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Dr. Manish K. Gupta - General Surgeon, Delhi

Dr. Manish K. Gupta

88 (53 ratings)
F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , ...

General Surgeon, Delhi

19 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
Dr. Manish K. Gupta 88% (53 ratings) F.I.A.G.E.S , MNAMS (Membership of the National Academy) ... General Surgeon, Delhi
19 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
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Here are some problems related to hernia<br/><br/>Dear Friends, I am Dr. Manish Kumar Gupta, I am...

Here are some problems related to hernia

Dear Friends, I am Dr. Manish Kumar Gupta, I am consultant laparoscopic and robotic surgeon at Sir Ganga Ram Hospital. I have my own clinic with the name of New Life Clinic in Indirapuram, Ghaziabad. Friends, I will be talking about a very common problem today, which is Hernia. So we all sometimes hear about it that someone has got Hernia and got operated.

 what is Hernia? Hernia is basically, whenever the content of the abdomen comes out through an opening, which is an abnormal opening or a normal opening and present as a swelling or a lump over the tummy. So whenever such sort of a swelling appears in the abdomen, patients get worried, what this type of swelling appeared over their abdomen. These hernia is usually present whenever patients walks, coughs, sneezes or strains, these swellings come out through these defects and whenever patients lie down these swellings go down into the tummy, so these are the initial symptoms and as the time passes these defects gets increases in sizes and more and more internal component like intestines or fat comes out through these opening and hernia swelling sizes keeps on increasing day by day.

What happens in hernia is that It can occur in any part of the abdomen, the most common site for developing these hernias are basically belly buttons and in the groin region. If a patient has undergone some surgery, some operation for some intestine or something like that in the abdomen, this is the weaker side and from this side a hernia can appear. So initially the symptom is like there is a lump, which comes out and goes in once you press or lies down.

The chances of complication can occur and the complication are initially irreducibility, it means that it doesn’t go inside the abdomen and remains there because there are some additions in between the content of the hernia and the abdominal wall and the second complication is the obstruction, it means, that intestine has come into the hernial sac and there is non passage of any content like food or any fluid through the intestine and patient gets started vomiting, there distinction of abdomen and pain, the third complication is that whenever the blood supply of this intestine gets disrupted then there is strangulation, it means that it can lead to gangrene of the intestine. So these complications are like an emergency complication and one has to go and get operated as early as possible so that one doesn’t develop any gangrene of the intestine.
The treatment for Hernia is basically surgery. Whenever one sees such hernial swelling, one should go and contact a surgeon so that he can advise you when to go for surgery but the earlier the better. One should not wait and watch to get the complications to occur.

Nowadays, the surgery for hernia is basically a laparoscopic surgery, it means that we make three holes which is like pencil size holes through which we put a mesh which is a polypropylene or a bio degradable mesh and put this mesh over the hernia defect and fix it with multiple tackers.
Nowadays, the chances for recurrence is quite less because of formation of application of these mesh over the hernial defect.
There are few precautions one can take. There are some precautions which a person can take, like one should not sneeze too much or cough too much so that these hernial swellings do not increase in size and don’t get impacted into the defect.

So friends i have told you about hernia swellings today and if you have such problems then you should go and meet a surgeon or if you want to come to me, you can come at Ganga Ram hospitals, which is in central Delhi or you can come to me and meet me at my clinic which is in Indirapuram, Ghaziabad or you can talk to me through Lybrate, you can chat me or you can text me through Lybrate.com.
 

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Here are some treatments and symptoms of gall bladder stones<br/><br/>Symptoms and Treatments of ...

