Decompression surgery successfully relieved chronic headaches in a 16-year-old who sustained a serious concussion at age 12. The surgery, which releases muscle around specific nerves, is "like unbuttoning your shirt and tie," said plastic surgeon Ivica Ducic, who performed the surgery. "It's freeing up that area, enlarging the space around the nerve." The blow that causes a concussion may leave patients with whiplash-like nerve compression, Ducic says.
Maryland lawmakers are considering legislation to require accreditation of facilities that offer liposuction and other cosmetic procedures. Twenty-seven states, including Florida and New York, have regulations regarding invasive cosmetic procedures performed in offices or spas. "The issue is, when you've got a medical spa who goes to the next level and starts offering things like liposuction, now you've got an office not set up for operational sterility and a doctor who's potentially not trained in all the nuances of liposuction," said Maryland plastic surgeon Adam Summers.
A bill to increase oversight of so-called medispas passed in the Maryland House of Delegates. If the state Senate also approves the bill, Maryland health officials will have the authority to proactively inspect and regulate centers offering cosmetic procedures that pose elevated risks.
Maryland's health secretary is urging lawmakers to close a loophole that allows medical spas and clinics that do not bill as ambulatory surgery centers to operate with little oversight. The family of a woman who died after having liposuction and contracting an aggressive streptococcus infection is supporting the push for increased oversight.
Maryland's health department will seek public input on a proposal to more closely regulate centers that offer cosmetic procedures after three people contracted infections following liposuction and one of them died. Oversight is required for ambulatory surgical centers that bill insurers or CMS, but many medispas fall outside regulations because clients pay out of pocket.