Doctor in Sir Ganga Ram Hospital
Kidney Stones Treatment
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Varicose Vein Laser Treatment
Hernia Repair Surgery
Urinary Incontinence (Ui) Treatment
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Prostate Laser Surgery
Gastric Bypass Surgery
Vascular Surgery Treatment
Accident Injuries Treatment
Stem Cell Transplant
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Patient Review Highlights
Sir treated me for piles.He was very caring and gave me confidence to go through the surgery. He is Knowledgable and always available in case of help.
Dr. C.S. Ramachandran provides answers that are knowledgeable and saved my life. Thanks doctor,I was so worried,it has been happening for months now.
I found the answers provided by the Dr. C.S. Ramachandran to be very helpful. Thanks Dr Sir byopsy done and showing tb
Dr. C.S. Ramachandran provides answers that are thorough. what i should do? shoud i consult to a dermatologist????
Vikas Singh Rawat
I found the answers provided by the Dr. C.S. Ramachandran to be very helpful. so do I consult to dermatologist?
I found the answers provided by the Dr. C.S. Ramachandran to be very helpful. Thank you doctor...
Sir, Ramachandran treated me for piles, it was very good experience. Thank you so much Dr.
I found the answers provided by the Dr. C.S. Ramachandran to be very helpful. Thanku sir
Dr is very humble nice and experienced.. his diagnostic ability is super
Dr. C.S. Ramachandran provides answers that are practical. Thanks you
good doc soft spoken very helpful
Hi, i am Suffering from corn from last 2 months I had before but had surgery for that please help to get rid of it.
Dear doctor, I am having a 180 days old baby boy, he is a premature baby while born. One of his testis is undescended at the time of birth and ultra sound scan says that the undescended testis may be a hypoplastic (during 2 month scan). Is it means absence of one testis, no possibility to grow it? Kindly advice us because we are very much worry for that of any surgery to be done. Thanking you in advance.
Ulcerative colitis is a chronic inflammatory condition whereby, tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.
Ulcerative colitis normally alternate periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are, however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.
Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer from long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:
- Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.
- Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis.
- Ileal Pouch Anal Anastomosis: If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctocolectomy would be most appropriate.
Here, both colon and rectum are removed, but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum.
The surgical procedure to remove the oesophagus (the tube between your stomach and mouth), partially or completely, and reconstruct it by using a section of the large intestine or stomach is called esophagectomy.
Esophagectomy is commonly used to treat oesophageal cancer.
Early-stage oesophageal cancer is frequently treated with an esophagectomy. Other than that, esophagectomy is also performed to treat oesophageal dysplasia (a condition in which cells in the oesophageal lining are precancerous or likely to develop cancer if not promptly treated).
Esophagectomy is commonly performed when cancer has spread to the stomach, lymph nodes or associated organs.
Some other conditions which require esophagectomy include:
Swallowing of cell-damaging, or caustic agents such as lye.
Problematic stomach disorders that make the passage of food to the stomach difficult.
A previously performed esophagectomy was unsuccessful.
There are three ways a surgeon may perform an esophagectomy, which include:
Transthoracic Esophagectomy (TTE)
In this type of procedure, the incision is made on the chest. A TTE is mostly used to treat the following conditions:
Transhiatal Esophagectomy (THE)
In THE, the incision is made from the end of the breastbone to the bellybutton. THE is performed for the following conditions:
To remove the cancerous oesophagus
To tighten or narrow the oesophagus in order to make swallowing easier
To fix issues in the nervous system
To repair frequent gastroesophageal reflux
Correct a hole in the oesophagus caused by any caustic agent
En Bloc Esophagectomy
In this procedure, the oesophagus, part of the stomach and all the lymph nodes in the abdomen and chest are removed. The incisions are made in the abdomen, chest and neck; the stomach will be reshaped and brought up to the chest to put back the oesophagus.
Potentially curable tumours are treated by en bloc esophagectomy.
Recovery time of esophagectomy is three weeks approximately. You are allowed to go back to your regular diet after a month. You might find that you are eating smaller portions as you stomach size is reduced. In case you have a concern or query you can always consult an expert & get answers to your questions!
An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.
Pancreatitis may be caused due to various reasons:
- Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis.
- Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
- Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.
