Book Clinic Appointment with Dr. G M Irfan
Removal Of Stitches Procedure
Corn Removal Procedure
Dressings Of Wounds Procedure
Hernia Repair Surgery
Stitching Of Wounds Procedure
Treatment Of Deep Vein Thrombosis - Dvt
Male Breast Reduction Treatment
Laparoscopic Treatment Procedures
Submit a review for Dr. G M IrfanYour feedback matters!
One of the best doctors ever seen in my lifetime who treats the children very patiently and the treatment is also very good.The doctor has a magic in his hands where the children get cured over the night.Can't describe in words
Gallbladder removal is one of the most commonly performed surgical procedures. Gallbladder removal surgery is usually performed with minimally invasive techniques and the medical name for this procedure is Laparoscopic Cholecystectomy or Laparoscopic Gallbladder Removal.
The gallbladder is a pear-shaped organ that rests beneath the right side of the liver. Its main purpose is to collect and concentrate a digestive liquid (bile) produced by the liver. Bile is released from the gallbladder after eating, aiding digestion. Bile travels through narrow tubular channels (bile ducts) into the small intestine. Removal of the gallbladder is not associated with any impairment of digestion in most people.
Gallbladder problems are usually caused by the presence of gallstones which are usually small and hard, consisting primarily of cholesterol and bile salts that form in the gallbladder or in the bile duct.
It is uncertain why some people form gallstones but risk factors include being female, prior pregnancy, age over 40 years and being overweight. Gallstones are also more common as you get older and some people may have a family history of gallstones. There is no known means to prevent gallstones.
These stones may block the flow of bile out of the gallbladder, causing it to swell and resulting in sharp abdominal pain, vomiting, indigestion and, occasionally, fever. If the gallstone blocks the common bile duct, jaundice (a yellowing of the skin) can occur.
- Ultrasound is most commonly used to find gallstones.
- In a few more complex cases, other X-ray test such as a CT scan or a gallbladder nuclear medicine scan may be used to evaluate gallbladder disease.
Gallstones do not go away on their own. Some can be temporarily managed by making dietary adjustments, such as reducing fat intake. This treatment has a low, short-term success rate. Symptoms will eventually continue unless the gallbladder is removed. Treatments to break up or dissolve gallstones are largely unsuccessful.
Surgical removal of the gallbladder is the time-honored and safest treatment of gallbladder disease.
What are the Advantages of Performing Laparoscopic Gallbladder Removal?
- Rather than a five to seven inch incision, the operation requires only four small openings in the abdomen.
- Patients usually have minimal post-operative pain.
- Patients usually experience faster recovery than open gallbladder surgery patients.
- Most patients go home the same day of the surgery and enjoy a quicker return to normal activities.
Are you a Candidate?
Although there are many advantages to laparoscopic gallbladder removal (cholecystectomy), the procedure may not be appropriate for some patients who have severe complicated gallbladder disease or previous upper abdominal surgery. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in laparoscopy, can determine if laparoscopic gallbladder removal (cholecystectomy) is an appropriate procedure for you.
Esophagectomy is a procedure of removing a part of the esophagus and reconstructing the same using another organ of the body. The esophagus is the tube that connects the stomach and the mouth. This procedure is often performed in an advanced stage of esophageal cancer and Barrett’s esophagus. This procedure removes the cancer cells from the esophagus and gives relief from the symptoms. The organs from where the reconstructing tissues are taken are generally large intestine and stomach.
Many esophagectomy surgeries are performed with minimally invasive techniques. The latter is commonly known as laparoscopic surgery. This is a procedure where numerous small incisions are made in order to perform the surgery. This procedure results in faster recovery and reduced pain as compared to the conventional surgery.
Newer methods such as Robotic surgery are being adopted by many doctors these days. Procedures like these can access the esophagus through places such as the throat, collarbone and abdomen. They make a minute incision to get to the exact location of the cancer and treat them with an improved precision, unlike the conventional surgical methods.
An important aspect of treating this condition is to determine the procedure that is going to be implemented. To determine this, doctors uses imaging techniques such as PET scan, CT scan and an MRI scan. A doctor might also prescribe other tests such as FNAC and endoscopic ultrasound. Heart evaluations are also conducted before the surgery to ensure that there are no complications involved while performing the surgery.
Unless the cancer is detected at a very early stage, most doctors recommend radiation or chemotherapy or both. These treatments help to shrink the size of the cancer and make for an effective esophagectomy. Both chemotherapy and radiation have their set of side effects, which include loss of appetite, fatigue, hair loss, vomiting and skin discolouration.
Post the procedure, a patient cannot directly consume food. He is required to consume food through a pipe for a duration of four-six weeks. Adequate nutrition is required during this phase to recover quickly. Once the patient is able to resume a normal diet, it should be ensured that he takes food in reduced quantities to make up for the reduced stomach size.
