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Dr. Avaneesh Hasiza  - General Surgeon, Gurgaon

Dr. Avaneesh Hasiza

88 (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS ...

General Surgeon, Gurgaon

17 Years Experience  ·  500 at clinic  ·  ₹250 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Avaneesh Hasiza 88% (10 ratings) MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - ... General Surgeon, Gurgaon
17 Years Experience  ·  500 at clinic  ·  ₹250 online
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A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in ...

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.Hernias are most common in the abdomen, but they can also appear in the upper thigh, belly button, and groin areas. Most hernias aren’t immediately life-threatening, but they don’t go away on their own. Sometimes they can require surgery to prevent potentially dangerous complications.

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Hello Everyone,<br/><br/>I am Dr. Avaneesh Hasiza. I am a Consultant General and Endoscopic Surge...

Hello Everyone,

I am Dr. Avaneesh Hasiza. I am a Consultant General and Endoscopic Surgeon at Utkarsh Speciality Clinic in Gurgaon.

So today I am going to discuss about piles or hemorrhoids what we call in medical terms. Piles are inflamed or abnormal veins, dilated veins in the anal canal. In piles, usually the main cause is chronic constipation or there can be many causes. They can be hereditary also. The main cause is constipation. So constipation occurs because whenever there is lack of fibres in the dietary intake, there is inadequate water intake in the body or inadequate what you say lack of fibres in the diet or inadequate water intake so constipation, it causes. It is the cause of piles. So piles can be of various degrees.

There are 4 degrees of piles and the frequency of piles, in the initial degrees we can treat it with medications and the dietary lifestyle modifications but in the higher degrees or when the initial degrees when the medical treatment fails, we have to undergo for the surgical treatment. Surgical treatment of piles, there are various methods for surgical treatment of piles. The conventional surgery as we all know we used to cut the piles dilated veins and remove the piles by the piles mask but that used to leave a large wound in the anal region.

You know that it used to take a long time to heal, so before the treatment one should also mention about the symptoms of piles. Usually patients suffer and complain of bleeding through the rectal region, pain while passing stools. There is mask coming out of the anal region which sometimes regresses itself sometimes it has to be reduced with the fingers and the treatment as I told earlier in the conventional treatment removal of files mask it is a conventional hemorrhoidectomy that used to leave the wounds large phone that takes around a month to heal and it is a concern for the patient that is used to bleed as well as it causes pain and the latest advent of technique of treatment of Piles is stapled hemorrhoidectomy. Indus technique there are many advantages of this dectomy.

We use a circular stapler specialised instrument pph which we used to treat the piles. With this technique there is no wound outside we use the circular stapler Bee removal circumferential strip of main kosa which Cuts of the blood supply of the piles and the piles they shape back to its normal Anatomical position and if any external competitor of piles it means it will regret over a period of 3 to 6 months. The advantages of this technique there is minimal or no pain after the surgery there is minimal sometimes there is no bleeding after the surgery and the patient is very comfortable and then go back to his normal routine activities in a few days and the hospital stay for this surgery usually one day the patient can be discharged on the same day itself.

And after the surgery there is not a long-term medication required and the patient is very comfortable and can go back to the normal work and there is no difficulty in passing stool after the surgery itself.

In case you feel any difficulty are you want to clarify things you can connect with me. I am Dr. Avaneesh Hasiza you can connect with me at Utkarsh speciality clinic which is located in Sector 46, Gurugram, behind Guda market.

Thanks

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Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more
I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.
More about Dr. Avaneesh Hasiza
Dr. Avaneesh Hasiza is one of the best General Surgeons in Sector-46, Gurgaon. He has been a practicing General Surgeon for 17 years. He is a qualified MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery. You can visit him at Utkarsh Specialty Clinic in Sector-46, Gurgaon. You can book an instant appointment online with Dr. Avaneesh Hasiza on Lybrate.com.

Lybrate.com has top trusted General Surgeons from across India. You will find General Surgeons with more than 27 years of experience on Lybrate.com. Find the best General Surgeons online in Gurgaon. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
MBBS Bachelor of Medicine and Bachelor of Surgery - Dayanand Medical College & Hospital Ludhiana, Punjab - 2001
DNB - General Surgery - National Board Of Examination - 2009
MS - General Surgery - Texilla American University - 2017
Languages spoken
English
Hindi

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Utkarsh Specialty Clinic

C-3,First Floor, Sector 46 Landmark: Behind Huda Market,Near Suryadeep HospitalGurgaon Get Directions
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How To Manage Adverse Respiratory Events?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
How To Manage Adverse Respiratory Events?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you
  2. Block pain
  3. Make you sleepy or forgetful
  4. Make you unconscious for your surgery

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:

  1. Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
  2. Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  1. Airway Obstruction
  2. Inadequate inspired oxygen delivery
  3. Aspiration
  4. Endobronchial Intubation
  5. Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  1. Pulse Oximetry
  2. Capnometry
  3. Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome.