Here are some treatments and symptoms of gall bladder stones

Symptoms and Treatments of Gallbladder Stones
Dear friends. I’m Dr. Manish Kumar Gupta. I’m a Consultant Laparoscopic and Robotic Surgeon in Sir Ganga Ram Hospital.
I have my own clinic with the name New life clinic at Indirapuram, Ghaziabad.
Today, friends, I’ll be talking about gall bladder stone which is a very common problem in North India.
The gall bladder is basically a pear shaped organ which is attached to the liver and the bile which is formed in the liver gets stored in the gall bladder which is later goes in to the intestine, and get mixed with the food to cause digestion of the food.
Whenever the component of the bile like cholesterol or bile pigment increases there is formation of gall bladder stones.
The symptoms of gall bladder stones are basically distension of abdomen after having heavy meals or discomfort or sometimes patient can have pain in the right side of the upper abdomen or which can radiate to the back and shoulder.
Sometimes, these gall bladder stones can be silent stones, and they lie in the gall bladder without causing any symptoms but if these stones are in patients having diabetes or if these stones are very large more than 2 cm in size then, the treatment is required.
The diagnosis of gall bladder stone is very simple. By a simple ultrasound abdomen, one can be easily diagnosed whether the patient is having a gall bladder stone or not and it is almost a confirmatory diagnosis. One does not need a very special investigation or test to get diagnosed these gall bladder stones.
The treatment for gall bladder stones is basically a surgery.
There’s nothing like, you can’t do anything to prevent gall bladder stones to form but yes, if you eat less oily or less fatty meals, the symptoms get relieved to some extent.
As I told you that the treatment is surgery. Nowadays, there is no big cut in the tummy to take out the gall bladder but what we do nowadays is a laparoscopic surgery.
In laparoscopic surgery, we make three or four pencil size holes in the abdomen and through these holes we operate. Through one hole, we put a cylinder like camera inside and by two or three ports, we put our instruments inside and get these gall bladder removed from the abdomen through a 10 mm port.
Nowadays, this type of surgery is basically a day care surgery and one can come to the hospital and get operated and can be discharged on the very same day if it’s an uncomplicated gall bladder.
Gall bladder can cause complications also other than these symptoms and if the stone gets slipped down and gets inducted in a common bile duct which is a channel which joins the gall bladder to the intestine and if the stone gets inducted in common bile duct, then, one has to take out that stone endoscopically through ERCP and then after that one has to go for gall bladder stone removal.
So, it is like a two stage procedure. So, one should not wait to get all these complications to occur because , if the stone gets inducted in the CVD then, the chances of jaundice, chances of acute pancreatitis can occur which can be dreaded complication .
So, friends I have told you about the gall bladder stones and if you have such problems, if you have gall bladder stones even though it is asymptotic or you have symptoms you should go to a surgeon or a physician who can guide you.

You can tell you what need to be done or if you want to meet me you can come to me at Sir Ganga Ram Hospital or at my clinic which is in Indirapuram with the name New life clinic or you can talk to me through Lybrate, you can chat with me, you can text me at the lybrate.com and I will be available 24 hours to you.
Thank you friends! Thank you!
 

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Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Manish K. Gupta
Dr. Manish K. Gupta is a very popular and successful General Surgeon whose clinics Sir Ganga Ram Hospital and New Life Clinic are based in New Delhi. You can easily avail his services there. With an experience of over 18 years and excellent patient reviews, he has popularized himself and the effective results he provides. He received a MBBS degree from S.N. Medical College, Agra in the year 1998, A DNB (General Surgery) degree from IR Gangaram Hospital in the year 2004 and MNAMS (Membership of the National Academy General Surgery) in 2005. The services and treatment provided by him includes kidney stones treatment, pancreatic surgery, gastric bypass surgery, male breast reduction, laparoscopic treatment and surgery, gastroscopy procedure and arterial thrombosis treatment. Furthermore, there are several other disorders or injuries which he treats, such as hernia, deep vein thrombosis, accident injuries, urinary incontinence etc. He is a very dedicated General Physician who tends to keep himself up-to-date with the latest medical technologies in order to provide extensive and proficient service and care to cure his patients as soon as possible. From treatment schemes to insurance coverage, all informative knowledge is provided by Dr. Manish K. Gupta to his patients.

Info

Education
F.I.A.G.E.S - Indian Association of Gastrointestinal Endosurgeons - 2008
MNAMS (Membership of the National Academy) (General Surgery) - National Academy of Medical Sciences - 2005
DNB (General Surgery) - ir Ganga Ram Hospital, 2004 - 2004
...more
MBBS - S. N. Medical College, Agra - 1998
Languages spoken
English
Hindi
Professional Memberships
Fellow Indian Association of Gastrointestinal Endosurgeons
Asia Pacific Hernia Society (APHS)

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Sir Ganga Ram Hospital

Pvt OPD- F-31 Rajinder NagarDelhi Get Directions
  4.4  (53 ratings)
1000 at clinic
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New Life Clinic

SC-112, Jaipuria Sunrise Plaza, IndirapuramGhaziabad Get Directions
  4.4  (53 ratings)
800 at clinic
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Hernia Surgery - What You Need To Know About It?

