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Adolescent Problems Treatment
Limping Child Treatment
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
Cleft Lip Treatment
Management of Postnatal Care
Child Growth Management
Treatment of Childhood Infections
Management of Childhood Nutrition
Congenital Ear Problem Treatment
Quad Screening Treatment
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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.
Can you suggest twin delivery mother caring tips. Looks milk is not producing enough. Can we use milk powder to babies. If yes. What are they?
What medicines should be given to my baby she is 5 months old kid she is having cold and she is very thin.
My son two and half year old. Good weight and height. But in this age he have dark circle around eyes. I also have dark circle from my childhood. Let me y this coming and way to cure.
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Hi doc, my son is 5 months old. I am giving both breastfeeding and bottle for him. Once I started with formula his poo changed from yellow to green colour and it's smelling awful. But he seems to be fine. M giving nan pro 1. Is he fine? Or I need to change another brand.
My 4.3 years old son (weight 23 kg) has nasal irritation. He is snoring loudly while sleeping, complaining of blocked nose all the time, since three days now. He also has slight cough. When he blows his nose, little white mucus comes out but mostly there is no mucus. The doctor said his chest is clear, but he has some nasal irritation. He is taking beyumont lc kid 2.5 ml, maxtra, nasivion. But still not better. What to do, We also got him nebulised once with levolin and budecort but it did not do anything.
My son have a bad habit. He is 5 years. Wo apni finger, nose m dalkr. Apny mouth m dalta hai. Pehle y problem nhi thi. Kuch time s krny Kya hai. Kya kuch help mil skti hai. Kya iski koi medicine available hai. Please help me.
My daughter 15 months old ,she could not eat a food only drink a mother milk. Previous months taking food is good but now not eat ,fruits not to taken now she weight 9.2 kg.daily hungry tonic drink. What happen not eat food please suggest on this.
Me and my 3 yrs daughter are having cold and cough from more than 2 weeks.. Tried medicines given by doctors. For both of us. Still the situation is the same started pain in ears also with sore throat. i am sure my daughter is also in uncomfortable time. Can any 1 help us both.
I want to know about tubercolotitis media, how it can be diagnose and how it can be cured, and also I want to know about it symptoms.
My baby having rashes and red spot. Is dis diaper rashes? I tries onabet cream, velbet cream, rashfree, zincovite syrup, thn to its hapng what to do?
My baby tended to look to the left and her head has become flat on left. Now she only wants to sleep on his right side and cries while I sleep her on her back. She is also uncomfortable in lap. Will it cause problems for her when she grows up. If yes what to do to correct the problem.
Dr. My son is 5 year old he persists cough from last 9 months. I had donr all tests like AFB that is normal and blood test that is also ok but in chest x ray he had mild cardiomegaly. Dr. said done ECO. Dr. I ask you a question is it curable and prevent. O m worried about him. He has no any breathing problem.
I have 1 year old child, he is under weight near about 2 kg from standards ,all other things are normal. Please suggest.
My kid has tooth decay problem for 3 teeth. Pls help me to do permanent filling r temporary filling N present he don't have any pain.
I am very concerned with two problems regarding my baby. 1.delayed speech, 2 comparatively less weight. 1.delayed speech: my baby is 22+ months old. She still tells few words such as" ta ta, ga ga" na na" ma ma" ba ba" sometimes alone. When I tell her to tell something, she does not say anything. She looks at me and laugh sometimes. She listens to my song and rhymes and laughs. She points out every thing by hinting. She does not want to say anything, though her learning of walking is also delayed. She leant to walk in 18 to 20 months. 2.Less weight: Her present weight is10+ kg. But weight should be more than it. I desperately need any harmless and effective medicated health drink or milk for her. please tell the solutions for those problems. I am very worried. Thanking u.
My 3 year old is sick with a temperature of 100 degrees she can not keep anything down including liquids. What should I do?
Here are some causes and treatments for tooth sensitivity.