Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 26 years of experience on Lybrate.com. You can find Pediatricians online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment
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
Submit a review for Dr. Shilpa SharmaYour feedback matters!
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 daughter has all her milestone delay like delayed speech, development, gross motor, etc. She difficulties in all gross motor activities like writing, drawing, combing her hair, wearing shoes and socks, etc.
I'm using sorliv syrup for my 4 months baby as per doctor suggestion per day 2.5ml and 3 times a day,started from past 3 days and doctor asked us to continue for 15 days because he was doing motion once in two days and he was not comfortable.But now I can see water with his motion like a loose motion.So is this safe to continue for 15 days or shall I stop the syrup?
I need a prescription for birth control pills. I am a lactating mother to a 10 month old baby girl. I had a ceaserian delivery.
We welcome our bundle of joy with old, washed, sun dried clothes as they are almost sterile. New clothes are probably handled by many and may be infected. The breast feeding is started with the help of young unmarried girl. This educates the girl about this AMRIT SAVEN. Mother is given ajwayan water which helps to lactate. On the sixth day bua does the ceremony of chatti by giving bath and putting on new clothes to baby. By sixth day the umbilical cord falls and there after the baby should be given a bath. On the occasion of chatti mother is given all kind of foods and after that she is supposed to have everything including all fruits, vegetables and dal, then ladoos or panjiri rich in ghee, dry fruits. These help mother for extra calories and minerals especially calcium and iron required postpartum. In this ceremony Bua plays an important role and rewarded with lots of gifts by bhabhi for the hard work she has been doing and will do after that, till 45 days. During these crucial 45 days outsiders are not allowed to get in mother?s room as people coming from outside may infect the child . The child is never left alone, a knife or a match boxes is kept besides baby, it is a primitive method to save the baby from animals and strangers. The God (baby and mother) has come and the duo should be prayed (taken care) and not do pooja or attend functions
Hi my baby is 5 month old. He is suffering from chest congestion from last 10 days. There is no severe cough but phlegm is there all the time. Doc gave ventorlin syrup mucolite drops and nebulizer levolin 0.3 mg. But its been 10 days now im worried. He is very active otherwise and taking breastfeed properly. Is there any harm of phlegm on his body.
Hi, I am writing on behalf of my husband. He is extremely obsessed about girls, and the breasts. Its not that its hampering our relationship or our sex life. Whenever we go for an outing, his full attention is on the girls roaming around. Could you please advise me how could I help my husband get out of this. Thanks.
My baby is 9 months old. He has suddenly stopped taking breast milk from yesterday nyt. I breastfeed him along wid other food. Wat cn I do? Any reason why he has stopped taking milk.
My 5 year baby have some fungus infections in her hand. I m using clotrimazole dusting powder from last 5 days but no improvement please suggest something better treatment.
Mere behan ki ladki 40days ki hai dhoodh peene ke turant baad ulthi kar leti hai. Bahut ulthiyan kar rahi hai koi syrup ya upay batao.
A nutritious and balanced diet is one of the most important things for a growing child. Children have high energy and nutrient needs that are different from that of adults. During the growing stage, the body needs specific vitamins and minerals for proper development.
Busy lifestyles make it difficult for many parents to find time to prepare healthy meals. But fast food and many ready-made meals do not provide the essential nutrients that children need and often have high fat and sugar content that contributes to the obesity problem among youth.
If you do not have time to cook, at least make sure your child is not eating unhealthy food and be sure to include some superfoods in their diet.
Superfoods are natural foods packed with many healthy properties, including nutrients and antioxidants. Plus, superfoods are easily digestible and will help keep your child’s body and mind healthy.
My friend have some kind of problem every month which pains her back alot. She says every girl face this problem every month and there is no medicine for this problem. Whenever I ask her about this problem she never tells me and I really want to help her. Can you please tell me what is this monthly problem so I can help her?
Patient often asks me why it is important to walk bare feet? In reply to this I always ask them one question, how many times they walk bare feet? Even in home we walk with slippers or footwears. Are we not deliberately disconnecting ourslef with earth? We all know earth has gravity due to which we are stick to the land. On the period when moon size grows from the amavasya (new moon), moon also pulls up as it has gravity too. Tides in oceans are on high. At that time when moon starts growing in size, we must try to walk bare feet so that effect of moon's upward pull or gravity has negligible effect on body. We must connect ourselves to the earth as we are earth beings. Walking bare feet even for shorter duration from new moon day to next full moon day has good effect on body.