GI Surgery
GISurgery.info is a virtual surgical repository, accessible from anywhere in the world through the Internet. It is been launched by Dr. Aakash Rathod, Ahmedabad, India.
Our goal
Our goal is to provide the surgical community, scientific societies, medical teaching centers and industries with the first, worldwide, online training in GI surgery, information on the latest GI surgical breakthroughs and the possibility to chat with GI surgeons and experts from all over the world.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
GI Surgery and its scientific founders,Dr. Aakash Rathod, Dr.Brijesh, and Dr.Krunal, all recognized experts in the fields of GI surgery, aim to accelerate the diffusion of knowledge and technological innovations throughout the world, in order to offer GI surgeons and their teams direct access to the latest developments in GI surgery and to improve patient comfort and well-being.
Our focus
GISurgery.info has decided to initially focus on service to the GI surgical community, including surgeons and nurses. It offers a product that aims to match their needs of training, conveying information, exchanges.
Our mission
Regularly provide the World Virtual Repository with superior scientific and technical content that presents state-of-the-art GI surgical techniques, protocols and equipment in all GI surgical specialties;
present training modules and provide complete information concerning GI surgical protocols, the latest accredited techniques and videos accompanied with comments from world-renowned surgical experts;
offer continuing medical education (CME) and accreditation;
provide online access to quality surgical catalogues;
supplement this content with a wide variety of services to surgeons to facilitate their quest for knowledge;
Using every communication medium offered by the Internet to make GI surgical content accessible to surgeons.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
SURGICAL GASTROENTEROLOGY
Gastrointestinal surgery is one of the superspeciality surgical branch.GI team deals with major & vital organ such as liver, pancreas and intestine. GI surgery includes wide spectrum of surgery from minor to major operations like Advanced Laparoscopic Surgeries, Whipple�s operation, liver resections and oesophagectomy may be done on emergency & routine basis. It includes variety of diagnostic & therapeutic endoscopic procedures; It includes wide range of patients from haemodynamically normal to patients in shock due to sepsis and leaks. Surgery is done in different patient positions like supine, lithotomy & prone.
Adequate sedation and analgesia are important parts of operations, diagnostic and therapeutic endoscopic procedures. Various levels of sedation and analgesia (anesthesia) may be used depending on the patient�s status and the procedure being performed. Understanding of this variety of procedures, pathophysiology involved and condition of patients at the time of operation is key to plan the management of anaesthesia.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
Goals of anaesthesia at aum surgicare hospital are safe, comfortable and pain free perioperativecourse to have better outcome of our patients.
The departmental of Surgical Gastroenterology at Aum Surgicare Hospital has a full time faculty which works as one Team. The team comprises of talented, motivated and passionate specialists who constantly endevour to perform Safe Surgical Practises employing Cutting edge technology, and are well abreast with advances in field. They are devoted to Practise evidence based surgery and are specialized in the field Minimally invasive surgery to enhance patient recovery and improve patient outcomes by avoiding and managing perioperative complications well. The departments has also functional Speciality clinics to enhance patient care and provide focussed services. Various focussed areas of the department include Laparoscopic surgery for Gallstones, Hernias, Hiatus Hernia, Appendicitis, GI cancers including Colorectal cancers, Oesophageal and Pancreatic cancers, Liver diseases, Pancreatitis, Ulcerative Colitis, Achalasia Cardia, GI bleeding and portal hypertension, and GI emergencies including Intestinal obstruction and GI perforations. Above all, The doctors in the department provide human touch with compassionate care.
What Is a Hernia ?
A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).
In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin. About 96% of all groin hernias are inguinal, and most occur in men because of a natural weakness in this area.
In an incisional hernia, the intestine pushes through the abdominal wall at the site of previous abdominal surgery. This type is most common in elderly or overweight people who are inactive after abdominal surgery.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
A femoral hernia occurs when the intestine enters the canal carrying the femoral artery into the upper thigh. Femoral hernias are most common in women, especially those who are pregnant or obese.
In an umbilical hernia, part of the small intestine passes through the abdominal wall near the navel. Common in newborns, it also commonly afflicts obese women or those who have had many children.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
A hiatal herniahappens when the upper stomach squeezes through the hiatus, an opening in the diaphragm through which the esophagus passes.
What Causes Hernias ?
Ultimately, all hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia; the pressure pushes an organ or tissue through the opening or weak spot. Sometimes the muscle weakness is present at birth; more often, it occurs later in life.How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
Anything that causes an increase in pressure in the abdomen can cause a hernia, including :How To Do Surgery Of GI, General, Hernia, Onco, Colo Proctology, in Aum Surgicare
Lifting heavy objects without stabilizing the abdominal muscles
Diarrhea or constipation
Persistent coughing or sneezing
Newly established under to Laproscopic G I & urology surgery Team based approach to surgical management to patients. Rapidly joining popularity in jivraj park & Vejalpur area since establishedment in 2017. Experience in Dignosis & management of various G I, kidney & urology related problems.Various bellowship in Laproscopy, Endoscopy & urology surgery obtained from national and international association.
* Specialized bellow in lab – pathology for Dignosis & management of piles, fistula & fissure surgery among team of doctors.
Specialized bellow mastery in minimal access surgery & hernia surgery among teams.
Facilities
waiting area for patients
specious opd & consulting room.
24 hours staff availability & doctor availability on call.
prime appointment in call
deluxe, semi & special room.
well equiped OT
Hydrolic OT table
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Vessel sealing device (winglobe)
Urology equipments
Aum Surgicare Hospital & Laparoscopy Centre in Jivrajpark has a well-equipped and well-maintained Hospital. It is sectioned into a waiting area for patients, where they can wait for their turn. This clinic has a consulting room, where this practitioner attends to patients between the consulting timings. Usually, on the first visit, this practitioner thoroughly understands and documents the patient’s medical history and discusses the various health issues they are currently facing. Following this, the doctor may conduct a simple examination to check and confirm the symptoms of the ailment. Based on this examination, this physician prescribes a suitable course of action, be it medication or further diagnostic tests. This Hospital is open to 24 Hours patient Make a payment with ease using any of the following modes of payment, including Cash,Master Card,Visa Card,Debit Cards,Credit Card.
Laparoscopic surgery is a type of minimally invasive procedure performed through small incisions with the assistance of plastic tubes, tiny video cameras, and thin surgical instruments. how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare
An alternative to open surgery, a laparoscopic procedure allows patients to recover faster with less post-operative pain, shorter hospital stays, reduced rate of infection, less blood loss and smaller scars. Although laparoscopic surgery has many benefits, it is not appropriate for all conditions or patients.
The following are some types of laparoscopic procedures that we perform to treat GI conditions.
Laparoscopic Adrenalectomy – This procedure is primarily done to treat tumors of the adrenal glands. Located at the top of both kidneys, these glands work interactively with the hypothalamus and pituitary gland in the brain to provide essential hormones. how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare Laparoscopic Appendectomy – In many cases, this minimally invasive procedure can be used to remove an infected appendix as long as the organ has not burst and an infection has not spread. Laparoscopic Bariatric Surgery – This surgical technique reduces the stomach in size, enabling patients to lose weight. This minimally invasive surgery is only recommended for patients who have serious health problems due to their weight or who have been unable to lose weight despite exercising and dieting. Laparoscopic Cholecystectomy – This minimally invasive surgery can be used to remove the gallbladder in order to treat gallstones, which can cause pain and indigestion. Laparoscopic Colon and Rectal Surgery – This surgical procedure can be used to treat disorders of the colon, rectum, and anus.