2734 people found this helpful

Know More About Hernia

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Play video

A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place.Hernias are most common in the abdomen, but they can also appear in the upper thigh, belly button, and groin areas. Most hernias aren’t immediately life-threatening, but they don’t go away on their own. Sometimes they can require surgery to prevent potentially dangerous complications.

2639 people found this helpful

Laparoscopic Surgery - Are There Any Complications Associated With It?

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Laparoscopic Surgery - Are There Any Complications Associated With It?

Laparoscopic surgery is also known as minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby, lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.

However, as with any surgery, complications may occur during the course of laparoscopic surgery.

  1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
  2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
  3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
  4. Anesthesia related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
  5. Injury: Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract. Proper protocol must be followed by the doctor to avoid such complications as much as possible. If you wish to discuss about any specific problem, you can consult a doctor.

Internal Haemorrhoids - Surgical Option For Treating Them!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Internal Haemorrhoids - Surgical Option For Treating Them!

Your body starts sending signals well before a condition can assume a critical state, and hence it becomes essential to listen to your body to avoid getting into complications. Internal haemorrhoids, less painful than external haemorrhoids, can worsen over time if left untreated and can result in bleeding.

The term haemorrhoids, commonly known as piles, refer to inflamed and swollen veins in the anus and the rectum that cause bleeding and discomfort, especially during sitting and bowel movements. When the blood veins inside of the rectum become engorged and swollen, it is referred to as internal haemorrhoid.

When internal haemorrhoids take moderate to severe form, they require surgery. Here is a closer look at the surgical options available for treating internal haemorrhoids.

  1. Closed hemorrhoidectomy: Closed hemorrhoidectomy is the most common surgical procedure used for treating internal haemorrhoids. In this case, excision of the haemorrhoid bundles is performed by using sharp instruments like electrocautery or scalpel or scissors, followed by complete closure of the wound with absorbable suture. Closed hemorrhoidectomy has a success rate of around 95% for treating internal haemorrhoids completely.
  2. Open Hemorrhoidectomy: In this surgical procedure, hemorrhoidal tissues are excised in the same way as that of the closed hemorrhoidectomy. The only difference here is that the incision is not closed but left open. Open hemorrhoidectomy is usually performed at such locations where the closing of the wound is difficult or may have a high risk of postoperative infections. Depending on the requirement of the patient's internal haemorrhoid conditions, a combination of both closed and open hemorrhoidectomy may be carried out.
  3. Stapled Hemorrhoidectomy: Stapled hemorrhoidectomy, also known as hemorrhoidopexy, is another surgical procedure where a stapling device of circular shape is used for excising a circumferential ring portion of the excess tissues of internal haemorrhoid. This procedure helps to lift the haemorrhoids back in their normal position inside the anal canal. This surgical technique is comparatively a new addition to the surgical treatment options for internal haemorrhoid treatment. Stapled haemorrhoidectomy is most widely accepted technique of haemorrhoidectomy. Advantages of this technique are: 
    • There is a minimal pain after surgery. 
    • There is minimal or no bleeding after surgery. 
    • Patients can resume their routine activities after 2-3 days. 
    • There is no external wound or scar after this surgery.
  4. Rubber Band Ligation: Rubber band ligation surgery doesn’t require anaesthesia and can be performed for treating internal haemorrhoids. Here, a rubber band is used around the base area of haemorrhoid that is there inside the rectum, which helps in cutting off the blood circulation making haemorrhoid wither away within weeks. However, banding isn’t suggested for those who take blood thinners as it may increase bleeding complications.
  5. Lateral Internal Sphincterotomy: In lateral internal sphincterotomy, the muscles of the inner anal sphincter are opened. This surgical procedure is for those patients with internal haemorrhoids who have high resting pressure on the sphincters. Though rarely used, this surgical method doesn't cause much pain after the operation.

A gastroenterology surgeon can determine the suitable surgery option only after a thorough analysis of one's physical health, and the condition and complications of the internal haemorrhoids. While sometimes, laparoscopic surgeries do help, for some a more traditional open kind of internal haemorrhoid surgery may become necessary. In case you have a concern or query you can always consult an expert & get answers to your questions!

 

2486 people found this helpful

Major Causes Of Piles In Daily Lifestyle

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Play video

Hello Everyone,

I am Dr. Avaneesh Hasiza. I am a Consultant General and Endoscopic Surgeon at Utkarsh Speciality Clinic in Gurgaon.

So today I am going to discuss about piles or hemorrhoids what we call in medical terms. Piles are inflamed or abnormal veins, dilated veins in the anal canal. In piles, usually the main cause is chronic constipation or there can be many causes. They can be hereditary also. The main cause is constipation. So constipation occurs because whenever there is lack of fibres in the dietary intake, there is inadequate water intake in the body or inadequate what you say lack of fibres in the diet or inadequate water intake so constipation, it causes. It is the cause of piles. So piles can be of various degrees.

