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Dr. Mangesh Pate

Pediatrician, Thane

Dr. Mangesh Pate Pediatrician, Thane
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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.
More about Dr. Mangesh Pate
Dr. Mangesh Pate is an experienced Pediatrician in Kaushalya Medical Foundation Trust Hospital, Thane. You can visit him at Aastha Hospital in Kaushalya Medical Foundation Trust Hospital, Thane. Book an appointment online with Dr. Mangesh Pate on Lybrate.com.

Lybrate.com has a number of highly qualified Pediatricians in India. You will find Pediatricians with more than 25 years of experience on Lybrate.com. Find the best Pediatricians online in Thane. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Tata Lane, Off Manpada Road. Dombivali, Landmark: Opposite Manav Kalyan, ThaneThane Get Directions
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Know All About Gynae Laparoscopy Surgery

Panchkula & Delhi
Mother and Child Care, Panchkula
Know All About Gynae Laparoscopy Surgery

Q1. What exactly is Laparoscopy?

Laparoscopy is an alternative to 'Open' surgery wherein the abdomen is opened by tiny 'key hole' incisions and surgery is done. 'Scopy' means the use of an endoscope or telescope to see inside the abdomen. This is attached to a camera and a light source and the inside of the abdomen is projected on to a monitor. The surgeon performs surgery looking at this screen. The surgeon makes a total of 2-4 small cuts on the abdomen ranging from half to 1 cm through which the telescope and other thin surgical instruments are passed into the abdomen. When the uterus is removed , known as hysterectomy, there is also a cut at the top of the vagina where the uterus is attached.

Q2. What kind of gynaecological surgeries can be performed by Laparoscopy?

Most surgeries done in gynaecology can now be performed by Laparoscopy and do not require the large incision as for open surgery. Laparoscopy can be done sometimes only for diagnosis and is called Diagnostic Laparoscopy, as in checking whether the tubes are open or not and to look for any causes of infertility or pain outside the uterus. In women who are unable to conceive, Diagnostic Laparoscopy is often combined with Hysteroscopy (endoscope inside the uterus, inserted from below, via the vagina). When laparoscopy is done to perform some surgical procedure inside the abdomen it is called Operative Laparoscopy. This may be for simple procedures like sterilization, minor adhesions, drilling ovaries; or for intermediate or major reasons like fibroids, endometriosis, removal of ovaries or tubes or both or removal of uterus, for staging of cancers or radical surgeries for cancer. However, about 5% of all surgeries including those for cancer or very large tumours may benefit from open surgery.

Q3. Why does an expert surgeon recommend Laparoscopy over Open Surgery?

Laparoscopic surgery has many advantages above open surgery: the incisions are much smaller (open surgery incisions are 8-10 cms long), therefore pain is much less; requirement for pain killers (which can have side-effects like sleepiness, impaired judgement) is lesser; hospital stay is shorter; complications fewer; requirement for blood transfusions infrequent; recovery in terms of physical, emotional and mental state is much better and quicker; return to work is faster with consequent lesser loss of working and earning days. Surgery with laparoscope is more precise because it is magnified view. Further vision is much better because it's like having your eye behind the structure because you can see with the telescope at places where the surgeon's eye cannot reach.

Q4. If the cuts on the abdomen are so small in Laparoscopic surgery, how do you remove the uterus or a large tumour from inside the abdomen?

Quite often if the tumour is not malignant and contains fluid, it is punctured to collapse it into a smaller size. If it is solid, it can be cut into smaller pieces inside the abdomen using a special instrument. The collapsed or cut structures can be removed gently through the 1 cm cut on the abdomen which may be increased a bit if required. After hysterectomy, the uterus can be removed easily from below, through the vagina.

Q5. Will there be much pain or discomfort after Laparoscopic Surgery?

There may be some pain and discomfort in lower abdomen for one day to few days after Laparoscopic surgery but this is much less as compared to open surgery because the incisions on the abdomen are much smaller and there is much less tissue handling inside the abdomen by fine instruments instead of rough, big, gloved hands which can cause tissue injury in open surgery. There may be some pain in the shoulder following laparoscopy. This is not serious and is due to the gas used in the surgery to make space for instruments.

Q6. When can I be discharged from hospital?