Laparoscopic Foregut Surgery – This minimally invasive procedure can address conditions related to the esophagus, stomach, and upper small intestines. Laparoscopic Hiatal Hernia Repair – This treatment can repair a symptomatic hiatal hernias and paraesophageal hernias. A hiatal hernia is an enlarged opening in the diaphragm that allows the stomach or other abdominal organs to shift up into the chest. This may cause heartburn, chest or abdominal discomfort, discomfort with eating, shortness of breath, or no symptoms at all.
Laparoscopic Nissen – Used to treat patients with severe gastroesophageal reflux disease (GERD), this surgery strengthens the lower esophageal sphincter. Patients suffering from this chronic digestive disorder often report feeling a burning sensation in their chests, throats, or mouths. Others may experience chest pain, difficulty swallowing, or a sore throat, among other symptoms. Laparoscopic Nephrectomy – This laparoscopic procedure can be used to remove a diseased or cancerous kidney.how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare Laparoscopic Pancreatic Surgery – Depending on the circumstances, this minimally invasive procedure can sometimes be used in pancreatic surgery. Laparoscopic Retroperitoneum Surgery – This surgical procedure is often used for treatment of testicular cancer.how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare Laparoscopic Splenectomy – This type of procedure can be used to remove the spleen.
Open GI Surgical Procedures
Whenever possible, we try to perform minimally invasive surgical procedures. However, in some cases open surgery is necessary.
Open surgical procedures that we perform include:
Abdominal Surgery – Our physicians perform a range of abdominal surgical operations.
Adrenalectomy – This surgical procedure involves the removal of one or both adrenal glands.how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare
Appendicectomy – A common emergency room procedure, an appendicectomy is the surgical removal of the appendix.how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare
Nissen fundoplication – This procedure, which reinforces the lower esophageal sphincter, is used to treat patients with gastroesophageal reflux disease (GERD).
Roux en-Y – One of the most common types of weight loss surgery, this gastric bypass procedure reduces the size of a patient’s stomach, limiting the amount of food that it can hold. how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare
Whipple Procedure – Also called a pancreaticoduodenectomy, this complex surgical procedure is most commonly used to treat pancreatic cancer. how to cure G I ,Hernia,Onco,Urology, Laproscopic Surgery in Aum Surgicare
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Types
Hernias can commonly be found in the following areas:
Groin: a femoral hernia creates a bulge just below the groin. This is more common in women. An inguinal hernia is more common in men. It is a bulge in the groin that may reach the scrotum.
Upper part of the stomach: a hiatal or hiatus hernia is caused by the upper part of the stomach pushing out of the abdominal cavity and into the chest cavity through an opening in the diaphragm.
Belly button: a bulge in this region is produced by an umbilical or periumbilical hernia.
Surgical scar: past abdominal surgery can lead to an incisional hernia through the scar.
Causes
With the exception of an incisional hernia (a complication of abdominal surgery), in most cases, there is no obvious reason for a hernia to occur. The risk of hernia increases with age and occurs more commonly in men than in women.
A hernia can be congenital (present at birth) or develop in children who have a weakness in their abdominal wall.
Activities and medical problems that increase pressure on the abdominal wall can lead to a hernia. These include:
straining on the toilet (due to long-term constipation, for example)
persistent cough
cystic fibrosis
enlarged prostate
straining to urinate
being overweight or obese
abdominal fluid
lifting heavy items
peritoneal dialysis
poor nutrition
smoking
physical exertion
undescended testicles
Risk factors for hernia
The risk factors can be broken down by hernia type:
Incisional hernia risk factors
Because an incisional hernia is the result of surgery, the clearest risk factor is a recent surgical procedure on the abdomen.
People are most susceptible 3-6 months after the procedure, especially if:
they are involved in strenuous activity
have gained additional weight
become pregnant
These factors all put extra stress on tissue as it heals.
Inguinal hernia risk factors
Those with a higher risk of inguinal hernia incude Smoking tobacco increases the risk of inguinal hernias.
older adults
people with close relatives who have had inguinal hernias
people who have had inguinal hernias previously
males
smokers, as chemicals in tobacco weaken tissues, making a hernia more likely
people with chronic constipation
premature birth and low birth weight
pregnancy
Umbilical hernia risk factors
Umbilical hernias are most common in babies with a low birth weight and premature babies.
In adults, the risk factors include:
being overweight
having multiple pregnancies
being female
Hiatal hernia risk factors
The risk of hiatal hernia is higher in people who:
are aged 50 years or over
have obesity
What is a Hiatal Hernia?
A hiatal hernia is thought to be caused by pressure pushing up on the diaphragm.
Symptoms
In many cases, a hernia is no more than a painless swelling that presents no problems and needs no immediate medical attention.
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A hernia may, however, be the cause of discomfort and pain, with symptoms often becoming worse when standing, straining, or lifting heavy items. Most people who notice increasing swelling or soreness eventually see a doctor.
In some cases, a hernia needs immediate surgery, for instance, when part of the gut becomes obstructed or strangulated by an inguinal hernia.
Immediate medical attention should be sought if an inguinal hernia produces acute abdominal complaints such as:
pain
nausea
vomiting
the bulge cannot be pushed back into the abdomen
The swelling, in these cases, is typically firm and tender and cannot be pushed back up into the abdomen.
A hiatal hernia can produce symptoms of acid reflux, such as heartburn, which is caused by stomach acid getting into the esophagus.
Treatment
For a hernia without symptoms, the usual course of action is to watch and wait, but this can be risky for certain types of hernia, such as femoral hernias.
Within 2 years of a femoral hernia being diagnosed, 40 percent result in bowel strangulation.
It remains unclear whether non-emergency surgery is worthwhile for hernia repair in cases of an inguinal hernia without symptoms that can be pushed back into the abdomen.
The American College of Surgeons and some other medical bodies consider elective surgery unnecessary in such cases, recommending instead a course of watchful waiting.
Others recommend surgical repair to remove the risk of later strangulation of the gut, a complication where blood supply is cut off to an area of tissue, which requires an emergency procedure.
These health authorities consider an earlier, routine operation preferable to a more risky emergency procedure.
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Types of surgery
Belly button following hernia surgery.
Although surgical options depend on individual circumstances, including the location of the hernia, there are two main types of surgical intervention for hernia:
open surgery
laparoscopic operation (keyhole surgery)
Open surgical repair closes the hernia using sutures, mesh, or both, and the surgical wound in the skin is closed with sutures, staples, or surgical glue.
Laparoscopic repair is used for repeat operations to avoid previous scars, and while usually more expensive, is less likely to cause complications such as infection.
Surgical repair of a hernia guided by a laparoscope allows for the use of smaller incisions, enabling a faster recovery from the operation.
The hernia is repaired in the same way as in open surgery, but it is guided by a small camera and a light introduced through a tube. Surgical instruments are inserted through another small incision. The abdomen is inflated with gas to help the surgeon see better and give them space to work; the whole operation is performed under general anesthetic.
Kidney stones are the result of a buildup of dissolved minerals on the inner lining of the kidneys.
They usually consist of calcium oxalate but may be composed of several other compounds.
Kidney stones can grow to the size of a golf ball while maintaining a sharp, crystalline structure.
The stones may be small and pass unnoticed through the urinary tract, but they can also cause extreme pain as they leave the body.
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Symptoms
A kidney stone usually remains symptomless until it moves into the ureter. When symptoms of kidney stones become apparent, they commonly include:
Kidney stones that remain inside the body can also lead to many complications, including blockage of the the tube connecting the kidney to the bladder, which obstructs the path that urine uses to leave the body.
According to research, people with kidney stones have a significantly higher risk of developing chronic kidney disease.
Causes
Kidney stones can vary in size. Some have been known to grow as large as golf balls.
The leading cause of kidney stones is a lack of water in the body.
