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Dr. Nitin Pawar - General Surgeon, Pune

Dr. Nitin Pawar

MBBS, MS - General Surgery

General Surgeon, Pune

25 Years Experience  ·  200 - 300 at clinic  ·  ₹300 online
Dr. Nitin Pawar MBBS, MS - General Surgery General Surgeon, Pune
25 Years Experience  ·  200 - 300 at clinic  ·  ₹300 online
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Personal Statement

I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning....more
I pride myself in attending local and statewide seminars to stay current with the latest techniques, and treatment planning.
More about Dr. Nitin Pawar
Practising in pawar multispeciality Hospital a 50 beds Hosp in Balajinagar Dhankawdi Pune as General, cancer and laparoscopic surgeon

Info

Education
MBBS - B.J. Medical College Pune - 1993
MS - General Surgery - B.J. Medical College Pune - 1995
Languages spoken
English
Hindi
Professional Memberships
Indian Medical Association (IMA)

Location

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Suraj Hospital

Survey No. 588 B/4, 1st Floor, Bibvewadi Kondhwa Road, Bibvewadi, LandMark : Opposite Gangadham Ganesh Market, PunePune Get Directions
200 at clinic
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Pawar Hospital

No.49/22, Balaji Nagar, Off Pune Satara Road, Landmark : Behind Ellora PalacePune Get Directions
300 at clinic
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Ulcerative Surgery - What Should you Know

MBBS, MS - General Surgery
General Surgeon, Pune
Ulcerative Surgery - What Should you Know

What Is Ulcerative Colitis?
Ulcerative colitis is a chronic, inflammatory condition of the colon and the rectum. It affects the mucosal lining of the large intestine (colon) and the rectum. The rectum is present just above the anus.
In this condition, patients have ulcers and abscesses in their colon and rectum.

Symptoms are seen periodically. The symptoms are severe pain in the abdomen, blood in stools and diarrhea. Anemia is seen due to decreased healthy red blood cells as a consequence of bleeding in stools.

When is surgery required?

  • The colon has ruptured
  • There is extensive bleeding
  • The treatment results in severe side effects affecting the patient's health
  • Drug therapy fails to provide results
  • When it progresses to colon cancer
  • Surgery for Ulcerative colitis

There are 2 types of surgeries:

  1. Colectomy: Surgery performed to remove the entire colon
  2. Proctocolectomy: Surgery is conducted to remove both the colon and rectum. It is considered as the standard treatment for ulcerative colitis.

Procedures for the surgery

  1. Ileostomy: The entire colon and rectum are removed and the surgeon creates an opening or stoma in the abdominal wall particularly below the waist. Stoma allows waste from the intestines to exit the body. The tip of the lower small intestine is brought through the stoma. An external bag, or pouch, is attached to the stoma. This is called a permanent ileostomy. Stools pass through this opening and collect in the pouch. The pouch must be worn at all times. Before an ileostomy, the surgeon will perform a proctocolectomy. They will perform the ileostomy in the hospital, and the patient receives a general anesthesia.
  2. Ileal Pouch Anal Anastomosis (IPAA): This is also called a J-pouch. This is a procedure that does not require a permanent stoma. The patient is still able to eliminate stool through the anus. A pouch is constructed at the end of the ileum and attached to the anus. This is called a J- pouch. As with the ileostomy, the patient will need a proctocolectomy before an IPAA. An IPAA is done in a hospital, and the patient will receive a general anesthesia.

Side-effects
Some people experience incontinence after the surgery. Medications may help control the function of the pouch.
Some women may become infertile after the procedure.

Recovery after Surgery
Both sets of the procedure will require a four-to-six-week recovery period.

  1. Keep your diet healthy: A healthy diet is essential because good nutrition can help the body heal faster and help avoid post-operation health issues. Absorption of nutrients can be an issue after these surgeries, so eating well will help in maintaining the proper level of nutrients.
  2. Keep yourself hydrated: Hydration is important for overall health, especially for the digestive health. Drinking six to eight glasses of water per day is recommended.
  3. Manage your stress: Anxiety or emotional stress can cause stomach issues, which can aggravate the complaint.
1 person found this helpful

Piles - How It Can Be Diagnosed The Right Way?

