Minor Ot Service Procedures
Prostate Laser Surgery
Treatment Of Deep Vein Thrombosis - Dvt
Kidney Stones Treatment
Accident Injuries Treatment
Stitching Of Wounds Procedure
Dressings Of Wounds Procedure
Vascular Trauma Treatment
Arterial Thrombosis Treatment
Vascular Surgery Treatment
Corn Removal Procedure
Laparoscopic Treatment Procedures
Removal Of Stitches Procedure
Gastric Bypass Surgery
Submit a review for Bhardwaj HospitalYour feedback matters!
Adrenal Glands are endocrine glands located right above the kidneys. They produce important hormones such as adrenaline, aldosterone and cortisol which are involved in a number of biological functions. The dysfunction of the adrenal glands can cause serious endocrine diseases.
Need for Surgery?
The adrenal glands may not function properly due to a number of reasons, including any kind of infection in the glands, kidney disorders, genetic ailments, lesions, tumours on or around the adrenal glands. Due to the irregularity in the release of hormones and enzymes that are essential to the normal functioning of a human body, a number of serious illnesses arise. There is an excess or absolute insufficiency in the release of hormones. This can even turn into a medical emergency. It can lead to uncontrollable obesity, very high or low blood pressure, dermatological problems, menstrual irregularities, blood sugar level irregularities, severe headaches, cramps, fluctuations in potassium levels and so on. That is when surgery is required.
How surgery is performed?
Laparoscopy is the type of surgery which requires minimum invasion. This is fairly a new and successful method of surgery. The patient recovers speedily and is able to go back home within a short span of time after the surgery. Removal of adrenal glands can be performed by making a maximum of three or four-and-a-half inches incision. This results in quicker cosmetic recovery compared to other patients of open surgery.
The surgery is performed under general anaesthesia. A narrow tube-like instrument, known as the cannula is placed into the upper abdominal cavity, below the ribs. Through the cannula, a tiny telescope, known as the laparoscope is inserted. It is connected to a special camera that provides a magnified view of the patient’s internal organs on a large monitor. Using such technology, the adrenal glands are dissected free from other organs and removed.
Post Operative Care
In case of a simple laparoscopic surgery, there are hardly any post operative complications. In case of mild pain or discomfort, the doctors may however prescribe some medications. It is important to go for a medical check up after a couple of weeks of the surgery, to make sure you are completely fine.
Laparoscopic surgery is also known as minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby, lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
- Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence, it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
- Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
- Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
- Anesthesia related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
- Injury: Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract. Proper protocol must be followed by the doctor to avoid such complications as much as possible. If you wish to discuss about any specific problem, you can consult a doctor.
The bowel is a very important part of your body within the digestive system as it plays a vital role in the absorption of nutrients and minerals within your body as well as excreting toxic matter. The bowel contains the small bowel or small intestine as well as the large bowel or the large intestine. However, parts of the bowel may be infected or damaged in such a manner that they may need to be removed in order to save further worsening. Thus, the removal of sections of the bowels is known as bowel resection surgery.
How is bowel resection surgery performed?
In this procedure, sections of either the large intestine or the small intestine are removed which have either become diseased, infected or have malignant growths within them. The doctors and surgeons first identify the sections that need to be removed and then perform the surgery wherein a section of the tissue is excised and then two ends of the bowel are stitched together to form a new section of continuous small intestine or large intestine.
Types of bowel resection
There are two types of bowel resection, namely small bowel resection performed on the small intestine and large bowel resection performed on the large intestine. The indications for both of them are mentioned below:
Small Bowel resection: Some of the cases wherein small bowel resection may be required are as follows:
- Cancerous or benign polyps or growth
- Precancerous growths and polyps
- Damage to the small intestine due to injuries
- Congenital defects in the small intestine
- Blockages in the intestine
- Growth of ulcers, bleeding, and infection within the small intestine
- Infections within the intestines
- Other disorders of the small intestine
Large bowel resection: Large bowel resection is also carried out due to many of the same reasons as mentioned above. However, some of the specific reasons for large bowel resection are mentioned below:
- Colon cancer
- Diverticulitis, disorder that specifically affects the large intestine
- Bowel inflammation or ulcerative colitis
- Abnormal twisting of the bowel also known as volvulus
- Intestines which slide into another section of the intestine; also known as intussusception
Risks of the bowel resection
Like any other surgery, bowel resection also carries its own risks just as any other form of surgery. Some of the common risks of bowel resection are –
- Adverse reaction to anesthesia
- Heart attacks or strokes during the operation
- Excessive bleeding among others
Specific risks for large and small bowel resections are mentioned as follows:
- Small bowel resection: Certain common risks include accumulation of pus in the abdomen, internal bleeding within the intestine after surgery, diarrhea, infection of the incision area and the stitched area breaking open among others
- Large bowel resection: In this case, tissues protruding through the cut causing an incisional hernia is the most common element of risk. Nearby organs may be damaged as well; scar tissue, problems with the passage of material within the colon among others are some of the other complications.
