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Dr. Ashish Pitale  - General Surgeon, Delhi

Dr. Ashish Pitale

90 (10 ratings)
MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal A...

General Surgeon, Delhi

27 Years Experience  ·  450 - 900 at clinic  ·  ₹250 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Ashish Pitale 90% (10 ratings) MBBS, MS - General Surgery, FRCS - General Surgery , Fel... General Surgeon, Delhi
27 Years Experience  ·  450 - 900 at clinic  ·  ₹250 online
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Dr Ashish Pitale is a Senior Consultant Surgeon with special expertise in Laparoscopic (key hole) Surgery including Bariatric ( Weight Loss) surgery. He is a medical graduate ( MBBS) and ......more
Dr Ashish Pitale is a Senior Consultant Surgeon with special expertise in Laparoscopic (key hole) Surgery including Bariatric ( Weight Loss) surgery. He is a medical graduate ( MBBS) and postgraduate ( MS ) from the Institute of Medical Sciences, Banaras Hindu University.He did his Senior Residency from Dr RML Hospital in New Delhi. In the year 2000, he obtained FRCS, the prestigious Fellowship of the Royal College of Surgeons of Edinburgh, UK.He then went to the UK for higher surgical training where he gained extensive experience in Gastrointestinal, Laparoscopic,, Thyroid and Breast surgery. On completion of his higher surgical training , Dr Pitale returned to New Delhi .He has his own clinic in Dwarka and is attached fulltime to Columbia Asia Hospital,Palam Vihar,Gurgaon. A vast majority of surgeon often consult Dr Pitale on core health issues. In his 18 years of practice, he has accomplished many medical feats. His versatile approach towards medical treatment makes him one of the best surgeons in India. Before operating patients, Dr Ashish Pitale duly informs them of the procedure. He thinks of it as a part of his medical practice to educate patients upon the health issues they are facing. That is why he has his own clinic in Dwarka, Delhi so that he can cater to needs to a much larger patient base.
More about Dr. Ashish Pitale
Dr. Ashish Pitale is a renowned General Surgeon in Dwarka Sector 11, Delhi. Doctor has over 26 years of experience as a General Surgeon. Doctor has completed MBBS, MS - General Surgery. You can meet Dr. Ashish Pitale personally at Yogashish Clinic in Dwarka Sector 11, Delhi. Book an appointment online with Dr. Ashish Pitale on Lybrate.com.

Lybrate.com has an excellent community of General Surgeons in India. You will find General Surgeons with more than 42 years of experience on Lybrate.com. Find the best General Surgeons online in Delhi. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS - Institute of Medical Sciences, BHU, Varanasi - 1991
MS - General Surgery - Banaras Hindu University - 1994
FRCS - General Surgery - Royal College of Surgeons,Edinburgh,UK - 2000
...more
Fellowship in Minimal Access Surgery - Association of Minimal Access Surgeons of India - 2009
Languages spoken
English
Hindi
Awards and Recognitions
Publication: Superior lumbar hernia of grynfellt, Postgrad Med J
Oral Presentations: Novel Use of Corflo PEG tube as jejunostomy tube, Ulster Society of Gastroenterology
Publication: Management of symptomatic liver cysts, Ulster Med J
...more
Oral Presentations: Management of Acute Pancreatitis (Evidence Based Approach), Columbia Asia Hospital, Palam Vihar, Gurgaon
Online Publication: Leakage from staple access enterotomy; a dangerous but avoidable complication
Publication: Metallothionein Expression In Carcinoma Of The Gall Bladder, Histopathology
Oral Presentations: Management of GIST, Ulster Society of Gastroenterology , Belfast
Oral Presentations: Levels of Evidence for practising Evidence Based Medicine, Surgical Registrar's teaching- Royal Victoria Hospital, Belfast
Publication: Minimally Invasive parathyroid exploration for solitary adenoma, Initial experience with an open, 'short incision' approach, Ulster Med J
Publication: Diverticular Abcess Presenting as a Strangulated Inguinal Hernia: Case Report And Review Of The Literature, Ulster Med J
Professional Memberships
Member, Association of Surgeons of India
Life Member & Fellow ( FMAS) Association of Minimal Access Surgeons of India (AMASI)
Life Member & Fellow ( FIAGES), Indian Society of Gastroendoscopic Surgeons ( IAGES )
...more
Fellowship in Laparoscopic Bariatric Surgery , Max Institue of Minimal Access Surgery
Course Attended, METASURG, Hirananadani Hospital, Mumbai
Course Attended, Definitive Surgical Trauma Skills ( DSTS ), Royal College of Surgeons of England, London
Course Attended, Complete Management Skills, The Sheila Sherlock Education Centre Royal Free Hospital, London
Course Attended, Critical Appraisal Skills, Queen's University, Belfast
Course Attended, Oxford 2004 Workshop in Evidence Based Medicine, St Hilda's College, Oxford
Course Attended, CCRISP (Care of the Critically Ill Surgical Patient) RCSEng, Belfast City Hospital, Belfast