MBBS, MS - General Surgery
General Surgeon, Pune
Piles - How It Can Be Diagnosed The Right Way?

Piles or haemorrhoids are swollen veins in the rectum or anus. They can have a lot of possible causes, but the exact reason is still unknown. The one most common reason that researchers cite is the excessive straining during bowel movement and increased pressure on the veins during pregnancy. Some of the common signs of this condition include discomfort, bleeding, and itching. A clot can be witnessed occasionally. There could be swelling around the anus as well.

How is piles diagnosed?
Doctors often recognize this condition just by doing a physical exam of the rectum. By lubricating the glove and inserting a finger into the rectum, a doctor can gauge any unusual growth around the rectum area. A doctor might also use a sigmoidoscopy or a proctoscopy to witness the lower portion of the colon. Apart from this, a doctor might prescribe a colonoscopy, if he fathoms that there is a possibility of colorectal cancer or a disease related to the digestive system.

Treatment of piles

  1. Medication: In case of mild discomfort, a doctor might prescribe over-the-counter pads, ointments, creams or suppositories. Products such as these contain lidocaine, witch hazel or hydrocortisone that can relieve a person from itching and pain. One should stop consuming over-the-counter medicine, if there is no change in the condition.
  2. Haemorrhoid thrombectomy: If a clot has appeared along with a pile in the rectum, a doctor can remove it by making an incision and draining the clot. This can fetch instant relief. The best time to do this is within 72 hours of clot formation.
  3. Minimally invasive procedures: 
    • Rubber band litigation: This form of surgery involves placing of a couple of rubber band at the base of the piles to cut off blood circulation. In due course, the haemorrhoids fall off. Although this form of treatment works for many people, the patient has the risk of bleeding within few days of placing the rubber band.
    • Sclerotherapy: This form of treatment involves injecting a chemical into the haemorrhoid. The chemical shrinks the piles within few days. There is hardly any pain involved with sclerotherapy.
  4. Surgical procedure:
    • Haemorrhoidectomy: This is the process by which a surgeon eradicates the excess tissue that might be causing the piles. The patient is sedated before performing this procedure. Some amount of pain is experienced after the procedure is over. The temporary difficulty of urination can be faced by a patient after this procedure.
    • Stapled hemorrhoidopexy: This surgery is only performed for internal haemorrhoids. The process involves blocking the blood supply. The process of stapling has less pain compared to a Haemorrhoidectomy. On the flip side, studies have shown that this procedure has an increased chance of recurrence of haemorrhoids.

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

2814 people found this helpful

Tumor Biopsy: Things To Know!

MBBS, MS - General Surgery
General Surgeon, Pune
Tumor Biopsy: Things To Know!

A procedure done to remove a piece of tissue from your body so that it can be analyzed in a laboratory is termed as 'biopsy'.

A biopsy is done to determine whether you have cancer or some other condition. They help to differentiate cancerous cells from noncancerous cells.

It is performed by a surgeon, interventional radiologist, or an interventional cardiologist.

Types of biopsy procedures

  1. Bone Marrow biopsy.
  2. Bone marrow is the spongy material inside some of your larger bones where blood cells are produced.
  3. This biopsy is done if the doctor suspects cancer to have originated in or travelled to your bone marrow.
  4. Bone marrow biopsy is done to diagnose leukemia, lymphoma and multiple myeloma.
  5. A bone marrow biopsy detects cancers that started elsewhere and traveled to the bone marrow.

Endoscopic biopsy

  1. During endoscopy, your doctor uses a thin, flexible tube (endoscope) with a light on the end to see structures inside your body. It has a close-focusing telescope on the end for viewing.
  2. To analyze cells of a tissue, special tools are passed through the tube.
  3. Tubes are inserted through your mouth, rectum, urinary tract or a small incision in your skin.
  4. Examples: Cystoscopy to collect tissue from inside your bladder, bronchoscopy to get tissue from inside your lung and colonoscopy to collect tissue from inside your colon.

