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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I found the answers provided by the Dr. Hemendra Singh to be practical and very helpful. I get to know the basic interval of taking this medicine
I found the answers provided by the Dr. Hemendra Singh to be very helpful. Thank you dr
Dr. Hemendra Singh provides answers that are very helpful. Thank you
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!
I want to maintain my digestion please tell the right way to maintain my digestion. When I eat something then I have to go in the toilet.
Can chronic constipation and piles be treated completely? Why gas is formed in stomach. What should a chronic constipation patient and piles patient should do to relief the problem?
Lumps are usually harmless and do not raise serious concerns. However, if the lump persists for more than two weeks, it may be a serious issue. Lumps are categorized based on their place of occurrence and each of them demand separate treatment. Learn the signs of danger related to lumps and take action accordingly.
Reason behind formation of Lumps
Injury is one of the major causes behind lumps. If the lump is painful, one must consult a doctor immediately. There can be various other causes behind lumps, which depend upon its place of occurrence.
- Epidermoid and pilar cysts (sebaceous cysts) appear as small smooth lumps under the surface of one’s skin. Such cysts are non-cancerous, hence, can be treated easily.
- Swollen lymph glands generally occur in neck or in groin or under the armpit. Usually, any infection results in swollen lymph glands. However, in certain cases it may be caused by cancer.
- Skin abscess is a term given to collection of pus. e.g. boils. Symptoms of abscess consist of redness and swelling.
- Style or Chalazion causes swelling on the eyelids.
- Lump in the salivary glands happens due to mumps
- Swelling in the thyroid glands may cause lump in the neck region. This lump may encompass the entire third gland or a part of it.
- Breast lumps occur in both men and women. Generally, they do not indicate breast cancer. Any abnormal swelling in the breast must be immediately shown to the doctor.
- Hernia or enlarged lymph gland may result in a lump in the groin.
- If a person experiences swelling in the scrotum, he must immediately consult a doctor.
- Lump in the anus can be caused due to piles. The small vessels engulfing the anus may get swelled piling up more blood than usual. Other than a pile, abscess could also be the reason behind lump.
- Lump on the hand, wrist, finger may occur due to ganglion. Such cysts may develop around joints or tendons.
Signs which indicate you must get your lump checked by a doctor
- If the lump gets hard or firm
- If the lump gets sore
- If the lump gets enlarged
- If the lump doesn’t vanish within few days
- If your body temperature rises more than normal
- If you experience abnormal loss in weight
- If you experience any such abnormalities
- If the lump reappears post removal
In case you have a concern or query you can always consult an expert & get answers to your questions!
The bile in your body contains enough chemicals to dissolve cholesterol excreted by your liver. In case your liver starts excreting more cholesterol than your bile has the capability to dissolve, the excess cholesterol crystallizes and forms stones. Bile may become concentrated if the gallbladder doesn't empty in the time leading to the formation of gallstones. A number of factors can increase the risks of formation of gallstones like:
- High cholesterol
- Being obese/overweight
- Being an American Indian or Mexican American
- Being female
- Falling in the age group of 60 or above
- A family history of gallstones
- Rapid weight loss
- Consumption of cholesterol-lowering medications
- When should you consider undergoing surgery?
In some cases gallstones that are detected during ct scan or ultrasound (without any symptoms) don't require surgery. If you do not feel aggravating pain in your upper right abdomen or other signs and symptoms, then one can postpone the surgical process according to the need. In few instances, it has been seen that small and solitary gallstones can be dissolved with oral medication like ursodiol and chenodiol. However, you need to opt for surgery to remove the gallbladder necessarily in the following cases-
- Sudden inflammation or infection in the gallbladder
- If you experience recurring instances of intense pain due to the gallstones
- Certain growths known as polyps develop in your gallbladder which is larger than 1 cm in size and begin to give rise to numerous symptoms.
- Cf you have pancreatitis, which is a condition involving inflammation of pancreas due to gallstones
- If the wall of your gallbladder gets calcified
- Your immune system is damaged
- You are experiencing symptoms and your gallbladder has ceased to function
In case you have a concern or query you can always consult an expert & get answers to your questions!