Synovial Biopsy / Synovectomy

Synovial Biopsy / Synovectomy
June 17, 2016

biopsyA little dicey about which term to introduce first, Dr. Gupta starts with Synovial Biopsy stating, “Synovial Biopsy is a process of taking out a part of synovial membrane for medical examination to determine whether it is losing its functionality for any mild reason or the problem runs much deeper i.e. related to cancer.”

Dr. Gupta is deft in all techniques that he puts to application to treat patients with debilitating conditions of upper extremity. At present designated as Head of Shoulder and Hand Division at Max Healthcare, he further emphasizes Synovectomy, “ It is the process which is performed to remove part of or the entire synovial membrane which might be affected by any chronic arthritis, synovial tumors or stiffness in the joints. It provides relief to the patient and enables the joint to function accordingly.”

The patient should consult our medical team >> click here for appointment

Having an experience of more than 25 years and more than 6000 surgeries and designated at various important posts at AIIMS, Fortis, The Medanta,  Dr. Gupta is one of the best hands in the field and his skill makes the techniques appear simple and painless.

“Synovial Biopsy is essential to determine the cause and Synovectomy is the procedure to remove the membrane. Both can be undertaken by arthroscopy which is relatively the best choice for us surgeons. In severe cases only do we refer to synovectomy by open surgery.”

“ I would sincerely advise patients to go in for synovectomy from being further saved from joint replacement surgery. Both synovial biopsy and synovectomy are performed under the effect of local anesthesia and the patient feels just a pricking sensation. If the surgeon exhibits expertise, then the patient will not only be provided relief but also a safe bet that would save his other joints from being impaired.

The patient should consult our medical team >> click here for appointment

FAQ – Synovial Biopsy / Synovectomy

When a part of the synovial membrane is taken out for medical examination it is known as Synovial Biopsy.
When regular diagnostic methods have failed to comprehend the underlying problem and conclusive clinical evidence is required to determine the cause of problem affecting the membrane, synovial biopsy is undertaken.
Local anesthesia is given to the patient to make the procedure painless or tolerable. Then by a closed needle procedure or arthroscopy the tissue is removed. Closed Needle Process: After injecting local anesthesia, an instrument called trocar which is slightly bigger than a needle, is injected and through a tissue grabber a sample of synovial membrane is taken out. Arthroscopy: A tiny camera is inserted through a small cut enabling the surgeon to get a clear view of the inside and then with another small cut, the surgeon removes a part of the lining.
Either the result would indicate normal membrane or would signify towards a deeper and serious problem which could be prevalence of gout, synovial cancer, tuberculosis, chronic arthritis, fungal infection, too much accumulation of iron deposits or an autoimmune disease.
When the synovial membrane or lining of a joint gets affected by any condition and endures damage it has to be treated by a procedure termed as Synovectomy under which a part of the membrane or the entire membrane is removed depending on the severity.
Each joint is enclosed in a membrane known as synovial membrane which secretes a lubricating fluid that enables easy and smooth movement of the joints. Sometimes the synovium becomes enlarged and produces too much fluid which is damaging for the cartilage of the joint surface and thus needs to be removed for proper functionality of the joint.
The process is undertaken when non-surgical methods have proven ineffective to relieve patients suffering from Rheumatoid Arthritis, septic arthritis, other forms of chronic arthritis such as hemophilia or chondromatosis, synovial tumors or stiffness in the joints.
Synovectomy can be performed either as an open surgery or arthroscopically with special surgical instruments, optic camera and minimal cuts to enable painless release.
Even though it is a safe procedure, the probable complications that might occur are stiffness or soreness in the joint, an injury to any nerve or blood vessel, damage to a cartilage or ligament, blood clot or infection.
It brings drastic improvement in the functionality of the joint as well as relief in the pain and with continuous medication, the patient is ensured that other joints would stay protected and the treated joint would not be affected again.
If the joints are not treated by Synovectomy then the articular cartilage will completely become destructed and the patient would have to undergo joint replacement surgery thereafter.
Posted in Condition & Treatments by admin