Location

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Yogashish Clinic

Plot No 11, 2nd Floor, Tirupati Plaza, Dwarka Sector - 11Delhi Get Directions
500 at clinic
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Columbia Asia Hospital

Block F, Gol Chakkar, Near Ansal Plaza Mall, Palam ViharGurgaon Get Directions
900 at clinic
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Ayushman Hospital

Sector 10 near Goenka PublicSchoolDelhi Get Directions
450 at clinic
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Laparoscopic Surgery - Reasons Behind Performing It!

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Laparoscopic Surgery - Reasons Behind Performing It!

Laparoscopic Surgery, also known as Keyhole Surgery, is a minimally invasive technique in which operations are performed through small incisions made far from the location of surgey. 

Laparoscopic Surgery has many advantages over the traditional open surgery procedures. It is reliable,has lower risk of complications and reduces the chances of increased pain and bleeding. The small incisions made while performing this operation enables a faster recovery. 

How is it performed? 

Laparoscopic Surgery is performed with the help of an instrument called Laparoscope. It has a thin tube-like structure and long with a camera at the end of it along with a light source. The laparoscope is inserted into the body through a small cut. that allows doctors to visualise the inside of the abdomen with magnification and perform surgery by watching real time video on the medical monitor using special long instruments which are inserted using very small cuts. 

Reasons Behind Performing Laparoscopic Surgery For Diagnosis:

Abdominal Problems are usually diagnosed by using non invasive modalities such as MRI, CT scan, and Ultrasound technology. If these fail to provide enough information, then laparoscopic surgery is performed for a better diagnosis of the condition. It can also be performed in a case when the doctors need a sample of tissue from a part of the abdomen. 

For Treatment : 

Laparoscopic surgery is preferred in Gallbladder removal for gall bladder stones (Laparoscopic Cholecystectomy) , for repair of different types of abdominal wall hernias.(Laparoscopic hernia repairs) , for removing an inflamed appendix (Laparoscopic Appendicectomy) , for removal of diseased uterus (Laparoscopic Hysterectomy) and also surgery for weight loss (Laparoscopic Bariatric Surgery) 

The main advantages of Laparoscopic Surgery are : 

  • Early Recovery 
  • Less Pain 
  • Better Cosmetic Result 
  • Early Return to Work 
  • Less Infection Rate 
  • Reduced Hospital Costs. 

Laparoscopic Surgery is safe and trusted by many surgeons worldwide and has resulted in paradigm shift in the treatment of patients requiring surgery. 

New Developments : 

  1. Hand-assist laparoscopy: Hand Access Devices are new Laparoscopic devices which help the doctor perform various functions by having their hand inside the surgical location. Such hand-assist surgeries are called the hand-assist laparoscopy and are used in surgeries like colon removal and kidney removal. 
  2. Robot Assisted Surgery: This is surgery in which the procedure is carried out by robotic arms and instruments which are controlled by a surgeon sitting on a control centre.It results in a high precision surgery and difficult areas can be accessed.
1857 people found this helpful

Vasectomy - 5 Myths Debunked!