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Hernia Surgery - What You Need To Know About It?

Hernia is a small protrusion or escape of any structure or organ through nearby weak spot or muscle. There are several types of hernia like inguinal hernia (direct and indirect), femoral hernia, umbilical hernia, umbilical hernia, epigastria hernia and incision hernia. This hernia can be removed and relocated to its original position and secured with special type of hernia mesh to prevent the recurrence of hernia.

When hernia surgery is required?
Hernia is not a serious health issue that requires surgery immediately. But surgery is essential only during the following situation-

  1. Size of hernia is more than half an inch.
  2. Hernia causes severe pain and causes much physical discomfort.
  3. Hernia causes disfigurement.

Types:
There are two different methods used for hernia surgery:

  1. Open hernia repair: Open surgical incision is made near the herniated site and the surgical procedure is done and secured with a mesh work. This surgical procedure requires several preparatory measures to be done before surgery. There is also blood loss and recovery period after surgery is also more than other type of surgeries.
  2. Minimally invasive hernia repair: The surgery is done with a laparoscope which has small tiny camera, small synthetic hernia mesh and small tool with it. So the patient can return back to their normal routine earlier as the incision made is smaller.

Before undergoing hernia surgery:

  1. One week before surgery it is much essential to stop taking drugs that are causes the thinning of the blood. Drugs like aspirin should be stopped with the doctor’s advice.
  2. Stop herbal supplements and check the fitness of your cardio and diabetes
  3. Gain adequate knowledge about surgery and be prepared for the post surgical care

After hernia surgery:

  1. Avoid heavy weight lifting , exercises, and physical works with excessive strain few weeks after surgery
  2. Cough or laugh loud only with a support to the surgical site till one week after surgery. If you wish to discuss about any specific problem, you can consult a General Surgeon.
1885 people found this helpful

Endocrine Surgery - Understanding The Types!

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Endocrine Surgery - Understanding The Types!

Our endocrine glands work overtime to keep us healthy by secreting hormones which reach each and every cell in our body through the blood. These hormones evoke life changing responses in other cells to keep us alive and healthy. Endocrine surgery is a term for an operation in any one or more endocrine glands in your body.

Types of endocrine glands

  1. Thyroid gland: This is the most important endocrine gland in your body and it secretes thyroid hormone, which regulates metabolism.
  2. Parathyroid glands: There are 4 parathyroid glands and these are located behind the thyroid gland in the neck region. These glands secrete the parathyroid hormone which controls calcium levels in the body.
  3. Adrenal glands: These are located over the kidney. There are 2 adrenal glands and these secrete adrenaline, aldosterone and cortisol- the body’s fight or flight hormone. These also maintain salt levels in the blood and the blood pressure.
  4. Neuroendocrine glands of the pancreas: These are located in the pancreas behind the stomach. They work to control glucose levels and glucose metabolism.
  5. Pituitary gland is the master gland of the body: It secretes thyroid stimulating hormone (TSH), follicle stimulating hormone (FSH), and other important hormones that control ovaries, thyroid and other endocrine glands in your body.

Endocrine surgery
Depending on the endocrine gland being operated upon, there are different types of endocrine surgeries. The most important ones are-

  1. HypophysectomyThis is the surgical removal of the pituitary gland. It is a very sophisticated and critical surgery that surgeons resort to, if there is a tumor in the pituitary gland - especially craniopharyngioma tumors. It can cause atrophy of thyroid, adrenal glands and the ovaries as the pituitary secretes hormones to control their function. In addition, it can result in sterility and sometimes results in a non-functional reproductive tract in both men and women.
  2. Thyroidectomy: It is an operation that involves removal of the entire or parts of the thyroid gland in the neck. Trained ENT or endocrine surgeons perform this operation, which is indicated for thyroid cancer or hyperthyroidism, goiter or Graves disease. Sometimes it is done for treating an enlarged thyroid gland or obstructions in the neck region, causing problems in swallowing or breathing. In cases of total thyroidectomy patients will need life long thyroid hormone supplementation. Sometime patient can have change in voice which is usually temporary.
    • Since the thyroid produces several hormones like thyroxine (T4), triiodothyronine (T3), and calcitonin, you will have to take oral synthetic hormones all your life post surgery. The thyroid is usually removed through an incision in the neck. These days there is the option of minimally invasive surgeries too.
  3. Adrenalectomy: It is the removal of one or both adrenal glands to treat tumors of the adrenal glands. It is done using an open incision or laprascopic technique.
  4. Pinealectomy: It is a surgical procedure in which the pineal gland is removed. If you wish to discuss about any specific problem, you can consult a General Surgeon.
1975 people found this helpful

