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Dr. Khomane Gorakshanath  - General Surgeon, Mumbai

Dr. Khomane Gorakshanath

87 (18 ratings)
M. S. , MBBS

General Surgeon, Mumbai

24 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
Dr. Khomane Gorakshanath 87% (18 ratings) M. S. , MBBS General Surgeon, Mumbai
24 Years Experience  ·  800 - 1000 at clinic  ·  ₹300 online
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Usually Hernias do not get better on their own. Rather they tend to get bigger. In rare cases, th...

Usually Hernias do not get better on their own. Rather they tend to get bigger. In rare cases, they might lead to life-threatening complications. Hence doctors often recommend surgery. Laparoscopic surgery is a known method used by doctors today to treat Hernia.

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Personal Statement

I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Khomane Gorakshanath
Dr. Khomane Gorakshanath is a General Surgeon and Laparoscopic Surgeon in Kandivali East, Mumbai and has an experience of 21 years in these fields. Dr. Khomane Gorakshanath practices at Sanchaiti Superspeciality Hospital in Kandivali East, Mumbai and Suchak Hospital in Malad, Mumbai. He completed MBBS from King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in 1994 and MS – General Surgery from Lokmanya Tilak Municipal Medical College in 1997.

Info

Education
M. S. - LTMC Sion Hospital Mumbai - 1997
MBBS - GSMC KEM Hospital Mumbai - 1994
Past Experience
consultant surgeon at sanchaiti hospital/suchak hospital
Languages spoken
English
Hindi
Professional Memberships
Maharastra Medical Council

Location

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Sanchaiti Superspeciality Hospital

Sanchaiti Hospital, Akurli Road, Kandivali East, Landmark : Opposite To Big BazarMumbai Get Directions
  4.3  (19 ratings)
1000 at clinic
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Suchak Hospital

186, Manchubhai Road, Landmark : Opposite Hotel ManaliMumbai Get Directions
  4.3  (19 ratings)
800 at clinic
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Aditi Hospital

90 Feet Road, Thakur Complex, Kandivali EastMumbai Get Directions
  4.3  (19 ratings)
1000 at clinic
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Laparoscopic Surgery & Repair For Hernia

M. S. , MBBS
General Surgeon, Mumbai
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Usually Hernias do not get better on their own. Rather they tend to get bigger. In rare cases, they might lead to life-threatening complications. Hence doctors often recommend surgery. Laparoscopic surgery is a known method used by doctors today to treat Hernia.

2577 people found this helpful

What To Eat To Get Rid Of Haemorrhoids?

M. S. , MBBS
General Surgeon, Mumbai
What To Eat To Get Rid Of Haemorrhoids?

Many women experience a temporary encounter with hemorrhoids when they are pregnant. Quite surprisingly, most people tend to experience this in their daily lives. By the age 50, majority of people have encountered one or more symptoms of this ailment, including rectal pain, bleeding, itching and may be prolapse where the hemorrhoids protrude out of the anal canal. Though this ailment can be rarely detrimental, it can be a painful intrusion. But thankfully, there are a lot of things we can do about them.

How may this be diagnosed?
Hemorrhoids are usually diagnosed from a plain medical history and health exam. External hemorrhoids, more commonly known as piles, are normally apparent, particularly if a blood clot is formed. Your physician shall perform a digital rectal test to detect blood in the stool. Then the physician may also inspect the anal tube with the aid of an anoscope, which is a short plastic channel interjected into the rectum with illumination. If he finds any evidence of microscopic blood or rectal bleeding in the stool, then there may be a need to perform colonoscopy or flexible sigmoidoscopy to determine the probable causes of bleeding like cancer or colorectal polyps, specifically in women aged over 50.

