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Treatment of Abdominal Pain
Treatment of Gallstones
Treatment of Anal Fissure
Treatment of Breast lumps
Kidney Stones Treatment
Corn Removal Procedure
Dressings Of Wounds Procedure
Hernia Repair Surgery
Irritable Bowel Syndrome (Ibs) Treatment
Stitching Of Wounds Procedure
Treatment for Constipation Treatment
Male Breast Reduction Treatment
Nail Surgery Procedures
Accident Injuries Treatment
Laparoscopic Treatment Procedures
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Dr. Sharad Daga provides answers that are practical and well-reasoned. Thank you Doctor ! I have consulted the doctor and it turned out to be an abscess and not piles.
He is very soft spoken, listens to the patient, excellent surgeon. Highly recommended for laproscopic Surgery.
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All the surgical operations performed on any of the endocrine glands come under the roof of endocrine surgery. Endocrine glands function as hormone secretor and have a major impact on the normal functioning of all the cells of body. Endocrine surgeons expertise in treating and operating either thyroid glands or parathyroid glands or adrenal glands or endocrine pancreas or neuro-endocrine glands. Duties of Endocrine surgeons range from initial diagnosis to examination of endocrine disorders. They further collaborate with pathologists, geneticists, radiologists, anesthetists and contribute in higher researches related to endocrine glands.
A brief about thyroid surgery
It is one of the most common endocrine surgeries. Symptoms that suggest a person shall undertake a thyroid surgery
- A lump which can be a malignant tumor in disguise. A fine needle biopsy of the lump is performed to detect the chances of tumor.
- A goitre which may be indicated by hindrance in breathing, persistent cough and difficulty in swallowing. This may cause load on adjacent organs.
- A retrosternal goiter.
Following operations are performed during thyroid surgery
- Bilateral subtotal thyroidectomy: For eleminating major part of thyroid except both part of lobes.
- Hemithyroidectomy: For eleminating half of thyroid
- Total thyroidectomy: For exclusion of entire thyroid
- Removal of thyroid nodule: Cutting out a lump from the thyroid
The procedure for thyroid surgery
The patient undertaking thyroid surgery is given either general anesthesia or local anesthesia. The surgery starts with making an incision, in front of the neck. This cut is made at about 2 - 3cm above collarbone. Then the muscles are divided so that the thyroid can be cut out. This entire operation is to be carried out with utmost care and attention so that parathyroid glands and voice box are unharmed.
Complexities involved in thyroid surgery
- While undergoing a thyroid surgery, chances of experiencing chest infection, infection due to anesthetics, heart problems, blood clotting, cut infections still persist.
- If bleeding continues post the surgery, it may result in swollen throat. Normal breathing may also be hampered. If during the operation, the voice box is damaged, it may result in hoarseness of the voice.
- Damage to the parathyroid glands may cause decrement in level of calcium in blood.
- If the scar tissue grows abnormally, it may result in surgical scar.
Remedies for the above complications
- Effects due to the damage to the voice box can be diminished by utilizing speech therapy. An additional surgery of the vocal cords can also be an option.
- One can overcome the drop in the level of calcium by taking calcium and vitamin D tablets.
- Surgical scars can be treated with the aid of steroid injections or silicone gel tape.
Since there are complications involved with the endocrine surgery, it is advised to consult the expert in the field.
I have developed piles (not the bleeding one but the muscle one. What people call masse in hindi) since diwali. Earlier I was unable to recognize but now I know bcoz my mom has it too. It doesn't bleed but itches alot sometimes. I have started taking room temperature milk with lemon as told by baba ramdev. Do you think it's ok and is there anything else I can do?
A pyogenic liver abscess (PLA) is a condition where pus collects in the liver in the form of a pocket as a result of bacterial infection. Pus formation occurs when the body tries to fight off any infection. The pus is basically a fluid-like substance that comprises dead cells as well as white blood cells. During PLA, the pus accumulates inside the liver pocket instead of draining off from the site of infection.
Those suffering from pyogenic liver abscess are likely to suffer from conditions such as inflammation and swelling. Patients may also suffer from pain experienced in the abdominal area. If the disease is left untreated, it can prove to be fatal.
