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Overview

Atrial Septal Defect: Treatment, Procedure, Cost and Side Effects

What is the treatment?

How is the treatment done?

Atrial Septal Defect (ASD) refers to a hole in between the atria or the upper two chambers of the heart. It is a congenital heart defect where the two chambers are separated by a wall or septum which prevents the flow of blood from one chamber to the other. If not treated at the right time, ASD may lead to heart failure, high blood pressure, pulmonary hypertension, and a shorter life span. The most common form of ASD is Ostium Secundum comprising 6-10% of heart diseases at birth. This results from an enlarged foramen ovale, growth of the septum secundum, or absorption of the septum primum. Factors like genetic disorder, chromosome abnormality often result in heart ailment.

Common symptoms of ASD include fatigue, sweating, rapid breathing or breathlessness, poor growth, frequent respiratory infections, tiredness or lethargy. If diagnosed with ASD the following treatment methods are used: Echocardiogram- sound waves are used to produce video image of the heart which allows the doctor to have a look at the condition of your heart and its pumping strength; Electrocardiogram (ECG)- records the electrical activity and rhythm of your heart; chest X-ray- produces image to show the condition of your heart and lungs; Cardiac catheterization- the doctor diagnoses congenital heart defect by inserting a catheter into your blood vessel to test how well your heart and the valves are functioning; Magnetic Resonance Imaging (MRI)- if ECG fails to detect ASD an MRI is used where magnetic field and radio waves create 3D images of your heart and other organs or tissues within your body; Computerized Tomography (CT) Scan- a series of X-ray create a detailed image of your heart, thereby detecting ASD.

Who is eligible for the treatment? (When is the treatment done?)

If a person is diagnosed with symptoms of Atrial Septal Defect (ASD), the doctor usually recommends regular and frequent monitoring to see if the condition improves by itself. Various tests need to be performed to determine the condition of the disease. Depending on the health condition of the patient, necessary medications are prescribed.

Although medications do not function effectively in closing the hole in your heart, they may be helpful in reducing the complications at the time of a surgery. Certain medications like beta blockers help to keep your heartbeat regular, while anticoagulants reduce the risk of blood clots.

In most cases where children suffer from ASD, doctors recommend a surgery in order to prevent complication or risk at a later age. The two main types of surgeries considered appropriate are: Cardiac catheterization- a thin tube known as a catheter is inserted into the blood vessel in the groin or arm making its way to the heart. Through this catheter a plug is placed to close the hole. The heart tissue grows around the plug, permanently closing the hole; Open-heart surgery- during this surgery the patient has to be given anesthesia. The surgeon uses patches to seal the hole through an incision in the chest.

Who is not eligible for the treatment?

Atrial Sepal Defect (ASD) is a congenital heart disease which often results from genetic disorder and chromosome abnormality. Children or adults showing symptoms of ASD such as lethargy, fatigue, breathlessness, palpitation etc are eligible for the treatment.

Are there any side effects?

People who do not show symptoms of Atrial Septal Defect, are not eligible for the treatment.

What are the post-treatment guidelines?

Atrial Septal Defect often lead to some side effects: Pulmonary hypertension- excessive blood flow to your lungs increases the pressure of blood in the lung arteries; Eisenmenger syndrome- this occurs when pulmonary hypertension lead to permanent lung damage and usually occurs over a period of time. Other side effects include shorter life span, stroke, right-sided heart failure, and heart rhythm abnormality.

How long does it take to recover?

There are no fixed guidelines to after the treatment. The doctor usually recommends certain medication, healthy diet and rest for at least a few weeks. Some physical exercises or activities may also be prescribed keeping in mind the patients’ health condition.

What is the price of the treatment in India?

Recovery from Atrial Septal Defect surgery usually takes a few weeks keeping in mind the physical fitness and health condition of the patient. During this course of time, doctors recommend necessary medication and some sort of physical activity to keep your body active.

What are the alternatives to the treatment?

A surgery performed to treat Atrial Septal Defect normally yields permanent results. However, the surgery may lead to a few side effects or complications like pulmonary hypertension and eisenmenger syndrome.

Safety: Disease Effectiveness: High Timeliness: Low Relative Risk: Low Side Effects: Medium Time For Recovery: Low Price Range:

Popular Health Tips

Do You Have Atrial Fibrillation - All You Need To Know?

MBBS, Master of Surgery - General Surgery, Magistrar Chirurgiae (Cardio-Thoracic Surgery)
Cardiologist, Faridabad
Do You Have Atrial Fibrillation - All You Need To Know?

