a result, they do not take the time to make sure they are eating the right foods. A lack of vitamins is one of the leading causes of thinning hair.

Vitamin B helps the strands maintain their structure. They cannot grow without it. You can get vitamin B from eggs, potatoes, brewer’s yeast and liver.

— Jojoba oil is another natural treatment commonly used in Mexico for many centuries. Like the other essential oils, you also massage the jojoba oil in your scalp.

— Natural oils such as coconut oil, olive oil, and castor oil contain protein which the strands need in order to grow and stay strong. Massage one of these natural oils into your hair and scalp daily. This will increase the flow of blood to your scalp. A healthy blood flow is necessary in order for important nutrients to be transported to your roots.

An herbal treatment for this condition consists of bringing a concoction of peach leaves, rosemary, nettles, burdock, and sage to a boil in a pan on the stove. After the mixture starts to boil, strain it into a squirt bottle. This herbal mixture should then be applied as a shampoo to your hair on a daily basis. Avoiding commercial shampoos will also help.

— Aromatherapy is one of the most simple hair loss natural remedies you can use. It is traditionally used for relaxation. Stress can cause thinning hair, so reducing stress can help you grow back your hair.

Another benefit is found in the herbal oils used in aromatherapy. These oils help minimize the effects of female pattern baldness. Mix some of these oils such as lavender oil and bay oil together and massage the mixture into your scalp. You can also add some of these natural oils to your shampoo to thicken your hair.

It is very important for you to begin treatment for your thinning hair as soon as you notice that your strands are thinning. This will significantly increase your chances of getting your strands to grow back. If the follicles sit there for too long without strands, the follicles will lose their ability to function and the hair loss will become permanent.

Exposure to sun and heat treatments are major enemies of your hair. Prolonged exposure to sunlight can make them dull and dry.

During summers, sun and humidity causes hair to break resulting in split ends. This breakage is due to lack of moisture, in healthy conditions moisture content is approx. 10%.

Dry and dull hair result form exposure to sunlight, as well as frequent heat treatments, it is also caused by lack of sebum which is secreted by sebaceous glands in our scalp. Sebum production increases in warm and humid conditions. 90% of dry and dull hair condition is due to deficiency of water.

Pamper your hair

You can restore your dull and dry hair to natural and shiny hair for that you need to take extra care. If you have had chemical treatments or heat treatments in the past and you are suffering from dry and dull hair, you must pamper them with a nourishing conditioner. You can also use hot oil treatments to nourish them, this tip has been passed on to generations and it is very effective.

Dyes and bleaching can reduce moisture content in your hair up to 2%, which makes your hair look extremely dry and dull even frizzy. Sun rays damage your hair so always prefer a shampoo with UV protection. You should always avoid alkaline based shampoos. During swimming protect your hair from chlorine in water by wearing a hair cap.

Moisturize your dry and dull hair

Dry and dull hair is prone to breakage, which can be painstaking for a lot of woman. Argon oil is natural oil which is derived from argon plant; it is regarded as the best hair treatment for dry and dull hair. Argon oil infuses moisture and brings shine and vitality.

Jojoba oil is also naturally derived oil which is derived from shrub indigenous to western US. Jojoba oil has sebum like properties and is very effective in providing moisture to the hair.
Emu oil has been in use by the Australians for thousand of years; this oil penetrates deeply into the follicles and is a good moisturizer for hair.

Eating right foods for great hair

Dry and dull hair can only be treated naturally by drinking lots of water; you should also include fruits and vegetables in your diet.

Folliculitis is simply inflammation of the hair-producing follicles. They are located within the pores of your skin. They symptoms include pain, itching and redness. Rashes, pimples or pustules may be present. If left untreated, boils, carbuncles or furuncles can form.

The causes include fungal, bacterial and viral infections. But the condition begins when the hair follicles are damaged in some way. The damage allows the pathogens to cause infection. Things that can damage the follicles include:

• Shaving, especially when no lubricant is used
• Friction, usually from excessive scrubbing or exfoliation
• Clogged pores

How to Prevent Folliculitis

You can prevent folliculitis if you avoid damaging the follicles.

• When you are shaving, you should use a ubricant that does not contain comedogenic (pore-clogging) ingredients. Ingredients to avoid include mineral oil, petrolatum, paraffin wax, coconut oil, cocoa butter, mink oil, soybean oil, wheat germ oil, sodium chloride (salt), sodium laurel sulfate and artificial colors.
• Exfoliation should be avoided if you have a history of folliculitis. You should never scrub your face, as it auses irritation and inflammation. After shaving, you should use a solution that contains a natural antiseptic like witch hazel or an antibacterial like active manuka honey. This will help to control bacteria and other pathogens, just in case a follicle accidentally becomes damaged.

