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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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My 8 months old girl suffering from beta thalassemia major. What should be the ultimate treatment for her. Is bone marrow transplant will be helpful & after bone marrow transplant what is the chance of her survival Pls help.
What is coblation tonsillectomy?
Coblation is an advanced technology that uses gentle radio frequency energy with a saline solution to quickly and safely remove tonsils without causing much pain &amp;amp;amp; no bleeding.
How is cobalation tonsillectomy/adenoidectomy done?
This surgery is done under general anaesthesia generally takes about 30 min. The surgeon uses a special cobalation wand which utlizes radio frequency energy to remove tonsil adenoids in a nearly bloodless fashion the patient can go home the same day.
Why is coblation tonsillectomy a better choice?
Older ways of removing the tonsils and adenoids include cold steel method of dissection. These methods could cause extensive pain, bleeding and may damage healthy tissue around the tissue that is removed. Coblation does not remove the tonsils or adenoids by heating or burning preserving healthy surrounding tissue.
What are the benefits of coblation tonsillectomy?
Fewer'bad days patients report a better overall experience with coblation tonsillectomy after surgery when compared to other procedures. Studies show that patient calls and visits to the doctor due to problems after surgery are significantly less with coblation tonsillectomy.
Faster recovery coblation tonsillectomy has been shown in clinical studies to speed a child's return to normal activity and diet. On average, patients return to a normal diet in 2.4 days after coblation, versus 7.6 days after routine cold steel method.
Less pain coblation tonsillectomy has also been shown to decrease pain and use of medications after the procedure.
Coblation adenoidectomy is a technique which works at a relatively low temperature to gently dissolve and/or shrink target tissue with minimal thermal damage to surrounding healthy tissue. Coblation technology provides ablation, resection, coagulation of soft tissue and hemostasis of blood vessels in one convenient surgical device.
Complete removal of adenoids
Under direct endoscopic vision
Minimal pain with day care procedure
I have 1 month baby boy. But I have problem of feeding. For more feed of baby what I am do? please suggest something for come more feed for my baby.
My 4. 5 yrs old daughter is having andenoids problem - enlarged tonsils. She has a sound sleep. No noise from nose while sleeping. X-ray showed enlarged tonsils. Need treatment.
My baby is 1.8 years old. He is suffering from cough from last 5 days. And after 5 days fever is 101. I am giving him grilinctus syrup and crocin syrup. But cough is not control. My baby is whole night coughing and many times vomiting. So please advice me some cough syrup and other medicine name.
Are there any long-term effects associated with taking ADHD (attention deficit hyperactivity disorder) medications? If so, what are they and what medications are implicated? Can numerous fibroids and an enlarged uterus cause bladder prolapse? Why does my gynecologist think my bladder bulging into my vaginal canal is a fibroid even after I was sent to a urologist for stress incontinence issues?
My son is one month old, he is passing watery faltus sometimes is it normal. Many people says it is normal in infants.
My daughter is 4 yrs old weighing only 10 kg 500gm she does not gain weight and is very weak i consulted many doctors but is useless they say she is very active thats the only anwer i get she has problem eating solid food she does not like to eat a single fruit nor chocolates or any chips or waffers from outside and also harras me a lot to eat home made food pls help my daghter fo that she start liking to eat food and gain some weight atleast.
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.