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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My baby is suffering from loose motion since 2 weeks. We have shown her to pediatrician. She recommended walamycin, enterogermina, gastric, zinc drops but still she is doing 6 -7 stools per day. Please suggest.
My son Jeremy is 14 months old and his fontanelle has still not closed. What can I do? He has also not started to walk.
My 7 years child is suffering from typhoid, what kind of food we have to give for his better health and for early recovery.
My son age 17yrs but he using drugs, alcohol, chigaratee and others. How can I de addicted him? please advice me?
Hello My nephew does not respond to the situation compare to other kids of same age. Although he is a quick learner but don't know how to use the knowledge. E.G if I teach him something he learn it with in few attempts but as other kids can use same thing (knowledge) as per their understanding he can't, I mean that analytical skills is lacking. He is in KG and scoring top three positions in every exam or test. Kindly help. Feel free to ask any more information you need.
Breast milk provides essential nutrients for infants and is a mix of nutrients, which include vitamins, proteins and fat that are necessary for a baby's growth. Apart from benefitting babies, breastfeeding benefits mothers too.
Here are 4 benefits of breastfeeding:
1) Provides nutrients and protection to the baby - The best food a mother can give to her baby is her breast milk. It helps your baby to grow and develop. Breast milk is custom-made by all mothers for their own babies and, thus, contains a perfect mix of essential nutrients. Breast milk contains a mixture of protein, carbohydrate, fat, vitamins and minerals, which are very important for the proper growth and development of the baby. It also contains many antibodies that reduce the chance of diseases and allergies. In fact, the milk's content changes as your baby grows to keep up with the infant's needs.
2) Convenience - The milk from breasts is always safe and fresh, and is precisely of the right temperature, which what makes it a convenient food for the baby. What's more, it doesn't require heating, boiling or sterilizing as such; and can be fed to the baby anywhere, anytime.
3) Benefits mothers - According to a research, breastfeeding, to an extent, provides protection against breast and ovarian cancer. It also serves as a measure of protection against weak bones in the later part of life. Calories are required in order to produce milk. So, breastfeeding helps to gradually lose weight after pregnancy as well. Moreover, breast feeding also defers the return of menstruation for a little while.
4) Continues the special relationship between mother and child - The bond between a mother and a child strengthens due to the intimacy and the closeness involved in breastfeeding. One of the remarkable facts about this is the more a baby breastfeeds, the more milk the mother produces.
Related Tip: Why is breastfeeding so good for your baby and you?