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Greenwood s Health Centre, Gurgaon

Greenwood s Health Centre

  4.7  (1980 ratings)

General Surgeon Clinic

C-88, Greenwoods City, Sector 45 Gurgaon
1 Doctor · ₹500 · 14 Reviews
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Greenwood s Health Centre   4.7  (1980 ratings) General Surgeon Clinic C-88, Greenwoods City, Sector 45 Gurgaon
1 Doctor · ₹500 · 14 Reviews
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Our medical care facility offers treatments from the best doctors in the field of Anorectal Surgeon, General & Laparoscopic Surgeon, Surgical Gastroenterologist.Customer service is provid......more
Our medical care facility offers treatments from the best doctors in the field of Anorectal Surgeon, General & Laparoscopic Surgeon, Surgical Gastroenterologist.Customer service is provided by a highly trained, professional staff who look after your comfort and care and are considerate of your time. Their focus is you.
More about Greenwood s Health Centre
Greenwood s Health Centre is known for housing experienced General Surgeons. Dr. Gaurav Bansal, a well-reputed General Surgeon, practices in Gurgaon. Visit this medical health centre for General Surgeons recommended by 78 patients.

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MON-SAT
06:00 PM - 09:00 PM
SUN
09:00 AM - 07:00 PM

Location

C-88, Greenwoods City, Sector 45
Sector-45 Gurgaon, Haryana - 122003
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Doctor

Dr. Gaurav Bansal

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon
93%  (1980 ratings)
16 Years experience
500 at clinic
₹300 online
Unavailable today
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"Professional" 6 reviews "Prompt" 4 reviews "Well-reasoned" 3 reviews "Helped me impr..." 5 reviews "Nurturing" 2 reviews "Practical" 8 reviews "Thorough" 1 review "knowledgeable" 16 reviews "Sensible" 5 reviews "Caring" 10 reviews "Very helpful" 42 reviews "Saved my life" 4 reviews "Inspiring" 2 reviews

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Corn in Feet

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Corn in Feet

corn (or clavus, plural clavi or clavuses) is a distinctively shaped callus of dead skin that usually occurs on thin or glabrous (hairless and smooth) skin surfaces, especially on the dorsal surface of toes or fingers. They can sometimes occur on the thicker skin of the palms or bottom of the feet.

Corns form when the pressure point against the skin traces an elliptical or semi-elliptical path during the rubbing motion, the center of which is at the point of pressure, gradually widening. If there is constant stimulation of the tissue producing the corns, even after the corn is surgically removed, the skin may continue to grow as a corn.

 Signs and symptoms

The hard part at the center of the corn resembles a barley seed, that is like a funnel with a broad raised top and a pointed bottom. Because of their shape, corns intensify the pressure at the tip and can cause deep tissue damage and ulceration. Hard corns are especially problematic for people with insensitive skin due to damaged nerves (e.g., in people with diabetes mellitus). The scientific name for a corn is heloma(plural helomata). A hard corn is called a heloma durum, while a soft corn is called a heloma molle.

The location of soft corns tends to differ from that of hard corns. Hard corns occur on dry, flat surfaces of skin. Soft corns (frequently found between adjacent toes) stay moist, keeping the surrounding skin soft. The corn's center is not soft, however, but indurated.

Diagnosis

To exclude other differential diagnoses, a skin biopsy may be taken.

Treatment

 A popular method is to use a corn plaster, a felt ring with a core of salicylic acid that relieves pressure and erodes the hard skin. However, if an abnormal pressure source remains, the corn generally returns. If the source of any abnormal pressure is detected, this may be avoided, usually through a change to more comfortable footwear or with various types of shoe inserts or footwear with extra toe space. In extreme cases correcting gait abnormalities may be required. If no other treatment is effective, surgery may be performed.