Stones are more commonly found in individuals who drink less than the recommended eight to ten glasses of water a day.
When there is not enough water to dilute the uric acid, a component of urine, the urine becomes more acidic.
An excessively acidic environment in urine can lead to the formation of kidney stones.
Medical conditions such as Crohn’s disease, urinary tract infections, renal tubular acidosis, hyperparathyroidism, medullary sponge kidney, and Dent’s disease increase the risk of kidney stones.
Risk factors
Kidney stones are more common among males than females. Most people who experience kidney stones do so between the ages of 30 and 50 years. A family history of kidney stones also increases one’s chances of developing them.
Similarly, a previous kidney stone occurrence increases the risk that a person will develop subsequent stones in the future if preventative action is not taken.
Certain medications can increase the risk of developing kidney stones. Scientists found that topiramate (Topamax), a drug commonly prescribed to treat seizures and migraine headaches, can increase the likelihood of kidney stones developing.
Additionally, it is possible that long-term use of vitamin D and calcium supplements cause high calcium levels, which can contribute to kidney stones.
Additional risk factors for kidney stones include diets that are high in protein and sodium but low in calcium, a sedentary lifestyle, obesity, high blood pressure, and conditions that affect how calcium is absorbed in the body such as gastric bypass surgery, inflammatory bowel disease, and chronic diarrhea.
Treatment
Lithotripsy involves sending a shockwave into the kidney stone to break it into smaller pieces.
Treating kidney stones is primarily focused on symptom management. Passing a stone can be very painful.
If a person has a history of kidney stones, home treatment may be suitable. Individuals who have never passed a kidney stone should speak with a doctor.
If hospital treatment is needed, an individual may be rehydrated via an intravenous (IV) tube, and anti-inflammatory medication may also be administered.
Narcotics are often used in an effort to make the pain of passing the stone tolerable. Antiemetic medication can be used in people experiencing nausea and vomiting.
In some cases, a urologist can perform a shock wave therapy called lithotripsy. This is a treatment that breaks the kidney stone into smaller pieces and allow it to pass.
People with large stones located in regions that do not allow for lithotripsy may receive surgical procedures, such as removal of the stone via an incision in the back or by inserting a thin tube into the urethra.
Home remedies
There are a few steps that can be taken to reduce the impact of kidney stones and assist doctors in providing treatment.
The first is drinking enough water to make the urine completely clear. A person can tell they are not consuming enough water if their urine is yellow or brown.
A doctor may also request that a kidney stone is passed naturally though urinating. They will then ask that you retrieved a kidney stone from the urine by filtering it through a stocking or gauze.
On studying the retrieved stone, they will be able to determine what further treatment is required.
Diet
There are several foods that have a positive impact on kidney health. These can help reduce both the risk and impact of kidney stones. The body naturally passes the stone within 48 to 72 hours.
Kidney beans are one such option. Boil the pods inside the beans for around six hours, strain the liquid, and allow this liquid to cool.
People with kidney stones should consume this liquid every 2 hours over the course of 1 to 2 days.
Other foods that can protect the kidneys include:
basil
celery
apples
grapes
pomegranates
Vitamin B6 supplements and pyroxidine supplements have also been recommended as effective treatments.
SymptomsIn most cases, the symptoms of piles are not serious. They normally resolve on their own after a few days.
An individual with piles may experience the following symptoms:
A hard, possibly painful lump may be felt around the anus. It may contain coagulated blood. Piles that contain blood are called thrombosed external hemorrhoids.
After passing a stool, a person with piles may experience the feeling that the bowels are still full.
Bright red blood is visible after a bowel movement.
The area around the anus is itchy, red, and sore.
Pain occurs during the passing of a stool.
Piles can escalate into a more severe condition. This can include:
excessive anal bleeding, also possibly leading to anemia
infection
fecal incontinence, or an inability to control bowel movements
anal fistula, in which a new channel is created between the surface of the skin near the anus and the inside of the anus
a strangulated hemorrhoid, in which the blood supply to the hemorrhoid is cut off, causing complications including infection or a blood clot
Piles is classified into four grades:
Grade I: There are small inflammations, usually inside the lining of the anus. They are not visible.
Grade II: Grade II piles are larger than grade I piles, but also remain inside the anus. They may get pushed out during the passing of stool, but they will return unaided.
Grade III: These are also known as prolapsed hemorrhoids, and appear outside the anus. The individual may feel them hanging from the rectum, but they can be easily re-inserted.
Grade IV: These cannot be pushed back in and need treatment. They are large and remain outside of the anus.
External piles form small lumps on the outside edge of the anus. They are very itchy and can become painful if a blood clot develops, as the blood clot can block the flow of blood. Thrombosed external piles, or hemorrhoids that have clotted, require immediate medical treatment.
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Causes
Pregnancy may increase the risk of developing piles, as it causes increased pressure in the body.
Piles are caused by increased pressure in the lower rectum.
The blood vessels around the anus and in the rectum will stretch under pressure and may swell or bulge, forming piles. This may be due to:
chronic constipation
chronic diarrhea
lifting heavy weights
pregnancy
straining when passing a stool
The tendency to develop piless may also be inherited and increases with age.
Diagnosis
A doctor can usually diagnose piles after carrying out a physical examination. They will examine the anus of the person with suspected piles.
The doctor may ask the following questions:
Do any close relatives have piles?
Has there been any blood or mucus in the stools?
Has there been any recent weight loss?
Have bowel movements changed recently?
What color are the stools?
For internal piles, the doctor may perform a digital rectal examination (DRE) or use a proctoscope. A proctoscope is a hollow tube fitted with a light. It allows the doctor to see the anal canal up close. They can take a small tissue sample from inside the rectum. This can then be sent to the lab for analysis.
The physician may recommend a colonoscopy if the person with piles presents signs and symptoms that suggest another digestive system diseases, or they are demonstrating any risk factors for colorectal cancer.
Treatments
In the majority of cases, piles resolve on their own without the need for any treatment. However, some treatments can help significantly reduce the discomfort and itching that many people experience with piles.
Lifestyle changes
Diet and body weight may affect the risk of developing piles. Eating a high fiber diet and managing weight may help to prevent and treat the condition.
A doctor will initially recommend some lifestyle changes to manage piles.
Diet: Piles can occur due to straining during bowel movements. Excessive straining is the result of constipation. A change in diet can help keep the stools regular and soft. This involves eating more fiber, such as fruit and vegetables, or primarily eating bran-based breakfast cereals.
A doctor may also advise the person with piles to increase their water consumption. It is best to avoid caffeine.
Body weight: Losing weight may help reduce the incidence and severity of piles.
To prevent piles, doctors also advise exercising and avoiding straining to pass stools. Exercising is one of the main therapies for piles.
Several medicinal options are available to make symptoms more manageable for an individual with piles.
Over-the-counter (OTC) medications: These are available over-the counter or online. Medications include painkillers, ointments, creams, and pads, and can help soothe redness and swelling around the anus.
OTC remedies do not cure piles but can help the symptoms. Do not use them for more than 7 days in a row, as they can cause further irritation of the area and thinning of the skin. Do not use two or more medications at the same time unless advised to by a medical professional.
Corticosteroids: These can reduce inflammation and pain.
Laxatives: The doctor may prescribe laxatives if a person with piles suffers from constipation. These can help the person pass stools more easily and reduce pressure on the lower colon.
Surgical options
Around 1 in 10 people with piles will end up needing surgery.
Banding: The doctor places an elastic band around the base of the pile, cutting off its blood supply. After a few days, the hemorrhoid falls off. This is effective for treating all hemorrhoids of less than grade IV status.
Sclerotherapy: Medicine is injected to make the hemorrhoid shrink. The hemorrhoid eventually shrivels up. This is effective for grade II and III hemorrhoids and is an alternative to banding.