Following Diagnostic Laparoscopy or with simple Operative Laparoscopy you can expect to be discharged from hospital latest by the morning after surgery. In most other cases of intermediate or even major surgery, discharge is generally 1-2 days following the surgery unless there is some health issues prior to the surgery or any complication during the surgery. The complication rates for Laparoscopic surgery are not more than for open surgery and depend upon patient factors like anaemia, diabetes, obesity and skill of the surgeon.

Q7. When can I perform routine household activities or return to work after Laparoscopic Surgery?

Recovery after surgery depends upon many factors: presence of health problems before surgery; why the surgery is required; what surgery is being done; problems or complications of surgery, anaesthesia or blood transfusions. If all is well, one can perform routine household activities by 1 week, provided one doesn't feel tired. Although there may not be any harm, it may be unwise to be normally active within 48 hours of procedure. Following Diagnostic Laparoscopy or Operative Laparoscopy for simple procedures, one can return to work in 1 week. For other procedures, a 2-3 week off from work is reasonable. It depends on the type of work you are returning to. Avoid too rapid return to work if it is manually hard or requires standing for long durations of time. Sometimes a surgical procedure brings on a well needed rest and break from a lifetime of work. Mostly, when you return to work depends upon your own body and its signals of tiredness. You need to listen to those signals.

4326 people found this helpful

Does your toothpaste really changes your tooth colour???

MDS - Orthodontics, BDS
Dentist,
Does any one in the world wants a yellow teeth? or
Any one in the world does'nt want a white teeth?
These are the two wishes makes the tooth paste business as number one in the world.
Every one should know why there are so many shades of teeth.
Does a yellow teeth means ugly teeth.
The colour of your teeth is an optical phenomenon. It depends on the thickness of the enamel. The inner layer of the tooth is called dentin, which is yellow in colour. If the overlying enamel is thin the colour of dentin is visible through the enamel giving the tooth yellow colour. If the enamel is thick the underlying dentin is not visible so tooth appears white. The whiteness of tooth depends on the thickness of enamel. Genetic also plays a role. Usually a fair complexioned person will have yellow shade and a dark complexioned person will have white shade.
So the colour of your teeth is not going to be changed permanently by your tooth paste.
Yellow or white teeth keep it clean.
17 people found this helpful

MD - Paediatrics, MBBS
Pediatrician, Faridabad
On birthday, children should give gifts to their,grandparents and the needy one,so that they can learn the art of giving, sharing and loving mankind.
11 people found this helpful

Hi , My daughter is 15 months old, she is 9.6 kgs wt, she is not at all eating anything . She even not drinking water. Pls suggest me what to do.

BHMS
Homeopath, Greater Noida
Hi ,
My daughter is 15 months old, she is 9.6 kgs wt, she is not at all eating anything
.
She even not drinking water...
U have to take proper and regular treatment in homoeopathy. Some medicine as abrotanum 200 and Alfa Alfa malt has good result in such cases and tell her past and present history of disease or at delivery time if she has any complications and please attach her pic if possible
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My baby is 2 months old he regularly vomit out all milk through mouth and nose after milk feeding.

C.S.C, D.C.H, M.B.B.S
General Physician,
My baby is 2 months old he regularly vomit out all milk through mouth and nose after milk feeding.
It is normal possetting seen in all infants and you need to burp properly and put the babe on right side a after feed.
2 people found this helpful
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My one year old kid is going for motions daily four times like water for three days what should I do.

MD - Paediatrics, MBBS
Pediatrician, Tumkur
My one year old kid is going for motions daily four times like water for three days what should I do.
He may be having gastroenteritis. Give zn 20 syrup 5 ml daily for 10 days and ors liberally in sips.
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I have a eight months old baby I have been giving him food in plastic bowls is it ok or should other material should be used like steel or glass and can MELAMINE bowls be used.

MD - Paediatrics, MBBS
Pediatrician, Jaipur
I have a eight months old baby I have been giving him food in plastic bowls is it ok or should other material should ...
Better avoid serving food in plasic cotainers which are lined by BFA which is potentially harmful to human. Glass,ceramic,metal utensils are best for helth.
1 person found this helpful
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Can polio drops be given to a child of 1.5 years who is recently have surgery for tof?