1 person found this helpful

Doctor I am suffering with varicose veins. I got a selection in Indian Navy, and a medical after 5 days. What can I do for disappears that between 5 days. Please help me doctor it's my life changing turn.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
vasicosities cannot disappear in 5 days. wear stocking in early disease or plan surgery if advanced varicosities
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Sir my friend is complaining about that his left testicle hang loose and lower ,looking little hard than right testicle and position also somewhat horizontal. Please help him out.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Sir my friend is complaining about that his left testicle hang loose and lower ,looking little hard than right testic...
it is normal for left testis to hang lower. u may get ultrasound of scrotum to confirm inner problem
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Depression - Basic Overview

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Depression - Basic Overview

Depression is a serious mental illness in which feelings of sadness and loss of interest last for weeks and interfere with daily life.

There are numerous factors that can trigger the onset of depression, including:

  •  Actions and conditions (like threat, abuse)
  •  Illness (such as cancer or chronic pain),
  •  Social isolation or loneliness and
  • Stressful life events (such as divorce or money problems).
  • Depression can cause deep emotional pain both to the person experiencing it and, often, to that person's close family and friends.

There are several different types of medically recognized depression.

  • Major depression
  • Episodic Depression
  • Post Partum Depression
  • Pre and marital Depression
  • The most common type of depression is called major depression

It occurs when your symptoms interfere with your enjoyment of life or daily functions — including your work, sleep, and eating habits for atleast two weeks straight.

Episodic Depression

Some people experience only one episode of major depression in their life, while others may go through numerous episodes of the illness.

1 person found this helpful

I need to do surgery for circumcision. Can you please suggest me doctors or hospital? Is surgery possible at home? What will be the cost?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
I need to do surgery for circumcision. Can you please suggest me doctors or hospital? Is surgery possible at home? Wh...
I can help u. Consult online. Surgery cannot be done at home. Cost 15000 - 20000, depends on type of anaesthesia.
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All About Ingrown Toenails!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
All About Ingrown Toenails!

What are ingrown toenails?

Ingrown Toenails1. Ingrown toenails occur when the edges or corners of the nail grow into the skin next to the nail.

2.  Ingrown toenails that are not infected can be treated at home, but you should seek medical treatment if the nail has pierced the skin.

3.   You are at a higher risk of complications from an ingrown toenail if you have diabetes or other conditions that cause poor circulation.

Ingrown toenails occur when the edges or corners of your nails grow into the skin next to the nail. Your big toe is most likely to get an ingrown toenail.

What causes ingrown toenails?

Ingrown toenails occur in both men and women. According to the National Health Services (NHS), ingrown toenails may be more common in people with sweaty feet, such as teenagers. Older people may also be at higher risk because toenails thicken with age.

Many things can cause an ingrown toenail, including:

  • Cutting toenails incorrectly (cut straight across, since angling the sides of the nail can encourage the nail to grow into the skin)
  • Irregular, curved toenails
  • Footwear that places a lot of pressure on the big toes, such as socks and stockings that are too tight or shoes that are too tight, narrow, or flat for your feet
  • Toenail injury, including stubbing your toe, dropping something heavy on your foot, or kicking a ball repeatedly
  • Poor posture
  • Improper foot hygiene, such as not keeping your feet clean or dry
  • Genetic predisposition

Using your feet extensively during athletic activities can make you especially prone to getting ingrown toenails. Activities in which you repeatedly kick an object or put pressure on your feet for long periods of time can cause toenail damage and increase your risk of ingrown toenails. They include:

  • Ballet
  • Football
  • Kickboxing
  • Soccer

What are the symptoms of ingrown toenails?

Ingrown toenails can be painful, and they usually worsen in stages.

Early-stage symptoms include:

  • Skin next to the nail becoming tender, swollen, or hard
  • Pain when pressure is placed on the toe
  • Fluid building up around the toe

If your toe becomes infected, symptoms may include:

  • Red, swollen skin
  • Pain
  • Bleeding
  • Oozing pus
  • Overgrowth of skin around the toe

 

How are ingrown toenails diagnosed?

Your doctor will most likely be able to diagnose your toe with a physical exam. 

What are the treatment options for ingrown toenails?

