Actual footage from the practice of Dr. Ferriera & Truter INC
(Full patient consent received)
We welcome you to a bit of insight behind the scenes of our in practice surgical procedures. These procedures can all be done with local aneasthetic in our practice, taking all the neccesary safety precautions and following health rules guidelines.
Removal of Ganglion
This young man had an onset of a mass for approximately a year on his Right wrist. Over this time it enlarged to the point that he struggled to extend his fingers, and to hold objects in his hand. On examination it was a solid ganglion, that we decided to remove due to its location, and his loss of function. A solid inflamed ganglion was removed from the deep layers of the tendon sheath, and full movement of his tendons were demonstrated. He returned to all his daily tasks, and is doing well.
(Above Images)
Extensor Tenostomy mcp Washout
This gentleman was bitten by a feral cat on his right hand. After 2 courses of antibiotics the swelling would not go down, so an ultrasound was done. Infected fluid was seen inside the tendon sheath and the “Knuckle joint” of the index finger.
The skin was opened, a small hole made in the tendon sheath, and the tendon was flushed with a cleansing solution . The finger joint was opened, and the same process repeated.
He continued with home xercises, and regained excellent function of the finger.
(Above Images)
Sq Carcinoma Right Leg
This elderly gentleman had an invasive cancer of the lower leg, with an onset of approximately 1 year. It was located on the lower part of the lower leg, where very little skin was available to close the wound after the cancer was removed.
Skin had to be harvested from his calve, and transplanted to the removal site, in the shape of a diamond. He did very well post operatively, with very little pain, and both the harvest and transplant sites healed beautifully. Pathology reports confirmed the tumour to have been removed completely.
His 6 month follow up showed complete healing, with minimal scarring.
(Above Images)
Basal Cell ca
Our lovely patient had a mild skin cancer removed 2 years ago from her lower back, which has unfortunately recurred. We decided to do a large “elliptical” excision of these 2 cancers.
“An elliptical excision is a surgical procedure that removes skin lesions while minimizing scarring. It’s also known as a fusiform excision.”
The wound was tolerated very well, and fortunately the test results confirmed that the cancers were removed completely.
She recovered fully, and is enjoying excellent health.
(Above Images)
Carpal Tunnel Acute
This young patient had an unusually rapid onset of Carpal Tunnel syndrome. Her symptoms took only 2 weeks to develop. Within these 2 weeks she lost all sensation in the thumb, index, and middle finger, and lost grip strength and started dropping objects out of her hand.
Initial cortisone injection did not resolve her symptoms; thus, surgery was decided on earlier than usual. During the procedure it was clear that there was high pressure inside the tunnel, but luckily the nerve itself (visible on pictures) appeared undamaged.
She had an excellent post-operative recovery, and when stitches were removed on day 12, she has regained full sensation. Her finger and thumb strength has also started returning.
(Above Images)
Mucoid Cyst Right 2nd Toe
This patient sustained an injury on her 2nd toe, with a heavy cement slab that was dropped on that toe. A few months later a large mass developed on the top of the toe that made it difficult for her to wear shoes or to flex the toe.
Through a small L-shaped incision the tissues were exposed, and a fluid-filled cyst (” Mucoid cyst”) was discovered on the surface of the tendon/joint capsule. It did not communicate with the toe-joint itself, fortunately. The cyst was simply removed from the ligamentous surface, and the skin closed beautifully.
Her wound healed without complications, and her ability to wear shoes and flex the toe has been restored.
(Images Above)
Removal of Injured Finger Nail
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Click on Image to Play Video
This female patient sustained an injury bumping the tip of the finger against a heavy object.
Usually we would like to try and preserve the nail, and suture it onto the nailbed.
The problem in this case, is that the entire nail bed was dislodged, and the Acrylic nail ontop of her natural nail prevented a suture-needle from passing through. Thus we decided to remove the nail under local anaesthetic (in this case a “Ring-block”).
The patient herself was the videographer.
Steroid Injection to treat Tarsal Tunnel Syndrome
A lady in her late thirties consulted on symptoms of a painful ankle with shock-like sensations running down her foot arch into the big toe.
On examination the shock-like pain could be triggered by tapping litely just below the ankle-bone. This suggested Tarsal Tunnel syndrome. She received a steroid injection on her left ankle, which relieved her symptoms.
Her pain then started on the righthand side after running a Fun-run. The injection was repeated, and symptoms also went away.
Big Toe – Necrotic, Gangrenous Bone
This lady had serious septicaemic shock after a kidney infection. She was hospitalised in ICU for many weeks, and due to the severity of her condition, has lost circulation in her toes.
Approximately 6 month after her hospitalization, the big toe still had necrotic, gangrenous bone that was not covered with skin. Under local anaesthetic, the necrotic tissue was removed, and the bone of the toe was reduced and trimmed, to allow for a skin flap to be made, to cover the bone.
She had an excellent outcome, having regained full use of her foot.
(Images Above)
Basal Cell Carcinoma
Basal cell carcinoma (BCC) is a type of skin cancer that originates in the basal cells of the epidermis, the outermost layer of skin. It is the most common type of skin cancer and is typically slow-growing and rarely spreads to other parts of the body. BCC usually appears on sun-exposed areas like the head and neck. While generally treatable, BCC can be locally destructive if left untreated
This elderly lady developed a Basal cell carcinoma on the bridge of her nose, multiple attempts at Cryotherapy could not prevent its growth.
Under local anaesthetic, the cancer was removed down to the nasal cartilage, and a “Split Skin Graft” was harvested from her forearm, and sutured onto the surgical wound bed of the nose.
She experienced no complications, and both the primary skin transplant and donor site healed completely. Pathology tests confirmed the cancer was removed completely.
(Images Above)
Dr. Ferreira & Truter INC 