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Samarth Clinic, Pune

Samarth Clinic

  4.5  (944 ratings)

General Surgeon Clinic

Off Bhandarkar road, Near Kamala Nehru Garden, Herekar Building, Rajyog, B3, First floor, Erandwane Pune
1 Doctor · ₹500 · 2 Reviews
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Samarth Clinic   4.5  (944 ratings) General Surgeon Clinic Off Bhandarkar road, Near Kamala Nehru Garden, Herekar Building, Rajyog, B3, First floor, Erandwane Pune
1 Doctor · ₹500 · 2 Reviews
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About

By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have place......more
By combining excellent care with a state-of-the-art facility we strive to provide you with quality health care. We thank you for your interest in our services and the trust you have placed in us.
More about Samarth Clinic
Samarth Clinic is known for housing experienced General Surgeons. Dr. Shriniwas Deshpande, a well-reputed General Surgeon, practices in Pune. Visit this medical health centre for General Surgeons recommended by 97 patients.

Timings

MON-SUN
12:00 PM - 04:30 PM

Location

Off Bhandarkar road, Near Kamala Nehru Garden, Herekar Building, Rajyog, B3, First floor, Erandwane
Deccan Gymkhana Pune, Maharashtra - 411004
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Doctor in Samarth Clinic

Dr. Shriniwas Deshpande

MS - General Surgery
General Surgeon
Book appointment and get ₹125 LybrateCash (Lybrate Wallet) after your visit
90%  (944 ratings)
25 Years experience
500 at clinic
Unavailable today
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Patient Review Highlights

"Professional" 4 reviews "Prompt" 4 reviews "Well-reasoned" 11 reviews "Helped me impr..." 2 reviews "Practical" 3 reviews "Thorough" 3 reviews "knowledgeable" 27 reviews "Sensible" 4 reviews "Caring" 4 reviews "Very helpful" 45 reviews "Inspiring" 6 reviews

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How Anal Fistula Can Be Treated?

MS - General Surgery
General Surgeon, Pune
How Anal Fistula Can Be Treated?

An anal fistula, is also called as fistula- in -ano, it is a small channel that develops between the end of the large intestine called the anal canal and the skin near the anus. This is a painful condition, especially when the patient is passing stools. It can also cause bleeding and discharge during defecation.

Genesis of fistula-in-ano
Almost all anal fistulae occur due to an anorectal abscess that begins as an infection in one of the anal glands. This infection spreads down to the skin around the anus causing fistula-in -ano. The anorectal abscess usually leads to pain and swelling around the anus, along with fever. Treatment for anorectal abscess involves incising the skin over the abscess to drain the pus. This is done usually under local anesthesia. A fistula-in-ano happens when there is failure of the anorectal abscess wound to heal completely. Almost 50% of patients with an abscess go on to develop a chronic fistula-in-ano.

Symptoms

  1. Pain- Constant pain which gets worse when sitting down
  2. Irritation around the anus, like swelling, redness and tenderness
  3. Discharge of blood or pus
  4. Constipation or pain while evacuation
  5. Fever

Diagnosis
A clinical evaluation, including a digital rectal examination under anesthesia, is carried out to diagnose anal fistula. However, few patients may be advised screening for rectal cancer, sexually transmitted diseases and diverticular disease.

Treatment
The only cure for an anal fistula is surgery. The type of surgery will depend on the position of the anal fistula. Most patients are treated by simply laying open the fistula tract to flush out pus, called Fistulotomy. This type is used in 85-95% of cases and the fistula tract heals after one to two months.

  1. Seton techniques: A seton is a piece of thread (silk, plastic) which is left in the fistula tract to treat anal fissures. This is used if a patient is at high risk of developing incontinence after fistulotomy.
  2. Advancement flap procedures: When the fistula is considered complex, carrying a high risk of incontinence, then this advanced technique is used.

Other techniques like Fibrin glue and Bioprosthetic plug are also used to surgically treat anal fistulas. In the Fibrin glue technique, glue is injected into the fistula to seal the tract, after which the opening is stitch closed. Bioprosthetic plug is a cone shaped plug made from human tissue, which is used to block the internal opening of the fistula. After this stitches are used to keep the plug in place. 