Pyogenic Liver Abscess can occur because of the biliary disorder. The biliary disease is an umbrella term for a few conditions that might affect areas of the body such as the pancreas, liver and gallbladder. Certain other risks and causes include-
• Bacterial growth from an appendix that has become ruptured and has formed an abscess
• Colon cancer
• Pancreatic cancer
• Inflammatory diseases of the bowel tract such as perforated bowel or diverticulitis
• Septicemia or blood infection
• PLA could also have been brought about by a trauma to the liver as a result of an injury or accident.
Treatment of Pyogenic Liver Abscess
In order to come to a conclusion about the condition, the doctor will need to run a number of imaging as well as blood culture tests.
• Initially, the health care provider will aim to treat your condition with antibiotics alone. This is because antibiotics help in preventing the chances of the bacteria spreading throughout the body. As opposed to the earlier preference of surgical drainage form, nowadays, percutaneous drainage of the pus is preferred as the first line of treatment. However, if your case has reached the more severe stage then surgery will be required to remove the abscess.
• A liver abscess surgery is performed using general anaesthesia. During the surgery, the surgeon will insert a needle into the diseased liver, and place a catheter to remove the pus. After the surgery, you will be prescribed antibiotics for a number of weeks in order to completely remove the infection that has spread to your body.
The antibiotic course occurs in two phases-
• Intravenous - The intravenous course of antibiotics helps in the healing process in the earlier stages.
• Oral - this can extend for several weeks.
Pyogenic Liver Abscess if left untreated can turn fatal for the person suffering from it. You should immediately seek out medical help if you notice symptoms of PLA such as vomiting, dark-coloured urine, diarrhoea, chills, rapid weight loss and fever. A prompt treatment is important for quick healing.
Circumcision means a surgical procedure for the removal of the foreskin (tissue that covers the head of the penis). The surgery should ideally be performed at a young age. If it is performed on an older child or on a man, chances of infection go up.
Sometimes circumcision becomes necessary for medicinal reasons like-
• Balanitis (foreskin swelling)
• Phimosis (inability to retract the foreskin)
• Paraphimosis (a person cannot return the retracted foreskin to its original place)
• Balanoposthitis ( swelling of the tip the penis)
Some other reasons why some men undergo circumcision-
• Lowering the risks of penis-related ailments
How is circumcision performed?
The surgery is performed under partial anaesthesia (administered through an injection or a cream that numbs the penis). There are three methods (Gomco clamp, Plactibell device and morgen clamp). Any of them may be followed to perform circumcision. Circulation is cut off to the foreskin so that it does not bleed during surgery. Then the surgeon snips off the foreskin using sanitized instruments. The surgery takes around 15-20 minutes.
The pain and swelling usually subside in 5 days.
Recovery after circumcision-
If you are an adult who has undergone a circumcision, your doctor will suggest medicines that will ease the discomfort and pain following. You can get back to work within a couple of days. Rigorous activities like jogging or weight lifting should be avoided. You should also refrain from sexual activities for at least six weeks after the surgery.
In the case of circumcision on children, your child may continue to be fussy and irritated for a few days post-surgery. Ensure that the diaper is loose enough to allow the penis to heal. However, if the pain does not subdue or if there is trouble urinating and there is blood in the urine, contact your doctor immediately.
Benefits of circumcision-
It is a widely prevalent myth that circumcision makes a man infertile. It has no effect at all on a man’s fertility. There are several advantages of circumcision but all of them take effect when the child reaches puberty. The medicinal benefits of circumcision are-
Circumcision is a safe and minor surgery that is performed mainly in adherence to religious diktats but also for health purposes.
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.
Lumpectomy is a surgery where a cancerous or benign tumour is removed from a breast along with some surrounding tissues. The amount of tissue removed varies according to the nature of the tumour. It is a form of breast-conserving surgery. It is also called a partial mastectomy.
Lumpectomy is the first option of treatment for women diagnosed with early-stage breast cancer.
What is the goal of lumpectomy?