8 Types Abdominal and Pelvic Surgical Incisions

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
8 Types Abdominal and Pelvic Surgical Incisions

At the time of a surgical procedure, while making an incision a doctor has to take care of a number of factors before making an incision. Considering a number of factors, different types of incisions have come into fore, such as 

  1. Midline Incision: It’s the commonest incision and is done along the linea alba (fibrous structure running through the mid of the abdomen). These are preferred, especially in diagnostic laparotomy as it permits a wide access to the abdomen.
  2. Pfannenstiel Incision: It is transverse in nature, extending from the umbilicus to the pubic-symphysis. It is generally employed for abdominal hysterectomy of benign nature and caesarean section.
  3. Chevron Incision: It is an incision under the rib-cage and is done on the abdomen. It starts from beneath the ribs on the right abdomen and extends till the other mid axillary line. Thus, the entire abdominal width is incised for proper reach into the liver. The incision can be up to 2 feet.
  4. Kustner Incision: It is transverse in nature and extends from the symphysis pubis till the iliac spine (anterior). This type of incision takes time to perform. A Pfannenstiel incision offers more exposure than a Kustner incision.
  5. Lanz Incision: It is a variation of the more common mcburney-incision (also known as Gridiron’s incision). It is generally used for open appendectomies. There are quite a few variations for this type of an incision.
  6. Gridiron’s incision: It is done for appendectomies. It is an oblique short incision which is done in the lower right quadrant in the abdomen.
  7. Kocher’s Incision: It is oblique in nature, extending from the abdominal upper right quadrant and is generally used for performing an open cholecystectomy. Gallbladder, biliary tract and certain liver operations can be suited for a Kocher’s incision. This however is different from the same named incision used for the thyroid gland surgery.
  8. Cherney Incision: It is transverse in nature. It allows a great range of exposure for the pelvic sidewall. It is less painful than a midline incision. It allows for the greatest pelvic exposure and hence is a widely preferred and practiced incision.
1903 people found this helpful

Post Surgery - Things to be Taken Care of

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Post Surgery - Things to be Taken Care of

You probably think many more things can go wrong during a surgery as compared to after a surgery. However, you are wrong. The chances of infection after a surgery are very high and it used to be the highest cause of unsuccessful surgery in the past before it was known just how deadly an infection is. A doctor, however, cannot monitor everything afterwards. Therefore, it is crucial you know and take care after the surgery. Here are some ways in which you can do so:

1. Keep it dry
It is crucial that you keep the incision dry for whatever period of time the doctor tells you to keep it dry as otherwise the chances of infection increase dramatically. Some of the things you should do to keep it dry is to not take a bath, scrub the incisions or put lotions on it. In fact, you should also not expose it to sunlight.

2. Keep the incisions
You must trust your doctor as the doctor is trained and usually knows better than you. Therefore, if the doctor tells you to keep the incisions then keep them. Do not scrub, rub or put powder on them either.

3. Check for signs of infection
This may be the easiest thing to do as there are many symptoms of an infection. These include a change in the color, size, or odor of the incision, fever, redness, hardening or heating of the surrounding area or in extreme cases more bleeding and pain than usual.

4. Changing a dressing
This is a major cause of infections among surgery patients and the only way to prevent it is to follow the doctor's instructions to a tee. Once again, trust your doctor and remember to wash your hands and put on medical gloves. Do not put alcohol, iodine or hydrogen peroxide either. If you wish to discuss about any specific problem, you can consult a doctor.

