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Dr. Nitin Jha - General Surgeon, Noida

Dr. Nitin Jha

89 (19 ratings)
FAIS, FIAGES, MS - General Surgery, MBBS

General Surgeon, Noida

19 Years Experience  ·  600 - 800 at clinic  ·  ₹300 online
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
Dr. Nitin Jha 89% (19 ratings) FAIS, FIAGES, MS - General Surgery, MBBS General Surgeon, Noida
19 Years Experience  ·  600 - 800 at clinic  ·  ₹300 online
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Acidity occurs when the gastric glands produce a large amount of acid, more than what is needed f...

Acidity occurs when the gastric glands produce a large amount of acid, more than what is needed for the digestion process. Few common symptoms include - difficulty in swallowing,indigestion,restlessness and so on. There are few simple changes that we can make in our daily living in order to avoid such problems.

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Hernia: Types, symptoms and treatment<br/><br/>Yeah! Hi, I m Dr. Nitin Jha, I m a senior consulta...

Hernia: Types, symptoms and treatment

Yeah! Hi, I’m Dr. Nitin Jha, I’m a senior consultant laparoscopic surgeon at Fortis hospital, Noida and I also have a clinic in sector 61 Noida which goes by the name of Agarwal Clinic and today we’ll be discussing about Hernia.

By Hernia we mean that there is a small gap in the muscle of the abdomen wall and through this gap there is a protrusion of the contents which are inside of the abdomen like small intestine or the, even large intestine or the omentum fat and which tries to come out of this hole and as long as they go out and then they come back it’s okay. But the day it gets stuck, you know if you have a swelling in which the swelling refuses to go in, that means it is like an emergency then you have to immediately go to the hospital and get it operated upon.

Now, what is the cause, the basic cause of any hernia is, the weakness in the muscle wall and it can be even sometimes without any cause. That is called as Idiopathic. Now, there are basically there are three types of common hernia that we all encounter. The one is the Inguinal Hernia which are present in the lower part of the abdomen on the left as well as on the right side. Then you have our Umbilical hernia which is a hernia in the umbilicus itself, so that in the umbilicus instead of being a pit it becomes a elevated out pouching and then you have something called Incisional hernia in which after any surgery in the abdomen you can have a small bulge occurring from that incision side which is called basically insicional hernia. So be it any type of hernia the treatment is always surgical only. In contents, the usually, the intestine, the small ball, the large ball or the omentum fat can be the content of the hernia.

Now, What is the problem? Why to get it operated? As long as, as I told you, as long as it comes out and then goes back in, it is okay. But the day it refuses to go back in, that means it has become a bit complicated hernia. It starts with irreducibility, matlab, it doesn’t go back inside. Then there is something called as obstruction in which the intestine gets stuck in that pouch and it causes obstruction of the intestine. That is obstruction to the flow of the contents of the intestine. In that case the abdomen becomes bloated, the patient is not able to pass gas or motion from below and he or she can have a continuous vomiting from up. So, and obviously if the time goes on like this because of a decrease in blood supply of the intestine, the intestine can sometimes become strangulated. In that case it is an emergency and we have to immediately go to the surgeon and get it operated upon because if we give it more time the intestines can lose its blood supply and then we have to do a proper, major, big surgery. In which we have to cut the caught part of the intestine and rejoin the normal part. So, obviously we should definitely avoid this kind of circumstances which increases the cost also and plus it increases the morbidity, the trouble to the patient also.

Talking about surgery we initially had only open surgery, in which a small cut almost of this size used to be given whether it was inguinal or umbilical or incisional, but it had its own problems. The issue was, with open surgery, was you had to have a big incision on the belly. Then the bigger the incision the more the pain. The bigger the incision the more the chances of infection. But usually now we don’t do it by open surgery. We do it by something called laparoscopic surgery, in which there are almost two or three small, small holes of the size of around 5 millimeter or 1 centimeter and through, without cutting open the abdomen, through these small, small holes only the whole surgery is done. So the advantage is the patient becomes alright much faster. He needs to stay in the hospital for lesser number of time. He can be back to his work probably in three to four days. But as the thing is you know is any good thing is costly. Similarly the laparoscopic surgery is costly because the mess and the things which are required to fix the mess to the abdominal wall are costly. But if you compare between these two methods, laparoscopic surgery is far, far, far better than open surgery.

