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Dr. Nimesh Shah  - General Surgeon, Mumbai

Dr. Nimesh Shah

82 (10 ratings)
MBBS, MS - General Surgery

General Surgeon, Mumbai

25 Years Experience  ·  800 at clinic  ·  ₹200 online
Dr. Nimesh Shah 82% (10 ratings) MBBS, MS - General Surgery General Surgeon, Mumbai
25 Years Experience  ·  800 at clinic  ·  ₹200 online
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Hernia: Types, symptoms and treatment<br/><br/>Good Morning this is Dr. Nimesh Shah. I'm a Surgeo...

Hernia: Types, symptoms and treatment

Good Morning this is Dr. Nimesh Shah. I'm a Surgeon, endoscopic, laparoscopic and GI surgeon associated with Global Hospitals as a consultant and S.L Raheja Fortis Hospital. I have my own hospital at Dadar, Sanjeevani Hospital. I am going to talk about Hernia.

It is basically the protrusion of the abdominal contents of the abdominal walls that contains it. We are talking about external hernia right now so we will be talking about inguinal, umbelical, lumbar and incisional hernias. So inguinal hernias are hernias which occur in the groin region. They occur both in the males as well as females, however they are more prominent in males. They can be congenital or acquired congenital that is usually seen in the younger age group. Very rarely we see very large hernias in the adults which are congenital in nature which we come to know only during surgery. Congenital hernias are basically because of patent processes vaginalis which is the tract that takes the testis into the scrotum.

Anyway this is acquired in any age group, younger as well as in older people. Basically they occur because of msucle weakness or gaps between the muscle weakening because of sudden increase or sudden loss of weight and also due to lifting heavy weights. Now the umbilical hernias occur or are most commonly seen in individuals who are doing very hard physical labour. The other hernias are not so common. Incisional hernias are hernia which occur because of surgery. Any surgery in the past that becomes a weak area over the abdominal wall and this may give away over a period of time and you may get protusion of intestines or abdominal fat through that. Most often these are elective procedures. Very rarely a patient comes in emergency where the intestinal contents have come out and they are not going back, so they can become an obstracting hernia or very rarely they can become gangrenous and become strangulate hernia.

The investigation or clinical examination is the only way that this can be confirmed. It is very obvious even to the patients that there is a bulge which is not normal to that area. So that bulge reduces the line down. This is the most common symptom or complain that the patient comes with. Ultrasound maybe neccessary at times to confirm size of the defect. However, in small hernias like in the ingenial hernia the ultrasound maybe helpful in trying to pick up the sack. The main state of treatment remains surgery.

Surgery is an elective brand procedure, very rarely as I said in obstructed hernias it is an emergency where in the patient needs to be taken in as early as possible for the benefit of the patient. Surgeries can be done either with laparoscopy or open surgery. Open surgery has been done since time immemorial and various kinds of methods are used from fishnets to now polypropelyn to prevent recurrences of hernia. In the laparoscopic procedure three small holes are made and the hernial sac is reduced and the mesh is placed. For the other hernias there is a special mesh that can prevent lisons of intestines to the mesh however in the laparoscopic or inguinal hernia special polypropelyn mesh is used. Sometimes we even use a 3D mesh which takes the shape of the pelvis bone. It's usually fixed into place using takers which are screws made up of absorbale or non absorbable depending on the choice of the surgery.

Typically a patient after a laparoscopic or an open surgery should be fine to go home after 48hrs. The laparoscopic patient only has a little soreness around the operated area around the groin. However, the open surgery patient has a little longer recovery time because getting in and out of bed is usually difficult. Laparoscopic repairs inguinal hernia, both side hernia is a norm. One sided is also done on certain patients who insist on doing that. Other than that for the umbilical, lumbar and incisional hernias the holes are made at different places and special methods introduced through those pores after reducing the contents and it is also fixed with the help of protax. Recurrences are known in both open as well as in laparoscopic, inguimal or umbilical hernia. It has more to do with the patient factors rather than to do with techniques. Initially it was more with tehniques due to learning but now its more to do with patient factors because its a common norm in these procedures.

That's it for now, if you want to know more about the procedures contact me through librate. Thank you.

read more
Types, symptoms, and treatment for Gallstones<br/><br/>Hi, I m Dr. Nimesh Shah. I m a consultant ...

