Dear Lybrate users, very good evening to all of you, myself Dr Apoorv Goyal I am a laparoscopic and General Surgeon practising in Ghaziabad for last 5 years and I routinely doing all laparoscopic procedures and the surgical procedures. And I am here to guide you through laparoscopic surgeries and tell you about its various advantages. Laparoscopic surgery was introduced in India in 1990 and since then it has evolved in a big way, now with the recent technologies and advances, we are able to perform laparoscopic procedures for almost 80% of surgical cases. Many cases like gall bladder stone, hernia, appendix, hysterectomy, and other pelvic surgeries can be done through laparoscopic way and if we talk about the principal of laparoscopic surgeries. Then I would like to tell you that, we use a high definition camera system, high definition monitors and specialised instruments through which the surgery is performed and we use very small in incisions and scarves so that the trauma is minimised. Now, if I would tell you about the advantages of laparoscopic surgery, then the first thing is there, the minimum scar and minimum trauma to the body, then most of the recovery or postoperative period is painless, it is eventful, it is very smooth. The patient usually returns to their routine work early and they are quite happy and satisfied after laparoscopic procedures. Many common diseases like if I already told you about gallbladder stone, hernia, appendix, and hysterectomy many things can be done laparoscopically and even with the techniques and advancement in technology, which we are having now. We can even perform like Complex gastrointestinal surgeries, hepatobiliary surgeries and even cancer surgeries through this minimally invasive technique or laparoscopy. If we compare the cost of the surgery, then there is not much difference in the cost of the surgery because now the system is advanced and it is easily available so there is not much difference in the cost and it is easily available and everywhere. Myself I am routinely performing basic and advanced laparoscopic surgeries and I am routinely doing this, all this gallbladder stone, hernia, appendix, hysterectomy and other advanced gastrointestinal surgeries. If you wish to consult me for the same then you can visit my profile on lybrate.com or you can visit my clinic which is in Ghaziabad, Patel Nagar 2nd, opposite DDA market.
Thank you very much.
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Treatment of Breast Cancer
Caesarean Section Procedure
Treatment of Breast lumps
Treatment of Appendicitis
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Hernia Repair Surgery
Stitching Of Wounds Procedure
Vascular Surgery Treatment
Treatment of Gall Bladder Issues
Minor Ot Service Procedures
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I found the answers provided by the Dr. Apoorv Goel to be very helpful. Thank you doctor. Unfortunately I am unable to share the test records here. She has been diagnosed with ureteric obstruction, but is surgery the only cure for this? Is there anything else that we can try? Thanks again for your prompt advice
Dr. Apoorv Goel provides answers that are caring, very helpful, professional and helped me improve my health. Thanks a lot for ur timely advise. Once again thank you.
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Dr. Apoorv Goel provides answers that are sensible, professional, knowledgeable, well-reasoned and caring. Thank you so much doctor :)
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Santosh Kumar Sahu
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Dr. Apoorv Goel provides answers that are very helpful and knowledgeable. Thank u
I found the answers provided by the Dr. Apoorv Goel to be caring. Thanks doctor.
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Abdominal Laparoscopy is a surgical diagnostic procedure, which is used to examine the organs inside the abdomen. It is an invasive procedure, but only small incisions are made.
The procedure is usually done in the hospital and the patient is given general anaesthesia to make the procedure pain free.
The laparoscope is inserted through an incision in the abdominal wall. As it moves along, the image of the inside of your abdomen is then seen on the monitor. After the exam, laparoscope and instruments are removed and the cuts are closed. Laparoscopy is usually done as an outpatient procedure. This means that you will be able to go home the same day.
Why Is laparoscopy performed?
Laparoscopy is often used to identify the source of abdominal pain. It is usually performed when x-rays or ultrasound are unable to determine the root cause of the problem. Laparoscopy allows your doctor to see inside your body in real time and helps to diagnose or help discover what the abdominal problem is.