Is it possible to treat hemorrhoids at home?
Most of the common symptoms of piles can improve drastically with simple in-home measures. If you are suffering from occasional flare-ups, you may try the following:

  1. Eat a lot of fibre: It is recommended to add fibre in the diet; may be a fibre supplement like Citrucel, Fibre con, etc. When you drink a lot of water along with loads of fibre, stools get softened making them effortless to pass, which will reduce the pressure on the swollen veins. Eating broccoli, wheat, oats, beans, fresh fruits every day will help in decreasing bleeding caused due to piles. It also reduces swelling and inflammation. If you feel digestive issues with a sudden splurge of fibre in your diet, you may start slowly and gradually increase the amounts.
  2. Take a sitz bath: A sitz bath is a lukewarm water bath for the lower back portion of the body, which can help in relieving irritation, itching as well as spasms occurring in the sphincter muscle. You can either get small plastic tubs for a sitz bath or sit in a normal bath tub. Most physicians suggest a half an hour sitz bath after every bowel movement. Then tenderly dry the area and avoid wiping it hard.

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

2553 people found this helpful

Choose Esophagectomy if you Are Suffering From Esophageal Cancer

M. S. , MBBS
General Surgeon, Mumbai
Choose Esophagectomy if you Are Suffering From Esophageal Cancer

Esophagectomy is a procedure of removing a part of the esophagus and reconstructing the same using another organ of the body. The oesophagus 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 oesophagus 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.

Before Esophagectomy

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 oesophagectomy. Both chemotherapy and radiation have their set of side effects, which include loss of appetite, fatigue, hair loss, vomiting and skin discolouration.

After Esophagectomy

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.

Follow-up

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.

What Conditions Laparoscopy Deals With?

M. S. , MBBS
General Surgeon, Mumbai
What Conditions Laparoscopy Deals With?

Laparoscopy, also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5-1.5 cm are made far from the location of the operation.

Mechanism of laparoscopy:

One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.This process is used to diagnose unidentified abdominal or pelvic pain.

What conditions laparoscopy deals with

Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.

Restrictions you need to follow during the first couple of weeks:

For the first couple of weeks after the surgery, your doctor might ask you to abstain from driving, tub bathing, swimming and having sexual intercourse. Make sure that you follow these rules and get adequate amount of sleep to ensure speedy recovery.

Recovery time:

Recovery time for a laparoscopic surgery is only a few days, and to get through this period easily seek the help of a friend or family member to manage your medications and lift your spirits. In case you have a concern or query you can always consult an expert & get answers to your questions!

2471 people found this helpful

Colostomy And Ileostomy: What You Need To Know?

M. S. , MBBS
General Surgeon, Mumbai
Colostomy And Ileostomy: What You Need To Know?

Terms like ileostomy and colostomy really sound a bit too scientific, don’t they? Well, it is true that may seem to be pretty scary to almost anybody who is not professionally familiar with them! That being said, it is quite important to know what these things are, as it is always good to be informed of things like these. After all, one never knows when he or she may need to consider the possibility of having one.

The similarity which exists between these two procedures is due to the fact that both of them require the surgeon to cut an opening into the intestine from the skin of the abdominal wall. To be more specific about each of the procedures, the ileostomy involves the removal of the entire colon as well as the rectum of the person who is undergoing it. When this operation is performed, the small intestine’s end is adapted so as to expel the faeces which are produced as a result of the digestive process.

Now, this does seem like quite a daunting prospect, does it not? Well, it does and with good reason as it is really not a small matter, at all. That is why the surgery is performed on people who suffer from diseases such as Crohn's disease, who have a condition in which entire sections of their gut cannot be linked in a proper manner!

On the other hand, a colostomy refers to a follow-up surgery to a colectomy, in which the surgeon creates an opening which is known as a stoma. A colectomy is when there is a removal of a part of the large intestine. In many cases of colostomies being performed, they are intended to be temporary in nature.

Now, taking into account just how serious these operations are, a person may wonder just what unfortunate thing needs to happen to warrant a surgery of this sort to be performed! Well, essentially, if there is an occurrence of bowel cancer which is significantly bad, then there may be a need which arises as a result of the same.

Advanced medicines do have some interesting facts; contrary to what most people think, a stoma does not hurt. This is because there are no nerves in the area! While a person may hopefully never need either surgery performed on oneself, that surely does not mean that awareness about them should not be widespread.

Adverse Respiratory Events in Anesthesia: How Does It Help?

M. S. , MBBS
General Surgeon, Mumbai
Adverse Respiratory Events in Anesthesia: How Does It Help?

Adverse respiratory events (AREs) are leading causes of post-operative morbidity and mortality. Anesthesia is the use of medicine to prevent or reduce the feeling of pain or sensation during surgery or other painful procedures (such as getting stitches). Giving as an injection or through inhaled gases or vapours, different types of anesthesia affect the nervous system in various ways by blocking nerve impulses and, therefore, pain.