For men who shave their faces, I recommend active facial fluid as an after-shave treatment, because of its natural antiseptic and anti-inflammatory ingredients.

For women who shave their legs, underarms or other body parts, I recommend they follow up with a good Body Lotion. The body lotion should have natural antibacterial and anti-inflammatory activity.

How to Treat Folliculitis

Antibiotics are rarely prescribed. In most cases, a topical antiseptic treatment is all that is necessary. I recommend the use of the a Deep Cleansing Mask as soon as you notice the symptoms.

Most antiseptic treatments contain alcohol. Many contain pore-clogging ingredients that can increase your risk of future episodes. Even the better antiseptic ointments contain only one active ingredient.

The list below shows you what the our recommended Deep Cleansing Mask contains, as well as the medicinal activity of each ingredient.

• Kaolin-antiseptic, disinfectant, anti-inflammatory
• Shea butter-anti-inflammatory
• Active manuka honey-antibacterial
• Allantoin-anti-inflammatory
• Cynergy TK-anti-inflammatory

The Deep Cleansing mask can also be used on an occasional (usually bi-weekly) basis to help prevent clogged pores and the accompanying folliculitis. Kaolin is a clay extract that attracts dirt particles and other debris, pulling them gently out of the pores.

Other Things to Consider

Chronic or recurring folliculitis has been associated with a variety of nutritional deficiencies. A good multi-nutritional supplement like Total Balance will correct any shortcomings in your diet.

Omega-3 fish oil helps to reduce chronic inflammation throughout the body. It is not a treatment, but it may help prevent future outbreaks.

A Recap of the Benefits

If all you do is use the Deep Cleansing Mask, the benefits will include:

• Reduced pain
• Reduced redness
• Reduced itching
• Faster healing

Those benefits are due to the anti-inflammatory and anti-pathogen activity of the ingredients in the mask. It will provide the folliculitis relief you need.

Today I will tell you about an alternative way to treat hair loss. There are many different products on the market that should do the job but yet there are so many other natural ways that do the same.

• Yemeni med: Soak fenugreek (Hilba) in deep pot of water throughout the night. Massage the liquid into the scalp and wrap with a cloth for 3 hours. Repeat everyday for 1 month. Massage the scalp with uncooked egg yolk, leave for 1 hour and wash.
• Herbs like saw palmetto, pygeum, and nettle roots are natural DHT or dihydrotestosterone inhibitors. This means they are capable of stopping and halting the hair-follicle-killing DHT hormone. When your hair follicles get unclogged as a result of using these herbal remedies, your hair will start growing again.

Poor circulation can lead to thinning hair in women. Hair loss treatment options for this situation involve improving blood flow to the scalp. You can do this by massaging your scalp. An increased blood flow will allow vitamins and nutrients to travel to your roots to feed your strands.

You must maintain a healthy lifestyle. Logic dictates that you have to take care of your body if you want it to be in tiptop shape. Hair loss can be largely attributed to the abuses that we subject our body to. Quit smoking and get rid of those junk foodstuffs in your diet. Other external variables that may affect the normal growth of your hair include sunlight and dust.

Stress is a killing factor for the human body. Stress not only affect the entire body, it affects hair growth also. We many times see people loosing hairs due to tension. One very good medicine on this is Yoga. Yoga is stress management technique through some exercise. Aromatherapy as a treatment for hair loss is becoming increasingly popular, but the basis is not necessarily scientific. Experts in aromatherapy use the oils obtained from bay, cedar wood, grapefruit, jojoba, lavender, lemon, rosemary, thyme and Roman chamomile. Users massage these compounds into the scalp and disperse them into the air with special dispersing units. The combined effect of absorption and inhalation apparently arrests hair loss. Some users even report renewed hair growth after using this method.

You can prepare amla oil by boiling dry amla pieces in coconut oil. It is considered as a valuable hair tonic for enriching hair growth. A mixture of equal quantities of fresh amla juice and lime juice used as a shampoo stimulates hair growth and prevents hair loss. Ginko biloba is another famous herb that works very well in people who face hair loss. Ginko biloba is capable of improving blood circulation. With the boosted blood circulation, your hair follicles will get sufficient nourishment and as a direct result, healthy regrowth of the hair is stimulated and promoted.

