What surgeries are generally performed in internal medicine?

May 16, 2023 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
Internal medicine surgeries are common clinical procedures, and there are various types of such surgeries, including lumbar puncture, bone marrow aspiration, and deep venous catheterization. Anesthesia is required prior to surgery, and diagnostic methods such as puncture can help clarify the underlying cause. In addition, there are other procedures such as cardiac stent placement and coronary artery bypass surgery. Appropriate surgical treatment should be selected based on individual medical conditions.

Generally, internal medicine procedures include lumbar puncture, bone marrow aspiration, and deep venous catheterization. The details are as follows:

1. Lumbar Puncture

Lumbar puncture is a common procedure. It involves using appropriate equipment to insert a needle through the skin into the spinal canal or surrounding tissues of the vertebrae. A small amount of cerebrospinal fluid is collected for laboratory testing to help identify the underlying cause of illness.

2. Bone Marrow Aspiration

Bone marrow aspiration is a minor surgical procedure. By analyzing the extracted bone marrow fluid, doctors can examine the morphology of blood cells and tissue changes to determine whether a patient has a hematologic disorder. This procedure is also beneficial for diagnosing conditions such as bone tumors and osteomyelitis. The typical puncture site is located in the posterior part of the pelvic ring.

3. Deep Venous Catheterization

Deep venous catheterization is a type of interventional procedure. It requires local anesthesia before surgery. The clinician directly punctures the subclavian vein or internal jugular vein, then inserts a guidewire and advances a catheter into the deep vein, where it is secured in place.

In addition to the above-mentioned common internal medicine procedures, others such as cardiac stenting and coronary artery bypass surgery may also be performed, depending on the individual's medical condition. Patients experiencing any symptoms should seek prompt medical attention at a hospital.


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