Whatever the surgical technique, one can experience minor changes incontinence. Patients usually don’t require antibiotics after surgery but have to take pain medication. They may also have to use gauze to soak up drainage from anus. After surgery, patients should seek help if they have increased pain or swelling, heavy bleeding, difficulty in urination, high temperature, nausea or constipation.

3113 people found this helpful

How And Why Are Gallstones Formed?

MS - General Surgery
General Surgeon, Pune
How And Why Are Gallstones Formed?

How and why are gallstones formed?

The bile in your body contains enough chemicals to dissolve cholesterol excreted by your liver. In case your liver starts excreting more cholesterol than your bile has the capability to dissolve, the excess cholesterol crystallizes and forms stones. Bile may become concentrated if the gallbladder doesn't empty in the time leading to the formation of gallstones. A number of factors can increase the risks of formation of gallstones like:

  •  High cholesterol
  •  Being obese/overweight
  •  Being an American Indian or Mexican American
  •  Being female
  •  Falling in the age group of 60 or above
  •  A family history of gallstones
  •  Rapid weight loss
  •  Diabetes
  •  Consumption of cholesterol-lowering medications
  •  When should you consider undergoing surgery?

In some cases gallstones that are detected during ct scan or ultrasound (without any symptoms) don't require surgery. If you do not feel aggravating pain in your upper right abdomen or other signs and symptoms, then one can postpone the surgical process according to the need. In few instances, it has been seen that small and solitary gallstones can be dissolved with oral medication like ursodiol and chenodiol. However, you need to opt for surgery to remove the gallbladder necessarily in the following cases-

  •  Sudden inflammation or infection in the gallbladder
  •  If you experience recurring instances of intense pain due to the gallstones
  •  Certain growths known as polyps develop in your gallbladder which is larger than 1 cm in size and begin to give rise to numerous symptoms.
  •  If you have pancreatitis, which is a condition involving inflammation of pancreas due to gallstones
  •  If the wall of your gallbladder gets calcified
  •  Your immune system is damaged
  •  You are experiencing symptoms and your gallbladder has ceased to function
1216 people found this helpful

What kind of exercise can I do within two months after an inguinal hernia operation?

MS - General Surgery
General Surgeon, Pune
Best is to avoid any exercise which increases intraabdominal pressure for six to eight weeks post surgery.
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How To Prepare Yourself For A Surgery?

MS - General Surgery
General Surgeon, Pune
How To Prepare Yourself For A Surgery?

How to prepare yourself for a surgery?

The thought of undergoing a major surgery worries most people as they stress about the possible surgical complications, outcomes of the procedure or just get scared with the idea of getting an incision. But, following a few simple steps before the surgery may enable you to not only lessen your fears but also accelerate the recovery process.

Here are some of the most effective tips to prepare yourself in a way that ensures a stress-free surgical procedure.

1. Acquire knowledge about the surgery beforehand
Keep yourself thoroughly informed about the surgical procedures you will undergo. Ask your surgeon about the time required for complete recovery, your stay at the hospital, hygiene standards of the hospital etc. Also, talk about the surgical complications that you may experience and the measures to be taken from your side to deal with them.

2. Inform the doctor about your prevalent health issues
Talk to your doctor if you are suffering from any medical conditions currently like diabetes, hypertension, heart disease, arthritis etc. Also inform him if you are under any kind of medications or allergic to any particular drug.

3. Enquire about the types of anaesthesia available
Knowing about your anaesthesia choices always help you prepare better for an operation. While some surgery requires specific types of anaesthesia for other you can decide whether you want a local, regional or general anaesthesia. Local anaesthesia is used for affecting a small area while the regional one is used for numbing a larger part and general, your entire body.

4. Be prepared to deal with the post-surgery pain
You might experience post-surgery pain depending on the type of procedure followed. Ask your doctor for suggestions on the type of medicines you should do to curb this pain. Generally, most doctors recommend drugs, hot or cold therapy, massage etc.