2023 people found this helpful

Jaundice: Causes, Symptoms and Treatments

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Jaundice: Causes, Symptoms and Treatments

The medical name for the yellow tint on your skin and around the white portion of the eye is jaundice. However, jaundice is a symptom of a variety of underlying medical conditions, and not a specific disease. When the body break downs deceased red blood cells, a yellow pigment known as bilirubin is formed. Jaundice develops when your system contains excess bilirubin. Usually, the bilirubin, as well as the dead blood cells, are exterminated by your body.

Jaundice may symbolise a critical problem with your pancreas, blood cells, gallbladder or liver.

Causes:

Jaundice isn’t a disease; it is a symptom. Thus if you have jaundice, it might indicate you may have any of the following complications:

  1. Alcohol abuse.

  2. Liver infection

  3. Liver cancer

  4. Cirrhosis (Liver scarring mostly due to alcohol).

  5. Gallstones.

  6. Hepatitis (Swollen liver that decreases its functionality).

  7. Pancreatic cancer

  8. Blood disorders.

  9. An overdose or adverse reaction to certain medications.

Symptoms:

The major indication of jaundice is yellow tinted skin and eyes. In serious cases, the sclera (white parts) of the eye can turn orange or brown. You might additionally exhibit other symptoms such as pale stools and dark urine.

If a concealed condition such as viral hepatitis is causing jaundice, you will probably experience symptoms such as vomiting and excessive fatigue.

Misdiagnosis is common when it comes to jaundice. Sometimes, an abundance of beta carotene (a type of anti-oxidant found abundantly in fruits and plants) can turn your skin yellow.

Treatments:

Since jaundice is a symptom of some other underlying disease, the treatment will focus on that disease. When your treatment starts, the yellow tint will disappear on its own.

If the jaundice is serious, blood transfusions might be needed to expel the excess bilirubin and rejuvenate the body’s red blood cells. However, if the body’s bile duct mechanism gets blocked, a surgery might be required to unblock the same. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.

2124 people found this helpful

Laparoscopic Surgery: Dealing With Complications Post Surgery

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Surgery: Dealing With Complications Post Surgery

Laparoscopic surgery is also called keyhole surgery or minimally invasive surgery. In traditional method of surgery, large incision is a major post-operative side-effect which results in longer recovery period. The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5-1.5 cm are made far from the location of the operation.

Laparoscopic surgeries cause smaller, lighter scars once the surgery wound heals completely. However, as with any surgery, complications may occur during the course of Laparoscopic surgery.

  1. Anesthesia-related complications: To prevent anesthesia-related complications during Laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, anti-emetics are followed in the pre-operative state.
  2. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain cleanliness and hygiene recommendations provided by the medical staff concerned. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2000 people found this helpful

Myths Related to Blood Donation

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Myths Related to Blood Donation

When you give some of your blood for someone else, it is called blood donation. It usually helps people who have lost quite a bit of blood in accidents or suffer from diseases, such as cancer or hemophilia, etc.

Like all activities related to medical conditions, there are myths related to blood donation too and some of them are:

1. Myth: Because you're a vegetarian, you don't have enough iron in your blood; so your blood isn't useful as donated blood.
Fact: The fact is that vegetarians can donate blood and their blood has enough iron, just as much as non vegetarians.

2. Myth: Infections, such as HIV can be contracted from donating blood.
Fact: This does not have a practical basis except for the fact that using contaminated needles might lead to contraction of the infections. However, usually fresh needles are used; therefore this never happens much.

3. Myth: Your health can deteriorate after you donate blood.
Fact: Your body produces new red blood cells as well as white blood cells after donation; hence your health doesn't deteriorate at all, except in cases where there is no rest taken at all after donation.

4. Myth: If you take medications, you cannot donate blood.
Fact: This is entirely dependent on your physician's advice. In case of some medications, you need to halt them in order to donate blood. In most cases though, taking medications does not prevent you from donating blood.

5. Myth: You will be unable to partake in physical activities after donating blood.
Fact: Heavy lifting should be avoided. Apart from this, donating blood does not stop you from physical activities. You need to rest for a while, but there is nothing about blood donation putting a check on most physical activities.

6.Myth: People with more weight have more blood to donate.
Fact: This is an entirely baseless assumption. Overweight or obese people are often unhealthy, so donating more blood has nothing to do with weight. Hence, obese people do not have more blood in their bodies as compared to their thinner counterparts.

