CLINICAL DECISION STORIES

Surgical case stories

Clinical stories explain why a procedure was considered, what alternatives mattered, what the operation was designed to achieve, and what recovery can—and cannot—promise.

Privacy and medical notice: patient cases are de-identified and rewritten for education. The identifiable daughter photograph in the upper-lip frenulum family case is published with family consent. Individual outcomes cannot be guaranteed or transferred to another patient.
Featured cases

Understand the decision, not just the procedure

Each case begins with the patient’s practical question, then separates diagnosis, treatment options, risks and follow-up.

Dr. Marco Ha and his daughter before her upper lip frenulum procedure

When brushing the upper front teeth hurts: a surgeon-father’s family case

A visible frenulum alone is not an indication. The case connects reproducible pain, oral differential diagnosis, brushing function and individualized treatment.

Read the complete case
Chest contour and small dressings immediately after Nuss pectus repair in this case

A child’s chest is becoming more sunken: pectus excavatum and Nuss surgery

Growth, activity symptoms, cardiopulmonary assessment and the child’s experience matter more than appearance or one index alone.

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De-identified medical sketch after penoplasty for a pediatric buried penis

Buried penis in a 12-year-old: why circumcision alone was not the answer

A normally sized penis was concealed by surrounding tissues. The case explains measurement, skin preservation, functional indications and dignity.

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De-identified medical sketch after V-Y advancement flap coverage of fingertip tissue loss

Machine-cut fingertip tissue loss: V-Y advancement flap and work function

Reconstruction was planned around viable tissue, defect direction, length, padding, sensation and a safe path back to tool use.

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Related decision guides

From recognition to treatment decisions

These guides provide the broader condition-level context behind individual cases.

Does a pediatric inguinal hernia close on its own?

Typical bulges, incarceration warnings and timing of repair.

Read the hernia guide

Does pectus excavatum always require Nuss surgery?

Growth, symptoms, imaging, cardiopulmonary function and psychosocial impact.

Read the pectus guide

Adult metacarpal fracture surgery

Rotation, shortening, joint involvement, fixation and rehabilitation.

Read the hand fracture guide
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