Ingrown toenails that aren’t infected can normally be treated at home. However, if your toenail has pierced the skin, or there is any sign of infection, seek medical treatment. Signs of infection include:

Home treatment

To treat your ingrown toenail at home, try:

  • Soaking your feet in warm water for about 15 to 20 minutes three to four times a day
  • Pushing skin away from the toenail edge with a cotton ball soaked in olive oil
  • Using over-the-counter medicines, like calpol, for the pain
  • Applying a topical antibiotic, such as t-bact, to prevent infection
  • If the toenail does not respond to home treatments or an infection occurs, you may need surgery. In cases of infection, stop all home treatments and see your doctor.

    Surgical treatment

    Total nail removal may be used if your ingrown nail is caused by thickening. The doctor will give you a local pain injection and then remove the entire nail.

  •  According to the NHS, nail removal is 98 percent effective for preventing future ingrown toenails.

    After surgery

    Your doctor will send you home with your toe bandaged. You will probably need to keep your foot raised for the next one to two days and wear special footwear to allow your toe to heal properly.

    Avoid movement as much as possible. Your bandage is usually removed two days after surgery. Your doctor will advise you to wear open-toed shoes and to do daily salt water soaks until your toe heals. You will also be prescribed pain relief medication and antibiotics to prevent infection.

    Your toenail will likely grow back a few months after a partial nail removal surgery. If the entire nail is removed down to the base, the nail matrix under your skin, a toenail can take over a year to fully grow back.

    Complications of ingrown toenails

    If left untreated, an ingrown toenail infection can cause an infection in the bone in your toe. A toenail infection can also lead to foot ulcers, or open sores, and a loss of blood flow to the infected area. 

    A foot infection can be more serious if you have diabetes. 

    Preventing ingrown toenails

    Trim your toenails straight across and make sure that the edges do not curve in.

  • Avoid cutting toenails too short.
  • Wear proper fitting shoes, socks, and tights.
  • Wear steel-toed boots if you work in hazardous conditions.
  • If your toenails are abnormally curved or thick, surgery may be necessary to prevent ingrown nails. 

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Nail Bed Infection

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Nail Bed Infection

Paronychia is a soft tissue infection around a fingernail that begins as cellulitis but that may progress to a definite abscess. The 2 types of paronychia are as follows :

  • Acute paronychia - Painful and purulent condition; most frequently caused by staphylococci.

  • Chronic paronychia - Usually caused by a fungal infection

The image below depicts paronychia.

Classic presentation of paronychia, with erythema and pus surrounding the nail bed.

Signs and symptoms

Physical findings in acute paronychia include the following:

  • The affected area often appears erythematous and swollen

  • In more advanced cases, pus may collect under the skin of the lateral fold

  • If untreated, the infection can extend into the eponychium, in which case it is called eponychia

Further extension of the infection can lead to the involvement of both lateral folds as it tracks under the nail sulcus; this progression is called a runaround infection.

Physical findings in chronic paronychia include the following:

  • Swollen, erythematous, and tender nail folds without fluctuance are characteristic of chronic paronychia

  • Eventually, the nail plates become thickened and discolored, with pronounced transverse ridges

  • The cuticles and nail folds may separate from the nail plate, forming a space for the invasion of various microorganisms

Diagnosis

The diagnosis of paronychia is based primarily on patient history and physical examination. Some laboratory studies, however, can be useful. These include the following:

  • Gram staining and/or culture - To help identify a bacterial cause of fluctuant paronychia.

  • Potassium hydroxide (KOH) 5% smears - To help diagnose fluctuant paronychia caused by a candidal infection

Management

Treatment strategies for paronychia include the following:

  • If soft tissue swelling is present without fluctuance, the infection may resolve with warm soaks 3-4 times daily

  • Patients with extensive surrounding cellulitis or with a history of diabetes, peripheral vascular disease, or an immunocompromised state may benefit from a short course of antibiotics

  • If an abscess has developed, incision and drainage must be performed.