- The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
- Swollen abdomen: Pancreatitis may cause your abdominal area to swell up and become tender.
- Nausea: If your abdomen suddenly starts paining due to the onset of pancreatitis, you tend to feel extremely nauseous. You might end up vomiting and may also have violent heaves.
- Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
- Rapid pulse: Pancreatitis affects the rate, at which the heart beats, causing a rapid increase in the pulse rate.
Laparoscopy, also known as keyhole surgery, is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body. Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.
1. The problems that laparoscopy addresses
Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.
2. The duration of your stay in hospital
Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.
3. The preparation required pre-surgery
If you are going to have a laparoscopic surgery soon, ensure that you inform your doctor if you are taking any blood-thinners like aspirin or if you are allergic to any medications like anaesthesia. Moreover, let the doctor know if you are pregnant or planning to conceive. After giving all this information to the doctor, strictly follow all the instructions he/she gives you. Also, make sure that someone is available to drop you home after the surgery as you might be too weak or in too much pain to go back home by yourself.
4. Pain management post surgery
Laparoscopy is generally followed by a sore feeling around the cuts as well as shoulder pain. If the pain is unbearable you can ask for medication from your doctor or consider common analgesics. Recovery time for a laparoscopic surgery is only a few days, and to get through this period easily seek the help of a friend or family member to manage your medications and lift your spirits.
5. Restrictions you need to follow during the first couple of weeks
For the first couple of weeks after the surgery, your doctor might ask you to abstain from driving, tub bathing, swimming and having sexual intercourse. Make sure that you follow these rules and get adequate amount of sleep to ensure speedy recovery.
In case you have a concern or query you can always consult an expert & get answers to your questions!
Obesity can shorten your lifespan by decades and also limit and reduce the quality of your life. Obesity cannot always be controlled by dieting and exercise and thus more complicated means such as bariatric surgery has to be employed.
Types of bariatric surgery
Most bariatric surgeries either limit your ability to consume food and thus make you feel fuller quickly or limit the absorption of nutrients from the food you eat. Certain surgeries use a combination of the two in varying degrees. Mentioned below are the most commonly employed forms of bariatric surgery –
- Gastric Balloon – This is a form of surgery wherein a specially made balloon is inserted into the stomach. In certain cases even two balloons are inserted into the stomach to reduce the room left for food. This causes you to have less food resulting in weight loss over a period of time.
- Gastric Sleeve – This is a form of surgery wherein a major portion of the stomach is removed through the procedure. Also known as Vertical Sleeve Gastrectomy, the surgeon creates a pouch within the stomach which essentially becomes a connecting tube between the esophagus and the large intestine. The reduced stomach size causes fewer hunger related enzymes and hormones to be secreted, causing less hunger and also reducing your food intake capability. This results in weight loss over a period of time.
- Gastric Bypass – Gastric bypass uses the combination of two techniques, lesser absorption of minerals as well as reduced intake capacity. In this method, a part of the stomach is rearranged akin to the gastric sleeve. However the leftover portion of the stomach is not removed as it can continue to secrete stomach acids. Because of the reduced size of the stomach, you would eat less and if you happen to over eat, it would cause dumping syndrome (quick and repeated bowel evacuation) which would deter you from eating more.
- Lap band surgery – This is one form of surgery where the stomach is not reduced or cut but rather limited by a band that is put around it. This band constricts the stomach and causes the upper part to become smaller. Hence you would feel fuller from eating less, thus resulting in weight loss.
- V-bloc therapy – This is a very modern approach to bariatric procedures which works in a very similar way to a pacemaker. A device is placed just under your skin and two leads or wires are connected to the vagal nerve. This nerve is responsible for sending the hunger signals to the brain from the stomach. This device acts as a block to the nerve signals and thus ensures you eat less.
- Duodenal switch – This surgery is also known as a Biliopancreatic Diversion wherein the surgeons cut out the part of the stomach similar to a gastric sleeve surgery but also make adjustments to the pancreatic chain and the small intestine to reduce the absorption of minerals.
Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario.
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery including plastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs.
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity.
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.
Some of the risks involved during the process include:
1. Abnormal reactions to the medications
3. Problems in breathing
4. Need for more surgery
Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. In case you have a concern or query you can always consult an expert & get answers to your questions!