Almost 90% of patients who have gone through this procedure report an improved life quality. While lifestyle related adjustments have to be made, there could be regular follow-ups to ensure the below mentioned complications do not arise:
1. Breathing-related problems
2. Swallowing problem
3. Effectively managing heartburn and ensuring the pain is under control
4. A thorough review of the nutritional diet to be consumed by the patient to counter sudden weight loss.
Hernia surgery is performed for the correction of a hernia which refers to the bulging of internal organs or tissues through an abnormal opening. It is easy to detect hernia through any pain or discomfort while lifting heavy objects, coughand strain during urination or bowel movements or during prolonged standing or sitting.
It can be found in both men and women. The Hernia can be congenital or can be developed over a period of time. If it doesn’t get better over time and also does not go away by itself, then surgery becomes the only option.
Types of Surgery
There are two types of surgery for hernia treatment. One is the conventional open method, which requires an incision in the skin directly over the hernia. The other one is the Laparoscopic hernia repair in which surgery is performed using a small telescope known as a laparoscope.
In this type of surgery minimal invasions are made and the hernia is repaired with only small incisions adjacent to the hernia. Most hernia operations are performed on an outpatient basis, which means that you can go home the very same day.
- Wear comfortable clothing with expandable waistbands.
- Keep yourself active by moving around as much as you can as it increases circulation, which further speeds up healing.
- Eat a diet rich in fibre, fresh fruits and vegetables.
- Drink lots of water and other fluids to avoid constipation.
- Do not lift any objects even if it is very light as it can bring back pain.
- Do not to pick up things from the floor as it will be difficult to bend.
- Hold a pillow against your stomach while sneezing or coughing to lessen the pain.
- Use stool softener for a few days before and after surgery to help you with your bowel movements.
- Avoid driving till the time you feel any pain and as long as you are taking narcotic pain medicines.
- Band-Aids which cover the incisions should be changed as and when needed.
- Refrain yourself from intercourse as it can be painful.
- Check with your doctor when to take a shower so as not to hurt your incisions, and make sure to gently dry your incisions and replace the Band-Aids after taking a shower.
- Do not consume any alcoholic drinks for at least 24 hours.
The tips mentioned above will definitely provide help to cope up with post surgery blues. However, in case of fever, excessive sweating, difficulty in urinating, bleeding or any prolonged pain consult your doctor immediately.
The thyroid gland is located on the front base of the neck and its shape is like a butterfly. The thyroid gland plays a significant role in our body by secreting several hormones that are collectively called as thyroid hormones. These hormones regulate different processes throughout the body such as influencing the metabolism, body temperature and keeping the other organs to function properly. Sometimes, the thyroid gland is affected by various disorders such as goiter (enlargement of the thyroid gland), hyperthyroidism (over-production of thyroid hormone), hypothyroidism (insufficient production of thyroid hormone), and thyroid cancer. Thyroid surgery is also called, thyroidectomy and is used to treat thyroid disorders.
Here are some common reasons why thyroid surgery is advised:
- Thyroid cancer: Cancer of the thyroid gland is one of the most common reasons to perform the thyroid surgery. Depending on the conditions and stage of cancer, removal of most of the part of the thyroid gland, if not all, is considered as the treatment option. Surgery is considered an imperative option when small nodules or tumors are present in the gland and some of these nodules are precancerous or cancerous.
- Hyperthyroidism (overactive thyroid): The second reason of thyroidectomy is hyperthyroidism. Hyperthyroidism is the condition in which thyroid gland produces a large amount of thyroxine hormone (it is the main hormone of the thyroid gland). If the patients don’t respond to the other treatment options such as anti-thyroid medications or if they don’t want to undergo radioactive iodine therapy, thyroid surgery may be a right option.
- Goiter (enlargement of thyroid gland): Another reason of thyroidectomy is the enlargement of the thyroid gland. The condition, in which thyroid gland swells or enlarges, is known as goiter. In the condition of goiter, the benign nodules become large enough to cause different problems. Thyroid surgery is the right option for the treatment of these problems that include difficulty in eating, breathing or speaking; the patient feeling uncomfortable, and the overproduction of thyroxine hormone.
Types of thyroid surgeries:
Although there are different types of thyroid surgeries the most common types are:
- Lobectomy: It involves removing one of the two lobes of thyroid gland when the inflammation or nodule affects only half of the gland.
- Subtotal thyroidectomy: It involves removing the thyroid gland but the surgeon leaves a small amount of thyroid tissue behind.
- Total thyroidectomy: It involves removing the complete thyroid gland and thyroid tissue. It is done to treat cancer or when the inflammation affects the entire gland.
Thyroid disorders can be treated with various treatment options but it is better to have a thyroid surgery if the underlying thyroid disorder becomes severe. In case you have a concern or query you can always consult an expert & get answers to your questions!