Lumpectomy aims to remove the cancerous cells from the breast and at the same time maintaining the appearance of the breast. Studies have proved that for early stage breast cancer, lumpectomy is as effective as mastectomy (complete removal of the breast).
Doctors may recommend lumpectomy to remove precancerous cells as well.
Pre lumpectomy measures-
If you are under any other medication or if you suffer from allergies, inform your doctor. Other pre-surgery measures include-
• Stop taking aspirins or any pain relieving medication
• Your doctor will recommend you to not drink or eat anything 8-12 hours prior to the surgery.
A mammogram and a biopsy reveal the exact location of a tumour. Lumpectomy is performed under general anaesthesia. The surgeon makes a small incision over a tumour to extract the cancerous cells and the surrounding tissues. Sometimes doctors have to perform sentinel lymph node surgery or axillary node dissection.
The surgeon then closes the incisions with sutures. The sutures may dissolve over time or may have to be extracted later by a doctor.
If you have undergone lumpectomy and sentinel node biopsy, you will be discharged on the same day as the surgery as soon as your blood pressure stabilizes.
However, after lumpectomy with axillary node extraction, you may have to stay in the hospital for 2-3 days.
Therapy after lumpectomy
Your oncologist will recommend a follow-up radiation therapy to destroy the mutated cells that may have remained in the area where a tumour had developed. Radiation reduces the risk of breast cancer recurrence.
You might also have to undergo hormone therapy. Some types of breast cancer need female hormones like estrogen and progesterone to grow. Hormone therapy inhibits the development of cancerous cells by not allowing these hormones to reach the cells.
Your doctor will advise you to avoid strenuous physical activities for at least a month after the surgery.
Lumpectomy is a safe surgical procedure that can root out tumours or precancerous cells from the breast without deforming the shape of it.
An inflammation of the pancreas is known as pancreatitis. The pancreas is an organ that produces digestive enzymes. Pancreatitis might start any day and continue for long period and it requires immediate medical attention. It is of two types- acute pancreatitis and chronic pancreatitis. Although the treatment usually requires hospitalization, pancreatitis can be easily stabilized and the underlying cause can be treated thereafter.
Pancreatitis may be caused due to various reasons:
1. Gall bladder stone: The pancreatic duct lies next to the bile duct. The gallstones enter the small intestine after passing through the common bile duct. Often the stones that remain in the common bile duct have a negative effect on the pancreas, which causes a hindrance to the normal flow of the pancreatic fluids, causing pancreatitis. Also a back flow of the bile into the pancreas can cause pancreatitis.
2. Alcohol: Long time alcohol use also causes pancreatitis. Alcohol can damage the pancreas tremendously causing it to get inflamed.
3. Other causes: Hereditary disorders in the pancreas, cystic fibrosis, high level of triglycerides, and a few medicines may also cause pancreatitis.
1. The first symptom of pancreatitis is abdominal pain: The pain may be sudden or gradually increasing, but is usually aggravated after eating. It is severe and constant, and may continue for a few days. If you are suffering from pancreatitis, you will feel very sick after a sudden attack and you might require medical assistance immediately.
2. Swollen abdomen: Pancreatitis my cause your abdominal area to swell up and become tender.
4. Fever: The inflammation will cause you to run a temperature, along with a searing pain in your stomach, which will make you feel extremely uncomfortable.
5. Rapid pulse: Pancreatitis affects the rate at which the heart beats, causing a rapid increase in the pulse rate.
When the appendix (present at the junction of the small intestine and the large intestine) becomes swollen, it is called appendicitis. It can be acute or chronic and is a common cause of abdominal pain. It can happen at any age but it usually occurs between the ages of 10 and 30.
The appendix is an organ whose function is not yet known. It is believed that the appendix helps in recovering from diarrhoea and infections of the small or large intestine. However, the body can function normally without the appendix.
Symptoms of appendicitis
When the appendix inflames, bacteria start to multiply and this leads to the formation of pus inside the appendix. The build-up bacteria are accompanied by the following symptoms-
Appendicitis requires immediate medical intervention. If it bursts, it expels poisonous pus into the abdominal cavity and it can be life-threatening.