Tips to deal with laparoscopic surgery
- The first and the foremost thing is to prepare yourself for the surgery by watching some videos and going through some blogs on it as doing so will help you clear your doubts
- Do not eat or drink anything 8 hours before the procedure
- Make sure someone accompanies you on the day of the surgery
- Fix your Pre Op appointment to ask any questions or address any concerns regarding the surgery, anaesthesia, etc
- Shave the area where the surgery will be performed. This will substantially reduce itchiness
- Lastly, prepare your hospital bag and discuss it with the person who is going to accompany you so that he/she knows what all you packed
- Don’t lie down in bed all the time. Keep yourself active by moving every two hours as it promotes healing and helps eliminate gas pain
- Wear comfortable clothing
- Do not take bath for a week. However, you can take a shower 24 hours post surgery
- Drink at least 1.5 to 2 litres of water per day to prevent constipation. If constipated, take a stool softener.
- While sneezing or coughing, hold a pillow against your stomach to lessen the pain
- Roll onto your side and sit up using your arms for support and then stand up
- Don’t drive for two weeks
- Refrain yourself from intercourse, douching, and swimming
- Make sure to visit your doctor 2 to 3 weeks post surgery to make sure your wounds are healing
It might take some time for the wounds to heal, but in case of any prolonged pain do remember to consult doctor immediately.
Colorectal surgery is the broad term for surgical procedures performed on the colon, the rectum and the anus. There are various different surgical procedures which fall under colorectal surgery and these are used to treat a vast array of disorders, such as:
- Anal cancer
- Colorectal cancer
- Severe complications related to constipation
- Anal injuries
- Inflammatory conditions of the gastrointestinal tract
- Congenital defects
- Haemorrhoids (Piles)
- Anal Fissure
- Procedures: The surgeries under colorectal surgery are performed after diagnostic tests such as proctoscopy, sigmoidoscopy and defecating proctography. The most common diagnostic test is colonoscopy. These help to identify the origin and nature of the problem and decide which surgical procedure is to be followed. The procedures under colorectal surgery are as follows:
- Colectomy: This procedure involves removal of a section of the large intestine. This is known as partial colectomy. In extreme cases, such as advanced cancer or severe gastrointestinal infection, the entire colon is removed and this is called total colectomy. Sometimes, the rectum is also taken out along with the colon and this is called proctocolectomy.
- Colonic polypectomy: An abnormal growth of tissues in the inner lining of an organ is known as a polyp. Colonic polypectomy is done to eliminate polyps from the colon and rectum before they become malignant. This can be done endoscopically. Surgery is required in case of large polyps.
- Strictureplasty: Chronic or repeated bowel inflammation causes scar tissue to accumulate in the large intestine. This results in the narrowing of the colon. Stricturoplasty removes the scar tissue so that proper flow of digestive contents is resumed.
- Colostomy or Ileostomy: A damaged section of the colon is removed and the shortened intestine is then attached to another opening (stoma) in the anterior wall of the abdomen.
- Hemorrhoidectomy: This surgical process is used for swollen hemorrhoids or blood vessels, which form in the anal canal. Hemorrhoidectomy is extremely effective in removing hemorrhoids, but the surgery also involves a number of complications.
- Anoplasty: Anoplasty or imperforate anus correction is done to correct birth defects in the rectum and the anus. The structural flaw does not allow the stool to pass properly from the rectum and so it is repaired through surgery.
Hi, I am 45 years old, I have pile when i am at the age of 19. Please how can I get rid of it finally, sometimes its painful but if I take local herb it relief.
Thyroid is a small butterfly shaped gland, which is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat.
However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.
Why do you need surgery?
- The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
- Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
- Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.
Types of Surgery
- Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
- Subtotal Thyroidectomy: Here, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
- Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.
Any surgery that requires an incision will involve sutures or staples as the last step of the procedure. This helps close the incision and keep out infections. Taking care of your stitches can help limit scarring and discomfort and speed up the healing process. Here are a few things to keep in mind.
- Keep it clean and dry: For the first few days, use a washed wet cloth to clean the incision site. After a few days, you may start washing the area with soap and water unless advised else wise by your doctor. Ensure that you dry the skin thoroughly after washing it. Avoid baths that involve soaking the area in water. Also, avoid swimming. Do not use any powders, lotions, creams, deodorants etc on the wound site.