Infrared coagulation: Also referred to as infrared light coagulation, a device is used to burn the hemorrhoid tissue. This technique is used to treat grade I and II hemorrhoids.
Hemorrhoidectomy: The excess tissue that is causing the bleeding is surgically removed. This can be done in various ways and may involve a combination of a local anesthetic and sedation, a spinal anesthetic, or a general anesthetic. This type of surgery is the most effective for completely removing piles, but there is a risk of complications, including difficulties with passing stools, as well as urinary tract infections.
Hemorrhoid stapling: Blood flow is blocked to the hemorrhoid tissue. This procedure is usually less painful than hemorrhoidectomy. However, this procedure can lead to an increased risk of hemorrhoid recurrence and rectal prolapse, in which part of the rectum pushes out of the anus.
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A well-performed breast augmentation surgery can enhance your natural shape and help you achieve a variety of goals, including:
Increased breast size
Restored breast size, firmness, and shape after pregnancy or weight loss
Improved symmetry of breasts
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Female breasts are skin organs that develop their shape based on the balance that exists between the volume of the breast tissue and the skin that envelops the tissue. When there is too much skin or too little breast tissue, your breasts can droop. Luckily breast augmentation surgery can help improve this condition.
How is Breast Augmentation Performed?
surgery for breast implants begins with the creation of a pocket behind each breast. then places a silicone or saline implant in each pocket through a small incision made at the armpit, around the lower edge of the areola, or underneath the breast just above the crease.Most breast augmentation surgery patients choose the incision under their breasts, although women with larger areolae may do well with the areola incision, and women with smaller rib cages can safely choose the armpit approach. The breast implants can be placed above or below the chest muscle, depending on your body type.
Surgical Concerns
It is possible for some women to experience bleeding, infection, asymmetry, and capsular contracture after breast implant surgery. Women with a family history of breast disease should consider an under-the-muscle implant, and seek a specialist in the Tampa Bay area who can read mammograms post-breast augmentation.
TYPES OF BREAST SURGERY EXPLAINED BY GEETA NURSING HOME
There are several types of breast augmentation surgery. In order to make the best and most informed surgical decisions, American Board of Plastic Surgery and a Fellow of the American College of Surgeons. Widely known and respected for his extensive experience, has been performing breast augmentation and other cosmetic surgery procedures for decades. He takes appointments at Bayshore Plastic Surgery,
Breast augmentation surgery usually involves the placement of implants. These medical devices are surgically placed inside a woman’s breasts to enhance both shape and fullness. Because each patient is unique in terms of anatomy and preferences, a procedure must be highly individualized. For instance, there are two main types of implants used for breast augmentation – silicone and saline. In addition, each type of implant can vary widely in terms of its size, shape, and placement.
Another variation in breast augmentation surgery is the incision pattern. in which an incision is concealed in the inframammary crease at the base of the breast. For women who would like to address a moderate to significant degree of breast sagging, other options include:
Peri-areolar (“donut”) incision – An incision is made around the border of the areola.
Vertical incision – An incision follows the border of the areola, then continues down to the inframammary crease.
Anchor (“inverted T”) incision – One incision surrounds the areola and continues down to the inframammary crease. A second incision is made in the crease itself.
To determine whether a woman is a candidate for a breast augmentation procedure, if he believes her desired result can be achieved through breast augmentation surgery, he can recommend an appropriate technique and help her make educated decisions regarding the type, size, and profile of her breast implants.
To learn more about the different types of breast augmentation surgery
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Ignored for decades by urologists, Laparoscopy has finally entered urology as a subspeciality, within a decade. The skilled laparoscopic urologist can now effectively replace many incisional procedures. This aspect of urologic surgeryis rapidly developing; its potential is limited only by the urologist’s imagination. In the coming years, our methods of urologic practice will change dramatically. The necessity to harm in order to heal will be supplanted by laparoscopy. Laparoscopy surgery has the advantage of endoscopic surgery (less invasive nature) and the advantage of open surgery which is used for the removal and reconstruction of various organs. Thus, transferring benefits of early postoperative recovery, less hospital stay and early recuperation. After ESWL, probably the single most important development in the field of urology has been the emergence of laparoscopic urologic surgery.
Located in , this hospital is easily accessible by various means of transport. A team of well-trained medical staff, non-medical staff and experienced clinical technicians work round-the-clock to offer various services . Their professional services make them a sought after Hospitals in Ahmedabad. A team of doctors on board, including specialists are equipped with the knowledge and expertise for handling various types of medical cases.
At Geeta Nursing Home in Kankaria,Covers the area , Pushpkunj , Maninagar and other the various modes of payment accepted are Cash.
You can reach Apsara Cinema,14, Pushpkunj Society,Kankaria-380022. The contact number of this hospital is +(91)-79-25431665. M-9825006490
TYPES OF BREAST SURGERY EXPLAINED BY GEETA NURSING HOME
An anal fistula is a small channel that can develop between the end of the bowel and the skin near the anus. An anal fistula can cause bleeding and discharge when passing stools – and can be painful. An anal fistula can occur after surgery to drain an anal abscess. In some cases, an anal fistula causes persistent drainage. In other cases, where the outside of the channel opening closes, the result may be recurrent anal abscesses. The only cure for an anal fistula is surgery.
Pain, which is usually constant, throbbing and worse when sitting down
Skin irritation around the anus, including swelling, redness and tenderness
Discharge of pus or blood
Constipation or pain associated with bowel movements
Fever
Fissures can also be caused by a rectal exam, anal intercourse, or a foreign object. In some cases, a fissure may be caused by Crohn’s disease. Many experts believe that extra tension in the two muscular rings (sphincters) controlling the anus may be a cause of fissures. The outer anal sphincter is under your conscious control. But the inner sphincter is not. This muscle is under pressure, or tension, all of the time. If the pressure increases too much, it can cause spasm and reduce blood flow to the anus, leading to a fissure. This pressure can also keep a fissure from healing.
Diagnosis of anal fistulas
Usually, a clinical evaluation – including a digital rectal examination – is sufficient to diagnose an anal fistula, but some patients may require additional tests to screen for:
Sexually transmitted infections
Inflammatory bowel disease
Diverticular disease
Rectal cancer
In rare cases, an examination may be done under anaesthesia. The doctor may also ask for an ultrasound, a CT scan or an MRI.
Thyroid Surgery:
An Introduction Information on Thyroidectomy and Other Thyroid Surgeries
How to Treatment Fistula Surgery/Breast Surgery/Thyroid Surgery in geeta narsing home
Thyroid surgery is performed in a number of circumstances:
When cancerous cells are found in and around the thyroid gland, all or part of the thyroid is typically surgically removed.
When the thyroid enlargement – or goiter – has become so large that it is cosmetically necessary to remove it, or the size is making swallowing or breathing more difficult
When thyroid nodules enlarge and make swallowing or breathing more difficult
When radioactive iodine (RAI) treatment for Graves Disease or hyperthyroidism has been performed several times and is still not effective, in the U.S. (Note: In some countries other than the U.S., surgery is considered the first treatment for hyperthyroidism and Graves’ disease.)
When a woman is pregnant, and her hyperthyroidism cannot be controlled by other means
In most cases, surgery of the thyroid is not highly complicated, and usually takes no more than two hours. It is frequently performed on an outpatient or overnight basis. There are few complications that result, but when they do, they typically fall into one of two categories: damage to the voice box and / or vocal cords, or damage to the parathyroid glands. If there is damage to the parathyroid glands, this will affect the levels of calcium in the blood, however, this is very rare.
