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Dr. Shriniwas Deshpande  - General Surgeon, Pune

Dr. Shriniwas Deshpande

91 (947 ratings)
MS - General Surgery

General Surgeon, Pune

26 Years Experience  ·  500 - 1500 at clinic
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Dr. Shriniwas Deshpande 91% (947 ratings) MS - General Surgery General Surgeon, Pune
26 Years Experience  ·  500 - 1500 at clinic
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More about Dr. Shriniwas Deshpande
He is been declared by the World Association of Laparoscopic Surgeons WALS as the Top Gun Topper amongst the Surgeons and Gynaecologists gathered for The Minimal Access Surgery DMAS for the Objective Skills and Clinical in April 2017. He has successfully completed the Robotic Training on the state of the Art da Vinci Surgical Robot of Intuitive Surgical USA at the World Laparoscopic Hospital, New Delhi. The foundations of his microsurgical skills are established at Ganga Microsurgery Training Institute, Department of Plastic and Microsurgery at Ganga Hospital Coimbatore. He is the Life Member of Indian Association of Surgical Gastroenterology IASG Life Member of Association of Surgeons of India ASI Active Member of The Society for Surgery of The Alimentary Tract SSAT USA Life Member of Indian Chapter of International HepatoPancreatoBiliary Association IHPBA Life Member of Association of Minimal Access Surgeons of India AMASI Life Member of Society of Endoscopic and Laparoscopic Surgeons of India SELSI Life Member of Indian Association of Gastrointestinal Endo Surgeons IAGES Life Member of World Association of Laparoscopic Surgeons WALS Life Member of Society of Gastrointestinal Endoscopy Of India SGEI Life Member of Indian Medical Association IMA He has Fellowships and Diploma in Minimal Invasive Surgery and GI Endoscopy FMAS by ( AMASI ) Association of Minimal Access Surgeons of India FIAGES by ( IAGES ) Indian Association of Gastrointestinal Endo Surgeons EFIAGES by ( IAGES ) Indian Association of Gastrointestinal Endo Surgeons FMAS DMAS by ( WALS ) World Association of Laparoscopic Surgeons He has formal medical education from renowned Medical School, Dr. Vaishampayan Memorial Medical College, Solapur. During the medical education, he has held the First rank at the I MBBS examination conducted by Shivaji University He has won reputed RHH Goheen Scholarship and Indumati Gopal Apte Scholarship. After completion of Masters in General Surgery, he had focused & rigorous Short term training at All India Institute of Medical Sciences AIIMS New Delhi, in the Department of Gastrointestinal surgery and Liver transplantation. He has completed the Basic Laparoscopic Surgical Training at AIIMS Minimal Invasive surgical Training Centre, New Delhi. He has completed the Short term training in first AIIMS Laparoscopic Cad Workshop in the Department of Surgical Disciplines at All India Institute of Medical Sciences AIIMS New Delhi. He has participated in the tenth Certificate Course in Hepato-Pancreato-Biliary Surgery under the Auspices of Indian Chapter of Hepato-Pancreato-Biliary Association organized by Department of Surgical Gastroenterology, Seth GS Medical College & KEM Hospital, Mumbai. He has participated in Comprehensive Laparoscopic Surgery Course Conducted by ceMAST, Mumbai. He has participated in the Comprehensive training Programme in Basic Laparoscopic course Conducted by Gem Institute of Laparoscopy and Gastroenterology at Gem Hospital and Research Centre, Coimbatore. He has participated in Surgical Gastroenterology Week at SGPGI Lucknow. He has successfully completed the Advanced Training Course in the Minimal Invasive Surgery conducted by MISTI reviewed and Accreditated by Centre for Accreditation, The Tamilnadu Dr. MGR Medical University, Tamilnadu. He has moderated the session on da Vinci Robotic Surgery conducted by Prof. Guilionotti, Italy, at AMASICON conference at AIIMS, New Delhi and has participated in the International Satellite meet for Liver transplantation conducted by SGEI. He has participation in the online CMEs with Accredited Educational Sessions conducted by Laparoscopic training center of IRCAD Websurg, France, earlier affiliated to the McMaster University. now affiliated to EACCME European Accreditation Council for Continuing Medical Education. and participation in CMEs conducted by Society for Surgery of the Alimentary Tract. SSAT USA. Presently he is panel consultant surgeon at various reputed hospitals in the Pune city. ​