Types, symptoms, and treatment for Gallstones

Hi, I’m Dr. Nimesh Shah. I’m a consultant endoscopic, laparoscopic and G.I surgeon. I’m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I’m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which…whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a…which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it’s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas…in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis-à-vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate.

read more

Personal Statement

I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage....more
I want all my patients to be informed and knowledgeable about their health care, from treatment plans and services, to insurance coverage.
More about Dr. Nimesh Shah
He has had many happy patients in his 24 years of journey as a General Surgeon. He has done MBBS, MS - General Surgery. Book an appointment online with Dr. Nimesh Shah and consult privately on Lybrate.com.

Find numerous General Surgeons in India from the comfort of your home on Lybrate.com. You will find General Surgeons with more than 27 years of experience on Lybrate.com. Find the best General Surgeons online in Mumbai. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MBBS - Kims Karad - 1992
MS - General Surgery - Kims Karad - 1996
Awards and Recognitions
Excision of Retroperitoneal Sarcoma
Professional Memberships
Association of Medical Consultants
Indian Medical Association (IMA)

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What Should You Know Before Opting Bariatric Surgery?

MBBS, MS - General Surgery
General Surgeon, Mumbai
What Should You Know Before Opting Bariatric Surgery?

Obesity and a shapeless body are problems that plague many people around the world. Besides leading to an appearance that is less than ideal, it can also lead to severe health problems include heart failure, heart diseases, diabetes and more. While there are many ways to combat being overweight with the help of exercise and a proper diet and even medication, very severe causes of obesity can also be fixed with a surgical process known as Bariatric Surgery. So, here's everything you need to know about it.

  1. Affecting the Digestive Process: As per the normal digestive process, the food moves into the digestive tract, while its nutrients get collected with the help of a well functioning system that includes digestive juices and enzymes. This food moves through the digestive tract, passing through the oesophagus, before it goes down into the stomach where it meets the strong digestive acids, which break it down, and then it enters the small intestine. While the stomach can hold three pints of food at a time, there is a chance that some of this food may not get properly digested in the small intestine. In this case, the food enters the large intestine. Now, Bariatric Surgery helps in restricting the amount of food that a person can have and hold in the first place.
  2. The Process: This surgical procedure may be carried out by cutting open the stomach and removing a portion of the same. This procedure can also reroute the small intestine into the gastric pouch or the small stomach pouch. This process can also be done with laparoscopic invasion, where a few small incisions will be used to insert a tiny camera and instruments for the process.
  3. Ideal Candidates: If your BMI or body mass index is more than 40, then you can opt for this kind of surgery, as mere dieting and exercising will not help you in your weight loss endeavour. This surgery can also help in preventing the onset of type 2 diabetes mellitus. The patient also has to have reached the normal adult height in order to qualify for this surgery. 
  4. Side Effects: After the surgery, the patient may experience a few side effects including leakages and bleeding. An incisional or an internal hernia may also occur after the surgery. Also, for patients who have a poor diet, there may be complications after the surgery due to less intake of necessary vitamins and minerals.

Once you undergo the surgery, it is important to commit to a proper diet with less food intake and proper exercise on a lifelong basis.

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

3131 people found this helpful

Colorectal Surgery: What Should You Know?

MBBS, MS - General Surgery
General Surgeon, Mumbai
Colorectal Surgery: What Should You Know?

Colorectal surgery is the broad term for surgical procedures performed on the colon, the rectum and the anus. There are various different surgical procedures which fall under colorectal surgery and these are used to treat a vast array of disorders, such as:

  1. Anal cancer
  2. Colorectal cancer
  3. Severe complications related to constipation
  4. Anal injuries
  5. Inflammatory conditions of the gastrointestinal tract
  6. Congenital defects
  • Procedures: The surgeries under colorectal surgery are performed after diagnostic tests such as proctoscopy, sigmoidoscopy and defecating proctography. The most common diagnostic test is colonoscopy. These help to identify the origin and nature of the problem and decide which surgical procedure is to be followed. The procedures under colorectal surgery are as follows:
  • Colectomy: This procedure involves removal of a section of the large intestine. This is known as partial colectomy. In extreme cases, such as advanced cancer or severe gastrointestinal infection, the entire colon is removed and this is called total colectomy. Sometimes, the rectum is also taken out along with the colon and this is called proctocolectomy.
  • Colonic polypectomy: An abnormal growth of tissues in the inner lining of an organ is known as a polyp. Colonic polypectomy is done to eliminate polyps from the colon and rectum before they become malignant. This can be done endoscopically. Surgery is required in case of large polyps.
  • Strictureplasty: Chronic or repeated bowel inflammation causes scar tissue to accumulate in the large intestine. This results in the narrowing of the colon. Stricturoplasty removes the scar tissue so that proper flow of digestive contents is resumed.
  • Colostomy or Ileostomy: A damaged section of the colon is removed and the shortened intestine is then attached to another opening (stoma) in the anterior wall of the abdomen.
  • Hemorrhoidectomy: This surgical process is used for swollen hemorrhoids or blood vessels, which form in the anal canal. Hemorrhoidectomy is extremely effective in removing hemorrhoids, but the surgery also involves a number of complications.
  • Anoplasty: Anoplasty or imperforate anus correction is done to correct birth defects in the rectum and the anus. The structural flaw does not allow the stool to pass properly from the rectum and so it is repaired through surgery. If you wish to discuss about any specific problem, you can consult a General Surgeon.
3030 people found this helpful