My specialty is doing the same surgery which is usually done by all other laparoscopic surgeons by three or four small, small cuts, I do it by only one single cut. So, especially with a uncomplicated simple hernia of the anteroapical wall, be it incisional or be it umbilical or super umbilical hernias which is commonly referred as ventral hernia. They are done by single incision only. That means I just put a small cut almost of this size around 1 to 1.5 centimeters size in the left part of the abdomen and through this same incision we conduct the whole surgery. So, the patient has not three small cuts but only one small cut. That’s the advantage of single incision laparoscopic surgery. So, you can consult me at my clinic in

So, you can consult me at my clinic in sector 61 Noida, Agarwal Clinic C122 and, otherwise you can also meet me in Fortis hospital Noida. Plus you can take an appointment via Lybrate and we’ll be glad to discuss your problems, thank you.

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<br/>Hi, I m Dr Nitin Shah. I m a senior consultant at Fortis hospital, Noida. I m a laparoscopic...


Hi, I’m Dr Nitin Shah. I’m a senior consultant at Fortis hospital, Noida. I’m a laparoscopic surgeon. I do all sorts of abdomen surgeries. Today we are going to be talking about the gallbladder disease, in which there are stones formed in the gallbladder. We need to understand that patients can initially be absolutely asymptomatic. The patient can have no pain or any discomfort. Many times it is detected by routine health examinations when the patient undergoes an ultra sound of the abdomen.

The initial stages after asymptomatic, the patient starts having little bloating in the abdomen which is commonly referred as gas and acidity. So people have a tendency of neglecting it and keep on taking some antacid or pantocid or Digene and this kind of stuff to suppress the symptoms. So after dyspepsia, the patient starts having pain in the abdomen. This pain can initially very simple pain. It can even progress into severe pain. It starts usually in the pre-gastric region, upper abdomen and goes to the back. This is very typical of a bilicuric and increases after any fatty meal like any extra oily friend. This kind of stuff when we eat, the patient has more pain and then depending on the severity of the inflammation, even patients are known to have pus in the gallbladder, thereby, increasing the mobility of the disease.

Some stones can slip from the gallbladder into the bile duct thereby obstructing the bile duct and producing something that is called obstructive jaundice. In which the patient has severe pain and has visible jaundice also. These stones not only block the bile duct but also can block the pancreas duct thereby causing something called as gall stone pancreatic. So, this is another very severe problem. As we all know, gall bladder cancer is quite common these days. In 4% of the cases, the gall stones are the causes of gallbladder cancer. So, for a simple disease like a gall bladder stone, if not treated at the immediate time this can land up into very very severe problems. now once the diagnosis is confirmed it is a simple surgery called as lap coly cystectomy in which we remove the gallbladder in very small three to four cuts that is called the laparoscopic surgery. The same surgery was previously done with a big cut that’s called the laparotomy, cutting open the whole abdomen and then removing the gall bladder. Now it is done by three or four small cuts. In fact, my specialization is getting the same surgery done by a single incision in the ablycus. In which there is one cut in the navel and no cut anywhere else in the abdomen and hence the surgical cut is hardly seen. Probably, even after two months, the surgeon will also not be able to make out whether any surgery is done on the patient or not. The scar is hardly seen and it is very cleverly hidden in the ablycus.

So, for any further information or any question that you want to ask I am available at lybrate.

You can log onto lybrate or even text me or video chat with me on lybrate and I will be more than happy to clear all your doubts regarding any surgical disease and help you in the best way I can.

 

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Personal Statement

Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nitin Jha
Dr. Nitin Jha is a popular General Surgeon in Sector-64, Noida. He has been a practicing General Surgeon for 16 years. He is a FAIS, FIAGES, MS - General Surgery, MBBS. He is currently practising at Fortis Hospital Noida in Sector-64, Noida. Book an appointment online with Dr. Nitin Jha on Lybrate.com.

Lybrate.com has a number of highly qualified General Surgeons in India. You will find General Surgeons with more than 25 years of experience on Lybrate.com. You can find General Surgeons online in Noida and Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Info

Education
FAIS - ASI - 2013
FIAGES - IAGES - 2011
MS - General Surgery - Nagpur University - 2005
...more
MBBS - Pune University - 2000
Languages spoken
English
Hindi
Professional Memberships
SAGES
AMASI
IAGES

Location

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Laparoscopic Gastro-Surgery Clinic

First Floor Shop No-19, Amrapali Crystal home, Shopping Arcade, Near North Eye Tower, Sector-76Noida Get Directions
  4.5  (19 ratings)
600 at clinic
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Agarwal Clinic

C-122, Behind Shopprix Mall, Sec-61Noida Get Directions
  4.5  (19 ratings)
600 at clinic
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Fortis Hospital - Noida

B - 22, Sector 62, Gautam Buddh NagarNoida Get Directions
  4.3  (486 ratings)
800 at clinic
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Laparoscopic Surgeries - All You Need To Know About Them!