However, these issues occur rarely and resections are performed very successfully and quite regularly by surgeons.
If you wish to discuss about any specific problem, you can consult the doctor and ask a free question.
My daughter is 30 years n suffering pod since 16 years she has put on weight 120 kgs lost all her hair become dark. What is the best solution for this cure is there operation that can b done.
The word 'surgery' is often dreaded by most patients. Be it an invasive oral surgery or a keyhole gallbladder surgery, it does not evoke a ready 'yes' in most patients. There are too many patients who are ready to be on long-term medications if they could to avoid the surgery and its complications. While there could be swelling, bruising, tingling and many other symptoms, the one feared by most is the postoperative pain. What happens after the effect of the anesthetic wears off can leave many patients in a very anxious and fearful state. The trick is to prepare oneself not just for the surgery but for the after effects.
Before the surgery, a detailed discussion with the doctor on the following is very important:
- List of medications: Complete list of medications include supplements so that the medications used during and after surgery to avoid any potential drug interactions
- Type and severity of the pain: This will help you anticipate and be prepared for the pain after the surgery.
- Pain tolerance/threshold: Letting your doctor know your tolerance levels can help them prescribe an appropriate pain killer
After the surgery, the following are some ways to cope with the pain:
- Pain killers - Don't wait for the anesthesia effect to completely wear out. Take the painkiller much before the pain starts so that the onset of pain is delayed or nullified. For severe cases, opioids may be used to manage immediate postoperative pain. However, in most cases, non-steroidal anti-inflammatories like ibuprofen are used. They may also be used up to a few days after surgery to ease the pain and inflammation, depending on the type of surgery.
- Topical creams/lotions - In cases involving skin incisions, these help reduce the pain in the skin along the incision.
- Compression stockings - In addition to reducing blood clot, they also reduce pain in the legs.
- Physiotherapy - If there is a joint involved, doing physiotherapy after surgery is extremely beneficial. In addition to reducing pain, they also help improve mobility.
- Sleep - Sufficient sleep (more than you normally would) promotes healing and helps your ability to cope with the pain.
- Heating pads and ice packs - If these are your regular remedies for pain, feel free to use them even in postsurgical pains.
- Reduce Stress - This will help you cope better with the pain and heal faster.
A given patient and a given surgery are a unique combination. No two patients will react the same way to a particular surgery. Postsurgical pain can be managed very effectively with a little planning.
Reasons You Must Consider Gynecologic Laparoscopy
An alternative form of surgery, gynecologic laparoscopy uses an instrument known as laparoscope to view the inside of your pelvic area. In comparison to conventional open surgery, wherein large incisions are made, this surgical procedure involves smaller cuts or incisions being made, leading to smaller scars and quicker recovery. This technology also enables a medical professional to easily see as well as identify health issues.
Why is the procedure performed?
Depending on individual cases, laparoscopy can be opted for treatment, diagnosis or both. It can be used for the following scenarios like:
- Diagnosis and treatment of endometriosis (a condition wherein the tissue that lines your uterus develops outside it)
- Removal of scar tissue and ovarian cyst
- To take care of ectopic pregnancy in which an embryo places itself outside the uterus
- Used to perform female sterilization (a surgical procedure on the fallopian tubes to put a stop to future pregnancy)
- Used to perform oophorectomy (removal of the ovaries through surgery) or hysterectomy (removal of the uterus through surgery)
- To investigate cancer-related instances like lymph nodes
In addition to these reasons, laparoscopy may also be recommended in cases such as pain in the abdomen or difficulty in getting pregnant. At the same time, certain gynecologic conditions may require open surgery. It's best to consult an expert before taking any decision.
What happens after the reason is identified?
Once the reason is identified, a biopsy of your tissue may be taken during the procedure. This is done to identify the kinds of cell and whether they are cancerous or non-cancerous. Many a time, biopsies are also performed to identify certain conditions like endometriosis.
I have fell down from bike I had lite scratches on my body What food I have to eat to recover early. Please guide me what should i do?
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 would like to consult with me privately, please click on'consult.
Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, 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. 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. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis.
Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight-loss surgeries.
Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection
Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery!
If you would like to consult with me privately, please click on 'Consult'.