Doctor in Apollo First Med Hospitals
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Hernia Repair Surgery
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Treatment of Pancreatic Fistula
Treatment of Pancreatic Cancer
Gastric Bypass Surgery
Accident Injuries Treatment
Laparoscopic Treatment Procedures
Minor Ot Service Procedures
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Patient Review Highlights
Piles or haemorrhoids refer to swollen blood vessels inside and around the rectum and anus. Depending on where they are located, they can be classified as internal and external haemorrhoids. Small haemorrhoids can be treated with medication, but surgery may be recommended for larger Hemorrhoids. This is known as a “Hemorrhoidectomy” and involves cutting out the enlarged veins. This surgery may be performed in many different ways.
Preparing for a Hemorrhoidectomy
A Hemorrhoidectomy is typically a one day procedure and does not require hospitalization. The patient will be given instructions that need to be strictly followed before the procedure. These include:
- No food should be eaten after midnight on the night before surgery. If any medication is to be taken, it should be accompanied by only a small sip of water.
- All makeup and jewellery must be removed before surgery.
- The patient may be asked to take a mild laxative or enema on the night prior to surgery.
- Talk to the doctor about any medication currently being taken for diabetes, blood pressure, asthma, heart conditions etc. In some cases, the medication may need to be stopped for a few days prior to surgery.
When the patient comes to the hospital for surgery, he or she should wear loose, comfortable clothes with an elastic waistband. Any medication being taken should be brought along. While the patient will be discharged the same day, he or she will not be allowed to drive back home. Hence, the patient must also make arrangements for someone to drive them home.
This surgery can take anywhere from half-an-hour to one hour. After consulting the doctor, the patient will be given a hospital gown and medication through the intravenous route to help them relax. Various devices are attached to the body to track the patient’s heart rate, pulse etc. The patient is then put under general anaesthesia for the surgery. After the surgery, the patient will be kept in the recovery room for an hour. They are then transferred to another room and given something to eat and drink.
This procedure has a high success rate and is considered relatively safe. However, as with any other procedure, there are a few risks involved. Before undergoing this surgery, the patient must be well aware of these risks. They include:
Some patients may also experience trouble passing urine. This is because the pain caused by surgery makes it difficult for the patient to relax. However, there is nothing to worry as these risks can be effectively managed by the doctor.
Have you undergone a thyroid removal surgery recently or planning to go for one, then you should know some important things that should be kept in mind. After undergoing the surgery, it is essential that you should allow your body some time to recover. Your health care provider will educate you regarding the activities and exercises that can help in recovering from the surgery faster. It is worthy of mention here that the recovery process is dependent on the extent and type of surgery you have undergone. It would generally take a longer time to recover from traditional surgery than minimally invasive procedure.
What to do right after the surgery?
In the days following the surgery, you are required to take care of the incision area. You may or not be allowed to take a bath depending on the dressing on the wound. You are likely to experience slight swelling around the scar. Even though this is normal, you should report to your doctor without further delay. The scar may start feeling hard three weeks after the surgery, and you may apply an unscented moisturizer to prevent dryness while healing.
When to start daily activities after the thyroid gland removal surgery?
You are free to resume most of the normal activities the day following the surgery. But you should wait for at least 10 days or until your doctor allows you to engage in physically strenuous activities. Your throat is likely to feel sore for a couple of days. You can also take an over-the-counter pain medicine like acetaminophen or ibuprofen for relieving soreness. In case these drugs are not offering desired relief, your doctor may prescribe you to take narcotic pain medicine. It is a common outcome of the thyroid removal surgery to develop hypothyroidism. In case this happens to you, your doctor may recommend you to take some form of levothyroxine for bringing down the hormone levels.
Is there any physical restriction after the thyroid removal surgery?
Most surgeons recommend that patients should limit all sorts of physically strenuous works after the thyroid removal surgery. This is recommended for reducing the risk of postoperative neck hematoma and breaking open of the wound closure. These limitations are temporary and brief and are generally followed by a quick transition to unrestricted activity. You are free to take part in heavy lifting or swimming or other exercises two to three weeks after the surgery.
Is it possible to lead a normal life after the thyroid removal surgery?
Once you have recovered from the effects of thyroid surgery, you can do anything you feel like. Post-surgery your thyroid levels will be monitored through regular follow-ups. If the surgery were carried out for thyroid cancer, your doctor would also check for recurrence of cancer during your visits. It is essential to stick to this schedule and report if you notice any suspicious changes or experience discomfort so that proper care can be given and you can lead a normal life.