When a tissue or an organ gets displaced abnormally through the wall of the cavity in which it usually resides, then this condition is termed as a hernia. A hernia including stomach or intestine has become a common occurrence.
Hernias are caused by a combination of muscle weakness and strain. The actual cause of Hernia is not known however, some people are either born with an unusually large hiatus or it might occur when too much pressure is exerted on the muscles around your stomach. Obesity, aging, and smoking are the other contributing factors.
A Hiatal Hernia is a condition in which a part of the stomach protrudes through the diaphragm (muscular wall separating the chest cavity and the abdomen) into the chest. There are two types of Hiatal Hernia – Paraesophageal Hernia and Sliding Hernia. Sliding Hernia occurs when your stomach and esophagus slide in and out of your chest through the hiatus. Paraesophageal Hernia is the one where a part of the stomach passes or bulges into the chest beside the esophagus. Particularly if a Paraesophageal Hernia is large, it might slow down the food passage and cause the food to stick in the esophagus once it is swallowed. Fortunately, these types of cases are uncommon.
The treatment of every hernia depends on its size and symptoms. A surgery is recommended for the below-listed cases:
- Incarcerated Hernia - Where the intestinal tissue gets trapped in the abdominal wall, resulting in pain and discomfort.
- Strangulated Hernia - If the Incarcerated Hernia is left untreated it may become Strangulated Hernia wherein the blood supply to the trapped tissue is cut off which can cause permanent damage or death.
The common surgical procedure used for repair of a hiatal hernia is a Laparoscopic method. A laparoscope is a telescope-like instrument connected to a video camera, that is inserted into the abdominal cavity and the surgical video is visualized on high-resolution video monitors in the operating room. Long thin surgical instruments are inserted in the other incision and the surgeon performs the surgery by watching the monitor. This method causes less pain and speedy recovery compared to the conventional techniques. This is proved as a minimally invasive procedure where both pain and healing time is greatly reduced. Since incisions are very small during the surgery you experience less discomfort resulting in the use of lesser painkiller, which is one of the primary advantages of this procedure.
Another significant benefit of a laparoscopic procedure is that there is less risk of post-op infection owing to lesser exposure of the internal organs to any external contaminants. Since healing is so much faster the length of hospital stay required is also significantly shorter with laparoscopic surgery. This implies that you can return to your normal routine quicker as you will get discharged from the hospital on the same-day or the next-day of the surgery.
Colon cancer is the cancer of the colon or rectum, situated at the lower end of the digestive tract. Bowel cancer or colon cancer is the third most common type of cancer and primarily affects people aged 50 and over. It generally arises as non-cancerous polyps without one's knowledge and symptoms begin to surface slowly. Changes in bowel habits, constipation, diarrhea, blood in the stool or rectal bleeding, abdominal cramps and discomfort are some of the common symptoms of colon cancer. This type of cancer often has no symptoms but can be detected by screening. So doctors recommend screenings for those at high risk or over the age of 50.
Risk factors that make a person more likely to develop colon cancer are
- Other family members who have suffered from colon cancer
- Polyps in the colon
- Ulcerative colitis or in simpler words
- Chronic inflammatory bowel diseases
- Excess body weight
Treatment of colorectal cancer depends on the
- Location and how far the cancer has spread.
The most common treatments can be removal of the cancerous polyp through surgery, chemotherapy and radiation therapy. A test known as a colonoscopy is performed to detect the disease. Samples of tissues are collected from areas which are suspected to contain cancer cells and this makes it possible to detect the cancer. Smaller colorectal polyps can be removed during the colonoscopy. Chemotherapy or radiation therapy is used to treat cancer only in advanced stages.
Laparoscopy is a procedure which enables the doctor to have a look inside the abdominal cavity with a special camera. To conduct a laparoscopic treatment, incisions are made in the abdomen. Generally, 3-6 incisions are made varying between 5-10mm. These small incisions are used to insert the laparoscope and special laparoscope instruments. The laparoscope guides the surgeon by transmitting a picture of the internal organs on a monitor.
There are several advantages of undergoing a laparoscopic surgery for cancerous colon removal compared to a large open incision. Patients undergoing a laparoscopic approach experience less pain, faster return of intestinal function, a shorter period of rest, and quicker walking ability all of which aids in recovery and leading a normal life faster. Instead of making long incisions that are common in traditional open surgery, laparoscopic surgery requires only small incisions to perform the same operation. Also, treatment of colon cancer has been the most effective using laparoscopic surgeries.
Doctors must be consulted before undergoing any such surgery. Through tests and screenings, they can determine the intensity of the cancer, how far it has spread, where it is located and on the basis of it, the method of treatment needs to be decided. One must strictly follow the doctor’s advice especially diet rules before and after the operation is conducted to ease bowel movements and aid in healing.
In case you have a concern or query you can always consult an expert & get answers to your questions!