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Laparoscopic Surgeries - All You Need To Know About Them!

There are many kinds of conditions and symptoms that require different kinds of surgery for treatment as well as diagnostic management. One such procedure is called a laparoscopy or the laparoscopic surgery. This is a surgical diagnostic management procedure that is known to be a low risk process with minimal invasion and suitable for various types of ailments.

Read on to know everything about laparoscopic surgeries:

  • Definition: A laparoscopic surgery is one where small incisions are made and an instrument called a laparoscope is used in order to take a look at the organs in the abdominal region. This tool is a long tube shaped one that comes with its own high intensity light and a high resolution camera that can easily move along the walls of the organs while the camera sends back imagery that will be displayed on a video screen in front of the doctor. This avoids the need for an open surgery and helps the doctors in getting samples for a biopsy on an outpatient basis.
  • Need for Laparoscopy: This procedure is performed when the patient complains of persistent pain that is also sharp and shooting, in the abdomen region and surrounding areas like the pelvic cavity. This non-invasive method helps in diagnosis where other imaging methods like an ultrasound and CT or MRI scans would have failed to give a conclusive reason for the pain and suffering of the patient. When these tests do not supply enough reason for proper diagnosis, then the doctors usually resort to this kind of procedure.
  • The Organs it can be used for: The laparoscopic surgery can be used for many organs including the appendix as well as the gall bladder, the pelvic region and the reproductive organs, the small and large intestines, the spleen, the stomach, the liver and the pancreas.
  • What all can it Detect: The laparoscopic surgery can help in detecting a number of issues including any abnormal growth or mass that may be a tumour. It can also point at the presence of any disease in the liver, as well as the proper functioning of certain treatments. Also, it can show the amount of fluid that may or may not be present in the abdominal cavity and the extent of cancer's progression in the body.
  • Risks: There are a few side effects or risks of this method including fever, chills, swelling, bleeding or redness of the site where the incision was made for the surgery, and shortness of breath. All these symptoms must be reported to the doctor immediately as they may point at the presence of an infection. Also, there is a risk of organ damage in this procedure.

Laparoscopy - How Is It Beneficial In Gallstone Surgery?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Laparoscopy - How Is It Beneficial In Gallstone Surgery?

Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.

Gallstones are common among women, especially those who are 40 years and more. Obesitydiabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.

Laparoscopy to remove the gallstones

  • While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
  • General anesthesia is given to the patients before the surgery.
  • The surgeon makes 3-4 small incisions in the abdomen.
  • The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
  • In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
  • Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
  • Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
  • With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
  • The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
  • The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
  • In case complications arise during the surgery, the surgeon may have to switch onto an open surgery. 

Types Of Weight Loss Surgery - Know More!

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Types Of Weight Loss Surgery - Know More!

Obesity is unarguably one of the most regularly discussed topics around the world. A major section of the world's population is suffering from a variety of obesity related problems. There are a number of natural methods to check obesity; however, several medical surgeries are gaining popularity among the masses with instant results to reduce weight.

Here is a list of the most common types of weight loss surgeries:

1. Gastric sleeve surgery: This surgery is performed where removal of a large part of the stomach takes place. A long pouch is created, which connects the small intestine with the oesophagus. The pouch gets stapled and after that the other parts of the stomach are reduced. In some cases, an additional step is taken for reinforcement of the staple line.

Gastric sleeve reduces the size of the stomach and a patient will feel full after eating lesser amount of food. Because a portion of the stomach is reduced, lesser amount of hunger causing hormones are produced. The patient will therefore feel less hungry.

2. Gastric bypass surgery: This is another effective weight loss surgery, which reduces the patient's stomach size, resulting in reduced appetite. The intestines are rearranged, which makes the body absorb fewer minerals. While performing this surgery, the stomach is cut and stapled to create a pouch. 

The remaining stomach is attached to the small intestine's top portion, and the small intestine is cut and attached to the pouch as well. After this, the end portion of the small intestine is connected with the non-pouch part of the stomach and is attached to the roux limb bottom. This makes the stomach's digestive juices to meet the food present in the intestines.

3. Duodenal switch: This surgery reduces the stomach size in patients, which leads to decreased appetite or craving for food. Fewer hormones, which cause hunger, are secreted and the rearrangement of the intestine causes the body to absorb minimal minerals or calories.

A part of the stomach is removed and a pouch is created. The small intestine's top portion is cut off, but the duodenum is kept attached to the stomach. The small intestines are cut, and the part attached to the large intestine called colon is connected with the duodenum. Finally, the loose end of the small intestine gets attached to the small intestine to enable digestive juices to mix with food.