Minimal Invasive Procedure For Haemorrhoids!

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Minimal Invasive Procedure For Haemorrhoids!

In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.

Description:

Stapled Hemorrhoidopexy

What are the indications PPH or MIPH?

Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.

How it work and what are the benefits of Stapled Hemorrhoidopexy?

Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.

What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?

Complication of this surgery include:

  1. Active sepsis,
  2. Anal stenosis, and
  3. Full-thickness rectal prolapse

Because these conditions are not adequately treated by PPH.

What are the complications of Stapled Hemorrhoidectomy?

Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.

Most common complication are:

  1. Hemorrhage
  2. Incontinence
  3. Anal stenosis
  4. Fistula, and
  5. Septic complications

Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.

Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.

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Minimal Invasive Surgery for Haemorrhoids

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Minimal Invasive Surgery for Haemorrhoids

Definition

In 1995, Longo described a new and innovative operative technique for hemorrhoid. This novel procedure to treat piles is not a hemorrhoidectomy. In this technique neither the anal mucosa and nor the hemorrhoidal tissue is excised. The procedure of MIPH is performed in the patient with piles on distal rectal mucosa and submucosa, proximally to the dentate line. MIPH hemorrhoidectomy includes excision of a band of excessive or loose prolapse mucosa and submucosa within the rectum, proximally to the hemorrhoidal tissue and fixation of the mucosa by stapled end to end mucosa anastomosis. This minimally invasive maneuver occlude the blood supply of the superior hemorrhoidal artery above the hemorrhoidal tissue and thus piles is cured as well as prolapsed mucosa is retracted up.

Description

Stapled Hemorrhoidopexy

What are the indications PPH or MIPH?

Indications for PPH include patients with grade III hemorrhoids, with uncomplicated grade IV hemorrhoids that are reducible at surgery or after manipulation in the operating room. In the surgery of MIPH hemorrhoidal tissue is not excised during the procedure, and in those who failed other treatment modalities.

How it work and what are the benefits of Stapled Hemorrhoidopexy?

Stapled Hemorrhoidopexy procedure uses a special device to remove a ring of tissue from the anal canal. Removing the tissue cuts off blood supply to the hemorrhoids, causing them to shrink. The tissue ring is then secured with staples. This helps hold the tissue in place. Stapled hemorrhoidopexy is a significantly less painful operation and offers significant advantages in terms of hospital stay and symptom control in the long term, making for a significantly earlier return to work.

What are the Contraindications of Minimally Invasive Procedure for Hemorrhoid?

Complication of this surgery include:

  1. Active sepsis,
  2. Anal stenosis, and
  3. Full-thickness rectal prolapse

Because these conditions are not adequately treated by PPH.

What are the complications of Stapled Hemorrhoidectomy?

Although PPH is usually considered relatively safe and simple, complications still may occur and sometimes may be devastating.

Most common complication are:

  1. Hemorrhage,
  2. Incontinence,
  3. Anal stenosis,
  4. Fistula, and
  5. Septic complications.

Possible complications of Minimally Invasive Procedure for Haemorrhoid (MIPH) include anal stenosis, postoperative pain, urinary retention, secondary hemorrhage, anal fissure, abscess or fistula, formation of skin tags, pseudo polyps, and incontinence. Postoperative pain is a main concern after Minimally Invasive Procedure for Haemorrhoid (MIPH); none of the techniques offers the patient a completely pain-free recovery. Urinary retention can be a result of pain in some of the patient, narcotics and anticholinergic drugs, fluid overload, high ligation of the hemorrhoidal pedicle and operative trauma.

Minimally Invasive Procedure for Haemorrhoid (MIPH), serious complications have been reported and include, rectal perforation, retroperitoneal sepsis, retropneumoperitoneum, rectal stricture, rectal obstruction, and rectovaginal fistula. These benefits may appear only after surgeons have gained sufficient experience with the procedure. However, skin tags and recurrent prolapse occurred at higher rates after PPH. The meta analysis did not find significant difference in the rates of postoperative bleeding, urinary retention, anal fissure, stenosis, or difficulties in evacuation.