Anesthesia can help control your breathing, blood pressure, blood flow, and heart rate. It may be used to:

  1. Relax you,
  2. Block pain,
  3. Make you sleepy or forgetful,
  4. Make you unconscious for your surgery.

Adverse Respiratory Events (ARE)
Adverse outcomes of such events are fatal and lead to Death & Brain Damage. Three mechanisms of injury are reported to account for highest adverse respiratory events:
Inadequate Ventilation: Insufficient Gas Exchange can produce the adverse outcome. Esophageal Intubation: Incubation between the two sides of the esophagus inadvertently.
Difficult tracheal intubation: Tracheal Intubation is the placement of a flexible plastic tube into the trachea (windpipe) to maintain an open airway. It is performed facilitate ventilation of lungs in severely ill, anesthetized patients.

Other’s are as listed below:

  • Airway Obstruction
  • Inadequate inspired oxygen delivery
  • Aspiration
  • Endobronchial Intubation
  • Premature Extubation

Residual neuromuscular blockade is an important postoperative complication associated to the use of neuromuscular blocking drugs and is commonly observed in the post-anesthesia care unit (PACU) after non-depolarizing neuromuscular blocking agents (NMBAs) are administered intra-operatively. Incomplete neuromuscular recovery can be minimized with acceleromyography monitoring. The risk of adverse respiratory events during early recovery from anesthesia can be reduced by intra-operative acceleromyography use.

Reintubation is a serious adverse respiratory event and the consequences include increased cardiac and respiratory complications, prolonged length of stay at the PACU, intensive care unit (ICU) and hospital, prolonged mechanical ventilator support, higher costs, and increased mortality. Overweight and obesity have also been identified as risk factors for postoperative respiratory complications. Most adverse respiratory events are considered preventable with improved monitoring such as:

  • Pulse Oximetry
  • Capnometry
  • Combination of Both

Closed observation of the clinical factors and appropriate monitoring by well trained people are factors necessary to prevent adverse outcome.

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

2611 people found this helpful

I was having minor gynecomastia. 1 weak ago I have take surgery. After 1 week of surgery when I am standing straight it is OK but when I am lifting my hand that time I can see my chest shape is not looking good. Nipple and area near to nipple are going inside. What can I do to improve this? Will it will automatically get corrected over time? Looks like surgeon was inexperience and he has take over correction.

M. S. , MBBS
General Surgeon, Mumbai
Welcome to Lybrate, As you have been under gone surgery of gynecomastia, and it is only one week after the surgery, there is space where soft tissue was removed. As the underlying muscle gets contracted you feel the gap, so relax don't worry and meet your doctor. He or she will guide you.
2 people found this helpful
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I have phimosis and since last few days my foreskin has become dry and now I have scars. While urinating it burns extremely.

M. S. , MBBS
General Surgeon, Mumbai
I have phimosis and since last few days my foreskin has become dry and now I have scars. While urinating it burns ext...
Welcome to Lybrate, If you have phimosis with regular injuries and cuts and dryness then you requires to show surgeon he will be able to guide you regarding the surgery of circumcision or preptoplasty. You also check your sugar levels. I hope this will solve your problem. Thank you.
1 person found this helpful
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Sir/Madam the cover of my penis is not opening from 10 years. During urination it swells up like a balloon. Can I be cured?

M. S. , MBBS
General Surgeon, Mumbai
Sir/Madam the cover of my penis is not opening from 10 years. During urination it swells up like a balloon. Can I be ...
Yes you can be cured. You have possibly phimosis and it requires circumcision to be done please show to surgeon.
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My hydrocele have pain and one side is big this issue coming from yesterday tell me sir what I do?

M. S. , MBBS
General Surgeon, Mumbai
My hydrocele have pain and one side is big this issue coming from yesterday tell me sir what I do?
You requires to visit the surgeon urgently or Urologist for clinical examination as it some times can have torsion testes if it is then it should be dealt with urgently. So kindly show as early as possible so that it can be diagnosed early. There may be other pathology also.
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