Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen, which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5 - 1.5 cm are made far from the location of the operation. One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.
This process is used to diagnose unidentified abdominal or pelvic pain. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis. Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight-loss surgeries.
Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection
Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery!
Hlo Dr. Few months ago I had anal fissure I got treatment from a local Dr. Now again sometimes uncomfortable when I pass stool. Today when I touched my anal to clean it, I felt a bump on the outside of the anal and when it touched it softly it pained me. M scared. I do not want to go for operation as I want to join yhe army please help me out. Waiting for your reply.
after eating a food my stomach will blow like a balloon n I feel heavy stomach pls suggest me some prescription for this problem.
Sir whenever I eat something. I have digestion problem. I cannot eat anything. I am facing gastro plan for two months kindly suggest some natural remedies which can help. Me ro overcome from this situation. Pls refer natural remedies.
I've stomach problem and cannot get fresh, it takes half hour or more in a time. It happens 2-4 times in a day.
My stomach getting tight regularly. Digestion is also not proper. Is it serious or some small remedies can make me fine.
Today I noticed something odd. Saw blood in my stools at morning time during noon time I was noticing then my stools came out normal with no blood on it but after they passed few droplets of fresh blood followed please note there is no blood in my stool blood drops follow after stool is passed dietary habits normal stool size normal.
I am Suraj Kumar Khandait and my age is 26 years. I am severely facing digestive or gas problems. It's becoming very difficult to eat oily or masala food. So how to sort out digestive or gas problem?
My mother is suffering from Child's A Cirrhosis. She has oesophageal varices grade 2.Today morning she had nose bleeding. Is it normal for nose to bleed in cirrhosis. She has done banding for oesophageal varices.
I am a 17 year old male. After I am done using the toilet in the morning which is usually normal I feel this urge to take a dump again after 15 mins my stomach does not feel right and I urgently need to use the toilet again. This is happening for almost 6 years now and it affects my day. I consulted few doctors who said I had irregular bowel system, if ao then how do I get rid of it?
At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as
- Midline Incision: It’s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
- Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
- Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
- Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
- Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron’s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
- Gridiron’s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
- Kocher’s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher’s incision. This however is different from the same named incision used for the thyroid gland surgery.
- Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.
One of the most severe illnesses included in the larger group of diseases, is known as inflammatory bowel disease (IBD). Crohn's disease is typically a long-lasting, chronic condition. The intestine or bowel, most commonly the colon and the lower part of the small intestine, are either marked by sores or get inflamed and ulcerated. It is a common occurrence in adolescents and in young adults.
Types : Crohn's disease is subdivided into five types, each having its own set of symptoms:
- Ileocolitis: The most common type, it affects the colon and the ileum and results in considerable weight loss as well as diarrhea and cramps.
- Gastroduodenal Crohn's disease: People who suffer from this type of disease have their stomach and duodenum affected and many experience symptoms like nausea, loss of appetite and weight loss.
- Crohn's Colitis: This involves only the stomach, and can cause joint pains, rectal bleeding, skin lesions and diarrheas.
- Ileitis: This type of Crohn's disease affects the ileum and the symptoms are identical to those of ileocolitis.
- Jejunoileitis: In this type, the jejunum gets affected and general symptoms include the formation of fistulas, diarrhea, intensive back pain as well as areas of inflammation.
Causes: Although there are many theories about what causes Crohn's disease, none of them have been proven. However, there have been a few possible causes which have been identified. These include:
- Immune system problems
- Genetic disorders
- Environmental factors, such as: a) Certain edibles, b) Viruses or harmful bacteria, c) Smoke.
Symptoms: The primary symptoms of Crohn's disease include the following:
- Diarrhea: Diarrhea is a common problem for people with Crohn's disease and can occur for about 10 to 20 times a day in severe cases.
- Blood in your stool: In rare cases, you might notice blood in the toilet bowl or darker blood mixed with your stool.
- Fever and fatigue: In more intense cases, you may develop a fever. You may also feel tired or have low energy.
- Abdominal pain and cramping: You may experience anything from slight discomfort to severe cramping and intermittent belly pain, including nausea and vomiting.
- Anemia: Due to a reduction in iron level caused by bloody stools a person can turn anemic.
- Reduced appetite and weight loss: Abdominal pain and cramping can affect both your appetite and your ability to digest food, which leads to severe weight loss.
- Perianal disease: Erratic appearance of small tears in the anus are called anal fissures.
Also known as flatulence, gastric problems do not really mean any kind of disease. Rather, these occur as a result of some underlying condition or some distress affecting the digestive system. Gastric problems generally take their toll on the health of the person by showing their effects either as stomach pain or by making the person lose his appetite. These gastric problems generally come along with some of the serious health conditions like diarrhoea or problems like indigestion. It is now easy to treat flatulence by using the remedies that are readily available in households.
Forms of gastric problem
Gastric problems do not generally occur alone and they usually come along with other conditions like digestive distress, diarrhoea or even cramps. Commonly this condition can be seen in three forms in a person. One is burping, the second form is belching and the third is flatulence. Each has their own magnitude of impact on the person. All three causes annoying effects to the person and can be taken care of with the help of some home remedies. The gastric problem can be of two types. One is the acute gastritis and the other is chronic gastritis. The first problem can be cleared off within few days time and the second problem needs some extra care and treatment.
Symptoms of gastric problem
Some cases of gastric problem can be minor and can be taken care of easily. These problems can be resolved in a matter of one or two days. Other forms of flatulence can be severe and can cause other weaknesses in the body. Doctors say that gastric problems can be identified with the help of few easily comprehensible symptoms.
Some of the common symptoms of the gastric problems are:
- Constant pain in the abdominal region
- Loss of appetite
- Repeated vomiting and nausea
- Increased pressure and pain in the chest area
- Persistent headache
- Sudden dizziness during work
Solution for the problem:
There are some common home remedies for gastric worries which include:
- A little cinnamon powder can be mixed with a glass of warm milk and can be taken along with honey.
- 2 spoons of apple cider vinegar must be mixed with a glass of warm water and cooled to the room temperature and drunk.
- Equal amounts of fennel, ginger and cardamom must be ground together and a pinch of hing must be added to it and mixed with a cup of water. It must be taken twice a day.
- 1 spoon each of carom seeds and black salt must be added to buttermilk and the solution has to be drunk.