Ventral Hernia - Laparoscopic Repair

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Ventral Hernia - Laparoscopic Repair

What is a ventral hernia?

A ventral hernia is a bulge of tissues through an opening of weakness within your abdominal wall muscles. It can occur at any location on your abdominal wall.

Many are called incisional hernias because they form at the healed site of past surgical incisions. Here abdominal wall layers have become weak or thin, allowing for abdominal cavity contents to push through.

In a strangulated ventral hernia, intestinal tissue gets tightly caught within an opening in your abdominal wall. This tissue can’t be pushed back into your abdominal cavity, and its blood flow is cut off. This type of ventral hernia is an emergency requiring surgery.

Hernias can occur in other places of your body and are named after the location where they occur — for example, a femoral hernia occurs in your upper thigh.

Risk factors

What are the risk factors of a ventral hernia?

Certain people are born with a congenital defect — one existing from birth — that causes their abdominal wall to be abnormally thin. They are at a greater risk for developing a ventral hernia. Other risk factors for a ventral hernia include:

  • pregnancy
  • obesity
  • history of previous hernias
  • history of abdominal surgeries
  • injuries to your bowel area
  • family history of hernias
  • frequently lifting or pushing heavy objects

What are the causes of a ventral hernia?

According to UCSF, incisional hernias may occur in up to 30 percent of those who’ve had an abdominal surgery. Most occur at the site of a surgical scar. The scar tissue weakens or thins, allowing a bulge to form in the abdomen. This bulge is tissue or organs pushing against the abdominal wall.

Symptoms

What are the symptoms of this condition?

Ventral hernias can produce an array of symptoms. Symptoms may take weeks or months to appear.

You may feel absolutely no symptoms. Or you could experience discomfort or severe pain in the area of your hernia, which might grow worse when you try to stand or lift heavy objects. You may see or feel a bulging or growth in the area that feels tender to the touch.

If you experience any of the following symptoms, make sure to consult a doctor right away:

  • mild discomfort in your abdominal area
  • pain in your abdomen
  • outward bulging of skin or tissues in your abdominal area
  • nausea
  • vomiting

Diagnosis

How is a ventral hernia diagnosed?

For a complete diagnosis, a doctor will ask you about your symptoms and perform a physical exam. They may need to order imaging tests to look inside your body for signs of a ventral hernia. These may include:

What treatment options are available?

Ventral hernias require surgical correction. If left untreated, they continue to grow slowly until they are able to cause serious complications.

Untreated hernias can grow into enlarged ventral hernias that become progressively more difficult to fix. Swelling can lead to trapping of hernia contents, a process called incarceration. This in turn can lead to reduced or no blood supply to the tissues involved, which is referred to as strangulation.

Options for surgical treatment include:

  • Mesh placement surgery: A surgeon pushes tissue back into place and then sews in a mesh, which serves as a reinforcing patch, to keep it in place. This is considered safe and reliable, and mesh placement has been shown to reduce risk of hernia recurrence.
  • Laparoscopic repair: A surgeon makes multiple small openings and fixes your hernia using guidance with a small camera inside your body to direct the surgery. A mesh may or may not be used.
  • Open surgery (nonlaparoscopic): A surgeon makes an incision adjacent to your hernia, pushes the tissues back into place, and then sews the area shut. A mesh may or may not be used.

Benefits of laparoscopic removal include the following:

  • much smaller cut site, which lowers chance of infection
  • reduced postoperative pain
  • reduced hospital stay — generally able to leave day of or day after procedure
  • absence of a large scar
  • faster overall recovery time

These are a few concerns about open surgery:

  • longer stay in the hospital after surgery
  • greater amount of pain
  • medium to large scar

Complications

Are there complications?

Massive ventral hernias are those that have a length or width of at least 15 centimeters (cm) or an overall area of 150 cm2, according to the Journal of American Surgery. They pose a serious surgical risk. The giant hernia fills the abdominal cavity, making it difficult to separate from surrounding organs. As the hernia grows in size, the risk of a reoccurrence also becomes higher.

