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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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Benefits of Endoscopic Surgery
I’m Dr. Aparna Jain, Senior Consultant Obstetrics and Gynaecologist.
We are going to discuss about Endoscopic surgery or Laparoscopic surgery in gynaecology. It is basically a pinhole surgery in which doctors don’t open the abdomen. We just put two or three small scar at the abdomen, pet par do ya teen chote scar lagate hain jiske through we can do surgeries.
Various surgeries can be performed laparoscopically or endoscopically like removal of uterus, removal of fibroids from the uterus, removal of ovarian cyst, or ovary me jo gaanth hai uske removal ke lie kar sakte hain, or removal of cyst, any type of cyst like familial cyst or atopic pregnancy i.e, pregnancy inside the fallopian tube. It is outside the uterus and it a is very life threatening condition in which we can do laparoscopic surgery and take out the embryo.
Another issue which can be solved through laparoscopy is the case of infertility. Suppose Somebody, Who is not able to conceive. If there is some problem in the fallopian tube which can be opened by Laparoscope. Endometriosis is another very important problem which leads to infertility which can be corrected laparoscopically.
These are the various conditions which can be dealt with laparoscopy without opening the abdomen. What is the advantage? Why is laparoscopic surgery better rather than opening abdomen?
It is very very important to know about it because logo ke dimag me yeh myth hota hai ki abdomen open karenge toh complete surgery hogi aur laparoscopically agar surgery karenge to wo complete nahi hoga but it is not like that. If we are doing laparoscopic surgery we are having ten times magnification in comparison to a normal eye so it will give better vision, better insight to the disease which we will be able to handle better and the scope of recovery in laparoscopic surgery is much faster than open surgery.
There is not a single large scar on the abdomen. There are multiple, two, three or sometime four scar which is 1 cm or 0.5 cm scar at the abdomen which heal so well that post of pain is very very little after laparoscopic surgery. One is very early, one can ambulate very fast after laparoscopic surgery in comparison to open surgeries and post of addition formation. Sometime, after doing a surgery one landed up in another surgery then, after open surgery there is lot of addition formation inside so second surgery become very difficult but in laparoscopic surgery addition formation is very little so the second surgery becomes easier if somebody has laparoscopic surgery initially. Cosmetically, it is also very good because scars are very less, very little. It is almost an invisible scar in comparison to open surgery.
If you want to consult further, want to know more about laparoscopic surgery or you have any problem, for that you want to consult, you can consult us on Lybrate website.
Hi doctor. My 3.5 months old daughter catches fever every 25-30 days. And she has got little cough too. I give her P125 drops (8 drops 3 times a day) and for cough sinarest (10 drops 3 times a day and keflor (half spoon 3 times). What should I do? I am worried since she is too small.
My baby is 18 month, she is suffering from cough, nose running, cold, fever last 2 days, please tell me mediation,
My concern is with 2.6 years old daughter who is having constipation problem. We have visited to several doctors and most of them recommended for Piclin. The problem is whenever we give piclin at night after dinner, there is no issue with her stool however, if we do not give the syrup, she will not. I need your suggestion on this. Is it good to give Piclin?
Easy tip for toddler's mumma
When it’s time to feed your child dinner at the end of a long day, it’s a good idea to finish your meal first. Trying to feed a fussy child on an empty stomach will only make you irritable and impatient. Eat first and you’ll find you’re way more patient and energetic to tackle any challenges the dining table may throw up.
My baby is 7 months old and his weight is not growing. The weight increases only 200 gms a month. Currently his weight is 7.2.so I am worry about it.
Clenching or night grinding.
If you have ever experienced a strong emotion of either anger or resolve you may realise our body tenses up and our teeth clench. If this is not a frequent occurrence the damage maybe minimal but as sports people or someone with a bad temper you may actually end up wearing down your teeth considerably. Now a large part of this habit is semi voluntary you can remind yourself to control it but a few people suffer from an entirely involuntary condition called night grinding or bruxism.
Unfortunately here you have no awareness of doing the grinding except maybe waking up with a sore jaw or a headache but the person sleeping beside you can even hear you gnashing your teeth. Needless to say the damage this is silent destroyer is causing is significant and rapid. The best solution if diagnosed with this habit is to start wearing a night guard which is a thin plastic appliance that fits snugly on your teeth similar to a sports guard so that it protects your teeth and wears down before your teeth do. Also the jaw separation it creates puts your muscles at ease and they don't get activated or clench anymore.
Many people are unaware of this habit entirely. A very common condition mouth breathing occurs more so when you're sleeping and tend to breathe more through your mouth than your nose.