4. Lap band surgery: By this surgery, a band is wrapped around the upper middle section of the stomach which squeezes the stomach. Thus a smaller section of the stomach is created above the band which fills up very quickly while having food. The patient feels full by eating less. A laparoscopic adjustable gastric band is used.

There are many different weight loss surgeries. Most of them aim at reducing the capacity of the stomach, so that the person eats less food.

2594 people found this helpful

Types of Hernia - Can Laproscopy Be Of Any Help?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Types of Hernia - Can Laproscopy Be Of Any Help?

Laparoscopy surgery is a very vital component of the hernia repair. Studies have shown that many patients have a better outcome when they opt for laparoscopic surgery. Candidates eligible for this mode of surgery include those with bilateral inguinal hernias, ventral hernias, and recurrent hernia. People associated with athletics and other outdoor sports prefer to go for a laparoscopic hernia surgery as it ensures a speedy recovery and minimal tissue invasion (due to small incisions).

Laparoscopic hernia repair- inguinal
A laparoscopic surgery requires an incision of 1-2 cm at the belly (at the lower end). Two small punctures are done near the umbilicus. The punctures are done to make room for the cameras so that the surgeon is able to view the abdomen clearly. The smaller incisions allows the operating instrument to enter into the stomach.

The Procedure:
A balloon is placed in between the abdomen and the overlying muscle so that the peritoneum can be separated. When space is successfully made, the camera comes into the action to view the condition of a hernia. A hernia is pulled from its hole into the abdomen. Once the hole is detected, the defect of a hernia is fixed.

Laparoscopic hernia repair- incisional/ventral: Laparoscopic hernia repair is suitable for all types of a hernia such as an umbilical hernia, ventral hernia, recurrent umbilical hernia, epigastric hernia etc. Just like an inguinal hernia, A camera is placed into the abdomen through the muscles. Two small incisions are made for the operating instruments to get through. This is followed by the cutting of the tissue that is placed between a hernia and the intestine. The hole thus gets exposed. Through one of the laparoscopic ports, the hernia mesh gets rolled and is placed into the abdomen. A hernia is then pulled up and the mesh gets secured with 4 sutures. A special device is used to fix the healthy muscle.

Tension free repair: “Tension free” repair is often used to symbolize hernia surgery. A hernia is often triggered by the weakened muscles. Few surgeons endeavors to sew the muscle around the area of a hernia. Since the muscles surrounding the hernia are weak in the first place, they pull apart causing a recurrence of a hernia. To avoid this, most surgeons use a mesh to strengthen the cells around the hernia region. This procedure ensures that the muscles aren’t sewn but the mesh placed over the hole can prevent the muscle to push through the walls of the abdomen.

The use of mesh: There are some reservations about using the mesh in a hernia surgery. However, this is the safest and most appropriate way to perform a hernia laparoscopic surgery. The use of a mesh also negates the risk of open incisions and recurrence of a hernia.

Bariatric Surgery - Things To Know!

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Bariatric Surgery - Things To Know!

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 disease, diabetes and more. While there are many ways to combat being overweight with the help of exercise, 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 re route 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. n with us. 
 

2652 people found this helpful

How To Prevent Constipation After Back Surgery?

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
How To Prevent Constipation After Back Surgery?

For people recovering from a back surgery, constipation is quite common and causes discomfort or pain. There are several aspects of a back surgery which may lead to constipation. They include anaesthesia, changes in diet, stress and the use of some pain relieving medicines.

Symptoms:

  1. The symptoms of constipation are:
  2. Pain and bloating in the abdomen.
  3. Nausea and vomiting.
  4. Hard stools and the inability of bowel movement.

Ways to prevent constipation:

Here are several simple ways by which you can prevent or minimize pain or discomfort due to constipation after a back surgery.

  1. You should increase your daily activities as early as possible after a back surgery. You should walk regularly.
  2. You must reduce the use of narcotic medicines and use only what is needed for controlling pain. Narcotic medicines slow bowel movement and cause constipation. Use non-narcotic pain relieving medicines to prevent constipation.
  3. You can use fiber laxatives, stool softeners or combination products after a back surgery to prevent constipation.
  4. Drinking a lot of water and non caffeinated fluids is very important. You should also have apple cider juice and prune juice, which are effective natural laxatives.
  5. You should eat natural fiber-rich food for intestinal stimulation. These include whole grains, cereals, fresh fruits and vegetables. It is best to avoid cheese, meat and processed food. Instead of large meals, you must have frequent, small meals throughout the day.

Medicines for constipation:

Non prescription medicines can be taken for preventing or treating constipation after a back surgery.