Ulcerative Colitis Surgery: Know Its Procedure

MBBS, MS - General Surgery
General Surgeon, Mumbai
Ulcerative Colitis Surgery: Know Its Procedure

Ulcerative colitis is a chronic inflammatory condition whereby, tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.

Ulcerative colitis normally alternate periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are, however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.

Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer from long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:

  1. Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.
  2. Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis.
  3. Ileal Pouch Anal Anastomosis: If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctocolectomy would be most appropriate.

Here, both colon and rectum are removed, but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum. If you wish to discuss about any specific problem, you can consult a General Surgeon.

3042 people found this helpful

Get Rid of Hernia

MBBS, MS - General Surgery
General Surgeon, Mumbai
Play video

Hernia: Types, symptoms and treatment

Good Morning this is Dr. Nimesh Shah. I'm a Surgeon, endoscopic, laparoscopic and GI surgeon associated with Global Hospitals as a consultant and S.L Raheja Fortis Hospital. I have my own hospital at Dadar, Sanjeevani Hospital. I am going to talk about Hernia.

It is basically the protrusion of the abdominal contents of the abdominal walls that contains it. We are talking about external hernia right now so we will be talking about inguinal, umbelical, lumbar and incisional hernias. So inguinal hernias are hernias which occur in the groin region. They occur both in the males as well as females, however they are more prominent in males. They can be congenital or acquired congenital that is usually seen in the younger age group. Very rarely we see very large hernias in the adults which are congenital in nature which we come to know only during surgery. Congenital hernias are basically because of patent processes vaginalis which is the tract that takes the testis into the scrotum.

Anyway this is acquired in any age group, younger as well as in older people. Basically they occur because of msucle weakness or gaps between the muscle weakening because of sudden increase or sudden loss of weight and also due to lifting heavy weights. Now the umbilical hernias occur or are most commonly seen in individuals who are doing very hard physical labour. The other hernias are not so common. Incisional hernias are hernia which occur because of surgery. Any surgery in the past that becomes a weak area over the abdominal wall and this may give away over a period of time and you may get protusion of intestines or abdominal fat through that. Most often these are elective procedures. Very rarely a patient comes in emergency where the intestinal contents have come out and they are not going back, so they can become an obstracting hernia or very rarely they can become gangrenous and become strangulate hernia.

The investigation or clinical examination is the only way that this can be confirmed. It is very obvious even to the patients that there is a bulge which is not normal to that area. So that bulge reduces the line down. This is the most common symptom or complain that the patient comes with. Ultrasound maybe neccessary at times to confirm size of the defect. However, in small hernias like in the ingenial hernia the ultrasound maybe helpful in trying to pick up the sack. The main state of treatment remains surgery.

Surgery is an elective brand procedure, very rarely as I said in obstructed hernias it is an emergency where in the patient needs to be taken in as early as possible for the benefit of the patient. Surgeries can be done either with laparoscopy or open surgery. Open surgery has been done since time immemorial and various kinds of methods are used from fishnets to now polypropelyn to prevent recurrences of hernia. In the laparoscopic procedure three small holes are made and the hernial sac is reduced and the mesh is placed. For the other hernias there is a special mesh that can prevent lisons of intestines to the mesh however in the laparoscopic or inguinal hernia special polypropelyn mesh is used. Sometimes we even use a 3D mesh which takes the shape of the pelvis bone. It's usually fixed into place using takers which are screws made up of absorbale or non absorbable depending on the choice of the surgery.

