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Dr. Subhadeep Tripathy

MS - General Surgery, F.mas,D.mas

General Surgeon, Chennai

5 Years Experience  ·  200 at clinic
Dr. Subhadeep Tripathy MS - General Surgery, F.mas,D.mas General Surgeon, Chennai
5 Years Experience  ·  200 at clinic  ·  ₹ online
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Personal Statement

My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them....more
My favorite part of being a doctor is the opportunity to directly improve the health and wellbeing of my patients and to develop professional and personal relationships with them.
More about Dr. Subhadeep Tripathy
Dr. Subhadeep Tripathy is a trusted General Surgeon in Kattupakkam, Chennai. He has over 5 years of experience as a General Surgeon. He has done MS - General Surgery, F.mas,D.mas. He is currently practising at Apollo hospital in Kattupakkam, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Subhadeep Tripathy on Lybrate.com.

Lybrate.com has a nexus of the most experienced General Surgeons in India. You will find General Surgeons with more than 38 years of experience on Lybrate.com. Find the best General Surgeons online in Chennai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MS - General Surgery - Dr.b.r.ambedkar medical college and hospital,bangalore - 2011
F.mas,D.mas - World laparoscopy hospital,Gurgaon - 2013
Languages spoken
English
Professional Memberships
MICLS
AIIMS
2014

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D-32,sterling ganges apartments,katupakkam,chennaiChennai Get Directions
200 at clinic
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I have a open skin in the foot measuring 1" x 1" for two years, even after skin grafting not covered, to develop skin to get clean foot what is the remedy?

F.mas,D.mas, MS - General Surgery
General Surgeon
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Hi. From your description you have an open wound in your feet since 2 years which has not healed yet, so there is an ulcer which is non-healing for 2 years. Kindly get a biopsy from edge of the wound to rule out marjolin's ulcer which is a well differentiated squamous cell carcinoma. Unfortunately if it turns out to be marjolin's ulcer wide excision has to be done otherwise it can turn into poorly differentiated squamous cell carcinoma with a poor prognosis. This is however very-very rare. Now coming to common possibilities. As you are a diabetic get an fbs, ppbs and hba1c done. If sugars are elevated there will be more chances of infection so, if sugars are elevated control it preoperatively, otherwise there will be chances of graft failure due to infection. A swab can be taken from the wound and sent for culture to start correct prophylactic antimicrobial management and once culture shows negative growth grafting can be planned. Local application of silver nitrate cream serves as an antimicrobial as well as stimulates granulation. Synthetic dressings like hydrocolloid dressings which helps epithelization or integra in which deeper collagen acts as dermis and outer silicone sheet acts as epidermis can be used. The outer silicone layer is removed after 2 weeks followed by autograft can be done. Biologic dressings like xenograft or allograft can be used to temporarily cover the wound and once this layer sloughs auto graft can be used. Finally full thickness skin biopsy of patient's skin is done on admission. By specialized culture technology sheets of skin can be manufactured in 3 weeks and take up of cultured graft is 60-75% washing the feet pre-operatively in a bucket of lukewarm water with soap solution (pedicure) for 1-2 months can reduce the bacterial load of the wound and can reduce the chances of post-operative infection. Hope the consultation was beneficial. Regards.
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I suffer from hernia, enlarged prostate, blood pressure, colastorate. Blood pressure and colastorate are in control as I take medicine regularly. Enlarged prostate (bph) is also in control as I take dutas t regularly. May I go in for operation hernia without operating enlarged prostate.

F.mas,D.mas, MS - General Surgery
General Surgeon
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Hi. Thanks for the opportunity to help you. From your description you are having bph and inguinal hernia. As your blood pressure and cholesterol is under control, I would suggest you to undergo both the operations in same sitting. The ideal scenario should be turp followed by open/laparoscopic hernia repair. Turp to be done by urologist followed by lap/open hernia repair as per the operating surgeon's expertise. It is essential to do a turp first as straining while passing urine predisposes to hernia formation. If hernia is repaired without turp then after surgery you might strain due to bph and you might get a recurrent hernia due to straining and again might be subjected to unnecessery surgery, post-op pain morbidity etc. If it is an uncomplicated small, reducible inguinal hernia, turp followed by laparoscopic repair in the same sitting will be ideal. However if it is a large irreducible hernia turp followed by open repair will be ideal laparoscopic repair has a distinct advantage of less post-operative pain, less intraop blood loss, short post op pain and small surgical scar and rapid healing of skin wound. Lap scar will be 1cm in comparison to 7 to 8 cm painful scar of open hernioplasty hope the consultation was beneficial regards.
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I am 68 years old man and I have problem of some projected like balloon objects formed in the anus. What is the remedy for that?

F.mas,D.mas, MS - General Surgery
General Surgeon
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Hi. Thanks for sending query in lybrate. I understand your concern. From your description the duration of the problem is not clear to me, neither you have mentioned anything about bleeding per rectum or weight loss, still I will give you most probable differentials: 1) prolapsed rectum 2) prolapsed hemorrhoids 3) a polyp or less likely a lower rectal growth kindly visit a surgeon/surgical gastroenterologist and get yourself evaluated clinically by doing per rectal examination, proctoscopy, colonoscopy and also a cect if the treating consultant feels the need for the above. If the diagnosis is haemorrhoids then open/stapler haemorrhoidectomy as per your treating consultant's advise. If it is a rectal prolapse which looks more probable repair through abdominal approach or perineal approach or laparoscopic repair as per your treating surgeon. The names of few methods are delorme's method, altemeire's method, lahaut's operation, anal encircling by steel wires or laparoscopic repair. If there is a polyp a biopsy has to be sent either colonoscopic or from ot. If biopsy shows malignant potential polypectomy with apr where the rectum, sigmoid and soome extent of descending colon will be resected and a permanent colostomy to be done. If colonoscopy shows multiple polyps then total proctocolectomy with ileoanal anastomosis to be done as polyps are premalignant. If unfortunately it turns out to be a carcinoma rectum apr has to be done. Hope the consultation was beneficial regards.
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