New Delhi: At least 20 patients, most women in the late 20s and 30s, have undergone a hip replacement surgery in AIIMS using modified techniques where incisions are made in folds of bikini lines or frontal groin folds.
This surgery is often referred to as “Bikini Hip Replacement Surgery”.
Dr.
Rajesh Malhotra, Professor and Orthopedic Chief in AIIMS, told TII that unlike a conventional approach to replacing hip, which left visible scars, the modified technique was carried out in a way that was slightly said to be done even if the patient uses a bikini.
“Very few centers in the world do this operation.
It’s challenging and takes longer than usual, but we decided to adopt it to help young women hesitate to undergo a procedure for fear of a residual scar,” added Malhotra.
There are three main approaches for hip replacement operations.
In the posterior approach, the surgeon makes an incision on the back of the hip joint and cuts the maximus gluteus muscle to eliminate the damaged connection and replace it with an artificial part.
In an anterolateral approach, the incision is made on the outer side of the thigh.
In an anterior approach, vertical incisions are made on the front of the hip to replace the joint without cutting or splitting the muscles.
Bikini Surgery is a modified version of an anterior approach where the surgeon makes a horizontal incision along the bikini line to ensure minimal scars.
Furthermore, cosmetic stitches are specifically used to minimize the tilt scar.
Malhotra said the operation through a bikini incision, which was only 6-8cm, more challenging than other approaches because of lack of vision and operation.
“It needs a lot of experience and election of the right patient to succeed,” he added.
AIIMS performed an operation like the first last year.
Until now, 20 operations have been carried out.
Nine patients suffer from avascular necrosis of the thigh bone, six patients have a history of damage to the hip joint because rheumatoid arthritis, the other two suffer from arthritis caused by lupus and bone damage due to tuberculot, and one patient developed an avascular hip necrosis and post-covid extreme pain.
Most patients are young women.
Mini Overview of Scar Psychology Published in the Journal of Psychiatria Danubina in 2018 states that scar tissue may be in the skin, but the psychological impact is deeper.
“The proof is firm; the presence of scars can result in mental disorders in patients with symptoms of depression, anger, anxiety, and post-traumatic stress related.
Scars create physical, emotional and psychological signs.
Identity is called into questions and individuals must integrate marks Luka with the sense of self to achieve psychological acceptance.
This process causes behavioral changes and reduced function, socially and psychologically, driven by fear will be chosen.
Hiding scars reduce maladaptive behavior and often lead to returns to normal functions.
“