Typically a patient after a laparoscopic or an open surgery should be fine to go home after 48hrs. The laparoscopic patient only has a little soreness around the operated area around the groin. However, the open surgery patient has a little longer recovery time because getting in and out of bed is usually difficult. Laparoscopic repairs inguinal hernia, both side hernia is a norm. One sided is also done on certain patients who insist on doing that. Other than that for the umbilical, lumbar and incisional hernias the holes are made at different places and special methods introduced through those pores after reducing the contents and it is also fixed with the help of protax. Recurrences are known in both open as well as in laparoscopic, inguimal or umbilical hernia. It has more to do with the patient factors rather than to do with techniques. Initially it was more with tehniques due to learning but now its more to do with patient factors because its a common norm in these procedures.

That's it for now, if you want to know more about the procedures contact me through librate. Thank you.

3115 people found this helpful

On periodic check my prostate was found enlarged 43 cm. Dr. advised no medication till I face urine obstruction pain during urine and high frequency. Last flow test was normal. It's diagnosed as BPH. Can some yoga be suggested to improve or any medication to reduce enlargement. My code 0327526.

MBBS, MS - General Surgery
General Surgeon, Mumbai
On periodic check my prostate was found enlarged 43 cm. Dr. advised no medication till I face urine obstruction pain ...
BPH is age related causing outlet obstruction. No treatment necessary till nocturnal frequency starts. Yoga may not help since it is a mechanical problem.
1 person found this helpful
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What Should You Expect From Hernia Surgery?

MBBS, MS - General Surgery
General Surgeon, Mumbai
What Should You Expect From Hernia Surgery?

A Hernia may be defined as the protrusion of an organ into an adjacent connective tissue or muscle. The protrusion usually occurs through a tear or a weakened area in the muscle (Fascia). Hernia can be an Inguinal Hernia, Umbilical Hernia, Hiatal Hernia or Femoral Hernia. It can also originate from an incision (Incisional Hernia).

The Inguinal Hernia is commonly observed in males. Here, the intestine squeezes through a tear in the abdominal wall into the groin (Inguinal canal). At times, the small intestine bulges through the abdominal wall (weak spot) near the belly button, which results in Umbilical Hernia. In Hiatal Hernia, the upper part of the stomach passes into the chest through the diaphragm, and of all the hernia types, the Inguinal Hernia is the most common.

Severe strain and muscle tear or weakness can result in Hernia. Obesity, chronic constipation, chronic coughing and sneezing, ageing, damage caused by injury, medical conditions like Cystic Fibrosis, contribute to increased incidences of Hernia. In case of Hernia, the affected area tends to protrude or bulge out. If left untreated; Hernia can prove to be detrimental. One needs to consult a physician for proper diagnosis and treatment. Physical examination can help in the diagnosis of Inguinal Hernia. An ultrasound is needed to diagnose Umbilical Hernia. A Barium X -ray or endoscopy can be of great help in the diagnosis of Hiatal Hernia.

The severity of the Hernia depends upon its size. In case the Hernia is rapidly increasing in size, a surgery is needed for the repair. The surgery performed can be open or laparoscopic. In open surgery, Hernia is identified through an incision. Once located, the Hernia is removed from the adjacent tissues. In laparoscopic repair, small incisions are made in the affected region. Through these incisions, specialized instruments are inserted. It is through these instruments that the surgeon visualizes and performs the surgery.

In such repairs, a mesh, held in place by sutures is used as a scaffold. This facilitates the growth of new tissues in the affected person. This technique significantly lowers the chance of a recurrence.

Certain factors must be well addressed, before performing a Hernia operation:

  • Hernia operations, laparoscopic in particular, should be performed by experienced surgeons. Inexperienced surgeons will do you more harm than good.
  • Laparoscopic Hernia operation should be avoided in case a patient has adhesions from previous surgery.
  • Extreme care should be taken while performing a Hernia operation in infants and children.
  • In some cases, Hernia surgery might affect or injure the vas deferens in men. This in turn can affect fertility in men. If you wish to discuss any specific problem, you can consult a general surgeon.
2896 people found this helpful

Gallstones Disease

MBBS, MS - General Surgery
General Surgeon, Mumbai
Play video

Types, symptoms, and treatment for Gallstones

Hi, I’m Dr. Nimesh Shah. I’m a consultant endoscopic, laparoscopic and G.I surgeon. I’m attached to Global Hospital Parel and SL Raheja Fortis Hospital at Mahim, and I’m also a director and partner at Sanjeevani Hospital, which is our hospital at Dadar. We have talked about gallstone disease as of now. Gallstone disease is a very common phenomenon observed in the Indian population. There are various types of gallstones that are available, that is either a pigment stone or a cholesterol stone. Pigment stone occurs because of hereditary spherocytosis or something wrong with your blood cells, which get destroyed more, and that causes gallstones.