- Look out for signs of infections: Avoid activities that may involve exposing your wound to dirty water, chemicals, dust etc. This increases your risk of infections. Also look out for signs f infections such as redness, swelling, pus or bleeding, fever or increased pain from the wound. In case you notice such signs, consult your doctor at the earliest.
- Do not scratch: As it heals, your skin is likely to turn itchy. However, refrain from scratching so as to reduce chances of infections. Do not try and pull away from the scab but let it fall off on its own. This will also help limit scarring.
- Limit contact: Avoid wearing tight clothes or anything that sticks to the skin while your wound is healing. Instead have plenty of loose, comfortable clothes easily accessible. Also, do not take part in close contact sports such as football etc until the stitches have healed completely.
- Change your dressing regularly: A dressing should be changed as soon as it gets wet or soaked with blood or other body fluids. Wear clean medical gloves while changing a dressing. When putting on a new dressing do not touch the inside of the dressing or apply any creams on the stitches unless advised so by your doctor. In the case of removable stitches, the doctor will usually remove the stitches after a few days. DO not attempt to pull the stitches out on your own.
- Avoid exposing the wound to sunlight: New skin that forms as the incision heals is very sensitive to sunlight and gets sunburnt very easily. Limiting your exposure to sunlight can help reduce the effects of scarring.
Dear doctor, 12 days ago, my wife gave birth to a baby boy of 2.1 kg at 37th week. Still one testicle is not get down and another one only downed. It it normal or it will take some time to occur. Can you please explain. Thanking you in advance.
My brother is diagnosed as germ cell tumour -seminoma, I had also surgery of hydrocele before 15 years and sometimes it's paining ,what is the risk factor in my case.
Noticed an unusual lump in the breast while in the shower? Then, the first thought you get might be cancer. But no need to hit the panic button though, as not all such lumps are cancerous. However, opting for immediate medical evaluation is necessary whenever one notices the presence of swelling or lumps in the breasts is found.
What are breast lumps?
The term breast lumps refer to localized swelling or bumps or bulges in the breast, which doesn’t feel as same as the breast tissues around them or like that of the normal breasts. There are a number of reasons that can cause breast lumps.
Who can develop breast lumps?
It is often the hormonal changes such as menstruation that is responsible for causing breast lumps, which usually disappears naturally in most cases. Both the boys and the girls may develop breast lumps that feel tender during their puberty. Such breast lumps are temporary and go within a few months. Increased levels of estrogen can also cause breast lumps in a baby, but that too disappears once the estrogen returns to normalcy.
But when breast lumps don’t go away even after puberty or after menstruation and continue to grow bigger, making the breasts appear bruised, turning the skin of the breast area like an orange peel or causing bloody discharge from the nipple, it’s time to visit a doctor immediately. Upon evaluation, a mastectomy might be advised.
What is mastectomy?
The term mastectomy refers to the surgical procedure of breast removal. There are five different types of mastectomy which are, total mastectomy, preventive mastectomy, partial mastectomy, the radical mastectomy and modified radical mastectomy. Depending on a person's age, size of the tumor, general health, tumor stage and grade, involvement of the lymph nodes etc., which type of mastectomy will be ideal is determined.
When mastectomy becomes necessary?
In situations where large lumps formed in the breasts, or the lumps being present in the middle of the breast or cancer has spread in more than one single area in the breasts, mastectomy becomes necessary. Plus, those, who already have gone through radiotherapy for their breast cancer are usually suggested to opt for mastectomy.
Remember, though popular and most effective, mastectomy is not the only way of dealing with breast lumps. Depending on the size, location, spreading and the type of lump, whether it's a tumor or spreading as cancer, the treatment may vary from person to person. Hence, it's a doctor who can best guide you by performing necessary medical evaluation and tests and help opt for a treatment option that is ideal. In case you have a concern or query you can always consult an expert & get answers to your questions!