Have you ever faced difficulty or experienced severe pain while defecation? Well, this is a widespread phenomenon amongst many, but most of them feel shy to discuss this problem. Different People differently understand the term Piles. For some, it is the name given to the uneasiness or pain that one feels during defecation and for others, it might be blood found along with feces. This notion is partially correct. Piles, also known as Hemorrhoids, are vascular structures that are present in the anal canal.
These vascular structures are like cushions that help with stool control. The problem arises when these structures become swollen. Post inflammation of hemorrhoids leads to the ultimate problem. Piles become painful which is unbearable for many while a few people don’t feel much pain but bleeding characterizes the disease. Around 10% of patients having Piles problem require surgical treatment, but they are unaware of the measures needed before opting for a hemorrhoid surgery.
The operation that is used to remove hemorrhoids is known as Hemorrhoidectomy. In this surgery, a local or general anesthesia is given to the patient so that the affected area gets numb and the patient doesn’t feel much pain. The doctors make perform a procedure around the anus to get rid of the hemorrhoids. As the anus area is susceptible, stitches might be required. Patients can go home the same day, but intensive care is needed. It might take around two weeks to get normal, in some cases, it may also extend to 6 weeks.
Cure Piles in 15 Minutes (BIEM)-
‘Biological Impendence Electrical auto-Measurement’ (BIEM) concept is a smart and advanced technology that able to produce controlled ‘tissues fusion’ without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.
The major advantages of this technology is no bleeding, no open wound, no risk of infection and less pain as the nerve fibers is sealed in the tissues fusion. The new tissues growth will take place from inside and the dry and hard zone will take off itself when tissues healed up.
Measures to be taken post hemorrhoid surgery
The surgery is extremely safe, however, like all surgeries, there are certain precautions that need to be taken in order to avoid post-op infection or reaction to anesthesia. People mostly complain about the severe pain that they feel while defecating and might also be accompanied by irritation or itchiness in the treated area. These symptoms are normal, but if the irritation or itchiness becomes severe or excessive bleeding becomes frequent, then consult your doctor immediately.
Fever or difficulty while defecating should also be reported to the doctor if it continues to be a problem after surgery. For the recovery phase, your doctor might prescribe the use of some pain killers along with the usage of some stool softeners. Taking a warm bath might also lower down the pain.
Usually, the doctors prescribe a healthy diet before and after hemorrhoidectomy surgery. But the measures might differ from case to case. A few common after and before care measures include diet changes, lifestyle changes, and adopting a regular exercise program. These three steps will not only help in speedy recovery but also reduce the chances of hemorrhoids recurring.
Are you feeling an excruciating pain in the anal region? Is there a lump around the area that you can feel? Commonly called Piles, hemorrhoids, is a phenomenon where the blood vessels are inflamed or expanded in the anal canal. Veins in and around the anus and rectum are comparatively weak than the arteries which are quiet intense. This is because the walls of the veins are pretty thin and pain or discomfort arises when there is too much pressure on the walls. There are two kinds of Piles the internal piles and the external piles; the discomfort and severity depend on the kind of piles you are suffering from.
Causes behind it
The causes of hemorrhoids are not certain and anyone can get affected by the condition. It is more prevalent in elderly people and pregnant women. Sometimes, the condition is also hereditary, so if or you or your parents suffered from piles, there is a possibility that you may develop it too. When the veins in the anal region are subjected to pressure, the veins swell causing painful hemorrhoids.
The common symptoms associated with the condition are:
- Bleeding from the anus
- Painful lump or swell near the anus
- Anal itching
- Tenderness or pain during bowel movements
- Mucus Anal discharge
Treatment options for piles
In few cases, the Hemorrhoids can be treated with home remedies like a change in diet, warm sitz baths, and avoiding foods that may lead to constipation. For hemorrhoids of the first, second and third-degree, medications, home remedies and manual methods are preferred approaches. However, when the condition persists for an extended period with severe pain it is best to consider your physician.
The piles can be treated with:
- Injection or sclerotherapy: Treats internal hemorrhoids
- Banding: Treatment for prolapsed hemorrhoids
- Coagulation: Treatment using laser
- Surgery: Opted for in severe cases of hemorrhoids
Surgery is suggested when no other remedies for piles have responded. In the case of prolapsed hemorrhoids, or the fourth degree and higher degree, surgical methods need to be implemented. In common, surgery is deemed as the last option for piles treatment. Piles surgery is prescribed particularly by the surgeons in the situation where pain becomes unbearable.
