I am Dr. Hemendra Singh, a senior surgeon.
I welcome you to Singh Surgical Clinic based in Indirapuram practicing general and laparoscopy for the last 30 years. The introduction of my topic today in on Hernia. What is Hernia? Basically when tissues procure through a week part of the Abdomen wall or some other parts, it leads to procuration of internal organs. It may be in the abdomen or it may be in the intestines. The most common type of Hernia are, especially in males, in the groins which are called Inguinal Hernia. They may be of one side or both sides. In females, the common Hernia are Ventral Hernia which are usually an old scar or near an old scar. In today’s world when there are lot many busy schedule of people and lack of sleep also will be develop Hiatal Hernia which sometimes is congenital also. The hernia is caused when the muscle is weak in the abdominal wall or the person usually states either for due to constipation or for urination. Pregnancy, recent increase in weight, cough, etc. or weight lifting in gym is also plays an important role in development of Hernia. So the people, even in younger age, because even in small age children the risk of developing Hernia is because of the congenital diseases. In the adults these play accumulated factors play an important role. The symptoms of Hernia are very simple. A place where you never used to find and a bulge or lump, you will find in the groin or in the abdomen wall near by abdomen scars. The treatment options for hernia are a simple strategy of weight reduction, balanced diet, routine exercise like walk etc. but mostly the cases require surgery and the surgery is in the form of a laparoscopic surgery very small keyhole incisions are made and we put a mesh through the smaller holes and we place it into the abdomen wall. Very very advanced technique for development the methodology are developing for the treatment for the treatment of hernias for the bigger hernias because now we at a time take major surgeries in the abdomen for cancers, for trauma etc. and which later on only took large Hernia also where we require all these new techniques the risk of not operating especially patients in home there are a lot of symptoms like bulge, pain is because of the obstruction in the Hernia set. It may bet strangulated when the surgery becomes very very necessary and urgent. If you delay the surgery people may develop perforation of the intestines and contamination of the while abdominal cavity, then it becomes a very very life threatening issue we should take care of the hernias especially at an early age. Sometimes we have seen people asking whether this will come again or not. So if you for an early surgery and take a good surgical course the chances of developing a recurrence are very low. Right so all these things for today.
Thank you very much.read more
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The thyroid may be a small gland but plays a large role in the functioning of the body. It is located just below the voice box. Along with producing hormones that help in the transportation of blood, it also helps regulate metabolism, keeps the organs functioning optimally and helps the body conserve heat. In some cases, when the gland produces excessive hormones or when it develops structural problems, it may become necessary to remove the thyroid gland.
There are several ways of removing the thyroid gland. The most common amongst these are:
A lobectomy is performed when only half the thyroid gland is affected. In such a case, the doctor will remove only one of the two lobes.
2. Subtotal Thyroidectomy
In such cases, the doctor will remove the thyroid gland but leave behind a small amount of thyroid tissue. This tissue can preserve some thyroid function but hormone supplements are often required to supplement the production of hormones.
3. Total Thyroidectomy
You will need to be admitted into a hospital for a thyroid removal surgery. Once admitted, meet the surgeon and anesthesiologist to answer any questions you may have about the procedure. It is important not to eat or drink anything after midnight on the night before your surgery. The surgery is performed under anesthesia so you will not feel a thing. Once you are asleep, the surgeon will make an incision in your throat and remove a section or all of the thyroid gland. This procedure can take between 2-3 hours. After the surgery, you will be kept in observation for 24-48 hours.
The surgery can result in a slightly raised scar that can take upto 6 weeks to heal. You can resume normal daily activities a day after the surgery. However, it is advised to wait for a week before undertaking any strenuous activities. Your throat may feel sore for a few days following the surgery. This can be treated with over the counter pain medication. You may also develop hypothyroidism.
The most major risk of a thyroid removal surgery is an allergic reaction to anesthesia. Other risks of this surgery are damage to the nerves connected to the vocal cords and damage to the glands controlling calcium levels in the body.
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.
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.
Obesity and a shapeless body are problems that plague many people around the world. Besides leading to an appearance that is less than ideal, it can also lead to severe health problems include heart failure, heart diseases, diabetes and more. While there are many ways to combat being overweight with the help of exercise and a proper diet and even medication, very severe causes of obesity can also be fixed with a surgical process known as Bariatric Surgery. So, here's everything you need to know about it.
- Affecting the Digestive Process: As per the normal digestive process, the food moves into the digestive tract, while its nutrients get collected with the help of a well functioning system that includes digestive juices and enzymes. This food moves through the digestive tract, passing through the oesophagus, before it goes down into the stomach where it meets the strong digestive acids, which break it down, and then it enters the small intestine. While the stomach can hold three pints of food at a time, there is a chance that some of this food may not get properly digested in the small intestine. In this case, the food enters the large intestine. Now, Bariatric Surgery helps in restricting the amount of food that a person can have and hold in the first place.
- The Process: This surgical procedure may be carried out by cutting open the stomach and removing a portion of the same. This procedure can also reroute the small intestine into the gastric pouch or the small stomach pouch. This process can also be done with laparoscopic invasion, where a few small incisions will be used to insert a tiny camera and instruments for the process.
- Ideal Candidates: If your BMI or body mass index is more than 40, then you can opt for this kind of surgery, as mere dieting and exercising will not help you in your weight loss endeavour. This surgery can also help in preventing the onset of type 2 diabetes mellitus. The patient also has to have reached the normal adult height in order to qualify for this surgery.
- Side Effects: After the surgery, the patient may experience a few side effects including leakages and bleeding. An incisional or an internal hernia may also occur after the surgery. Also, for patients who have a poor diet, there may be complications after the surgery due to less intake of necessary vitamins and minerals.