Other complications of untreated hernias include:

  • Incarceration: Your intestine becomes trapped in a weak abdomen wall where it can’t be pushed back inside of your abdominal cavity. This may cause blockage to your intestine or cut off its blood supply.
  • Strangulation: This occurs when blood flow to your intestine is blocked. Part of your intestine may die or begin to decay. Immediate surgery is necessary to restore blood flow and save the intestine.

What is the outlook for a ventral hernia?

In the early stages of a hernia, you may be able to “fix” your own hernia. Some people may feel the bulge in their abdomen and push the organs back inside. This is called reducing the hernia. Reducing often works temporarily until you undergo surgery.

The outlook is generally very good after a surgery with no complications. You may need to rest for a few weeks before resuming daily activities, avoiding any heavy lifting or straining to the abdominal area.

How much money for Circumcitionnand how much time for that operation? And how money days to get re-cover, weather it is painful r not nd any side effects for that?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
How much money for Circumcitionnand how much time for that operation? And how money days to get re-cover, weather it ...
15000 for surgery including consumables. Recovery takes a week. It's a day care procedure. No major side effects.
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Mera piles ka laser treatment huwa hai. Abhi 2 months huwa treatment leke. Abhi pain hai. Cure nahi ho raha hai. Daily ointment lagata hu. How water ke tub me bait tha hu. Aur pahile motion 1 time aata tha. Abhi 3 time aa raha hai. Suggest me.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
reduce cremalax sup. apply creamagel ointment twice daily. U may consult for examination. at Greenwoods health centre. sector 45. Gurgaon.
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Amputation - Reasons And Risks

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Amputation -  Reasons And Risks

Roadside accidents are common and they lead to many health problems in which some may require amputation for removal of one of the limbs to save the life of a person.

Amputation is a life-saving procedure by which a part of the body that has suffered irreversible damage is surgically removed. Amputation is only carried out as a last resort when the infection/ decay spread to the other parts of the body.

Why is this procedure needed?

The most common cause of amputation is blockage of blood circulation. Without blood, the tissues do not get oxygen and begin to decay, and an amputation is carried out to stop the damage from spreading to other tissues. As stated above, an amputation is carried out only as a last resort. The surgeon checks the infected part for the following to make sure that an amputation is required:

  • Sensation
  • Circulation
  • Checking for a pulse close to the region where the cut is to be performed
  • Comparing skin temperatures with the affected limb

The surgeon tries to bypass arterial blood from the nearest artery to the affected region to rejuvenate the cells. Some reasons of amputation are:

  • Severe injury (extreme burns/ vehicular accidents)
  • Cancerous tumor in the bone or muscle
  • Serious infection, which has stopped responding to antibiotics
  • Thickening of nerve tissue called neuroma
  • Frostbite

Risks and complications of amputation:

Risk of complication is lower in planned amputations than in emergency amputations. In the case of a planned amputation, the surgeon will shape individual muscles for future prosthetic limbs, smooth out rough bones and bone fragments and take care of all the loose ends of the procedure. In emergency amputations, however, the limb is amputated very fast and bleeding is stopped as soon as possible. The following complications may arise as a result of amputation procedures:

  • Heart complications
  • Venous blood clots
  • Slow wound healing or infection of the wound
  • Pneumonia
  • Stump or "phantom limb" pain
  • Psychological problems
1 person found this helpful

Hi Last night. I was not able to my penis entr har pussy. I am still virgin. Is it problem. When I was trying to enter my penis becom tilted.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Hi Last night. I was not able to my penis entr har pussy. I am still virgin. Is it problem. When I was trying to ente...
your penis should to hard enough to enter vagina. tell her to relax. apply lox 2. % jelly on your penis and vagina.
1 person found this helpful
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All About Hiatal Hernia

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
All About Hiatal Hernia

Hiatal hernia takes place when the upper portion of the stomach pushes itself through an opening in the diaphragm, into the chest cavity. The diaphragm is a wall of thin muscles, which separates the chest cavity and the abdomen. In most cases, a small Hiatal hernia doesn't cause problems and you may never know you have a Hiatal hernia unless your doctor discovers it when checking for another condition.