3228 people found this helpful

Problems Of Hernia

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Play video

Here are some problems related to hernia

Dear Friends, I am Dr. Manish Kumar Gupta, I am consultant laparoscopic and robotic surgeon at Sir Ganga Ram Hospital. I have my own clinic with the name of New Life Clinic in Indirapuram, Ghaziabad. Friends, I will be talking about a very common problem today, which is Hernia. So we all sometimes hear about it that someone has got Hernia and got operated.

 what is Hernia? Hernia is basically, whenever the content of the abdomen comes out through an opening, which is an abnormal opening or a normal opening and present as a swelling or a lump over the tummy. So whenever such sort of a swelling appears in the abdomen, patients get worried, what this type of swelling appeared over their abdomen. These hernia is usually present whenever patients walks, coughs, sneezes or strains, these swellings come out through these defects and whenever patients lie down these swellings go down into the tummy, so these are the initial symptoms and as the time passes these defects gets increases in sizes and more and more internal component like intestines or fat comes out through these opening and hernia swelling sizes keeps on increasing day by day.

What happens in hernia is that It can occur in any part of the abdomen, the most common site for developing these hernias are basically belly buttons and in the groin region. If a patient has undergone some surgery, some operation for some intestine or something like that in the abdomen, this is the weaker side and from this side a hernia can appear. So initially the symptom is like there is a lump, which comes out and goes in once you press or lies down.

The chances of complication can occur and the complication are initially irreducibility, it means that it doesn’t go inside the abdomen and remains there because there are some additions in between the content of the hernia and the abdominal wall and the second complication is the obstruction, it means, that intestine has come into the hernial sac and there is non passage of any content like food or any fluid through the intestine and patient gets started vomiting, there distinction of abdomen and pain, the third complication is that whenever the blood supply of this intestine gets disrupted then there is strangulation, it means that it can lead to gangrene of the intestine. So these complications are like an emergency complication and one has to go and get operated as early as possible so that one doesn’t develop any gangrene of the intestine.
The treatment for Hernia is basically surgery. Whenever one sees such hernial swelling, one should go and contact a surgeon so that he can advise you when to go for surgery but the earlier the better. One should not wait and watch to get the complications to occur.

Nowadays, the surgery for hernia is basically a laparoscopic surgery, it means that we make three holes which is like pencil size holes through which we put a mesh which is a polypropylene or a bio degradable mesh and put this mesh over the hernia defect and fix it with multiple tackers.
Nowadays, the chances for recurrence is quite less because of formation of application of these mesh over the hernial defect.
There are few precautions one can take. There are some precautions which a person can take, like one should not sneeze too much or cough too much so that these hernial swellings do not increase in size and don’t get impacted into the defect.

So friends i have told you about hernia swellings today and if you have such problems then you should go and meet a surgeon or if you want to come to me, you can come at Ganga Ram hospitals, which is in central Delhi or you can come to me and meet me at my clinic which is in Indirapuram, Ghaziabad or you can talk to me through Lybrate, you can chat me or you can text me through Lybrate.com.
 