The surgical treatments
Hemorrhoidectomy: This is the surgery done to remove piles. The physician performs a few minute cuts around the anus to remove them away. The area which is under operation is put under local or general anesthesia. Hemorrhoidectomy is often a procedure for the outpatient case, and you are typically discharged on the same day itself. The patient usually takes about two to three weeks, to recover fully but then it can even take as long as five to six weeks to get back to normal pain-free life again.
PPH: Another surgical method is PPH. It is also known as stapled hemorrhoidectomy. In this surgery, the physician uses a device which looks like a stapler to reposition the pile and struck off their supply of blood so that they eventually shrink and die out. This surgical procedure is less painful than traditional hemorrhoidectomy as it removes hemorrhoid to where there are fewer nerve endings, so it hurts less. There will be faster recovery, few or no complications, minor itching, and bleeding.
A liver transplant surgery involves surgically substituting a problematic liver with a healthy liver from a different person. Usually, the healthy liver is taken from a person who has recently passed away. In some cases, a living person may also give away part of the liver. Usually, living donors are members of the family or someone who has a good blood type match. The liver regenerates lost tissues after a surgery; hence, the donor’s liver becomes normal within a few weeks of surgery.
You may require a liver transplant if your liver does not function optimally, owing to the below mentioned conditions:
- Cirrhosis: This is a chronic disease of the liver wherein, scar tissues replace healthy tissues in the liver, thus, not allowing the liver to function optimally.
- Metabolic disease: Disorders that modify the activity of the chemicals in the body
- Acute hepatic necrosis: This is a disorder that causes the healthy tissues in the liver to die
- Autoimmune disorders or liver cancer: Autoimmune disorders can cause healthy tissues in the liver to die as the immune system in the body starts attacking healthy tissues. Formation of malignant tumors in the liver can impair liver functioning.
You have to undergo certain procedures before the surgery is conducted; a general health exam, imaging tests, blood tests and a psychological exam are conducted before the surgery. Based on the functioning of the liver and some other factors, your suitability for the transplant will be determined.
The procedure begins with general anesthesia, following which an incision is made in the abdomen. The liver is then removed and replaced with a healthy one. Once the procedure is completed, the surgeon closes the incision with stitches.
Once the procedure is done with, you are kept in the intensive care unit for a few days. The doctor will monitor your progress and put you on medications. After the recovery, you will have to undergo check-ups at regular intervals. You may also have to take medications such as immunosuppressant to prevent your immune system from attacking the liver.
Any type of surgery is stressful for your body and you will need to take extra care of yourself in order to heal well. Any procedure that is performed on the stomach, liver, gallbladder, intestines, appendix, pancreas or spleen can be categorised as an abdominal surgery.
Here are ten tips to speed up the healing process after such a surgery.
- Be prepared: While preparing yourself for surgery, also prepare your home for your return after surgery. Stock up your fridge with soft foods and keep loose, comfortable clothes easily accessible. Ideally, finish your laundry and house cleaning before the surgery and move away furniture and other things that could trip you.
- Understand your medication: After the surgery, you are likely to be prescribed medication to relieve the pain and help with the healing process. Understand the dosage of these medications as well as any possible side effects that you should watch out for.
- Get out of bed: The more you move around, the faster your incision will heal. Moving about also aids in the digestive process and helps the bowel work efficiently.
- Avoid lifting heavy weights: Do not lift anything heavier than 500 grammes without your doctor’s consent. This includes your pets, laundry baskets, grocery bags etc. also, avoid vacuuming for a while.
- Get some light exercise: It may be a few months before you can get back to your regular workout routine but ensure that you get a little light exercise every day. Walking is a great way to start.
- Keep plenty of pillows at hand: Holding a pillow between your knees or against your stomach can help relieve abdominal pain and discomfort. You may also feel better by propping yourself up on a few pillows when sitting on a chair.
- Drink plenty of water: Keeping your body hydrated is crucial to the healing process. Water aids in circulation and ensures that adequate nutrients reach all parts of your body. Ideally, one should drink 8 to 10 glasses of water a day.
- Care for your incision: Keep your incision clean and dry by washing it with soap and water daily and thoroughly drying it afterwards. Do not apply any ointment or cream on the area unless advised so by the doctor.
