Friday, February 23, 2018

UPDATE – Friday, February 23, 2018 (6:30 p.m.)


At 4 p.m. today, Middlesex Hospital began providing emergency care to walk-in patients. The Hospital opened a temporary Emergency Department space in its outpatient surgical services area.

It is still not receiving patients via ambulance, and the Hospital’s normal Emergency Department
location in Middletown is still closed until further notice.

Patients who visit the Hospital’s temporary Emergency Department space should drive to the main
entrance of the Hospital. At that point, a security officer will be there to greet them. The officer will
then direct them to where they need to go.

If someone is sick or injured and needs immediate attention, they should call 9-1-1. An ambulance will bring them to the next nearest emergency department. Middlesex’s other Emergency Department locations in Westbrook and Marlborough are open.

Non-emergent surgeries are canceled for today, Friday, February 23.

Radiology is up and running at the Hospital. However, all outpatient radiology tests are canceled at the Hospital in Middletown today, Friday, February 23.

Patients can get lab tests at the Outpatient Center, 534 Saybrook Road in Middletown; at the Marlborough Medical Center in Marlborough; or at the Shoreline Medical Center in Westbrook. However, they should not come to the Hospital.

Patients are now allowed to receive visitors. Flu restrictions remain in place.

All other Middlesex Health System locations are operating as normal.

Minimally Invasive Arthroscopic Hip Surgery

At the Middlesex Hospital Center for Joint Replacement & Spine Surgery, we treat many patients with joint pain and conditions of the joints. Hip injuries in particular – once thought to be a problem only in the elderly – are extremely common in people of all ages, including athletes and other active people.

Dr. David J. Hergan, board certified and fellowship-trained in orthopedic sports medicine, specializes in the latest arthroscopic and minimally invasive procedures for the hip. He has a special interest in hip preservation and is a national instructor of hip arthroscopy for the treatment of hip impingement and labral tears. Dr. Hergan is performing this minimally invasive procedure for hip pain and many different diagnoses, but especially for hip impingement. 

Patients with hip injuries in their teens to mid-50s and beyond may go undiagnosed for years, while others may be misdiagnosed with problems such as groin strains, sciatica, bursitis or hernias.

In cases where patients are correctly diagnosed with hip pain, many have been told they have “early arthritis” or they may eventually need a hip replacement. Many still were simply resigned to living within the constraints of their symptoms, which usually meant giving up their competitive athletic careers or active lifestyles.

The Expertise You Need is Right Here

Hip impingement is associated with inflammation, snapping hip syndrome, bursitis, cartilage damage, labral tears, early hip arthritis, sports hernias and low back pain. Previously, a traditional open inpatient surgery was the only option for hip repair, but for patients young and old, outpatient hip arthroscopy is now available by Dr. Hergan at Middlesex Hospital.

With any hip pain and problem, a comprehensive physical examination should take place to determine whether a patient is a candidate for the arthroscopic hip procedure. It is important to note that an accurate diagnosis is essential to slowing or preventing hip arthritis for younger patients caused by hip impingement. And whenever possible, a non-operative course of treatment should be tried first.

The arthroscopic procedure involves making two minimally invasive incisions. A small camera is then used to enter the hip joint where a full diagnostic evaluation of the hip structure and how much damage to the labrum is present.

The hip surgical procedure involves reshaping the hip, repairing tissue damage and restoring the joint to allow it to recover normal function and slow the progression of arthritis in the hip.

The advantages of hip arthroscopy include:

•  Outpatient procedure

•  Smaller incisions

•  Less blood loss

•  Faster recovery time

•  Same results as an inpatient open surgery

This procedure is part of a growing evolution in orthopedics in the world of arthroscopy, and in particular, hip arthroscopy. In most cases, patients return to their normal function, including work and sports activities, in a much shorter amount of time.


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