3541 people found this helpful

Symptoms and Treatments Of Gallbladder Stones

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Play video

Here are some treatments and symptoms of gall bladder stones

Symptoms and Treatments of Gallbladder Stones
Dear friends. I’m Dr. Manish Kumar Gupta. I’m a Consultant Laparoscopic and Robotic Surgeon in Sir Ganga Ram Hospital.
I have my own clinic with the name New life clinic at Indirapuram, Ghaziabad.
Today, friends, I’ll be talking about gall bladder stone which is a very common problem in North India.
The gall bladder is basically a pear shaped organ which is attached to the liver and the bile which is formed in the liver gets stored in the gall bladder which is later goes in to the intestine, and get mixed with the food to cause digestion of the food.
Whenever the component of the bile like cholesterol or bile pigment increases there is formation of gall bladder stones.
The symptoms of gall bladder stones are basically distension of abdomen after having heavy meals or discomfort or sometimes patient can have pain in the right side of the upper abdomen or which can radiate to the back and shoulder.
Sometimes, these gall bladder stones can be silent stones, and they lie in the gall bladder without causing any symptoms but if these stones are in patients having diabetes or if these stones are very large more than 2 cm in size then, the treatment is required.
The diagnosis of gall bladder stone is very simple. By a simple ultrasound abdomen, one can be easily diagnosed whether the patient is having a gall bladder stone or not and it is almost a confirmatory diagnosis. One does not need a very special investigation or test to get diagnosed these gall bladder stones.
The treatment for gall bladder stones is basically a surgery.
There’s nothing like, you can’t do anything to prevent gall bladder stones to form but yes, if you eat less oily or less fatty meals, the symptoms get relieved to some extent.
As I told you that the treatment is surgery. Nowadays, there is no big cut in the tummy to take out the gall bladder but what we do nowadays is a laparoscopic surgery.
In laparoscopic surgery, we make three or four pencil size holes in the abdomen and through these holes we operate. Through one hole, we put a cylinder like camera inside and by two or three ports, we put our instruments inside and get these gall bladder removed from the abdomen through a 10 mm port.
Nowadays, this type of surgery is basically a day care surgery and one can come to the hospital and get operated and can be discharged on the very same day if it’s an uncomplicated gall bladder.
Gall bladder can cause complications also other than these symptoms and if the stone gets slipped down and gets inducted in a common bile duct which is a channel which joins the gall bladder to the intestine and if the stone gets inducted in common bile duct, then, one has to take out that stone endoscopically through ERCP and then after that one has to go for gall bladder stone removal.
So, it is like a two stage procedure. So, one should not wait to get all these complications to occur because , if the stone gets inducted in the CVD then, the chances of jaundice, chances of acute pancreatitis can occur which can be dreaded complication .
So, friends I have told you about the gall bladder stones and if you have such problems, if you have gall bladder stones even though it is asymptotic or you have symptoms you should go to a surgeon or a physician who can guide you.

You can tell you what need to be done or if you want to meet me you can come to me at Sir Ganga Ram Hospital or at my clinic which is in Indirapuram with the name New life clinic or you can talk to me through Lybrate, you can chat with me, you can text me at the lybrate.com and I will be available 24 hours to you.
Thank you friends! Thank you!
 

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Stave Off Five Complications Following Laparoscopic Surgery

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Stave Off Five Complications Following Laparoscopic Surgery

Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.

However, as with any surgery, complications may occur during the course of Laparoscopic surgery.

  1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain cleanliness and hygiene recommendations provided by the medical staff concerned. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
  2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day-to-day functioning. These rules must be followed in order to prevent the possibility of bruising after a Laparoscopic surgery.
  3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a Laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be embolized selectively in order to reduce any further complication of this type.
  4. Anesthesia-related complications: To prevent anesthesia-related complications during Laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, anti-emetics are followed in the pre-operative state.
  5. Injury inflicted: Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract must be avoided. Proper protocol must be followed by the doctor to avoid such complications as much as possible.
3146 people found this helpful

4 Myths on Laparoscopy You Shouldn't Believe

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
4 Myths on Laparoscopy You Shouldn't Believe

A widely used surgical procedure, laparoscopy involves the insertion of certain surgical instruments, small tubes and video cameras in your abdomen through small incisions and cuts. This procedure is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few. Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

1. Myth: The images taken through a laparoscope are of poor quality

This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

2. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy

The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

3. Myth: If you have large fibroids and ovarian cysts, you can't have them removed through a laparoscopy

False. Even though the incisions made by a laparoscopy are really small, they still allow the safe removal of large abdominal structures by the use of certain devices. For example, a cylindrical tool known as morcellator can be inserted through a laparoscopic incision and be used to remove large fibroids and ovarian cysts.

4. Myth: If you're overweight or underweight, you can't undergo a laparoscopy

No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

'Consult'.