But a large Hiatal hernia can allow food and acid to back up into your oesophagus, leading to heartburn. Self-care measures or medications can usually relieve these symptoms, although a very large Hiatal hernia sometimes requires surgery.

Causes

Hiatal hernia is primarily or most commonly caused due to the increase in pressure in the abdominal cavity. Sometimes, a lot of pressure may be felt around the stomach accompanied by coughing, vomiting, strain during bowel movements. For people born with an abnormal hiatus, the chance of getting Hiatal hernia is more.

The two common types of Hiatal hernia are:

  1. Sliding Hiatal hernia, which occurs during the sliding out of the stomach and oesophagus into and out of the chest through the hiatus. This type of Hiatal hernia is less intense and has no symptoms.
  2. Fixed Hiatal hernia or Paraoesophageal Hernia is an uncommon type of hernia where a part of the stomach pushes through the diaphragm and stays there.

Symptoms

Usually, no symptoms are experienced during Hiatal Hernia. Some symptoms are experienced that happen due to stomach acids, bile or air, which enters the oesophagus. Some common symptoms include:

  1. Heartburns which become worse when a person lies down
  2. Chest pain, better called epigastric pain
  3. Problem in swallowing food
  4. Belching

Tests for Diagnosis

Several tests can be carried out for the diagnosis of Hiatal hernia. They include:

  1. Barium X-ray, where a person is made to drink a liquid filled with barium before the x-ray. The x-ray provides a clear image of the upper digestive tract region and the location of the stomach can be seen. If it is protruded out, Hiatal hernia is signified.
  2. Endoscopy is another test for detection of Hiatal hernia. A thin tube slides down the throat, which reaches up to the oesophagus and stomach. This will determine whether the stomach is pushing through the diaphragm or not.

Treatment

Medicines, which are used to cure a Hiatal hernia may include antacids for neutralizing stomach acid, H2 receptor blockers to lower acid production and proton pump inhibitors. Sometimes fundoplication surgery is required for the treatment of Hiatal hernia, although it is rare. Some common surgical techniques are rebuilding of oesophageal muscles or a surgery to put the stomach back in its actual place. Laparoscopic surgery methods are used. Hiatal hernia may reoccur even after surgery; so general precautions should be taken. You should:

  1. Exercise regularly and maintain a healthy weight
  2. Avoid lifting heavy objects and ask for help
  3. Avoid any kind of strain on the abdominal muscles

Hiatal hernia is a disorder, which is more common among people over the age of fifty. Necessary precautions and treatment should be adopted in case of Hiatal hernia.

3169 people found this helpful

Sathish : age 20 me and my lover did sex. Can not able to insert my penis into her vagina. We both are virgins. She is having small hole in her vagina. What can I do ?

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
Sathish : age 20
me and my lover did sex. Can not able to insert my penis into her vagina. We both are virgins. She i...
have good for play. finger her vagina to open it. lubricate your penis and her vagina before intercoarse. gradually insert your penis into her vagina with gentle strokes is missionary or doggy position.
1 person found this helpful
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My age is 26 . My penis size is 9 inch and width is 3.5 inch. The problem is that my wife is not able to take my penis during sex. She says that its too big penis for her. Is very afraid of having sex. Due to this we are not able to have sex. Please suggest how can we do sex with my huge penis size.

MBBS, MS-General Surgery , FMAS, FIAGES
General Surgeon, Gurgaon
My age is 26 . My penis size is 9 inch and width is 3.5 inch.
The problem is that my wife is not able to take my peni...
Lubricate her vagina well before you do intercoarse. Vagina is a streachable organ. Don't worry. Gradually she tolerate your penis well.
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