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Iris Hospital, Kolkata

Iris Hospital

  4.4  (16 ratings)

General Surgeon Clinic

No.82/1, Raja Subodh Chandra Mallick Road, Next To Big Bazaar, Ganguly Bagan Kolkata
1 Doctor
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Iris Hospital   4.4  (16 ratings) General Surgeon Clinic No.82/1, Raja Subodh Chandra Mallick Road, Next To Big Bazaar, Ganguly Bagan Kolkata
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Our medical care facility offers treatments from the best doctors in the field of Advance Laparoscopic Surgeon, Colorectal Surgeon, Hepato Biliary Pancreatic Surgeon.Our goal is to offer ......more
Our medical care facility offers treatments from the best doctors in the field of Advance Laparoscopic Surgeon, Colorectal Surgeon, Hepato Biliary Pancreatic Surgeon.Our goal is to offer our patients, and all our community the most affordable, trustworthy and professional service to ensure your best health.
More about Iris Hospital
Iris Hospital is known for housing experienced General Surgeons. Dr. Purnendu Bhowmik, a well-reputed General Surgeon, practices in Kolkata. Visit this medical health centre for General Surgeons recommended by 66 patients.

Location

No.82/1, Raja Subodh Chandra Mallick Road, Next To Big Bazaar, Ganguly Bagan
Ganguli Bagan Kolkata, West Bengal - 700047
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Doctor in Iris Hospital

Dr. Purnendu Bhowmik

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon
Get ₹125 cashback on this appointment (No Booking Fee)
87%  (16 ratings)
6 Years experience
₹300 online
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Suturing Techniques - Things You Need To Know About It!

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Suturing Techniques - Things You Need To Know About It!

Any surgical procedure requires the creation of a wound and then a subsequent closure by the repositioning and securing the surgical flaps by suturing to allow optimum healing. A suture is a strand or thread used for the approximation of tissues and also for ligation off blood vessels. Suturing is the act of sewing or bringing tissues or the flap edges together and holding them in apposition until normal tissue healing takes place. Placement of sutures helps the wound to withstand normal functional stresses and to resist opening of the wounds.

Suturing techniques:

  1. Interrupted Suture-Sling Suture - The suture is passed through both the edges at an equal depth and distance from the incision, needle penetration should be 3mm from wound edges and the knot is tied. It is the most commonly used suture. Advantages of this technique are as follow
    • It is strong and can be used in areas of stress.
    • Successive sutures can be placed according to individual requirement
    • Each suture is placed independently and the loosening of one suture will not produce any loosening of the other.
    • A degree of eversion can be controlled.
    • If the wound becomes contaminated, infected or if there is a formation of hematoma, removal of a few sutures is possible that and provides a satisfactory treatment.
  2. Continuous over and over suture - A simple interrupted suture is placed first and the needle is then reinserted in a continuous manner in such a way that the suture passes perpendicular to the incision line below and obliquely below. The suture is ended by passing a knot over the untightened end of the suture. It provides a rapid technique for closure and distributes the tension equally over the suture line.
  3. Continuous locking suture - In this technique, locking is provided by withdrawing the suture through its own loop. The suture passes perpendicular to the incision line. The locking prevents excessive tightening of the suture as the wound closure progresses.
  4. Mattress suture - These sutures can be horizontal or vertical. These are used for resisting a muscle pull, evert the wound edges and to adapt the tissue flaps tightly to the underlying structures.
    • The horizontal mattress suture gives a broad contact of the wound margins. In this suture, the needle is passed from one edge of the incision to another and then again from the latter edge to the first edge in a horizontal manner, after which a knot is tied. The distance of the needle penetration from incision line and the depth of needle penetration is the same for each entry point, but the horizontal distance of the points of penetration on the same side of the flap differs.
    • The vertical mattress suture is similar to the horizontal mattress, except that, all the factors remaining constant, the penetration depth varies. It is used for the closure of deep wounds.
  5. Figure of eight suture - The figure of eight suture can be used for the closure of small gaping wounds like an extraction suture closure after removal of a tooth.
  6. Subcuticular suture - The subcuticular layer of the tough connective tissue if sutured will aid in holding together skin edges in a close approximation when better cosmetic results are desired. Continuous short lateral stitches are taken beneath the epithelial layer of the skin. The ends of the suture come out at each end of the incision and are knotted together. This type of suturing leaves back a cosmetic scar.

Some common types of surgical knot tying used during a surgical procedure are

  1. Square knot - It is also known as the standard knot or the Reef knot method. It is a special knotting technique in which the knots are securely tied. Four throws of the suture material are placed in position and the ends are cut long.