This condition can be a result of the way your nasal passages and throat are shaped. It commonly occurs in people with a deviated nasal septum as well. The main sign to know if you're mouth breathing or not is if you wake up with an extremely dry mouth, at times bad breathe and tend to have red irritated gums that bleed often on brushing.
Mouth breathing also predisposes you to snoring so if you haven't started yet if you're a mouth breather chances are you will start snoring as well.
It usually can be corrected surgically and if not severe snoring particularly can be corrected by oral appliances or oxygen machines which supplement the air reaching your lungs.
This habit develops at childhood or birth and is also attributed to the tongue shape and the structure of the palate and throat. A person having this habit tends to push the teeth out while swallowing as a result they present with spaced out teeth and a large tongue.
To prevent the need for braces catching this habit early on and wearing an appliance to control it would be best. If spaces have already increased then best form of closing the gaps would be either with braces or by cosmetic fillings.
A surprisingly unnoticeable habit people tend to chew their inner cheek or parts of their lip when under stress or deep thought. While this habit can seem harmless it can create a long term wound in the mouth which can either balloon up with fluids or be subject to infection. Chronic injuries or wounds should never be left unnoticed and habits like these should be discontinued to avoid discomfort and the eventual need for treatment.
Exposure to alternating extremes of temperature.
Another very ignorant but seemingly harmless habit is to eat a hot meal and down it with a glass of ice cold water or have a hot drink and second it with ice cream. While the effects of this habit may only show up in the long term what it does is create an impact on the enamel and slowly cause the teeth to become sensitive.
While our teeth are extremely hardy and don't breakdown until exposed to hundreds of millions of such daily stimuli, the best solution is to keep an intermittent time gap between the extremes of temperature in order not to shock the nerves that rest within your teeth to become hypersensitive.
My 9 months old child pooping 4-5 times sometimes more from last 2 days. My mother says, it is due to his teeth. Is this ok? Or I have to do some medication? please suggest.
My baby is completed his 2 year 2 month and I want to stop breastfeeding but it's not possible for me as well as for my baby what should I do I want to stop feed him please suggest me some solution.
Hello everyone, I’m Dr Meenakshi Banerjee. I’m a consultant at Max hospital and we have our own clinic at Pelvinic. Today I would like to speak on the topic of fibroids.
Fibroids is one of the most common tumours we can see in the reproductive age group basically. So, people are very afraid of this problem. It is like a tumour, whether it will cause harm or what can it have a bad effect or pregnancy, fertility, a lot of questions which arise in our minds. But I feel it is a very underestimated and unknown fact. Most of the people are not aware of the fibroids. They are generally very insignificant tumors. almost ninety nine percent of the time, the fibroid may not cause any problem, may not have problem in causing cancers or anything like that. But I feel that fibroids have most of the, patients present with the symptoms like, heavy cycles, severe pain during the cycles. If the fibroids are very bog they can have pressure symptoms down there, the lower abdominal pain and sometimes when they grow out right the size they may cause severe pain and the patient can present an emergency.
So, most of the symptoms are easily treatable by the simple management of a pain relief or a treatment to control the bleeding. But yes, when the pressure symptoms or the symptoms because of it causing the infertility should be treated and you should visit the doctor. Most of the treatment of the fibroids if they are Asymptomatic they, they might not require any treatment, just a simple conservative treatment and if they are causing a problem then it might require a removal of the fibroid itself or depending on the condition, type of fibroid, multiple number of fibroids, they can sometimes require a removal of the uterus. So, knowing the exact fact of the fibroid is very important. They can be easily diagnosed by the simplest of measure like an Ultrasound and if they multiple in number then probably an MRI will be the best to diagnose it.
The fibroids are of different types, the most common being in the muscle of the uterus which is called as an intramural and they can grow enormously in size before they can even show the symptoms. Even the subserosal fibroid which is outside the muscle of the uterus, they may remain Asymptomatic for long. The most common fibroid which can cause the problems at the earliest, even the smallest of the fibroids, the fibroids which are indenting into the cavity of the uterus and the patient can have server amount of pain, too much of bleeding during the cycle and they need attention the earliest as compared to others. So, a fibroid may have different treatment probably depending on what type of fibroid is there, the number of fibroids, the symptoms, the origin of the fibroids and probably sometime when it is indented into the cavity we might require a hysteroscopy which is a small laparsocpe like instrument which we insert inside the uterus and see whole of the cavity and whether, what amount of fibroids is indented inside. Sometimes they may require removal by the hysteroscopy itself and if they are more towards the outside, probably a laparoscopy, which is a minimal invasive type of surgery, will be the best one to treat it.
For any consultation regarding fibroids and its management and feel the right treatment is required so you should meet with the right diagnosis.