Minimally Invasive Endoscopic Orthopedic Surgeons: From Tiny Incisions to Regained Quality of Life
“The challenge of endoscopic surgeons is rapidly advancing technology, requiring doctors to keep up.”
Orthopedic doctors are essential health professionals because they are guardians of the structural framework and main supports of the body, such as bones and joints, as well as the muscles and tendons surrounding the bones.
In this issue of MedPark Stories, we speak with Dr. Sorawut Laoratanavoraphong, an orthopedic surgeon specializing in arthroscopic surgery, one of the more effective and popular treatment approaches.
Orthopedic physicians frequently stem from a fascination with mechanics
Conversations with multiple orthopedic doctors indicated a common interest in structural and mechanical aspects. Dr. Sorawut is no different.
“I have always been fascinated by mechanics. I enjoy fixing things around the house, so I felt that orthopedics was a natural fit. As I completed my studies and faced the choice of specialization, the term "sports medicine" had yet to be invented. Instead, the focus was on arthroscopic surgery, a relatively obscure procedure at the time. It was a fledging but burgeoning field, which sparked my desire to learn more.”
Choosing to study a field that was still new in Thailand meant putting in extra effort to gain proficiency and familiarity. Since there were very few professionals in this area, it required seeking out workshops and experts from abroad who could provide additional training.
Erstwhile desire to be a hand surgeon because of preference for small-scale structures
Apart from arthroscopic surgery, Dr. Sorawut was also interested in hand surgery. He recounted that many medical students or new physician graduates often have a role model, such as a highly-skilled physician they idolize. For him, it was a hand surgery professor whose personality, knowledge, and dexterities were inspiring.
“Once I started training, I discovered I enjoyed and excelled at arthroscopic surgery. I have become particularly adept and proficient in arthroscopic shoulder and knee surgeries,” he said.
When asked if there were challenges or obstacles before becoming proficient in this field, Dr. Sorawut admitted there sure were.
“Since it was a nascent and burgeoning field then, although anatomy was firmly established, technology, particularly arthroscopy, was evolving continuously. With the field growing and increasing adoption by more professionals, there were ongoing advancements and enhancements. The techniques and instruments underwent constant refinement, necessitating a departure from traditional methods. It was imperative for us to consistently acquire new knowledge and adjust, a necessity for every physician to stay abreast of progress,” he elaborated.
Eyes on the Screen, Hands Doing the Work: Mastery Timeline in Arthroscopy.
Many people wonder how surgeons performing arthroscopic or minimally invasive surgery manage to look at a monitor while their hands operate on the body. Is there confusion or disorientation? How long does it take to get used to it?
“Certainly, everyone has to learn and get used to it,” Dr. Sorawut said. “It takes some time to become accustomed to the process. How quickly a surgeon becomes proficient varies from person to person. Initially, no one gets the directions right immediately.”
Regarding the surgical team, Dr. Sorawut explained that specialized surgeries often require more instruments than general open surgeries. Operating room nurses play a crucial role in facilitating the procedure. Their knowledge and expertise significantly contribute to a smooth operation.
“Nowadays, most joint surgeries are performed through arthroscopy. A few complex cases may require open surgery but are now rare. Arthroscopic surgery is highly preferred because it involves smaller incisions, faster recovery, and a reduced risk of complications. Consequently, most surgeons need to master this technique and will consider it first. If a case is too challenging to tackle with arthroscopy, the surgeon must inform the patient the results might not be as good as traditional open surgery,” Dr. Sorawut noted.
Arthroscopic or minimally invasive surgery costs more because of the many specialized instruments and small tools needed. Nonetheless, the advantages of smaller incisions, reduced complications, and a speedier return to normal daily activities justify the higher expenses.
How Does an Orthopedic Surgeon Look After Himself?
Despite his hectic schedule, Dr. Sorawut prioritizes his health by engaging in activities such as running and cycling during his leisure hours.
“I try to exercise at least three times a week and choose the place where it is convenient for me, most often Lumpini Park,” he said.
Running vs. Cycling: Which is Better?
“Both have their pros and cons," Dr. Sorawut explained. "Cycling is a low-impact exercise gentle on the joints and easy to do, but it requires equipment — bicycle. Running is convenient and does not require special equipment, but it stresses the joints. People with joint issues or older adults might find it difficult. It is important to choose the exercise that suits you best.”
Beyond exercises, Dr. Sorawut also enjoys visiting museums or art galleries and scrutinizing artworks, particularly abstract pieces. This activity allows him to use his imagination to understand what the artist is trying to convey.
“I find it is a challenge," he confided. "It is akin to immersing myself in a divergent field from my expertise, applying logic to unravel the enigmatic essence of art. The artistic creations may lack a rational justification or purpose.”
Predominant Exercise Mistakes According to an Orthopedic Doctor
Dr. Sorawut addressed typical exercise mistakes, particularly when adhering to YouTube or Internet workout tutorials. Although these materials provide direction, some individuals might not perform exercises correctly, leading to improper posture and possible injuries instead of improved strength and flexibility.
“If you are serious about exercising, it is advisable to seek guidance from a trainer who can supervise and correct your form. Serious injuries can occur from improper form, outweighing any potential benefits. Moreover, if you have health conditions or existing physical issues, see a doctor for a proper medical assessment and advice. Initially, observe how your body responds. If you experience pain after exercise, it is crucial to determine whether it is normal or due to incorrect technique. Vigilance is essential” he advised.