The other cause of gallstones is a cholesterol inborn error. The other type of gallstones are cholesterol stones, which are due to inborn errors of metabolism of a cholesterol as either the cholesterol that is secreted by the liver is much more, or the water that is secreted by the liver is less. So the gall bladder which…whose function it is to super-concentrate the bile concentrates much more than what is necessary, and you get crystallites of cholesterol stones formed. These are most common stones seen in the Indian population.

The symptomatology of this is usually bloating, a fullness of abdomen, a lot of flatulence, also some patients have a lot of refluxes, we call it a…which is associated with gallstones hydro semi a. And also some patients develop severe pain which is called as a biliary colic, which may need medical intervention. The diagnostic modality that is used for gallstone disease is doing an ultrasound. An ultrasound will tell us on the thickness of the gallbladder, the type of stones, the multiple stones, or multiple small stones, or a single large stone. So the number of stones, if you have multiple stones, you may develop a biliary colic. If it’s a large stone you may develop acute inflammation of the gallbladder, which will need hospitalization.

The gold standard of treatment is surgery. Surgery is usually done laparoscopically, wherein small holes are made in the tummy and the gallbladder is removed completely. If y=remove your gallbladder, there is no problem in your digestion or anything like that, because effectively, the bile that is secreted by the liver is a waste product of our body, it has no role to play in digestion. It only activates the enzymes of the pancreas when it mixes with the pancreatic juice in the pancreas…in the intestine. The liver secretes about two and a half to three liters of bile every day, out of which 150 to 200 ml goes in the gall bladder. Out of the 200 ml, it is emptied every time you eat. So roughly about 800ml is concentrated by the gall bladder and is emptied into the intestinal...intestinal tract. Now vis-à-vis, 2.5 liters is flowing straight into your intestinal tract. So it does not really hamper your digestion in any way.

Again going back to treatment as laparoscopic surgery is the preferred and gold standard of treatment worldwide, wherein three four small holes are made and the gall bladder is completely extracted. Some patients at some centers are doing the single port, that is a single hole through the umbilicus, which is technically much more difficult. There is always a percentage chance of having to cut open a patient during surgery that may be because of bleeding or abnormal abnormality, which is quite common in the gall bladder region.

The above information is a limited information. If you need to further know about the disease then you can contact me directly through Lybrate.

7225 people found this helpful

Piles Surgery: Know About The Different Surgical Options

MBBS, MS - General Surgery
General Surgeon, Mumbai
Piles Surgery: Know About The Different Surgical Options

Do you bleed or feel pain during bowel movements, or the skin around your anus feels sore or itches? Or maybe there's a lump in or around your anus, or you feel as if your bowels haven't emptied completely? Then you may be suffering from piles. Piles or hemorrhoids are essentially swollen veins and muscles in your anal canal or around your anus. And they may stay inside your anus or come outside depending on the severity of the affliction.

Often, piles can be successfully treated with high-fiber diet, proper hygiene, and topical medicines or ointments. But in situations where non-surgical methods don't achieve desired results, surgery becomes the only option. And this may be particularly necessary for those suffering from large painful or bleeding hemorrhoids. The different surgical options are given below:

Hemorrhoidectomy - In this procedure, the surgeon makes incisions around the anus to remove the piles formations. Local or general anesthesia is offered during the operation, and you can usually return home on the same day. After the procedure, the area might require stitches and commonly remains very tender and painful for quite some time.

PPH or Procedure for Prolapse and Hemorrhoids - This method is minimally invasive and makes use of a stapler-like machine for repositioning the hemorrhoids and cutting off their blood supply. So eventually, the piles shrink and die without blood supply and your pain diminishes greatly. With this process, you can expect a faster recovery, less itching and bleeding, and minimal complications, if any.

Laser - An accurate and special laser beam is used in this method, to burn off the hemorrhoids.

Rubber Band Ligation - This procedure can be used for areas with fewer pain receptors. In this, a rubber band is tied around the base of hemorrhoid to stem the blood supply and destroy the affected tissue.