Losing one’s hair can be very traumatic and both sexes can experience this problem. Some loss is perfectly normal, however when it becomes excessive, there is a noticeable difference in the amount left in the brush. There can be a number of reasons for hair loss, and sufferers might experience this issue because of genetics or other associated causes. Often, individuals that experience fall and thinning will seek hair loss treatment. The following paragraphs attempt to explore the range of treatments on offer.

Some men will typically start to thin around the ages of twenty to thirty, however, it is not uncommon for this process to begin sooner. Women, on the other hand, can experience some thinning around the age of forty or fifty, during the menopause, or at an earlier age after giving birth to a baby. Often for men, this condition can be hereditary, and sufferers often feel that there is little they can do to reverse the process.

• Lack of essential vitamins, particularly B7 or the K vitamin as it is often known, may result in thinning.
• Bacteria from the intestine produces this substance, however, most is obtained through eating foods such as salmon and bananas.
• Foods that are very rich in this compound include egg yolks, peanuts and liver.

When the body does not receive the required amounts, a number of symptoms often result.

Recent studies have suggested that the enzyme, DHT produced by testosterone, is the main culprit in male pattern baldness. Cleansing formulas that contain what are known as botanicals can prohibit the effect of DHT, therefore encouraging a reduction in balding and thinning. Other studies claim that growth is interrupted when white blood cells flood the follicle, to cleanse away excess dirt and oil. This process it is claimed, interferes with the natural function the follicle, leaving it less effective and unable to stimulate new growth. When Thymus peptides, an active ingredient, is included in cleansing formulations, it provides a deep cleansing action for the follicle, thus, reducing the need for white blood cells to interfere in the natural process.

B7 or biotin has many functions including transporting carbon dioxide around the body. This substance also converts food into energy, is required for the synthesis of fatty acids, cell growth and for the metabolism of Leucine, an amino acid.

Alopecia, loss of eyelashes and eyebrows, depression and an ineffective immune system, can all be experienced when an individual does not receive the necessary amounts of this vitamin. It is an important part of any diet.

There are products on the market today that claim to promote growth and to prevent any further thinning. Not surprisingly, these compounds often include biotin, as it is widely recognized, that there is a correlation between thinning and this vitamin. Often essential minerals such as zinc are also often included in preparations, as this is also an important component in treating fall.

As there are a number of products that suggest the process of balding can be reversed, it is necessary to establish how this is achieved. When using hair loss treatment, results may differ from person to person and therefore, it might be advisable to obtain advise from the makers as, to which product is most suited to their condition.

Studies have shown that in the hair loss remedy market, ninety nine percent of available treatments and products have been proven to be unsuccessful. For those who suffer from hair thinning and loss, this is an incredibly frustrating issue to have to deal with. More than three million dollars are spent every year in an attempt to cure hair loss. What is more, most people who suffer from this disease also have to deal with the emotional ramifications posed by losing their hair. Both men and women suffer from this disease; however, there are different treatments suggested for different sexes.

• For men, hair loss can feel directly related to their vitality and affect self-esteem tremendously. Hair transplant surgery has advanced over the years to produce completely natural looking results. However, if going under the knife is out of the question for you, the best hair loss treatments to go with will be approved by the Food and Drug Administration (FDA). Proscar/Propecia (or Finasteride as it is generically known) is only one of two drugs on the market today to have been clinically proven to treat male pattern baldness. The other relatively successful drug is Minoxidil (generically known as Ioniten). For the small percentage who finds no reaction from Proscar/Propecia, Minoxidil is generally recommended as an aid to an already established hair care routine.
• Female pattern baldness differs greatly from its male counterpart. While there are nine different remedies on the market (including Proscar/Propecia and Minoxidil), doctors are reluctant to prescribe these medications that affect the entire internal system. The reason for this is because these treatments could lower certain levels of the hormone androgen. Among the nine FDA approved remedies, the best hair loss treatments being prescribed to women are all topical. A topical treatment containing two percent of Minoxidil is said to be ultimately prescribed to the majority of women suffering from female pattern baldness. Estrogen/Progesterone in cream form is the second most prescribed treatment with Nizoral/Ketoconazole coming in third.

Whether you are a male or female sufferer of pattern baldness, there are clinically proven, prescription FDA approved remedies for your hair loss. While there is not one cure all meant for everyone, with a little patience and guidance from doctors who specialize in this field you could find something that eases your suffering. There may be some trial and error involved in finding the best hair loss treatments, but in the meantime there are plenty of support groups both online and in person who find comfort in sharing personal experiences with other sufferers.