There are 4 degrees of piles and the frequency of piles, in the initial degrees we can treat it with medications and the dietary lifestyle modifications but in the higher degrees or when the initial degrees when the medical treatment fails, we have to undergo for the surgical treatment. Surgical treatment of piles, there are various methods for surgical treatment of piles. The conventional surgery as we all know we used to cut the piles dilated veins and remove the piles by the piles mask but that used to leave a large wound in the anal region.

You know that it used to take a long time to heal, so before the treatment one should also mention about the symptoms of piles. Usually patients suffer and complain of bleeding through the rectal region, pain while passing stools. There is mask coming out of the anal region which sometimes regresses itself sometimes it has to be reduced with the fingers and the treatment as I told earlier in the conventional treatment removal of files mask it is a conventional hemorrhoidectomy that used to leave the wounds large phone that takes around a month to heal and it is a concern for the patient that is used to bleed as well as it causes pain and the latest advent of technique of treatment of Piles is stapled hemorrhoidectomy. Indus technique there are many advantages of this dectomy.

We use a circular stapler specialised instrument pph which we used to treat the piles. With this technique there is no wound outside we use the circular stapler Bee removal circumferential strip of main kosa which Cuts of the blood supply of the piles and the piles they shape back to its normal Anatomical position and if any external competitor of piles it means it will regret over a period of 3 to 6 months. The advantages of this technique there is minimal or no pain after the surgery there is minimal sometimes there is no bleeding after the surgery and the patient is very comfortable and then go back to his normal routine activities in a few days and the hospital stay for this surgery usually one day the patient can be discharged on the same day itself.

And after the surgery there is not a long-term medication required and the patient is very comfortable and can go back to the normal work and there is no difficulty in passing stool after the surgery itself.

In case you feel any difficulty are you want to clarify things you can connect with me. I am Dr. Avaneesh Hasiza you can connect with me at Utkarsh speciality clinic which is located in Sector 46, Gurugram, behind Guda market.

Thanks

2580 people found this helpful

Factors You Need To Consider Before Gallstone Surgery!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Factors You Need To Consider Before Gallstone Surgery!

These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to the removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.

Although it is a less vital organ, the body can cope up even after removal.

Procedure of surgery:

  1. The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
  2. A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
  3. Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
  4. Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
  5. In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.

Complications after gallbladder surgery:

This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.

Types of gallstones:

There are three main types of gallstones. They are

  1. Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
  2. Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
  3. Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.

Medical factors to consider before cholecystectomy:

The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.

Self-care after the surgery:

Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week.

2499 people found this helpful

Tips To Recover From Colon Polyp Removal Surgery!

MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - General Surgery, MS - General Surgery
General Surgeon, Gurgaon
Tips To Recover From Colon Polyp Removal Surgery!

Colon polyp removal, also known as colon polypectomy, refers to the removal of abnormally grown tissues from the mucous membrane or the inside lining of the large intestine or colon. Since there are some particular types of polyps that tend to develop into cancer, early removal of polyps through surgery is essential, once diagnosed. Like every surgery, colon polyp removal has its own set of post-op guidelines to aid recovery and avoid risks and complications.

The procedure of polyp removal surgery is non-invasive and is typically carried out at the same time when performing colonoscopy or examination of the large intestines. However, there are a few recovery tips that can be helpful in ensuring fast recovery after polypectomy.

Let's have a look at them here.

  1. No strenuous activities: Patients are strongly advised to refrain from driving for at least 24 hours following a colon polyp removal surgery and avoid any strenuous activities for a minimum of four weeks following the surgery. There can be minor side-effects such as bloating, cramps and passages which resolves within a day. Patients are suggested to resume their regular daily activities slowly as otherwise, it may delay the full recovery.
  2. Opt for a healthy diet: The diet instructions may vary from one patient to another, depending on their overall physical health and other medical conditions. However, all patients are strongly recommended to not consume certain foods, such as coffee, soda, tea, spicy and processed foods, alcohol, etc. So, the bottom line is, any food items that may irritate the digestive system must be avoided for a few weeks.
  3. Go for regular check ups: Until a patient fully recovers from colon polypectomy, it is advised to opt for regular checkups for a healthy recovery. In case any discoloration of urine is noticed after the first bowel movements, the patient needs to contact his/her gastroenterologist right away. Completing the entire prescribed medicine course and following the do's and don'ts, suggested by the doctor, is a must.
  4. Be careful with medications: To quickly recover from colon polyp removal surgery, patients are strongly suggested to avoid the intake of any non-prescription medications such as aspirin. However, patients may consider taking stool softeners to prevent constipation and antibiotic medications for preventing infections, but only after consulting with the doctors.

One needs to be aware of the fact that depending on the acceptance of and response of the patient's body to a colon polyp removal surgery and of course their physical health, the recovery time may vary. However, the more careful a patient is in following the post-surgery recovery tips, the quicker he or she may resume the daily activities. Usually, in the majority of cases, it takes around two to three weeks to recover from a colon polyp removal surgery completely.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2332 people found this helpful