Needle biopsy

  1. During a needle biopsy, the doctor uses a special needle to extract cells from a suspicious area.
  2. A needle biopsy is often used on tumors that the doctor can feel through your skin, such as suspicious breast lumps and enlarged lymph nodes.

Needle biopsy procedures include:

  1. Fine-needle aspiration
  2. Core needle biopsy
  3. Vacuum-assisted biopsy

Skin biopsy
A skin (cutaneous) biopsy removes cells from the surface of your body. A skin biopsy is used to diagnose skin conditions, including melanoma and other cancers. The type of skin biopsy to be done depends on the type of cancer suspected.

Skin biopsy procedures include:

  1. Shave biopsy- The doctor uses a tool similar to a razor to scrape the surface of your skin.
  2. Punch biopsy- The doctor uses a circular tool to remove a small section of your skin's deeper layers.
  3. Incisional biopsy- The doctor uses a scalpel to remove a small area of skin.
  4. Excisional biopsy- The doctor removes an entire lump

You receive a local anesthetic to numb the biopsy site before the procedure.

Biopsy analysis and results
A biopsy guides the doctor to determine cancer's grade. The grade is sometimes expressed as a number on a scale of 1 to 4 and is determined by how cancer cells look under the microscope.

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

2657 people found this helpful

Tips To Deal With Abdominal Laproscopy!

MBBS, MS - General Surgery
General Surgeon, Pune
Tips To Deal With Abdominal Laproscopy!

Laparoscopy is a diagnostic procedure used to view inside of abdominal organs.

How to deal with it?

Before laparoscopy

  • You have to be mentally prepared. You have to stop taking all the supplements, aspirin as it will act as a blood thinner which can give risk to haemorrhage.
  • Take any relative/ friend to accompany you on the day of surgery and 24 hours after surgery. This person must be known one with whom you are comfortable who can take care of you, regarding medicines or to take you to the washroom, dressing.
  • Prepare your food prior and keep before surgery.
  • Do not wear silk as it will irritate the wound.
  • Always keep your location clean with clean sheets, pillow, and analgesics.

Before pre-operative appointment

  • You can ask your doctor what questions you have in your mind.
  • Ask your doctor regarding details of analgesic prescription and fill up form before the procedure is done.
  • Ask whether enema is required or whether shaving is required on a part where surgery is to be done.
  • Ask your doctor if you can receive video-tape of the procedure so that patient can view the whole laparoscopic procedure.

On the day of laparoscopy:

  1. Wear loose clothing.
  2. Avoid wearing makeup, body lotions, and deodorant.
  3. Remove watch, earrings, and bracelet.
  4. When you reach the hospital, relax.
  5. Don’t go into anxiety.

After The Surgery

  1. When you go home after surgery sleep and lie down for 24 hours, since your abdominal muscles will be tensed for few days.
  2. Splinting your belly is necessary. This can be done by hugging your pillow at the abdomen or put an abdominal binder around abdomen. Do not sit upright until and unless wound heals as it is a fresh cut. Likewise, avoid wearing tight clothes which put pressure on the abdomen. You will have to hold a pillow while sneezing or coughing as the abdomen is very tender.
  3. There will be shoulder pain for some days. Try keeping heat pad to relieve pain.
  4. Eat light slowly starting with liquids than solids.
  5. Drink 2 litres of water and fibre-rich diet to avoid constipation as anaesthesia and analgesics can cause constipation after surgery.
  6. To get out of bed, first turn sideways take your feet out sit up using arm and then stand.
  7. Avoid getting into the sexual relationship for certain period until bleeding stops after laparoscopy.
  8. Avoid taking bath for a week after surgery.
  9. Apply vitamin E to the scar after surgery as it promotes faster healing.
  10. Keep moving after 2 hours as it will reduce gas pain.It takes a week to recover, but if any signs, like fever or a discharge is seen, immediately contact your doctor.
  11. Strictly avoid wearing nylon clothes after surgery as it will cause a lot of irritation to the patient.
  12. Trust yourself and take much of rest for faster healing.

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

2745 people found this helpful