Types of Surgery
The most common type of surgery is a Total Thyroidectomy, sometimes abbreviated as a TT. Total Thyroidectomy means complete removal of the thyroid. This surgery is frequently preferred by doctors over other options and is used for cancers such as medullary and/or anaplastic that are larger and more aggressive.
The next most common type of surgery is a Subtotal Thyroidectomy. For this operation, the cancer must be small and non-aggressive — follicular or papillary — and contained to one side of the gland. During this procedure, the half of the gland in which the cancerous cells exist, the isthmus, and a portion of the opposite globe are removed.
Thyroid Lobectomy (removal of only about a quarter of the thyroid) with Isthmusectomy is less commonly used for thyroid cancer, as the cancerous cells must be small and non-aggressive for this to be successful.
What You Are Likely to Experience
General anesthesia is usually used, however, some surgeons in the U.S. are now using local anesthesia plus a sedative, to perform thyroid surgery.
In the surgery, a 3 to 5 inch incision will be made in the base of the neck, and then the skin and muscle is pulled back to expose the thyroid gland. Blood supply to the gland is “tied off” and the parathyroid glands are identified so that they may be preserved. Next, the surgeon separates the trachea from the gland, pulls it to the side and removes the cancerous part. If the entire thyroid is being removed, this is then done on the opposite side of the neck as well. Removal of half of the thyroid takes forty five minutes to an hour, so if the entire gland is being removed the surgery will last about an hour and a half.
Recuperation
Although you must stay in bed initially, your doctor will probably encourage you to begin moving about as soon as possible. You may not be able to eat or drink anything for the first twenty-four hours, so may be fed intravenously if still in the hospital. After this, a “soft” diet will likely be prescribed. As for resuming to normal activities, a one or two week recuperation time is generally needed before the patient may return to work.
After the surgery, many people report stiffness in the neck and / or tenderness at the incision site, as well as a hoarse voice, but this generally subsides in four to six weeks. The scar left by the surgery also will become less noticeable as time progresses.
Thyroid Hormone Replacement
Once part or all of the thyroid has been removed, thyroid replacement drugs will almost always be necessary for the remainder of the patient’s life. If you have had a partial thyroid removal, your doctor may not discuss the possibility of needing to start thyroid hormone replacement drugs with you, so be sure you have a conversation about this before you are discharged.
Watch carefully for any signs of hypothyroidism, and insist on full testing as soon as any symptoms might appear.
Symptoms of hypothyroidism include fatigue, exhaustion, feeling run down and sluggish, depression, difficulty concentrating, brain fog, unexplained or excessive weight gain, dry skin, coarse and/or itchy skin, dry hair, coarse and/or thinning hair, feeling cold, especially in the extremities, constipation, muscle cramps, joint pain, carpal tunnel syndrome, increased menstrual flow, more frequent periods.
What is stapled hemorrhoidectomy?
Stapled hemorrhoidectomy is surgical technique for treating hemorrhoids, and is the treatment of choice for third-degree hemorrhoids (hemorrhoids that protrude with straining and can be seen on physical exam outside the anal verge. Persistent or intermittent manual reduction is necessary). Stapled hemorrhoidectomy is a misnomer since the surgery does not remove the hemorrhoids but, rather, the abnormally lax and expanded hemorrhoidal supporting tissue that has allowed the hemorrhoids to prolapse downward.
For stapled hemorrhoidectomy, a circular, hollow tube is inserted into the anal canal. Through this tube, a suture (a long thread) is placed, actually woven, circumferentially within the anal canal above the internal hemorrhoids. The ends of the suture are brought out of the anus through the hollow tube. The stapler (a disposable instrument with a circular stapling device at the end) is placed through the first hollow tube and the ends of the suture are pulled. Pulling the suture pulls the expanded hemorrhoidal supporting tissue into the jaws of the stapler. The hemorrhoidal cushions are pulled back up into their normal position within the anal canal. The stapler then is fired. When it fires, the stapler cuts.off the circumferential ring of expanded hemorrhoidal tissue trapped within the stapler and at the same time staples together the upper and lower edges of the cut tissue.
Breast Augmentation Surgery
Breast Augmentation Surgery has become one of the most popular cosmetic surgical procedures which is used to enhance the size and change the shape of breasts. Through this procedure size of breasts can be increased permanently by using either saline breast implants or silicon. The breast implants have been proven to be safe as they do not affect the natural breast functions in any way.
Breast Implants come in different shapes and sizes and are classified as silicone implants and saline implants on the basis of their contents. Both silicone-filled implants and saline-filled breast implants have an outer shell which is made up of silicon containing the implant filling.
Silicon Implants
The silicone breast implants are filled with a cohesive silicone gel that makes it less prone to leakage. This textured gel filled silicone implant is resistant to accidental rupture.
Saline Implants
Saline-filled breast implants are filled with saline and are available in smooth as well as textured shells. These can be round or anatomically (tear-drop) shaped. The saline-filled breast implant is empty before implantation and the saline is only administered after the implant is done.
As every patient is different so their perspective and requirements are different. Prior to the operation, patients must discuss about their expectations with the specialist. The surgeon then examines the patient for the size and shape of the breasts and then advises right breast implant for individual patient.
Breast Augmentation Procedure
Breast augmentation procedure is started by making small incision either at the lower part of the breast or around dark skin around the nipple. Then the breast tissue is lifted to create a pocket for inserting implant. It is inserted beneath the mammary gland to craft size, shape and volume. This surgery is performed under general anaesthesia and the patient is usually discharged the same day after the operation.
Breast Augmentation Recovery & Results
Breast augmentation surgery is considered a safe procedure and the complications are rare. Patient can experience discomfort; minor swelling and bruising after the surgery for a few of days. Most of the patients can resume normal activities within two to three days after undergoing the surgery. The chances of any infection after breast augmentation surgery are rare and if infections take place then antibiotic treatments are given. In some cases there are chances of capsular contraction. It is advised to choose the best breast augmentation surgeon to minimize any such complications.
Kidney Stone Treatment
Treatment for kidney stones varies, depending on the type of stone and the cause.
Small stones with minimal symptoms
Most small kidney stones won’t require invasive treatment. You may be able to pass a small stone by:
Drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid — mostly water — to produce clear or nearly clear urine.
Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, your doctor may recommend pain relievers such as ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) or naproxen sodium (Aleve).
Medical therapy. Your doctor may give you a medication to help pass your kidney stone. This type of medication, known as an alpha blocker, relaxes the muscles in your ureter, helping you pass the kidney stone more quickly and with less pain.
Piles
Haemorrhoids are swollen blood vessels in or around the anus and rectum. The haemorrhoidal veins are located in the lowest part of the rectum and the anus. Sometimes they swell so that the vein walls become stretched, thin, and irritated by passing bowel movements. Haemorrhoids are classified into two general categories: internal and external.
Internal haemorrhoids lie far enough inside the rectum that you can’t see or feel them. They don’t usually hurt because there are few pain-sensing nerves in the rectum. Bleeding may be the only sign that they are there. Sometimes internal haemorrhoids prolapse, or enlarge and protrude outside the anal sphincter. If so, you may be able to see or feel them as moist, pink pads of skin that are pinker than the surrounding area. Prolapsed haemorrhoids may hurt because they become irritated by rubbing from clothing and sitting. They usually recede into the rectum on their own; if they don’t, they can be gently pushed back into place.
How to Treatment Fistula Surgery/Breast Surgery/Thyroid Surgery in geeta narsing home
Anyone at any age can be affected by haemorrhoids. They are very common, with about 50% of people experiencing them at some time in their life. However, they are usually more common in elderly people and during pregnancy. Researchers are not certain what causes haemorrhoids. “Weak” veins – leading to haemorrhoids and other varicose veins – may be inherited.