Surgery for appendicitis (Appendicectomy)-
In most cases, surgery is the only permanent cure for appendicitis. Appendicitis often causes an abscess. Your doctor will recommend a course of antibiotics and then drain the abscess through your skin. After the treatment for infection, the doctor will prepare you for surgery.
Appendicectomy can be a laparoscopic surgery or an open surgery. If you are already taking some over-the-counter medicines, or are pregnant or if you are allergic to some medicines, you must inform your doctor before the surgery. On the day of the surgery, the doctor will ask you to not drink any water for seven or eight hours prior to the operation.
• If the surgery is laparoscopic, the surgeon makes three minute incisions in the abdomen. Then a camera (which displays images of the inside of the abdomen) and surgical instruments are inserted through the three holes into the abdomen. With the help of these, the surgeon extracts the appendix. A laparoscopic surgery is more advantageous than an open surgery because laparoscopic surgery reduces the risk of infection, causes less pain after surgery.
• When an appendix bursts, you will need immediate surgery. And for this, a surgeon will opt for an open surgery. In case of an open surgery, an incision is made in the lower right side of the abdomen. Then the appendix is removed and the wound is closed with stitches. Since it is an open surgery, the surgeon gets the opportunity to clear up your abdominal cavity if the appendix had burst. An open surgery is the most preferred type of surgery when it comes to a ruptured appendix.
The benefit of the surgery lies in the fact that you will never again get appendicitis. Moreover, a surgery can prevent the complications that arise from appendicitis.
Recovery after an appendicectomy-
• If the surgery is laparoscopic, you will be discharged from the hospital within a day.
• If the surgery followed a burst appendix, you may be required to stay in the hospital for around a week. The doctor will recommend bed rest for at least three weeks and you will be able to get back to work in a month.
If you have appendicitis, you will continuously have to endure pain in your abdomen. The situation becomes grave when your inflamed appendix bursts. Doctors advise people with appendicitis to undergo surgery so that the eventuality of a burst appendix does not arise.
Having a surgery, big or small, will subject your body to a certain degree of pain. Post operative care, hence, is of paramount importance. You'll have a surgical wound where the surgeon makes the incision. To ensure it heals quickly and reduce your chances of an infection, it is important you care for your wound area and keep a regular check for unusual signs and symptoms.
Let us take a step back to understand the normal process on how a wound heals. At first, there will be inflammation during the first week when blood flow to your wound increases. This is a crucial care period as your wound is still fresh. The second phase is proliferation where new blood vessels and tissue begin to grow around the area. The third and final phase is maturation where new cells develop to strengthen the wound and soften the scar. Depending on the location and size of your wound, your surgeon may have used stitches (medically called sutures), metal clips or staples and adhesive dressings, tapes or glue. Stitches, clips and staples are usually removed between three and 14 days after your treatment.
Here is how you can care for your surgical incision
1. Change your dressing regularly: Most patients are called to the hospital at regular intervals during the first week for a two or three dressing changes. The nurse or doctor ensures a sterile environment during the process. If you find your dressing falling off late night and can't go to the hospital, you can wash your hands thoroughly and open a new sterile dressing package and apply on your wound. At all times, touch only the edges of your old / new dressing.
2. General care for your incision site: Keep the incision site as clean and dry as possible. Keep it covered with plastic during a shower if it is on your hands or legs or take a sponge bath until you get a green signal from your doctor. Protect the incision from sunlight. Some incisions may get itchy as they heal. This is quite common but it is important not to scratch your incision during this period.
3.Eating and drinking properly to heal quickly: Vitamin C and protein are important to aid wound healing. Eat a healthy, balanced diet with plenty of variety including lean meat, fish, eggs, dairy, and fruit and vegetables. Make sure that you drink enough water because if you're dehydrated, your wound may take longer to heal.
4. Look for signs of infection: The common signs of an infection are redness, swelling, unusual drainage, warmth around the incision site increased pain or tenderness at the incision, incision opens up or a fever of more than 100.4 degrees F.