Info

Education
MS - General Surgery - Dr. Vaishampayan Memorial Medical College, Solapur - 1993
Languages spoken
English
Hindi
Marathi
Awards and Recognitions
FMAS By AMASI
EFIAGES By IAGES
Top Gun
...more
FIAGES By IAGES
FMAS DMAS By WALS
Professional Memberships
IASG Life Member of Indian Association of Surgical Gastroenterology
Association of Surgeons of India
Association of Minimal Access Surgeons of India (AMASI)
...more
IHPBA
World Association of Laparoscopic Surgeons (WALS)
Indian Medical Association (IMA)
SELSI
SSAT Society of Surgery For Alimentary Tract USA
Indian Association of Surgical Gastroenterology
Indian Association of Gastroendo Surgeons
SGEI

Location

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Samarth Clinic

Off Bhandarkar road, Near Kamala Nehru Garden, Herekar Building, Rajyog, B3, First floor, ErandwanePune Get Directions
  4.6  (947 ratings)
500 at clinic
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Samarth GI Surgery clinic

Samarth Clinic, Near Bhandarkar road, Herekar Park building, B3, First floor, Rajyog, next to Kamala Nehru Garden, ErandwanePune Get Directions
  4.6  (947 ratings)
1500 at clinic
...more
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Hernia - Knowing The Types & Role Of Laproscopy!

MS - General Surgery
General Surgeon, Pune
Hernia - Knowing The Types & Role Of Laproscopy!

Laparoscopy surgery is the modern approach to the hernia repair. Studies have demonstrated rapid recovery, less pain, small incisions and early return to work as the benefits of laparoscopic surgery approach. Patient who is fit for General anaesthesia can undergo laparoscopic surgery if not contraindicated otherwise. Candidates for this approach of surgery are the ones who have bilateral inguinal hernias, ventral incisional hernia, umbilical hernia, Paraumbilical hernia and those with recurrence.

Laparoscopic hernia repair- inguinal

A laparoscopic surgery requires an incision of 1-2 cm near the belly button. Small telescope is passed inside the tissue plane. A tiny camera is attached to the near end and large images of the part being operated are seen on the monitor. Few other small punctures are done to pass operating instruments inside. Those operating instruments have a very tiny diameter.

The Procedure:

Camera and telescope unit help in visualising the part and the operating instruments help in doing the actual surgery. Initially the proper space is created. Hernial defect is delineated and the weakness is protected by covering the defect with an inert mesh. Use of the mesh ensures tension-free repair. This mesh reinforces the weak part of the abdominal wall muscles and acts as scaffolding for future deposition of fibrosis by healing process.

Same principle applies to various other types of hernia. The only difference being the type and the size of the mesh used and the quality of the mesh desired for the particular type. Cost of the mesh differs as per the type of the mesh and fixation device required.

Fixation of the mesh is done using either by suturing techniques or various other fixation devices. Rapid recovery, less pain, early return to work and tiny incisions are the advantages of laparoscopic hernia surgery. While the need for general anaesthesia, discomfort of occasional seroma formation, discomfort of transfacial sutures, increased cost and operating time are the downsides.

Cases been reported in whom mesh removal was needed as well. Hernia needs surgery for its repair. Open hernia repair and laparoscopic hernia repair are the two options available. The patient should choose the option by having a full discussion with his surgeon. Presently more and more patients are choosing laparoscopic hernia repair approach for many advantages this technique offers.

3358 people found this helpful

Hy sir Mujhe kuch din se piles ki prblm h or bhut dard bhi hota h and blood bhi aata h And hmesha constipation ki prblm rhti h.

MS - General Surgery
General Surgeon, Pune
Hy sir
Mujhe kuch din se piles ki prblm h or bhut dard bhi hota h and blood bhi aata h And hmesha constipation ki prb...
Most of the issues related to piles arise due to constipation, hard motion and straining at stools. Increase dietary fibres like eating more of carrots, cucumber and green leafy vegetables. Get examined by a surgeon to assess the need for surgery. Fissure in another is generally associated with pain and other problems you have narrated. It is an issue which can be solved easily.
2 people found this helpful

Hi, I have a sexual problem I think. Because 6 years back I got hernia disease. After that it is very difficult for me to carry on into sexual relationship. Please reply.

MS - General Surgery
General Surgeon, Pune
Hi, I have a sexual problem I think. Because 6 years back I got hernia disease. After that it is very difficult for m...
Hernia surgery need not cause any sexual issue. Generally Sexual problems arise due to psychological issues like stress, anxiety, depression or physical issues like diabetes mellitus, Anemia, spinal problems or nerve or blood supply issues. Consult a surgeon and clinical psychologist and get examined and further evaluated.

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.

3114 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
3117 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.

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
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