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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My son, details given below is underweight and underweight and poorest eating habits to the extent of not eating any vegetables, fruits, chapatis, milk. He is very much full of anger, gets provoked on small things, gets irritated easily, doesn't pay attention to his physical hygiene. Pls suggest any homoeopathic way of treatment at normal price preferably in South Delhi. Thanks.
Sir, my son 2 years old is suffering with heavy fever from 22 feb 2017, after treatment of oral based on our doctor's advise on 26 feb 2017 we admitted my son in children hospital. CRP level is 64. After two days of treatment the CRP level is decreased to 16. The fever also comes down from 104 F to 97 F. After one day of discharging from hospital my son again suffering with fever with 100 F temperature. In case sheet LRTI WITH SEPSIS. Now medicines are cefbact 750 mg through IV, linezolid, crocin DS, ascoril, maxtra and also nebulization. I search on the internet for this problem, there are many articles on this problem, I am fearing about my son future after the reading those articles. Please advice me the exact details and remedies.
I am an 20 year old girl an I was having cold from ten to twelve days and I dint went to doctor n it was cured by its own but after I cured from cold I started suffering from cough n its a severe cough. I am not able to eat or drink any think. I seems as if its pricking and I have tried honitus and strepsils but its not working. I wonder is it not tonsil or something but I never had tonsil or something. What should I do is it something serious.
Hello doctor, I have a child of four years old, he has 9points of hemoglobin how can I improve blood in his body, children they cay not eat green leaves etc, can I give him cerelac again. Please give me the answer quickly.
I am a 24 years old woman. We had done family planning after two babies but are now planning to another baby. Is it possible to get another baby after family planning .give me your valuable suggestion As Soon As Possible. Thank you.
3 year abhi mjhe baby ni chahiye. Vomiting ki tarah morning me lgta h food ko dekh k iritation ho rha.
My 5 year old daughter has been diagnosed with Viral Warts on her face. She has warts of multiple size - some big, some small but mainly concentrated on her chin and jaw. The doctors I consulted say there is no medicine for Viral warts. But her face is looking bad because of the warts. Please can someone guide what can be done?
He is a 7 months kid and he was suffering from cold continuously for 1 month and got checked by doctor but it is coming again what are the precautions to be taken.
My three year old son is frequently having itching and rashes due to some allergy. He also getting cranky for small things also. He won't have food properly but he is so active. Could you suggest solution for this.
My 3 years old son has developed a white spot on his face from last 10 days. I am really worried about it. What should i do? Please advise.
1. Constant Companionship
Although childhood isn't always easy, having a pet provides constant companionship through the ups and downs. Dogs can be a great source of comfort for kids — even when they're coming to grips with difficult life lessons. Whenever kids feel sad, angry, or afraid, they can always turn to their pet. Petting and cuddling dogs has also been shown to relieve stress and help people relax.
2. A More Active Lifestyle
Caring for a dog also encourages a more active lifestyle. In fact, a recent study showed that kids with dogs exercise eleven minutes a day more than their non-dog owning peers. That might not sound like a lot, but over a week or month, it really adds up. Many dogs require daily walks or runs and plenty of play time. Those adorable puppy eyes they give you are sure to motivate you — even when you're not feeling up to it.
3. Learning Responsibility
Having a pet is a great way to teach responsibility to kids. Making sure that the family dog has food and water gives children a first glimpse of accountability and obligation. Children also learn empathy and compassion by caring for their pet, while developing a higher level of self-esteem by taking care of their pet-owning responsibilities.
4. Health Is Wealth
Recent studies have found that babies raised in close contact with a pet get sick less often in their first year of life, meaning fewer visits to the doctor's office. Exposure to pet dander and the microbes that pets carry into the home from the outdoors is suggested to improve babies' developing immune systems. Research has also found that children who grow up with dogs experience a reduced risk of allergies.
5. Don't Worry, Be Happy!
Perhaps one of the greatest benefits of dogs in early childhood is simply that they make children happy! Interaction with animals has been proven to raise levels of serotonin and dopamine, which are the chemical building blocks of positive feelings. All science aside, playing and interacting with dogs is just plain fun — and it's bound to brighten any kid's day.