Doctor in Yogashish Clinic
Treatment of Abdominal Pain
Treatment of Swelling
Treatment of Hemorrhoids
Treatment of Kidney Stones
Treatment of Colic
Treatment of Black eye
Treatment of Hernia
Treatment of Blood in Urine
Treatment of Hydrocele
Treatment of Varicose Vein Disorder
Treatment of Deep Vein Thrombois
Treatment of Breast Cancer
Treatment of Gallstones
Treatment of Burns
Treatment of Bladder Stones
Treatment of Anal Fissure
Treatment of Keloid
Treatment of Stomach Cramps
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Patient Review Highlights
The symptoms were severe and unmanageable, as I was suffering from piles, but Dr Ashish Pitale was able to handle it. He is not just friendly, but also is very motivating. In the past i consulted so many doctors, but nobody was able to do my piles treatment, but he has helped me immensely. One of my colleague referred his name. Even in case of emergency, the staff is always willing to help. The complete process of piles treatment was so painless and quick, and i am so relieved that I chose to consult him.
I was injured badly for which I visited Dr Ashish who treated me with stiches. Few days later I had to go for removal of stiches. The doctor helped me immesnly. He treated me very politely and patiently. I owe him a big thank for the treatment. The overall treatment was very quick and painless. Not only he is a great doctor but also he is very kind hearted person.
The varicose was increasing day by day. Dr Ashish is really like god send person. I feel so great after the completion of treatment. He is not just highly qualified, but has years of experience in handling such cases. The atmosphere in the Yogashish Clinic is always so positive and full of life.
The symptoms were severe and unmanageable, as I was suffering from varicose, but Dr Ashish was able to handle it. I feel so great after the completion of treatment. The varicose vein laser treatment was very effective. The overall atmosphere in the Yogashish Clinic is very soothing.
I thank Dr Ashish for the mInor Ot surgery he gave was quite beneficial for my recovery. The doctor is very patient listener and I appreciate the way he treats his patients. Dr Ashish is well knowledgeable and can deal with maximum problems.
I found the answers provided by the Dr. Ashish Pitale to be very helpful and well-reasoned. Please share the experience in relevant surgeries to make me feel better..
Obesity is a serious lifestyle disorder that can trigger a myriad of health complications. You may often come across people who fail to lose an inch even after toiling hard. The situation may be further complicated and life-threatening if a person is suffering from diabetes, hypertension, arthritis or a heart problem. Bariatric Surgery comes as a much-needed relief for people who desperately need to lose weight to prevent health problems. People between 18-65 years of age can go for a Bariatric weight loss surgery. The surgery is also helpful for people with morbid obesity (a condition where the BMI is over 40) with associated complications.
- Some of the effective bariatric surgeries for weight loss include
- Laparoscopic Gastric Band surgery
- Roux-en-Y Gastric Bypass Surgery (RGB)
- Laparoscopic Sleeve Gastrectomy
- Biliopancreatic Diversion
Common types of Bariatric surgeries
- The Laparoscopic Gastric Banding: The gastric banding surgery is a surgical weight loss procedure that divides the stomach into two compartments so that a person consumes lesser amount of food.
- The surgery requires the surgeon to make 3-4 small cuts in the belly.
- An adjustable silicone band is placed into the stomach (through the small incisions) to divide the stomach into two compartments (a smaller upper half and a bigger lower part).
- Due to the banding, the stomach can hold not more than an ounce of food, thus limiting the amount of food a person can eat.
- There is an opening in the band which serves as a passage through which the food eaten is passed to the rest of the stomach.
- There is a plastic tube that connects the band to an injection port (situated under the skin). It is through this port that saline is either added or removed from the silicone band (to adjust the tightness of the band).
- Roux-en-Y Gastric Bypass Surgery (RGB): The bypass surgery also involves compartmentalizing the stomach into an upper half (small pouch, almost the size of a walnut) and a bigger lower part. Like the gastric banding, the rearrangement reduces the amount of food the stomach can hold to a great extent. In the next step, also termed as the bypass step, the surgeon makes a small hole in the pouch to connect it to the small intestine or the jejunum. As a result of the bypass, the food will now directly enter the small intestine from the pouch. While the bypass surgery can be done using laparoscopy, a person can also undergo an open surgery.
- Laparoscopic Sleeve Gastrectomy: As the name suggests, the surgery involves excision of a large part of a stomach. The excision leaves behind a small sleeve-like pouch, the arrangement ensuring that a person consumes a lesser amount of food.
- Biliopancreatic Diversion: The surgery is risky and is advised only when an individual has a BMI of more than 50. In Biliopancreatic Diversion, the surgeon excises a part of the stomach, while connecting the remaining half to the lower part of the small intestine or jejunum. As a result, a person consumes lesser calories than before.
Laparoscopy is an advanced surgical technique that is often used to find out and treat any abnormalities or a myriad of medical complications such as an infection, ectopic pregnancy (a condition where the embryo attaches itself to an organ other than the uterus), cyst, fibroids, endometriosis, or pelvic inflammatory disease. Laparoscopy comes in handy in the case of an accident or an injury where it helps in the detection of any damages to the internal organs. There are instances where laparoscopy is even used in a biopsy (to collect the tissue sample).