5. Look for a caregiver in advance
You will require some support and care after the surgery while you recover. Seek the help of your family and friends in this regard and ensure that someone can stay with you for at least a day after you return from the hospital.

6. Follow the pre and post surgery instructions given by the doctor
Follow all the instructions given by the doctor regarding the kind of diet to be followed, restriction from consuming certain things like alcohol or any other lifestyle changes required to keep you healthy before and after the surgery.
 

3070 people found this helpful

Laparoscopic Surgery - 5 Facts About It!

MS - General Surgery
General Surgeon, Pune
Laparoscopic Surgery - 5 Facts About It!

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.

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

2598 people found this helpful

Appendectomy (Appendix Surgery) - How To Prepare For It?

MS - General Surgery
General Surgeon, Pune
Appendectomy (Appendix Surgery) - How To Prepare For It?

How to prepare for an appendectomy

Appendectomy is the medical term for the surgery that is performed to remove the inflamed appendix (a condition that is known as appendicitis). This surgical treatment is mostly performed on an emergency basis.

But before you move on to know how to prepare for the surgery, it's important why it is important to get a surgery for appendicitis done?


What exactly is appendicitis?

Appendicitis is a medical condition in which the appendix (that is the worm-shaped projection which arises out of the beginning of the colon) gets inflamed.

The major cause of appendicitis is that the tissues of the appendix become infected with bacterial action that results in the formation of pus in the lumen (opening) of the appendix. Factors that can trigger bacterial infection are a hard stool, attack by a foreign body, and accumulation of thick mucus in the appendix tissues among others.

Appendicitis results in aching and acute pain in the abdominal region of the affected person. In many people, it is accompanied by complications like vomiting, nausea, fever, loss of appetite, constipation, abdominal swelling etc. In more severe cases, it is accompanied by diarrhoea.


Appendicitis usually requires an emergency surgery. However, there are some things you need to do before going for the surgery.

Preparations to undertake before surgery

In most cases, appendectomy is an emergency surgery so there are hardly any preparations that a patient can make. The most common preparatory measure that your surgeon may prescribe includes not eating anything up till a few hours before the surgery. Apart from that, certain medications may be prescribed to eliminate or at best reduce the symptoms of nausea and vomiting. There are no other preparations as such that you can undertake before appendectomy.

Recovery period

The recovery time is subjective as it depends on the type of procedure used for the surgery, the type of anaesthesia and the various complications associated with your condition. In general cases, the patients can recover within 12 hours of the surgery. However, it takes approximately 4-6 weeks for a person to resume a normal lifestyle after an appendectomy. In case you have a concern or query you can always consult an expert & get answers to your questions!

2916 people found this helpful

Hi Sir, According to laparoscopy & hsg report my wife affected by one tube blocked, another unicornuate spillways but ostin found. Sir my question is pregnancy. How is it possible very soon although near about 10 years no pregnancy comes.

MS - General Surgery
General Surgeon, Pune
Hi Sir, According to laparoscopy & hsg report my wife affected by one tube blocked, another unicornuate spillways but...
Even a Single patent (normal) tube with healthy uterus and ovary is sufficient for the pregnancy. It is generally in the ampullary part of the tube the ovum get fertilized by the sperm. This fertilized ovum then housed in the healthy endometrium of the uterus leading to the growth of the fetus. Gynecologists do laparoscopy and HSG to find out the patency of the tube. So they form important investigations in case of infertility. Apart from these, there are many factors on which pregnancy occurs. Both partners from the couple are generally evaluated simultaneously to detect and treat the problems so as to have the earliest results.
1 person found this helpful
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I am having moderate phimosis but having no problems with it. Can it be cured by stretching for years? N if no problems then I don't need surgery right?

MS - General Surgery
General Surgeon, Pune
I am having moderate phimosis but having no problems with it. Can it be cured by stretching for years? N if no proble...
Yes. That's right. If you can retract the prepuce. You are less likely to need surgery. Keep the corona clean to avoid infection.
1 person found this helpful
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