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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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.
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!
Hi, I want to get pregnant without gallstone surgery. I am on homeopathy medicine for gallstone size 15 mm. There is no pain. But just one time I feel pain. after that there is no problem.
Am suffering with gallbladder stone (9-10 mm) since last 10 years, I just wanted to know that it can treated through homeopathy or Ayurveda medicine. Or I should go for surgery. Pls advise.
I am 30 years old female. My baby is 18 month old. I have 11.6 mm gallstone in fundus. Is there any solution without surgery.
What is an Appendectomy?
An appendectomy (which is sometimes referred to ‘appendicectomy’) is the surgical elimination of the organ known as the appendix. Appendectomy is mostly performed as an emergency surgical procedure, when patients suffer from appendicitis.
How is Appendectomy Performed?
Appendectomy can be performed both as an open operation as well as laparoscopically. An appendectomy is most often performed laparoscopically, if the diagnosis is in doubt, or if the patients feel that they need to hide their telltale surgical scars near their umbilicus or in the pubic hair line.
However, although laparoscopic appendectomy has its cosmetic advantages, and its recovery time is a little quicker, this procedure is more expensive than conventional open surgery.
Conventional Open Appendectomy
In the conventional open surgery, the surgeon makes an incision which is less than 3 inches in length in the lower right section of the abdomen. Once the infected appendix is identified, the surgeon separates the infected appendix from its surrounding tissues and removes it surgically from the cecum (an intraperitoneal pouch that forms the junction of the small and large intestine). After that, the cecum is closed and is returned back into the abdomen. In the end, the muscle layers and the skin are sewn together and the incision is closed.
Laparoscopic Appendectomy (LA)
While performing appendectomy laparoscopically, which is also known as LA, four incisions of 1 inch in length are made in the abdomen. One incision is made near the umbilicus, while another one is made in an appropriate region between the umbilicus and the pubis. The other two incisions, which are even smaller in size, are made in the right side of the lower abdomen. The surgeon then passes the camera and special laparoscopy instruments through these openings and after identifying, frees the appendix from its surrounding tissues. Next, the appendix is removed from the cecum and the site of its former attachment is sewed. The infected appendix is removed from the body of the patient through any one of the two 1 inch incisions. In the end, the laparoscopic instruments are removed and the incisions are sutured and closed. During this whole procedure, the intraperitoneal space is filled with medical grade carbon dioxide gas, to inflate the abdomen, which is released after the surgery.
Recovery Time For Appendectomy
The recovery time for appendectomy depends on and varies with the type of procedure and anesthesia used during the surgery. While laparoscopic appendectomy can be done on an outpatient basis so that the patients can recover back at home, an open surgical procedure will require an overnight or even longer hospital stay.
Normally patients after appendectomy can resume their normal daily activities within a few days. However, for full recovery, it may take four to six weeks. Patients are advised to avoid strenuous activities during this period of time.
Risk and Long Term Consequences of Removing the Appendix-
While wound infections are the most common complications of this surgery, formation of an abscess in the area of the surgical incision and also in the area close to the removed appendix has also been noticed as an aftermath of appendectomy.
Major long-term consequences of appendectomy include increased risks of bowel obstruction, stump appendicitis (infection in the retained portion of the appendix still stuck with the cecum) and development of incisional hernia at the site of the scar.