Here is a list of some effective medicines that relieve constipation:

  1. Bulk fiber laxatives, which add bulk to stool and encourage water to stay in the colon. These medicines need up to three days to show effect.
  2. Stool softeners or emollient laxatives help in softening stool by making fluids mix with them.
  3. Stimulant laxatives take action by stimulation of bowel contractions for moving stool out. They are effective and start working very quickly.
  4. Combination laxatives perform the functions of laxatives and stool softeners together.
  5. Suppositories also perform the dual function of stool softening and acting as laxatives. The colon gets contracted, and stool is pushed out and as the stool gets softer, it can pass easily.
  6. Enemas perform the function of bowel movement stimulation. Liquids are injected into the rectum, up into the colon. This stimulates the colon, and stool is passed.

Constipation occurs commonly in patients after undergoing a back surgery. This may cause utter discomfort and pain. You should take proper precautions and remedies in case of constipation after a back surgery.

2541 people found this helpful

Acidity And Gastric Problem

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Play video

Acidity occurs when the gastric glands produce a large amount of acid, more than what is needed for the digestion process. Few common symptoms include - difficulty in swallowing,indigestion,restlessness and so on. There are few simple changes that we can make in our daily living in order to avoid such problems.

2953 people found this helpful

Myths And Facts About Laparoscopy

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Myths And Facts About Laparoscopy

Laparoscopy is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few.

It 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.

Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

  1. Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy: The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.
  2. Myth: If you're overweight or underweight, you can't undergo a laparoscopy: No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.
  3. Myth: The images taken through a laparoscope are of poor quality: This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

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.

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

2960 people found this helpful

Weight Loss Surgery - 4 Types Of It!

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Weight Loss Surgery - 4 Types Of It!

Obesity is unarguably one of the most regularly discussed topics around the world. A major section of the world's population is suffering from a variety of obesity related problems. There are a number of natural methods to check obesity; however, several medical surgeries are gaining popularity among the masses with instant results to reduce weight.

Here is a list of the most common types of weight loss surgeries:

1. Gastric sleeve surgery: This surgery is performed where removal of a large part of the stomach takes place. A long pouch is created, which connects the small intestine with the oesophagus. The pouch gets stapled and after that the other parts of the stomach are reduced. In some cases, an additional step is taken for reinforcement of the staple line.

Gastric sleeve reduces the size of the stomach and a patient will feel full after eating lesser amount of food. Because a portion of the stomach is reduced, lesser amount of hunger causing hormones are produced. The patient will therefore feel less hungry.

2. Gastric bypass surgery: This is another effective weight loss surgery, which reduces the patient's stomach size, resulting in reduced appetite. The intestines are rearranged, which makes the body absorb fewer minerals. While performing this surgery, the stomach is cut and stapled to create a pouch. 

The remaining stomach is attached to the small intestine's top portion, and the small intestine is cut and attached to the pouch as well. After this, the end portion of the small intestine is connected with the non-pouch part of the stomach and is attached to the roux limb bottom. This makes the stomach's digestive juices to meet the food present in the intestines.

3. Duodenal switch: This surgery reduces the stomach size in patients, which leads to decreased appetite or craving for food. Fewer hormones, which cause hunger, are secreted and the rearrangement of the intestine causes the body to absorb minimal minerals or calories.

A part of the stomach is removed and a pouch is created. The small intestine's top portion is cut off, but the duodenum is kept attached to the stomach. The small intestines are cut, and the part attached to the large intestine called colon is connected with the duodenum. Finally, the loose end of the small intestine gets attached to the small intestine to enable digestive juices to mix with food.

4. Lap band surgery: By this surgery, a band is wrapped around the upper middle section of the stomach which squeezes the stomach. Thus a smaller section of the stomach is created above the band which fills up very quickly while having food. The patient feels full by eating less. A laparoscopic adjustable gastric band is used.

There are many different weight loss surgeries. Most of them aim at reducing the capacity of the stomach, so that the person eats less food.

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Self-Care After Cholecystectomy Surgery

FAIS, FIAGES, MS - General Surgery, MBBS
General Surgeon, Noida
Self-Care After Cholecystectomy Surgery

These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to the removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.

Although it is a less vital organ, the body can cope up even after removal.

Procedure of surgery:

  1. The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
  2. A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
  3. Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
  4. Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
  5. In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.

Complications after gallbladder surgery:

This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.

Types of gallstones:

There are three main types of gallstones. They are

  1. Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
  2. Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
  3. Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.

Medical factors to consider before cholecystectomy:

The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.

Self-care after the surgery:

Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week.

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

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