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Vasectomy - 5 Myths Debunked!

Vasectomy is synonymous with sterilizations and is one of the most stress-free procedures for couples who want to limit their chances of pregnancy and child birth. It is a process that has been perfected over the years and is still the most reliable method to avoid impregnation. However, there are still some myths and allegories associated with it. Though these have considerably reduced in the modern age, there are still some pockets of the world where this is prevalent. Come, let us take a look at some misconceptions and myths regarding vasectomy and the actual truth behind them.

Myth 1: Your sexual performance gets affected.
This is one of the most common misconceptions that are associated with a vasectomy. This is the number one reason why many men are hesitant to go for it fearing that their sex life could get hindered leading to nonperformance.

Truth: This is incorrect. The idea behind a vasectomy is to avoid pregnancy, and there is no reason as to why it would hamper your sex life. You will be able to lead an active sex life, and semen production will also be normal.

Myth 2: Testosterone production will be nil after vasectomy
Sperms are made in the testicles, and hence this myth came into existence that once a vasectomy is performed, you would be unable to produce any sperms and testosterone.

Truth: The simple truth is the myth is entirely baseless. Your sperm production is never eliminated and only your tube for the distribution of sperms is closed by a vasectomy. Hence it in no way affects your sperm production. A vasectomy does not have any effect on the production of testosterone.

Myth 3: Vasectomies stops sperm production
Many people assume fertility with sperm production. Hence once a vasectomy procedure eliminates the fertility aspect your sperm production automatically stops.


Truth: No. This is incorrect. Vasectomies never stop sperm production. They only restrict the sperms from entering into the semen. Sperms have a lifespan of about four days. Hence it is only natural that they are removed and replaced.

Myth 4: You are completely sterile post the surgery
It is easy to assume that you are sterile after you have the surgery. There is no way that having sex can lead to a pregnancy.

Truth: While there is a lot of truth in the above, there can be some instances of live sperms below the procedure point. The complete process of sterility can take about 4 to 5 weeks to occur and for all the sperms to get relinquished. Hence it is safe to not have sex for these weeks. It is also safe to get a semen analysis post the surgery.

Myth 5: Vasectomies are fool proof sterility methods
The high success rates in the procedure have made everyone believe that vasectomy is the sure shot to infertility. It is also 100% efficient.

Truth: While it is true that a vasectomy has a high success rate it is certainly not 100%. There can be instances where there are failures in a vasectomy, and this will not curtail your sterility. There are even known cases when couples have been able to conceive even after a vasectomy. Though the chances are extremely high of becoming sterile, the procedure is not fool proof.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2244 people found this helpful

Bariatric Weight Loss Surgery - How Laparoscopy Can Help In It?

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Bariatric Weight Loss Surgery - How Laparoscopy Can Help In It?

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.

Common types of Bariatric surgeries

  1. 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).
  2. 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.
  3. 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.
  4. 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. In case you have a concern or query you can always consult an expert & get answers to your questions!
2127 people found this helpful

Laparoscopic Surgery For Gastrointestinal Problems - The Benefits!

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Laparoscopic Surgery For Gastrointestinal Problems - The Benefits!

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:

  1. 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.
  2. 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.
  3. 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.
  4. 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:

  1. 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. 
  2. 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.
  3. 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).
  4. 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.
  5. 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.
  6. 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!

2011 people found this helpful

6 Types Of Bariatric Surgery You Can Think of!

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
6 Types Of Bariatric Surgery You Can Think of!

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 –

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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!

2149 people found this helpful

Types of Hernia - How Laproscopy Can Help Manage?

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Types of Hernia - How Laproscopy Can Help Manage?

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.

The Procedure:
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.

1936 people found this helpful

Laparoscopy - How It Is Beneficial In Gallstone Surgery?

MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Laparoscopy - How It Is Beneficial In Gallstone Surgery?

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.
1993 people found this helpful