It’s likely that extreme abdominal pressure causes the veins to swell and become susceptible to irritation. The pressure can be caused by obesity, pregnancy, standing or sitting for long periods, straining on the toilet, coughing, sneezing, vomiting, and holding your breath while straining to do physical labour.
Diet has a pivotal role in causing – and preventing – haemorrhoids. People who consistently eat a high- fibre diet are less likely to get haemorrhoids, but those who prefer a diet high in processed foods are at greater risk of haemorrhoids. A low-fibre diet or inadequate fluid intake can cause constipation, which can contribute to haemorrhoids in two ways: it promotes straining on the toilet and it also aggravates the haemorrhoids by producing hard stools that further irritate the swollen veins.
How to Treatment Fistula Surgery/Breast Surgery/Thyroid Surgery in geeta narsing home
What are the symptoms of piles?
Bright red bleeding from the anus. Blood may streak the bowel movement or the toilet paper.
Knee replacement surgery restores the weight-bearing façade of a damaged, worn, or diseased knee joint. The aim is to remove pain and restore mobility.
It is also known as knee arthroplasty, or “knee resurfacing.”
The surgeon caps the ends of the bones that form the knee joint with metal or plastic components, or implants a prosthetic, shaped as a joint. This enables the knee to move properly.
Replacement knee surgery can help patients whose knee or knees have degenerated due to osteoarthritis, rheumatoid arthritis or post-traumatic arthritis, when an injury has damaged the knee.
It is considered a routine procedure. Every year, over 600,000 knee replacement surgeries are carried out in the United States. Most patients are aged between 50 and 80 years. Over 90 percent of patients experience a dramatic improvement in pain levels and mobility.
As long as the patient follows the surgeon’s instructions for knee care, in 90 percent of cases, a replacement knee still functions well after 15 years, and 80 to 85 percent of replacements last 20 years.
What is knee replacement and why is it useful?
As the covering of the knee bones wear out and the ends of the bones rub together, damage can occur.
Knee replacement is a kind of arthroplasty. Arthroplasty literally means “the surgical repair of a joint,” and it involves the surgical reconstruction and replacement of degenerated joints, using artificial body parts, or prosthetics.
With a prosthesis, the patient will feel less pain, and the knee will move properly.
Why have knee replacement surgeries?
There are three common reasons for the procedure:
Osteoarthritis is caused by Inflammation, breakdown, and the gradual and eventual loss of cartilage in the joints. Over time, the cartilage wears down and the bones rub together. To compensate, the bones often grow thicker, but this results in more friction and more pain.
Who might need a knee replacement?
Knee surgery may be suitable for patients who experience:
Severe knee pain or stiffness that prevents them from carrying out everyday tasks and activities, such as walking, going upstairs, getting in and out of cars, getting up from a chair
Moderate but continuous knee pain that continues while sleeping or resting
Chronic knee inflammation and swelling that does not improve after taking medications or resting
Knee deformity, where there is a noticeable arch on the inside or outside of the knee
Depression , resulting from an inability to carry out daily or social activities
If the other available treatment options have not worked, surgery may be the best option.
Types of knee replacement surgery
Knee replacement can be total or partial.
If a knee is damaged by arthritis, replacing part of the joint may bring relief.
Total knee replacement (TKR): Surgery involves the replacement of both sides of the knee joint. It is the most common procedure.
Surgery lasts between 1 and 3 hours. The individual will have less pain and better mobility, but there will be scar tissue, which can make it difficult to move and bend the knees.
Partial knee replacement (PKR): Partial replacement replaces only one side of the knee joint. Less bone is removed, so the incision is smaller, but it does not last as long as a total replacement.
PKR is suitable for people with damage to only one part of the knee. Post-operative rehabilitation is more straightforward, there is less blood loss and a lower risk of infection and blood clots.
The hospital stay and recovery period are normally shorter, and there is a higher chance of more natural movement.
Preparing for surgery
Knee arthroplasty involves major surgery, so pre-operative preparation, medical consultations, and physical evaluations usually begin a month before the set date of the operation.
Preparatory and diagnostic tests will include checking blood count, seeing how the blood clots, carrying out electrocardiograms (ECGs), and urine tests.
Surgery is usually performed either under general, spinal, or epidural anesthetic.
During the procedure, the orthopedic surgeon will remove the damaged cartilage and bone, and then position the new implant, made of metal, plastic, or both, to restore the alignment and function of the knee.
Recovery
A patient who has knee replacement surgery will be hospitalized for, 1 to 3 days depending on how well they follow and respond to rehabilitation.
There will be pain, but a day after the procedure medical staff will encourage patients to get up and try to walk about, usually with some kind of walking aid. It is important to follow the instructions for rehabilitation.
Crutches may be needed during recovery.
To take iron supplements to aid wound healing and muscle strength
Not to bend down and lift heavy things, at least for the first few weeks
Not to stay standing still for long periods, as the ankles might swell
To use crutches, a walking stick, or a walker until the knee is strong enough to take your body weight
To use all medications according to the instructions
To carry out the recommended exercises to encourage proper mobility
To keep the affected leg raised on a footstool when sitting
To avoid soaking the wound until the scar is completely healed, because of the risk of infection
To monitor for any signs and symptoms of infections, blood clots or pulmonary embolism
Precautions should be taken to avoid a fall, as this might mean further surgery.
Useful measures include:
Ensuring there is a secure handrail and using a stable, nonslip bench or chair in the shower
Where possible, sleeping downstairs
Securing any loose carpets and removing wrinkly mats around the house
Removing or securing any trip hazards, such as loose wires
Most people can resume normal activities 6 weeks after the operation, but there may be some pain and swelling for up to 3 months, and scar tissue and muscles will still be healing for the next 2 years.
Items that may help at home include:
A raised toilet seat
A reaching stick for picking up items from the floor
A long-handled shoe horn
Patients who have undergone knee replacement surgery can expect to participate in moderate and low-impact exercise activities, such as walking, swimming, and biking, but they should avoid extreme sports.
Treatment of a hernia
depends on whether it is reducible or irreducible and possibly strangulated.
Reducible hernia
In general, all hernias should be repaired to avoid the possibility of future intestinal strangulation.
If you have preexisting medical conditions that would make surgery unsafe, your doctor may not repair your hernia but will watch it closely.
Rarely, your doctor may advise against surgery because of the special condition of your hernia.
Some hernias have or develop very large openings in the abdominal wall, and closing the opening is complicated because of their large size.
These kinds of hernias may be treated without surgery, perhaps using abdominal binders.
Some doctors feel that the hernias with large openings have a very low risk of strangulation.
The treatment of every hernia is individualized, and a discussion of the risks and benefits of surgical versus nonsurgical management needs to take place between the doctor and patient.
All acutely irreducible hernias need emergency hernia repair because of the risk of strangulation.
An attempt to reduce (push back) the hernia will generally be made, often after giving medicine for pain and muscle relaxation.
If unsuccessful, emergency surgery is needed.
If successful, however, treatment depends on the length of the time that the hernia was irreducible.
If the intestinal contents of the hernia had the blood supply cut off, the development of dead (gangrenous) bowel is possible in as little as six hours.
In cases in which the hernia has been strangulated for an extended time, a surgeon will perform surgery to check whether the intestinal tissue has died and to repair the hernia.
In cases in which the length of time that the hernia was irreducible was short and gangrenous bowel is not suspected, you may be discharged from the hospital.
If a hernia that appears irreducible is finally reduced, it is important for a patient to consider a surgical correction. These hernias have a significantly higher risk of getting incarcerated again.