Sclerotherapy - This method involves the injection of a chemical solution around the blood vessel which supplies the hemorrhoid tissues, to shrink and kill them. Though non-invasive methods are preferred by many since they create less pain, hemorrhoidectomy may provide more long-lasting benefits. Here are some other aspects you need to consider regarding piles surgery:

Risks - Infection, bleeding, reaction to anesthesia, trouble with urination, fecal incontinence are some of the risks involved, though the surgery is usually quite safe.

Ways of treating pain - Pain, especially during and after a bowel movement, can be an issue for several days after the surgery. But it can be dealt with by taking prescribed pain medications, stool softeners, and soaking in a warm bath. Recovery can take up to 3 to 6 weeks after the procedure.

Avoiding recurrence - Following a high-fiber diet, maintaining good hygiene, taking lots of fluids, and avoiding straining or constipation can prevent piles from coming back. If you wish to discuss about any specific problem, you can consult a General surgeon.

2964 people found this helpful

8 Diseases that Can Cause Gastrointestinal Perforation

MBBS, MS - General Surgery
General Surgeon, Mumbai
8 Diseases that Can Cause Gastrointestinal Perforation

When a hole develops in the wall of the gallbladder, rectum, large bowel, small intestine, stomach or oesophagus, it is called gastrointestinal perforation. It is a medical emergency that needs urgent medical attention.

Symptoms of gastrointestinal perforation (GP) usually include

  1. Serious stomach pain
  2. Chills
  3. Fever
  4. Nausea
  5. Vomiting

Peritonitis (abdominal cavity lining inflammation) can also accompany the abovementioned condition. So in addition to the above symptoms, you may also experience peritonitis symptoms such as:

  • Fatigue
  • Passing less gas, urine or stools
  • Breathing difficulties
  • Fast heartbeats
  • Dizziness

Certain diseases can cause Gastro-intestinal perforation, such as:

  • Appendicitis
  • Diverticulitis (A type of digestive disorder)
  • Stomach ulcer
  • Gallstones
  • Gallbladder infection
  • Inflammatory bowel diseases (inflammation in the small intestine and the colon)
  • Swollen Meckel’s diverticulum (abnormal bulging of the small intestine at birth)
  • Gastrointestinal tract cancer

Besides diseases, the following conditions can also lead to Gastro-intestinal perforation:

  • Blunt abdominal trauma
  • Gunshot or knife wound to the abdomen
  • Abdominal surgery
  • Stomach ulcers caused by excessive consumption of steroids, anti-inflammatory drugs and aspirin
  • Ingestion of caustic substances or foreign objects

Other than these, drinking alcohol, smoking and bowel injuries (caused by colonoscopy or endoscopy) can lead to GP as well.

Treatment options available

This condition is mostly treated with surgery. The goal of the surgery is to repair the anatomical problem and cause of peritonitis, along with removal of any foreign object in the abdominal socket, such as food, faeces and bile. However, if your doctor deems surgery unnecessary (in instances where the hole closes voluntarily) you will be only given antibiotics.
In some cases, a section of the intestine might need to be removed. An ileostomy or colostomy is performed where a portion of the large or small intestine is removed, which grants intestinal contents to empty or drain into a bag implanted on the wall of your abdomen.

The complications include:

  1. Bleeding
  2. Sepsis (Critical and fatal bacterial infection)
  3. Belly ulcers
  4. Wound infection
  5. Bowel infarction (impaired supply of blood to the bowels)
  6. Permanent colostomy or ileostomy

    If you wish to discuss about any specific problem, you can consult a general surgeon.

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Laparoscopic Surgery: 5 Facts You Must Know

MBBS, MS - General Surgery
General Surgeon, Mumbai
Laparoscopic Surgery: 5 Facts You Must Know

5 Facts you must know about laparoscopic surgery.

Laparoscopy, also known as keyhole surgery, is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body. Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

1. The problems that laparoscopy addresses
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.

2. The duration of your stay in hospital
Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.

3. The preparation required pre-surgery
If you are going to have a laparoscopic surgery soon, ensure that you inform your doctor if you are taking any blood-thinners like aspirin or if you are allergic to any medications like anaesthesia. Moreover, let the doctor know if you are pregnant or planning to conceive. After giving all this information to the doctor, strictly follow all the instructions he/she gives you. Also, make sure that someone is available to drop you home after the surgery as you might be too weak or in too much pain to go back home by yourself.

4. Pain management post surgery
Laparoscopy is generally followed by a sore feeling around the cuts as well as shoulder pain. If the pain is unbearable you can ask for medication from your doctor or consider common analgesics. 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.

5. 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. If you wish to discuss about any specific problem, you can consult a general surgeon.

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