Related Tip: Must Know: Why Gynaecologic Laparoscopy Makes Women Smile While in Pain

3031 people found this helpful

Hello doctor. I have lipoma in my body. Stomach, backside, leg, stomach side. Some lipoma size big some small. Its increasing numbers and size. I m really worried about this. Please tell me whats treatment. How to avoid increase the numbers lipoma. Second one existing one how to reduce the size. Actually its not painful. But some time its 2 cm big. Please help me doctor. Which medicine good for me without surgery.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Hello doctor. I have lipoma in my body. Stomach, backside, leg, stomach side. Some lipoma size big some small. Its in...
Dear lybrate-user. There is no medical treatment of lipoma. Removal is required if it is painful, rapidly increasing in size or more than 5 cm size lipoma on back or thigh.
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I am 23 year old. I have fissures in my anus for the last 2-3 years. What should I do? As well I have constipation problem. Can I help myself at home or should I consult any doctor.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
I am 23 year old. I have fissures in my anus for the last 2-3 years. What should I do? As well I have constipation pr...
Dear lybrate-user. If you have fissure in ano for last 2 to 3 years than the best treatment is to get a minor surgery done to reduce the anal tone which will help in healing of fissure and will also prevent recurrence.
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I have fissure. Do I have to undergo surgery? Is it painful? Wats d time period required for healing post surgery?

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
I have fissure. Do I have to undergo surgery? Is it painful? Wats d time period required for healing post surgery?
Dear lybrate-user. If the fissure is recurrent than you should undergo sugery. It's a small surgery which can be done as day care surgery. 1 to 2 days of rest is enough and total recovery time is 5 to 7 days.
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I am 41 year old having external hemoride some time having bleeding n swear pain.Please help.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. If you are having bleeding with external haemorrhoids than it must be 4th degree haemorrhoids. At this stage surgery is the final treatment which can be done with the help of stapler as a day care surgery. You can contact me if you have more than queries.
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Hello doctor! My friend is experiencing an acute pain inside his anus opening. He is unable to even sit properly and it is very difficult to pass motions. There seem to be some boil inside the opening which is causing this. In fact it is little swollen also if you probe inside. From the outside nothing is visible. A few days back also he had experienced the same thing but that was only for a day or two. However then the boil was relatively outside and was reddish. He had applied betnovate c cream then and it was fine. But this does not seem to be working this time and he is in a very bad condition. It is paining a lot. Request your help.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Hello lybrate-user. It seems that your friend is developing a perianal abscess some times its keep on appearing if there is internal opening in the anorectum. Sometimes it leads to fistula in ano. You need to take antibiotics and painkillers along with laxatives. Consult a surgeon who will after confirming the diagnosis, drain the pus and advise you accordingly.
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I have swelling near my anus area from months. A year ago I used to have bleeding but igot the treatment done but the swelling has'nt gone yet. Why is it so?please help

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. Its difficult to make a diagnosis of swelling without examining as there are several causes which can lead to this. Consult a surgeon or send me pictures so that I can help you.
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I am 25 year old male, sometimes it has been observed that blood comes with stool its not regular only when I ate non veg (chicken or mutton) etc. That only first stool after having non veg food. I went to doctor did couple of blood tests and stool test. All the results are normal. Doctor suggested normix tablets for two weeks. Still I am worrying. Need to go for colonoscopy? Please suggest what I have to do now?

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. Most probably you are having either piles or fissure in ano. You should first consult a surgeon who can examine the the lower rectum and anal canal which will most probably make the diagnosis. Colonoscopy to be done if the examination by surgeon is normal. You can consult me if you have more queries.
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Last few years I suffer from stomach problem like, stool is coming with lot of cough and some time with blood. Bottom left side stress type pain happens continue. Ct scan, ultra sound etc have done but nothing any observation. Please suggest what I have to do.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Last few years I suffer from stomach problem like, stool is coming with lot of cough and some time with blood.
Bottom...
Dear lybrate-user. Your's are the symptoms of colitis. It could be amoebic or part of inflammatory bowel disease. The best investigation is stool routine microscopy examination. Colonoscopy is required if your symptoms doesn't improve after taking antibiotics and antiamoebic. You can consult me with stool report.
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I had a anal fissure one year ago. I took patanjali medicine. Now its fine, but sometimes I feel little prick in my anus for 1-2 days. Pls suggest me caution and permanent treatment for this.

F.I.A.G.E.S , MNAMS (Membership of the National Academy) (General Surgery) , DNB (General Surgery), MBBS
General Surgeon, Delhi
Dear lybrate-user. If this problem is troubling you too frequently than the permanent treatment is a small surgery ie lateral sphincterotomy which will decrease the anal tone. It will stop the recurrence as the main cause of recurrence is increased anal tone and constipation. You can contact me if you have more queries.
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