How to cure treatment & Symptoms are Piles/Hernia/Knee Replacement /Urology stone in Sanket Surgical Hospital
Piles Treatments
In the majority of cases, simple measures will alleviate symptoms while hemorrhoids get better without treatment. However, medicines and even surgery may sometimes be needed.
Specialist ultrasonic device for hemorrhoid surgery.
Symptoms can be relieved in the following ways. However, they will not eliminate the hemorrhoids:
How to cure treatment & Symptoms are Piles/Hernia/Knee Replacement /Urology stone in Sanket Surgical Hospital
Topical creams and ointments: Over the counter (OTC) creams or suppositories, which contain hydrocortisone, are. There are also pads which contain witch hazel, or a numbing agent that can be applied to the skin.
Ice packs and cold compresses: Applying these to the affected area may help with the swelling.
A sitz bath using warm water: A sitz bath is placed over the toilet. Some pharmacies sell them, and they may relieve the burning or itching symptoms.
Moist towelettes: Dry toilet paper may aggravate the problem.
Analgesics: Some painkillers, such as aspiring ibuprofen, and acetaminophen may alleviate the pain and discomfort.
Kidney Stone Treatment
Treatment for kidney stones varies, depending on the type of stone and the cause.
Small stones with minimal symptoms
Most small kidney stones won’t require invasive treatment. You may be able to pass a small stone by:
Drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid — mostly water — to produce clear or nearly clear urine.
Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, your doctor may recommend pain relievers such as ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) or naproxen sodium (Aleve).
Medical therapy. Your doctor may give you a medication to help pass your kidney stone. This type of medication, known as an alpha blocker, relaxes the muscles in your ureter, helping you pass the kidney stone more quickly and with less pain.
How to cure treatment & Symptoms are Piles/Hernia/Knee Replacement /Urology stone in Sanket Surgical Hospital
depends on whether it is reducible or irreducible and possibly strangulated.
Reducible hernia
In general, all hernias should be repaired to avoid the possibility of future intestinal strangulation.
If you have preexisting medical conditions that would make surgery unsafe, your doctor may not repair your hernia but will watch it closely.
Rarely, your doctor may advise against surgery because of the special condition of your hernia.
Some hernias have or develop very large openings in the abdominal wall, and closing the opening is complicated because of their large size.
These kinds of hernias may be treated without surgery, perhaps using abdominal binders.
Some doctors feel that the hernias with large openings have a very low risk of strangulation.
The treatment of every hernia is individualized, and a discussion of the risks and benefits of surgical versus nonsurgical management needs to take place between the doctor and patient.
All acutely irreducible hernias need emergency hernia repair because of the risk of strangulation.
An attempt to reduce (push back) the hernia will generally be made, often after giving medicine for pain and muscle relaxation.
If unsuccessful, emergency surgery is needed.
If successful, however, treatment depends on the length of the time that the hernia was irreducible.
If the intestinal contents of the hernia had the blood supply cut off, the development of dead (gangrenous) bowel is possible in as little as six hours.
In cases in which the hernia has been strangulated for an extended time, a surgeon will perform surgery to check whether the intestinal tissue has died and to repair the hernia.
In cases in which the length of time that the hernia was irreducible was short and gangrenous bowel is not suspected, you may be discharged from the hospital.
If a hernia that appears irreducible is finally reduced, it is important for a patient to consider a surgical correction. These hernias have a significantly higher risk of getting incarcerated again.
Hernia /Piles/Kidney Stone/Knee Replacement Treatment in Sanket Surgical Hospital
Piles Treatments
In the majority of cases, simple measures will alleviate symptoms while hemorrhoids get better without treatment. However, medicines and even surgery may sometimes be needed.
Specialist ultrasonic device for hemorrhoid surgery.
Symptoms can be relieved in the following ways. However, they will not eliminate the hemorrhoids:
Topical creams and ointments: Over the counter (OTC) creams or suppositories, which contain hydrocortisone, are. There are also pads which contain witch hazel, or a numbing agent that can be applied to the skin.
Ice packs and cold compresses: Applying these to the affected area may help with the swelling.
A sitz bath using warm water: A sitz bath is placed over the toilet. Some pharmacies sell them, and they may relieve the burning or itching symptoms.
Moist towelettes: Dry toilet paper may aggravate the problem.
Analgesics: Some painkillers, such as aspiring ibuprofen, and acetaminophen may alleviate the pain and discomfort.
Hernia /Piles/Kidney Stone/Knee Replacement Treatment in Sanket Surgical Hospital
Knee Replacement Treatment
There is a range of treatments for a knee replacement infection, including both nonsurgical and surgical procedures.
Some knee replacement infections are superficial, which means that the infection has reached the skin and tissue around the joint but does not affect the artificial joint itself.
A superficial knee replacement infection may be treated with oral or intravenous (IV) antibiotic.
Hernia /Piles/Kidney Stone/Knee Replacement Treatment in Sanket Surgical Hospital
Surgical treatment
If a knee replacement infection goes deeper than the skin and tissue around a joint, it may need to be treated surgically. Surgical treatment options include:
Debridement: This is a surgical washout of the joint. Any contaminated soft tissue is removed, and the artificial joint is cleaned. Plastic liners or spacers in the artificial joint may be replaced. The doctor will prescribe IV antibiotics to be taken after surgery.
Staged surgery: This involves a series of surgeries to remove and replace the artificial joint. This may be necessary if the infection has developed months or years after the original knee replacement.
The different stages of staged surgery typically include:
Removal of the artificial joint: When the infection is deep and long-lasting, the artificial joint will need to be removed.
Joint washout: Washing helps get rid of infected soft tissue in the joint.
Placement of antibiotic spacer: This helps maintain joint space and keeps the joint aligned while the infection is treated.
IV antibiotics: These help kill the infection. The doctor may prescribe a course that lasts up to 6 weeks.
New knee replacement surgery: Once the infection has been treated, another knee replacement surgery can be carried out. The doctor will remove the antibiotic spacer and give the person a new artificial knee joint.
Hernia /Piles/Kidney Stone/Knee Replacement Treatment in Sanket Surgical Hospital
Kidney Stone Treatment
Treatment for kidney stones varies, depending on the type of stone and the cause.
Small stones with minimal symptoms
Most small kidney stones won’t require invasive treatment. You may be able to pass a small stone by:
Drinking water. Drinking as much as 2 to 3 quarts (1.9 to 2.8 liters) a day may help flush out your urinary system. Unless your doctor tells you otherwise, drink enough fluid — mostly water — to produce clear or nearly clear urine.
Pain relievers. Passing a small stone can cause some discomfort. To relieve mild pain, your doctor may recommend pain relievers such as ibuprofen (Advil, Motrin IB, others), acetaminophen (Tylenol, others) or naproxen sodium (Aleve).
Medical therapy. Your doctor may give you a medication to help pass your kidney stone. This type of medication, known as an alpha blocker, relaxes the muscles in your ureter, helping you pass the kidney stone more quickly and with less pain.
Hernia /Piles/Kidney Stone/Knee Replacement Treatment in Sanket Surgical Hospital
Knee & Hip Replacement / Hernia & Piles Types, symptoms, & treatment Urology Stone
Knee & Hip Replacement
Knee joints may get injured, or simply wear down, leading to the need for replacement. Patients with our New Jersey hip and knee center receive the exact level of care needed to restore comfort and range of motion. Ultimately, a partial or full knee replacement is performed with the objective of ushering a patient back into a good quality life. Here, we touch on a few of the normalcies of living that may not be as normal as one would expect, at least not right away.
