What is a radical neck dissection? when is it done?

What is a radical neck dissection? The surgeon removes a block of tissue from the collarbone to the jaw and from the front to the back of the neck. The large muscle on the side of the neck that is used for rotating, flexing or extending the neck is also taken out, along with the major vein on the side of the neck. Sometimes, a less drastic operation, called a supraomohyoid neck dissection is done. This takes out only the lymph nodes, the tissue surrounding the nodes and a muscle at the front of the neck. Another technique, called a functional neck dissection, saves the muscles of the neck, taking out only the lymph nodes and tissues surrounding them.
What kind of incision is made with a radical neck dissection? The incision depends upon what the surgery is for. It can run from below the ear to the collarbone. Everything in the front of the neck on one side or on both sides may be removed. This may include the lymph nodes, blood vessels, nerves, and the salivary gland under the jawbone.

What is the chance of a hernia recurrence?

How often does the hernia come back after it has been fixed?

It is not possible to answer that question accurately. It depends on the type of hernia, the condition of the patient generally; and his tissues in particular. The experience of the surgeon also is obviously a factor. In adults, hernias that require only a correction at the ring (so-called indirect hernias) recur in fewer than one instance in ten. However, where the whole base of the area has to be rebuilt (so-called direct inguinal hernias), the long-term recurrence rate can be on the order of two in ten.

Can you prevent the hernia from coming back by use of plastic materials for reinforcement? Can you promise that I'll be cured?

Plastic materials are sometimes necessary and can help in the recurrent or long-neglected situation. They are required only in about one in one hundred groin hernias. Even in these instances most surgeons prefer to take reinforcing tissue from the patient's thigh rather than to put in a foreign substance.
Remember that we can permanently cure at least the majority and even up to 90 percent of groin hernias by conventional methods. In any single individual, and you are asking about yourself, no one can assure you that you'll be cured. It would be foolish to promise you this and almost as naive of you to believe anyone who would say it. However, there is every reason to believe that the result will be satisfactory, and little reason why it should not be.


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