Fixing Cece's hips, part 2




Cece's second surgery, an "open reduction" took place at Good Samaritan hospital in Los Gatos. Dr Kanel was the surgeon and Dr Vasil was the anesthesiologist (sp?).

As a matter of fact, we had pretty much the exact team as before, from Alice who was manning the reception desk and Sandy the pre-op and recovery nurse to most of the surgical team.

Please note that the hardest work of the surgery is not recorded here because...
Well, because you probably don't want to see the pictures of that sort of thing, would you?



The surgery

Once again, the surgery started off with a vapor-style anesthetic (the staff reported Cece was "all smiles until she went out". She's sort of a special kid to be happy and smiling around a bunch of strangers in very strange surroundings.) They then probably established the IV and caudal/epidular lines. They may or may not have taken some pre-op x-rays to reconfirm what was going on. They then made an incision right about Cece's bikini-line. Somehow they were able to access the space between Cece's hip ball and where her hip socket is supposed to be. (Daddy doesn't want to think about it...) They cleaned out some "junk" that had been blocking the hip ball from going into where the socket was supposed to be. There is a tissue capsule that surrounds the hip ball/socket combination. They tightened/repositioned this capsule to help hold the ball and socket together. At that point they put everything back together again and did the second hip. The overall procedure took about 3 hours.


Repeatable Process
Cece gets smocked...

Nicki is truly herself after 3 hours of sleep
Again

The cast

She was a frog, now she's a princess!

Here is the cast. (Yes, it is a REALLY bright shade of pink.) The cast itself goes from her toes to her nipple line. She will be in this cast for 6 weeks, then some other appliance for another 6 weeks.

Frank is Good Samaritan's "cast guy" or ortho technician. He considered the last cast he put on Cece to be one of his masterpieces. He didn't complain (out loud) when he had to cut it off an hour later. This time he made sure he got a picture before anything else happened. He's a great guy and we specifically requested him if he was on shift.


Machines that go ping

Cece in bed with machines that go ping

The one in the lower left hand corner reads the oxygen level (or saturation) in her blood, her heart beats and her pulse rate. They used it as long as the epidural was in place. We all got quite adept at reading it. Pulse rates in the 130s or 140s meant that she was asleep. It would get as high as 190 when she was fussing or needed pain medication. The meter would "alarm" when she moved her arm, so we also learned not to get concerned immediately when it started sounding.

The one in the middle is an IV pump. Cece was hooked up to an IV to keep her fluid levels up. The IV also served as a convenient way to give her antibiotics and other medications as needed. She had the IV until just an hour or two before discharge.br>

The machine on the right is another IV pump, but this one was actually attached to a very thin tube in her "caudal canal" (spine, near the tail bone for us lay people). It was giving her a very small dose of pain medication that blocked feeling from her pelvic region. Something like what women in labor get, but a bit easier to establish on babies. The epidural was turned off in the mid-morning of the day after surgery, but was left in for several hours to make sure we could manage Cece's pain by oral medications.br>

In addition to the machines shown, she also had a blood pressure monitor attached for about a day after the surgery. The nurses would check it every half-hour to an hour or so.

The surgeon also put in a catheter before the surgery. There is a lot of swelling in the area of the surgery so that catheter insured that Cece was able to urinate. It also provided the staff with an additional indication that everything was "going just fine..."


ET Mode

our little girl with a glowing red finger

Babies thrash their arms around, so there is an "arm pad" wrapped in a light webbing that holds the IV and the oxygen sensor in place. This shot doesn't really represent anything, but the red light of the oxygen sensor does allow Cece to make a good impersonation of ET.


Removing the caudal / epidural

Rather graphic shot of the epidural tube being removed

Here is the epidural tube being removed from the base of Cece's spine. It is a bit thicker (but not by much) than a hair.


Out of it, but resting comfortably

Cece completely out of it in Nicki's arms

This is Cece roughly one day after the surgery. She is still out of it from the pain medication, but she is starting to be herself again. We felt much better after we saw our first smile (about 2 days after the operation). (OK fine, Daddy actually cried. Happy now?)


Pictures of the people we met during the stay in the hospital