The technique involves a small incision, often in the belly, through which a lighted tube, called a laparoscope, is inserted into the abdomen to analyze or treat the problem. The technique is quite hassle-free, causing minimum discomfort to the patient. In fact, there are so many associated benefits that more and more people are choosing laparoscopy over other surgical techniques and open surgery. In this regard, some of the advantages of laparoscopy that deserves a special mention are as follows:
- Involves a smaller incision: Most of the surgical procedures, including open surgery, can be quite messy. The laparoscopic technique is simple, minimally invasive, and involves an incision which is 1.2 inch or less.
- Quick recovery with lesser chances of an infection: In surgeries involving a large cut, there is a high probability of infection at the incision site, leading to complications and delaying the recovery and healing process. In laparoscopy, with a small incision, chances of an infection or associated complications are almost negligible. An infection-free surgery will heal at a faster rate, ensuring a quick recovery.
- The USP of Laparoscopy lies in the fact that the procedure is less painful (since the procedure involves a small cut with reduced loss of blood) as compared to many of the other surgical techniques. In some of the surgeries (including an open surgery), there may be profuse bleeding with the patient even requiring a blood transfusion. Such complications are unheard of in the case of a Laparoscopic surgery. In fact, patients undergoing a laparoscopy are often required to spend a lesser time in the hospital.
- Negligible chances of a wrong diagnosis: PCOS or endometriosis can be a contributing factor, triggering infertility in women. In females with fertility issues, an accurate diagnosis can go a long way to treat the condition better. The symptoms and complications associated with PCO or endometriosis can be alleviated if diagnosed early and accurately. Laparoscopy, in the majority of the cases, ensures an accurate diagnosis, making the treatment effective.
Most of the surgical treatments such as an open surgery can leave a huge hole in your pocket. Laparoscopy, though effective, is not very expensive, making it a highly affordable surgical treatment.
Laparoscopic Surgery for Gastrointestinal Problems
The Laparoscopy surgery is often advised to treat a myriad of gastrointestinal problems such as Diverticulitis, Crohn's disease, Familial polyposis, Colorectal Cancer, Ulcerative Colitis. The Laparoscopy surgery may also be helpful in the case of severe constipation, bowel incontinence (a condition where a person fails to control the bowel movements) or a rectal prolapse.
As with most laparoscopic surgeries, the procedure involves the surgeon to make few (usually 3 and more) incisions in the abdomen. With the stomach inflated with carbon dioxide gas (to view the diseased organs better), a laparoscope and the surgical instruments are then placed into the stomach via the incisions to perform the surgery. The different laparoscopic surgeries of the intestine to treat the gastrointestinal disorders include:
- Abdominoperineal Resection: In people with cancer affecting the anus or the lower part of the rectum, a surgeon may perform the Abdominoperineal Resection to get rid of the rectum, anus as well as the sigmoid colon. With the removal of the rectum and the anus, the surgeon creates a colostomy (an arrangement to connect the healthy end of the colon to the anterior wall of the abdomen through an incision) to eliminate the waste and the fecal matter out of the body.
- Proctosigmoidectomy: In people suffering from Diverticulitis (an inflammation or infection of the diverticula) and polyps (both cancerous as well nonmalignant growths), a Proctosigmoidectomy may be carried out to excise (complete or partial removal depending on the severity of the case) the affected part of the sigmoid colon or the rectum.
- Total abdominal colectomy: This laparoscopic surgery is used to treat conditions of Crohn's disease (an inflammatory bowel disease that causes abdominal pain and a host of associated symptoms), Ulcerative colitis (severe inflammation of the colon), or Familial polyposis (a condition that triggers the formation of many colon polyps). Total abdominal colectomy involves the surgical removal of the large intestine (usually from lower part of the ileum to the rectum which is then followed by the stitching the end of the ileum and the rectum together).
- Right colectomy: As the name suggests, Right Colectomy, also termed as Ileocolectomy involves the surgical removal of the right side of the colon or the large intestine. The excision also includes the end part of the small intestine (attached to the right side of the colon). The Right Colectomy is used to treat cancer, the symptoms associated with Crohn's disease as well as the polyps.
- Rectopexy: In the case of a rectal prolapse, where the rectum protrudes out of its original place, a rectopexy goes a long way to stitch the rectum to its original position.
- Total proctocolectomy: This is a laparoscopic surgery to remove the large intestine, the rectum and the anus (the anus may or not be removed depending on the severity). People with inflammatory problems of the colon such as Crohn's disease or Ulcerative colitis benefit immensely from total proctocolectomy. The surgery may be followed by a temporary ileostomy (in the case the anus is removed or damaged, a permanent ileostomy may be needed) to eliminate the wastes out of the body.
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.
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. If you wish to discuss about any specific problem, you can consult a General Surgeon.
Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.
Gallstones are common among women, especially those who are 40 years and more. Obesity, diabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.
Laparoscopy to remove the gallstones
- While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
- General anesthesia is given to the patients before the surgery.
- The surgeon makes 3-4 small incisions in the abdomen.
- The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
- In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
- Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
- Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
- With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
- The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
- The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
- In case complications arise during the surgery, the surgeon may have to switch onto an open surgery. If you wish to discuss about any specific problem, you can consult a General Surgeon.