Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 41 years of experience on Lybrate.com. You can find Gynaecologists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Payel Ray
Management of Abortion
Caesarean Section Procedure
Treatment Of Female Sexual Problems
Termination Of Pregnancy Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Treatment Of Female Sexual Problems
Treatment Of Medical Diseases In Pregnancy
Treatment Of Menstrual Problems
Intra-Uterine Insemination (IUI) Treatment
Medical Termination Of Pregnancy (Mtp) Procedure
Gynecology Laparoscopy Procedures
Pap Smear Procedure
Submit a review for Dr. Payel RayYour feedback matters!
I'm 50+ had the problem in my testicles which block the spermatozoa to conceive any 1.What's the latest remedy? fluid is okay and never had a problem in good sex so far.
Me and my wife had unprotected sex, her usual menstrual cycle is 28-30 days, which should have started by 7th April, but she is not on her periods yet. We are not ready for second child. Please suggest.
Im suffering from hormone imbalance and I have irregular periods what to do how to cure my hormone in balance? Please help me
My period not come on time it' s 15 days late n I check for pregnancy it' s negative what pills I have to take for it
Vinita is my wife she doesn't get period after one month and her pregnancy report is positive I think her last period date is 28/07/2018 she ate many tablet but it is not working so what can I do we are not ready for child.
Hi I am having pain in my left breast on the left side of it. When I touch it I feel a little pain. This problem is occurring in gap of some days. Is this normal or I need a check up.
Pregnancy is a time when you have to be at your vigilant best even as you go about your normal life. If you happen to be a smoker and enjoy a drink once in a while, then it may be time to change these habits. Ideally, one should let go of these habits as soon as the couple starts trying for a baby, as how you treat your body in the preconception stage will have a great bearing on how your body adjusts to pregnancy and the aftermath of childbirth. Let us find out the dangers of smoking and drinking during pregnancy. (Learn more about healthy pregnancy)
- Alcohol and Your Baby: While you may be thinking that a drink or two of wine in a week may not do any harm to your foetus, this is actually a misnomer. One should steer clear of even a sip as the alcohol usually ends up passing through you placenta and right into your growing foetus.
- Alcohol Break Down: When the alcohol gets passed through your system and into the baby, there is a definite health hazard to the foetus. This is due to the fact that the body tends to break down alcohol in a much slower manner, than it would break down any other food or beverage. And the risk is that much more heightened in case of the growing foetus, because the tiny bodies are not equipped to handle the breaking down process properly. This may lead to a rise of the blood alcohol level of the foetus, keeping it at that level even after the mother's blood alcohol level has been restored to normal.
- Retardation and Other Related Ailments: When the blood alcohol level of the baby remains high, it can lead to a variety of problems that can go from mild to severe. Retardation, heart ailments and more can be born from this issue. Also, this can lead to deformed facial features as well as behavioural problems like aggression.
- Smoking and Low Birth Weight: When you smoke during your pregnancy, it doubles your risk of birthing a baby whose weight is significantly lower than the acceptable standard and what is considered normal (learn more about the affect of smoking on your and your baby's health)
- Smoking and Other Complications: Also, smoking during pregnancy increases the chances of having an ectopic pregnancy, which can lead to the loss of the foetus. Further, you can also end up having a premature baby, if you smoke during pregnancy, as this will lead to the burst of your water before the actual labour begins. Finally, smoking during pregnancy can give rise to complications in the placenta, which will result in a separation of the placenta from the uterine wall, much before the delivery actually happens.
What is an Appendectomy?
An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.
How is Appendectomy Performed?
Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.
However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.
Conventional Open Appendectomy-
In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.
Laparoscopic Appendectomy (LA)-
While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.
Recovery Time For Appendectomy-
The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.
Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.
Risk and Long Term Consequences of Removing the Appendix-
While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.
Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar. In case you have a concern or query you can always consult an expert & get answers to your questions!