MD - Paediatrics
Pediatrician, Ranchi
Yeah sure. There is no relation between the surgical repair of tetralogy of fallot and polio vaccination. In fact any vaccination can be done.
1 person found this helpful
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Hi my 2month baby is always sleeping bum above I mean she is sleeping ulta is there any problem.

MD - Paediatrics
Pediatrician,
Hi my 2month baby is always sleeping bum above I mean she is sleeping ulta is there any problem.
It is called supine sleeping. Try to avoid this. Let the baby sleep in prone position or in sideways with left arm side down and right arm side up.
4 people found this helpful
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My question is about my daughter, now she is 3 year 3 month old, yesterday she was good but by evening suddenly she suffer from fever & her body temperature increase up to 104.6 F in just half an hour. After giving medicine paracetamol (crocin) & bath with cold water. Her temperature decrease up to 99 to 100F in 3 /4 hour times. Now she is fine. I want to know the reason for such fever which come suddenly with high temperature to normal kids.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My question is about my daughter, now she is 3 year 3 month old, yesterday she was good but by evening suddenly she s...
It is not clear whether temp remained 99 to 100 or it has come to normal and for how long it remained normal. Watch now how long hours/ days temp remains normal. There are many resons for fever which is beyond the scope over here to mention.
2 people found this helpful
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MD , Peditrics
Pediatrician, Ahmedabad
Give exclusive breast milk till six months of age to your child avoid bottle feeding it may lead to so many complications such as it may lead to diarrhea sepsis dental problems ear infection chances of aspirations so and on
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Hi, My daughter is 5 years & 6 months old, suffering from fever since last 3 hours and headache. I am from bangalore. She had taken breakfast in the morning. Little cold and cough.

FIAP(NEONATE), MD - Paediatrics
Pediatrician, Ahmedabad
Hi, My daughter is 5 years & 6 months old, suffering from fever since last 3 hours and headache. I am from bangalore....
Hii From the information you have provided,looks like your daughter is suffering from a viral infection which can be managed by paracetamol. Usually it will take a few days to resolve. In case she develops some new symptoms kindly consult a paediatrician. Warm Regards.
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I have a 1 year old baby girl with ASD problem of heart. It is possible to cure ASD problem please help me out.

M.D PEADIATRICS, MBBS
Pediatrician, Pune
I have a 1 year old baby girl with ASD problem of heart. It is possible to cure ASD problem please help me out.
Asd needs to b operated. Its not a major open surgery. Doctor puts a catheter through femoral vein & introduces small balloon like device at asd site, once its in place balloon is inflated to close the asd. Your child will b fine.
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MBBS, Diploma in Child Health
Pediatrician, Hyderabad
You can protect your baby's skin from the development of a skin disease called eczema and from dryness, by applying a fragrance-free, hypoallergenic moisturizing lotion after bathing her.
1 person found this helpful

My son 14 years old. Very thin and looks weak while as he is very active physically and mentally. My issue is with his height just 4.7' and weight 33 kgs. For the last three years, am running here n there for his improvement. But wasted money and time. Will you advise me?

Diploma in Child Health (DCH), MBBS
Pediatrician, Mumbai
Hi lybtrate user, looking at the history it seems there is no need to worry. There are still few years to catch up with his height. If parents height is good, he will surely gain good height.
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My son who is 5 years gets lot of burps and has gas. Occasionally complaints of stomach pain. Any home remedy please.

MD - Paediatrics
Pediatrician, Kolkata
Gas formation may be due to maldigestion of some particular food item. Its best to avoid such identified food items. If not possible them digestive enzymes or simethicone after foods might help.
1 person found this helpful
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MD - Paediatrics
Pediatrician, Rewa
Winter is coming, keep babys warm.
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I am 4 yrs old female. I have Eosinophilic fasciitis from last 3 months. What should i do?

BHMS
Homeopath, Faridabad
Hello.Eosinophilic fasciitis is a rare disease that leads to inflammation and thickening of the skin and fascia underneath. In patients with eosinophilic fasciitis, the involved fascia is inflamed with the eosinophil type of white blood cells. This leads to symptoms of progressive thickening and often redness, warmth, and hardness of the skin surface.Meet your physician in person for the proper treatment.
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