- Take a close look at your diet: For the first few days, it is advisable to eat only soft or semi-soft foods that are easy to digest. You may gradually change to normal food as your body’s tolerance levels increase.
- Get plenty of sunshine: Exposing yourself to a little sunshine on a daily basis can make the recovery process less painful and make you more cheerful.
I am 18.5 year old boy. I can not retract my penis skin back. Do I need to go through a surgery? If yes what is the general expense and duration of the surgery and how much time does it take to heal. Is this treatable by medicine also?
Even Roald Dahl faked having appendicitis in his famous book, but, what exactly is appendicitis? Wouldn’t it be a little interesting, to say the least, to find out what causes it and what treatment a person can expect to undergo in the case of getting it?
Quite simply, appendicitis is the name of the condition when the appendix swells up. Under normal circumstances, it is about three and a half inches in length. The ironic part about this is the fact that though appendicitis may cause tremendous pain and warrants surgery, no doctor is really aware of the reason why the appendix exists, in the first place! As a matter of fact, it is fully possible to live without an appendix and many people have not experienced any health problems after having their appendix removed.
While the appendix does not serve any properly defined function, this really does not mean that appendicitis is something that is not all that serious. In fact, if there is an explosion of the appendix, a person can die without very strong levels of medication in a time bound manner!
So, what is the cause behind this scary prospect? Simply said, when the appendix gets blocked, the result is appendicitis. What blocks it? Well, it could be cancer, a foreign body or even stool! That being said, it is to be kept in mind that this is not the only reason as to why appendicitis exists. If there is an infection in the body, in response to it, the appendix may end up getting inflamed.
With the exception of a very small minority of cases in which very strong antibiotics are made use of in order to treat appendicitis, a surgery to remove the appendix is usually a given case scenario when a person has appendicitis. As a matter of fact, it is treated as an emergency and the doctors go ahead and start the treatment as soon as possible to avoid the possibility of the rupture of the appendix.
It usually takes about two or three weeks before a person can get back to normal activities though some gentle movement can be undertaken within about twelve hours since the end of the operation. There are two types of surgery. If a laparoscopic surgery is being performed, the recovery is relatively straightforward but if an open surgery is performed, the recovery can take more time and would require a greater amount of care.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Every year, millions of people all over the world undergo abdominal surgery. If you belong to that group, you will want to get back on the feet as early as possible. But there are many aspects that patients do which can slow down the recovery process and lead to delayed and uncomfortable and sometimes, fatally dangerous complications.
In recent times, hospitals employ enhanced recovery after surgery or ERAS for pain management, pre-operation eating, and post-operation exercise. The result of this protocol is that the recovery time is reduced by one-third which indicates that you can go home a few days earlier while the rate of complication drops manifold. Regardless of whether you have undergone a hernia repair surgery or removal of gallbladder or hysterectomy or colorectal cancer, the following steps can help you heal faster.
- Get walking as soon as you can: When you are recovering from the abdominal surgery, you should aim for three to four walks regularly. This is because movement helps the lungs to expand which can reduce the chance of having pneumonia which is a common risk of post-surgery. It can help in the movement of blood in the extremities while decreasing the likelihood of blood clots.
- Cut back on narcotic painkillers: Your doctor may recommend a non-opioid pain reliever or an epidural injection which can protect bowel function. But you should try not to rely on these drugs for a longer period and strive to cut down on them since they can cause various complications. They can slow down the function of intestine which causes constipation. This is extremely troubling after undergoing the abdominal surgery and can delay recovery time.
- Drink a lot of liquids: You should start drinking water and other liquids as soon as your doctor allows you to do so. If you are a coffee lover, you can start drinking that as well to prevent caffeine withdrawal symptoms like headaches. But make sure you can drink a lot of water for avoiding dehydration.
- Chew gum: Once you have undergone abdominal surgery, the digestive system would become slow and may decline from the optimal function. It can be extremely uncomfortable and prolong hospital stay. When you chew gum, it makes the body feel that you are eating which will compel the digestive system to start functioning again.
- Spend time on a rocking chair: Most people know that sitting tends to open the lungs better than lying flat. But when you spend time in a rocking chair, the additional activity can be extremely beneficial for your body. The best thing you can do for yourself is to get up and walk.
Following these few tips, it will be easier for you to recover from abdominal surgery. In case you have a concern or query you can always consult an expert & get answers to your questions!
Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).
Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.
Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.
Tension free repair: “Tension free” repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren’t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.
The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.
In case you have a concern or query you can always consult an expert & get answers to your questions!