Knee replacement has become the most common and safest form of joint replacement surgery. This can be attributed due to improvements in the science of knee replacement implants, experience of surgeons, and the growing population of knee replacement patients. Although public perception can be influenced by negative advertising and press, the fact is that knee replacement surgery is one of the most successful surgical procedures performed today and patient perception is by and large positive because it improves quality of life, the knee becomes totally pain free, person comes back and performs his all normal activities. The main advantage of this surgery is that the person becomes fully mobile and independent. It does not require any attendant to help him in is everyday activities.
Hernia
Hernia is defined as protrusion of viscera through the wall that contains it. It is a common occurrence and medical complication amongest both men and women. There are various types of hernias ranging from congenital to inguinal. The treatment for each depends on the location, the situation of the complication and the existing medical conditions.
Types of Abdominal Wall Hernia:
Inguinal hernia
Incisional hernia
Femoral hernia
Umbilical and ventral hernia.
Inguinal hernias are the most common type of hernia, next commonest is incisional hernia.
Knee & Hip Replacement / Hernia & Piles Types, symptoms, & treatment Urology Stone
Muscle weakness and strain are the two most common causes of abdominal wall hernia. It may be congenial also.Muscle weakness is mainly because of:
Weak scar following surgery
Chronic cough/constipation
Congenial defect
Various factors that predispose to increase abdominal strain are:-
Pregnancy
Weight lifting
Chronic cough
Chronic constipation
Symptoms of Hernia:
Swelling, pain discomfort are the commonest symptoms of uncomplicated hernia.
Hernia Surgery and Treatment
Complications of Hernia:
Irreducibility, obstruction and strangulation are complications of Hernia which increases morbidity and mortality of patient.
Management of Hernia:
Surgery is recommended for most types of hernia to prevent complications like obstruction of the bowel or strangulation which can lead to death if not intervened at appropriate time. There is no fix guideline that particular factors will leads to complications of hernia. Hence surgery is recommended for most abdominal wall hernia.
Types of Hernia Surgeries:
Minimal access hernia surgery[MAS]/less scar hernia surgery:-
Less pain, less scar early return to work are the classical advantages of MAS.
Open hernia repair
Conventional large incision is made, suitable for large irreducible hernia. Pain, recovery time is more than the minimal access surgery.
Most hernia patient should undergo surgery without any delay to prevent complication and morbidity of hernia. Choice of surgery to be decided after proper discussion with patient.
Piles
Hemorrhoids’ is the medical term for the condition more commonly known as Piles. They are a mass of swollen rectal or anal blood vessels. These veins are situated in the lower part of the anus and rectum. Hemorrhoids are of two types:
Internal
External
Internal hemorrhoids lie deep inside the rectum and are not normally visible to the naked eye. They don’t usually hurt, but their presence is marked with the symptom of bleeding through the anus.
External hemorrhoids get formed in the anal region and create discomfort. When an external hemorrhoids protrudes through the anus, it can be seen and felt. Sometimes blood clots can form within the mass that slips down; it can be extremely painful.
Causes for formation of hemorrhoids
Knee & Hip Replacement / Hernia & Piles Types, symptoms, & treatment Urology Stone
Diet: This is the primary reason for the formation of hemorrhoids. Low fiber diets, highly processed foods and inadequate intake of water can all cause piles.
Elderly people and pregnant women are, in general, likely to develop hemorrhoids.
A family history of weak rectal veins may be another cause.
Excessive abdominal pressure due to obesity, pregnancy, prolonged standing or sitting, coughing, straining on the toilet, holding on to your breath during labor, vomiting and sneezing can all cause hemorrhoids.
Symptoms
Bright red bleeding from the anus: blood may streak the toilet paper or bowel movement
Swollen, painful lump near the anus
Itching
Pain and tenderness during bowel movements
Mucus discharge
Treatment Options
Topical creams, ointments and suppositories
Sitting in warm water or sitz bath: A bathtub shaped like a chair in which one bathes in a sitting position, immersing only the hips and buttocks.
Painkillers
Sclerotherapy Injections: An internal hemorrhoids can be injected with a solution that creates a scar and closes off the haemorrhoid. The injection will only hurt a little.
Banding: A special tool secures a tiny rubber band around the haemorrhoid, shutting off its blood supply almost instantly. Within a week, the haemorrhoid shrivels and falls off.
Coagulation: Using either an electric probe, a laser beam, or an infrared light, a tiny burn painlessly seals the end of the haemorrhoid, causing it to close off and shrink.
Surgery: For large internal hemorrhoids or extremely uncomfortable external haemorrhoids, your doctor may choose traditional surgery, called haemorrhoidectomy.
Trust experienced Proctologists at Kauvery to correctly diagnose and treat your rectal health issues. If you have symptoms like rectal itching, pain, bleeding or any other unusual symptoms, don’t waste precious time waiting. Uranus – Bottom Clinic offers treatment for a wide variety of health problems like piles, fissures, fistulas, tumours.
You suspect that you have a hernia. Sometimes hernias require urgent medical care – an accurate diagnosis is important.
If you can’t get the hernia to go back in. This is called an incarcerated hernia and can lead to strangulation. Seek medical care immediately.
You know you have a hernia, and you are nauseous and vomiting or are unable to have a bowel movement or pass wind. You may have a strangulated hernia or an obstruction, which are emergencies. Seek medical care immediately.
How is a hernia diagnosed?
A doctor’s physical examination is often enough to diagnose a hernia. Sometimes hernia swelling is visible when you stand upright. Usually, the hernia can be felt if you place your hand directly over it and put pressure on it. Ultrasound may be used to see a femoral hernia, and abdominal X-rays may be performed to identify a bowel obstruction.
What are the treatments for a hernia?
In babies, umbilical hernias may heal themselves within four years, making surgery unnecessary. For all other hernias, the standard treatment is conventional hernia-repair surgery, called herniorrhaphy. It is possible to simply live with a hernia and monitor it. The main risk of this approach is that the protruding organ may become strangulated (have its blood supply cut off), and infection and tissue death may occur as a result. A strangulated intestinal hernia may result in intestinal obstruction, causing the abdomen to swell. The strangulation can also lead to infection, gangrene, intestinal perforation, shock, or even death.
Sanket Surgical Hospital tries to eliminate the pain of patients by providing healthcare at the best cost. A truly sophisticated set up of care and commitment, dedication and concern is what we mutually bring out. Our team believes in work towards a cause and tirelessly strives to understand the patient, his physical and mental suffering. We are committed to excellence and giving the patients and attendants, homely and secured facilities ensuring a speedy recovery.
Most often, health problems crop up instantaneously, without prior warnings and symptoms. And even if they do, we literally, ignore the symptoms unless and until they become a potential threat to our lives. For instance, hernias, gall bladder stones, nowadays, it is one of the common problems found among the masses, all across the world. It does come up with prior symptoms, but due to our lethargic and careless behaviour not many of us pay attention to it timely. And the day soon comes, when you feel the need to see a doctor immediately and get the effective treatment on-time.
So, to be on side of the sufferer in such cases or in case of such health issues, experts at Sanket Surgical HospitalNikol Road, Bapunagar and Best Surgical Hospital in Nikol, Thakkarbapanagar, Indiacolony, Odhav, Viratnagar, have been praised a lot.
The Laparoscopic surgeons have wealth of experience in treating patients with symptoms of pilesand Hernia,Urology Stone Problem, Joint and Knee Replacement other similar diseases. Thus, besides excelling in other areas of healthcare services they have also earned praises for the world-class laparoscopic, Urology and Orthopedic services which are offered to patients at highly affordable price.
All surgery basically is about making a small incision on the skin to enter the abdomen and to other diseased area. Through this incision, a special camera known as laparoscope is passed during the surgical procedure. With the help of laparoscope images are transmitted from the diseased area to the high-resolution monitors in the operating room, thus making the surgeons to perform the operation similar to the traditional surgery but with smaller ports (small incisions).
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