Once you undergo the surgery, it is important to commit to a proper diet with less food intake and proper exercise on a lifelong basis.
Have you ever faced difficulty or experienced severe pain while defecation? Well, this is a widespread phenomenon amongst many, but most of them feel shy to discuss this problem. Different People differently understand the term Piles. For some, it is the name given to the uneasiness or pain that one feels during defecation and for others, it might be blood found along with feces. This notion is partially correct. Piles, also known as Hemorrhoids, are vascular structures that are present in the anal canal.
These vascular structures are like cushions that help with stool control. The problem arises when these structures become swollen. Post inflammation of hemorrhoids leads to the ultimate problem. Piles become painful which is unbearable for many while a few people don’t feel much pain but bleeding characterizes the disease. Around 10% of patients having Piles problem require surgical treatment, but they are unaware of the measures needed before opting for a hemorrhoid surgery.
The operation that is used to remove hemorrhoids is known as Hemorrhoidectomy. In this surgery, a local or general anesthesia is given to the patient so that the affected area gets numb and the patient doesn’t feel much pain. The doctors make perform a procedure around the anus to get rid of the hemorrhoids. As the anus area is susceptible, stitches might be required. Patients can go home the same day, but intensive care is needed. It might take around two weeks to get normal, in some cases, it may also extend to 6 weeks.
Cure Piles in 15 Minutes (BIEM)-
‘Biological Impendence Electrical auto-Measurement’ (BIEM) concept is a smart and advanced technology that able to produce controlled ‘tissues fusion’ without causing any carbonation. This technology is being aggressively develop and incorporated into the variety of modern surgery.
The major advantages of this technology is no bleeding, no open wound, no risk of infection and less pain as the nerve fibers is sealed in the tissues fusion. The new tissues growth will take place from inside and the dry and hard zone will take off itself when tissues healed up.
Measures to be taken post hemorrhoid surgery
The surgery is extremely safe, however, like all surgeries, there are certain precautions that need to be taken in order to avoid post-op infection or reaction to anesthesia. People mostly complain about the severe pain that they feel while defecating and might also be accompanied by irritation or itchiness in the treated area. These symptoms are normal, but if the irritation or itchiness becomes severe or excessive bleeding becomes frequent, then consult your doctor immediately.
Fever or difficulty while defecating should also be reported to the doctor if it continues to be a problem after surgery. For the recovery phase, your doctor might prescribe the use of some pain killers along with the usage of some stool softeners. Taking a warm bath might also lower down the pain.
Usually, the doctors prescribe a healthy diet before and after hemorrhoidectomy surgery. But the measures might differ from case to case. A few common after and before care measures include diet changes, lifestyle changes, and adopting a regular exercise program. These three steps will not only help in speedy recovery but also reduce the chances of hemorrhoids recurring.
There are many kinds of conditions and symptoms that require different kinds of surgery for treatment as well as diagnostic management. One such procedure is called a laparoscopy or the laparoscopic surgery. This is a surgical diagnostic management procedure that is known to be a low risk process with minimal invasion and suitable for various types of ailments. Read on to know everything about laparoscopic surgeries.
- Definition: A laparoscopic surgery is one where small incisions are made and an instrument called a laparoscope is used in order to take a look at the organs in the abdominal region. This tool is a long tube shaped one that comes with its own high intensity light and a high resolution camera that can easily move along the walls of the organs while the camera sends back imagery that will be displayed on a video screen in front of the doctor. This avoids the need for an open surgery and helps the doctors in getting samples for a biopsy on an outpatient basis.
- Need for Laparoscopy: This procedure is performed when the patient complains of persistent pain that is also sharp and shooting, in the abdomen region and surrounding areas like the pelvic cavity. This non-invasive method helps in diagnosis where other imaging methods like an ultrasound and CT or MRI scans would have failed to give a conclusive reason for the pain and suffering of the patient. When these tests do not supply enough reason for proper diagnosis, then the doctors usually resort to this kind of procedure.
- The Organs it can be used for: The laparoscopic surgery can be used for many organs including the appendix as well as the gall bladder, the pelvic region and the reproductive organs, the small and large intestines, the spleen, the stomach, the liver and the pancreas.
- What all can it Detect: The laparoscopic surgery can help in detecting a number of issues including any abnormal growth or mass that may be a tumour. It can also point at the presence of any disease in the liver, as well as the proper functioning of certain treatments. Also, it can show the amount of fluid that may or may not be present in the abdominal cavity and the extent of cancer's progression in the body.
- Risks: There are a few side effects or risks of this method including fever, chills, swelling, bleeding or redness of the site where the incision was made for the surgery, and shortness of breath. All these symptoms must be reported to the doctor immediately as they may point at the presence of an infection. Also, there is a risk of organ damage in this procedure.
My father is diagnosed with hernia. Can I know its symptoms and speedy cure treatment for the same after operation?
The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.
How is bowel resection surgery performed?
In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.
Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:
- Cancerous or benign polyps or growth
- Precancerous growths and polyps
- Damage to the small intestine due to injuries
- Congenital defects in the small intestine
- Blockages in the intestine
- Growth of ulcers, bleeding, and infection within the small intestine
- Infections within the intestines
- Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:
- Colon cancer
- Diverticulitis, disorder that specifically affects the large intestine
- Bowel inflammation or ulcerative colitis
- Abnormal twisting of the bowel also known as volvulus
- Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are –
- Adverse reaction to anesthesia
- Heart attacks or strokes during the operation
- Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:
- Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
- Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons. In case you have a concern or query you can always consult an expert & get answers to your questions!