{"id":12214,"date":"2026-07-06T07:47:38","date_gmt":"2026-07-06T07:47:38","guid":{"rendered":"https:\/\/drgazielly.com\/?page_id=12214"},"modified":"2026-07-06T07:47:38","modified_gmt":"2026-07-06T07:47:38","slug":"shoulder-surgery","status":"publish","type":"page","link":"https:\/\/drgazielly.com\/index.php\/en\/shoulder-surgery\/","title":{"rendered":"Shoulder surgery"},"content":{"rendered":"

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”Shoulder surgery” font_container=”tag:h1|text_align:left” use_theme_fonts=”yes” css=”.vc_custom_1700000006{margin-bottom: 20px !important;}”][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”I. Anaesthesia and post-operative pain management” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column width=”1\/2″][vc_column_text]We perform all our shoulder surgical procedures, whatever the method\u2014arthroscopic or “open”\u2014under general anaesthesia.<\/strong><\/span> We do not combine this with regional anaesthesia via an interscalene block.<\/p>\n

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\"Immediate<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]Immediate post-operative pain is perfectly controlled<\/strong><\/span> with painkillers. A morphine pump may be used for certain patients who experience more pain than average. However, in our experience, it is above all the immediate post-operative passive mobilisation of the operated shoulder, combined with cryotherapy (placing ice packs on the shoulder), that best relieves post-operative pain.<\/p>\n

Patients who undergo arthroscopic shoulder surgery\u2014unlike those operated on by the “open” method\u2014can in theory return home on the evening of the day of surgery, after their first session of passive mobilisation of the operated shoulder with the physiotherapist. This is what is known as day surgery. In practice, we prefer to keep the patient in hospital for one night, or even 2 to 3 days if the patient is elderly or lives alone. Two sessions of passive mobilisation of the operated shoulder, morning and evening, are then carried out with the physiotherapist in our shoulder unit, together with passive mobilisation exercises that the patient performs alone, 4 times a day. Ice packs are applied to the operated shoulder between rehabilitation sessions.<\/p>\n

Patients operated on by conventional “open” surgery remain in our shoulder unit for an average of 4 days after surgery for instability in an athlete, and 7 days after the fitting of a total shoulder replacement. As with arthroscopic shoulder surgery, passive mobilisation of the operated shoulder begins on the very day of surgery with a physiotherapist, and is then carried out twice a day with the physiotherapist and 4 times a day by the patient alone, throughout the hospital stay. Applying an ice pack to the shoulder operated on by the “open” method is more necessary than after arthroscopic surgery, in order to relieve post-operative pain, which is in all cases moderate from the day after surgery.<\/p>\n

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[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_custom_heading text=”II. The two methods of shoulder surgery” use_theme_fonts=”yes”][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]<\/p>\n

[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]The surgical procedure can be carried out either through small skin incisions of 2 to 4 mm, with the image provided by a micro-camera inserted into the shoulder monitored on a television screen (arthroscopic surgery), or through a skin incision of around ten centimetres with an opening of the muscle wall (“open” surgery).<\/p>\n

We practise the arthroscopic shoulder surgery that we learned during our stays in the United States from the 1990s onwards\u2026<\/strong><\/p>\n