  2. Surgeon’s knot - It is formed by two throws of the suture around the needle holder on the first tie and one throw in the opposite direction in the second tie.

  3. Granny’s knot - It is also called as the slip knot technique. It is used when using silk, chromic catgut or the plain catgut suture material. It involves a tie in one direction followed by a second tie in the same direction and a third tie in the opposite direction to square the knot and hold it securely.

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

1969 people found this helpful

I've been diagnosed with piles leading to blood loss. It causes me anemia. Due to lack of anemia I'm taking hb 14 tonic to cover for the blood loss. I want to ask if I can take homeopathic medicines along with HB 14 tonic?

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
I've been diagnosed with piles leading to blood loss. It causes me anemia. Due to lack of anemia I'm taking hb 14 ton...
Any bleeding per rectum with or without the presence of piles, which is causing anemia should be investigated by colonoscopy first. If colonoscopy rules out presence of any other cause of blood loss in the colon then you can opt for treatment of piles.
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I have inguinal hernia but there is not much pain. Shall I just wait till I get uncomfortable with it to get it diagnosed.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Not at all. Get yourself examined by a surgeon. Inguinal hernia may get complicated in the form of irreducibility/obstruction/strangulation. Do not wait for the complications to arise before you take opinion and appropriate intervention. It's easier to tackle any condition when its without complication.
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Hi Sir, Meri mom ko piles pichle 6 years se hai. Jo ki pichle 6 months se pain ho raha hai aur medicine kar rahe hai but benifite nahi mil raha hai. Please koi medicine bataye jaldi.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
Hi Sir, Meri mom ko piles pichle 6 years se hai. Jo ki pichle 6 months se pain ho raha hai aur medicine kar rahe hai ...
Get her any OTC available painkiller. Ask her to take Sitz bath as well. Get her examined by a surgeon and take appropriate intervention as required.
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I can't get fresh at one time .i have to go usually 3 to 4 times in morning. I have been suffering from piles I think. There comes blood and pain from the way of latrine.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
I can't get fresh at one time .i have to go usually 3 to 4 times in morning.
I have been suffering from piles I think...
You need to be examined by a surgeon. Take any stool softner (Cremadiet powder) till you can get examined.
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I have appendix and I want to know that is there any remedy other than hard dose medicine or surgery like some remedies in food or other simple exercises or anything without having large side effect on my day to day life.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
I have appendix and I want to know that is there any remedy other than hard dose medicine or surgery like some remedi...
If you have appendicitis you need to be assessed by a surgeon first. Only after that the mode of treatment (operative or non operative) can be ascertained. Remember, if not treated properly appendicitis can be fatal.
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What does Internal piles and fissure and it will be treated what will be cost. How long need to be hostipatliesed. I am in the marketing job, I need to travel minimum 80 Km per day. Also suggests which is method of treatment is good.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
What does Internal piles and fissure  and it will be treated what will be cost. How long need to be hostipatliesed.
I...
Get yourself examined by a surgeon first. Fissure needs a lateral sphincterotomy to get cured. Symptomatic internal piles need to be operated. There are different methods of operation. Stapled hemorrhoidectomy is the modern method which might be a bit costlier but with minimum post operative pain/discomfort and negligible recurrence.In my hospital fissure surgery costs about 55k and stapled piles surgery costs about 80k. Duration of hospital stay for fissure is 1 day and for piles 2 days. 7 days rest needed at home before you can go out for regular professional work.
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Hi I am 28 year women. I am suffering from fissure. I have visited a surgeon he suggested to have high fiber good n gave a syrup n gel .bt the thing is amount of blood was coming out is reduced abt still not completely cured. One more thing I noticed is whenever blood comes out of fissure in 2 or 3rd day I will get heavy weakness n cold fever. I said same thing to doctor bt he said there is no connection between fissure blood n fever. Bt it happened many times. Can anybody pls help me on this n I am planning for baby I can't go for operation.

MS - General Surgery, FACS, Fellowship in Minimal Access Surgery(FMAS), FIAGES-Advanced Laparoscopy, FALS(Fellow Advanced Laparoscopic Surgery), FAIS
General Surgeon, Kolkata
If acute fissure does not heal with conservative management it needs to be operated. Do not worry about your concepation. The surgery for fissure needs 1 day of hospitalisation and 7 days to get fit. please go ahead with the required intervention so that it can not put you in problem during your antenatal period.
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