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Adolescent Problems Treatment
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Management of New Born Care
Treatment of Newborn Jaundice
Treatment of Thyroid Disease in Children
Thyroid Disorder Treatment
Thyroid Problems Treatment
Adolescent Disorders Treatment
Treatment of Child and Adolescent Problems
Treatment of Childhood Diabetes
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Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
Q1. What exactly is Laparoscopy?
Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.
Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?
Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.
Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?
Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.
Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?
Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.
Q5. Will there be much pain or discomfort after Laparoscopic Surgery?
There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.
Q6. When can I be discharged from hospital?
Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.
Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?
Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.
My 3 months old baby is pooping after feeds. She is being provided with both breast milk and formula feed. Earlier she was made to poop by using hot water and the texture of poop was thick and like butter and had a bad odor. But few days before her poop was little watery and contain seed like substances. And the poop did not smell bad and it was bright yellow in color. She is urinating frequently and is very active. She was already given a shot for loose motion. I have consulted doctor and she gave taxim o drops for five days. But still her poop is the same. What might be the reason.
i had loss hearing since 2yrs ago. doctors told me that my ears sensoneural nerve was damaged and there is no chance to get back. is it possible to hear again? please.. help me
My son is 2 yrs old but his weight is less like 8.5 kg and his eating quatity is also less what should i do to increase his apetite?
My daughter age is 5years and 5month she look bulky and her weight is 32 kg, please advice me what should I do?
My child has 4 years old now but his height is very short & weight is only 11 kg please give me some suggestion or best specialist doctor.
From early childhood, I have severe hearing loss in my right ear. I do not remember whether it was from birth or was a result of some hitting done on my right ear by one of the bullies (i remember the incident remotely, though can not attribute the hearing loss to that). My left ear is perfect and am a healthy guy of 42 years doing very well professionally and part of top management in one of the reputed companies. I had at the age of 18 years went for a ent check up where they diagnosis as severe hearing loss in the right ear. However, when I put in a earphone in my right ear and tightly close my left ear to close any sound, I can remotely hear, but only very light sounds. My query is, can I try to recover my right ear hearing or leave it? Is there any hope of recovery? Though you might say it needs to be checked, but what do you make out first cut from the details that I have provided? Now a days with so much advances in med sciences, I am hoping you cd help me with your valuable advice and way forward.
My baby is 4 months old. My baby is sleeping at night times. But he is waking up 4 to 5 times. So that I am not sleeping much. Due to that I am feeling sleepy in the afternoon. But my mother-in-law is saying that if you sleep you will get headache in future which cannot be cured. But I can't stop myself without sleeping. Is sleeping in the afternoon really causes any affects.
My 2 years 4months old girl is becoming aggressive for small things, I really don't understand how to calm down, I tried by coming down to her level n talking smoothly but I dont solve my isue successfully. She zis ruling us and still we are failing in making her happy. I badly need a solution for this Abt her- going to play group frm month, not a foodie,
My two years daughter fell down on the ground on 26.04. 15 & amp her femur bone break in two piece. X ray karne par diagnose hua ki bone thodi si ek dusre ke upar joint ho gayee hai kya future mai bone mai koi problems to nahi hogi.
Although the name sounds scary, this is a self-limiting problem requiring no long term medical attention. This usually appears as red blotches with a central white spot. It can occur anywhere and often involves the entire body.
The most important factor to keep in mind is the baby?s general health. If the baby has no fever, stays alert and active, responds to the mother, feeds normally, and wets and soils the nappy as usual, then there is no need to be alarmed. However, if the baby stops feeding, stops crying or looks groggy all the time, then he or she needs to be assessed by a child specialist.