Atrial fibrillation is a condition that results in rapid heartbeat leading to heart failure, stroke, and other cardiac complications. In this condition, the upper valves of the heart beat irregularly. Some of the common symptoms of this condition include weakness, heart palpitations and shortness of breath. There could be several episodes of Atrial fibrillation. Although it is not life threatening, there could be serious complications owing to the nature of the condition. Atrial fibrillation can also lead to a condition known as the ischemia.

What are the different types of Atrial fibrillation?

  1. Occasional- This condition is also known as paroxysmal fibrillation. Here the symptoms come and go. For few patients, the symptoms might stay for a few minutes, for others, it can stay up to hours before everything becomes normal again.
  2. Persistent- The beat of the heart does not go back to normal. Medication along with electric shocks might be required to amend the condition.
  3. Long-standing persistent- This is the kind of Atrial fibrillation that can last up to 12 months at stretch.
  4. Permanent- This is the type where the erratic rhythm of the heartbeat can’t be restored. Long term medication is required to fix the condition.

What are the possible causes of Atrial fibrillation?
Some of the possible causes of Atrial fibrillation include Coronary artery disease, sleep apnea, viral infection, lung diseases, exposure to tobacco, caffeine, etc, metabolic imbalance, hyperactive thyroid gland, viral infections, congenital heart defects, stress due to illness, pneumonia and surgery, history of heart surgeries etc.

What are the risk factors for Atrial fibrillation?
Here are some of the common risk factors for this condition:

  1. Age plays a critical role in any cardiac related disorder. The older a person is, the greater are the chances of Atrial fibrillation
  2. High blood pressure along with unhealthy lifestyle can increase the risk of Atrial fibrillation
  3. People with a history of obesity can get this disease
  4. Chronic conditions such as kidney disease, metabolic syndrome, thyroid problems can lead to Atrial fibrillation
  5. People with an existing heart condition such as heart problem, heart palpitation, valve failure, coronary artery disease etc have an increased risk of suffering from Atrial fibrillation.

How is Atrial fibrillation diagnosed?
A doctor might use one of the many tests or diagnostic technique that are available to diagnose this condition:

  1. ECG- This is first but an important test to fathom whether there are any irregularities in the heart beat. The sensor presents in the ECG machine throws heart bit diagram in the form of graphs.
  2. Echocardiogram- This is a technique wherein sound waves are passed through the heart and an image is taken to understand about any possible irregularities. This is a fine test that can readily detect underlying and structural heart diseases.
  3. Blood tests- Blood tests can help to identify any thyroid irregularity or other condition that might lead to Atrial fibrillation. If you wish to discuss about any specific problem, you can consult a Cardiologist.
3147 people found this helpful

Atrial Fibrillation Symptoms, Types and Treatment

MBBS, PG Diploma in Clinical Cardiology, Fellowship in Non invasive cardiology
Cardiologist, Gurgaon
Atrial Fibrillation   Symptoms, Types and Treatment

We all know about the heartbeat, which is produced by the opening and closing of the valves in the heart, which in turn controls our blood flow. There is a regular pattern to this beat, and when, due to various reasons, it becomes irregular, it is known as arrhythmia. Atrial fibrillation, known shortly as AFib, is one of the common types of arrhythmia.

Why AFib: The heart has an electrical impulse system, which controls the opening/closing of its valves. Due to various changes, be it lifestyle, dietary, or regular wear and tear, this electrical system is affected and so the valves do not function properly. This leads to altered rhythm, and when it happens on the right side of the heart, in the valves between the two atria, it is known as atrial fibrillation.

Signs and Symptoms: It is not something which shows up as soon as the onset happens. It is a gradual condition, and many people with AFib may go for months with no symptoms. There could be general symptoms like fatigue and headaches. Gradually, more symptoms like heart palpitations, shortness of breath, dizziness, occasional chest pain, or fainting set in. It is usually when workup for some other disease is being done.

Monitoring the pulse or heartbeat is one of the best ways to keep a check on the condition.

Types: There are different forms of it – paroxysmal, persistent, and permanent. In the first one, there are brief bursts of AFib lasting less than 7 days. With gradual progression, symptoms are more frequent and last longer, converting into persistent AFib, which lasts longer than 7 days. If the condition is longstanding and the doctor (as well as the patient) have decided not to treat it, it is permanent AFib.

Risk Factors: The chances of developing AFib increase with family history, age, obesity, smoking, hyperthyroidism, chronic lung diseases, and sleep apnea.

Living with AFib: It is a longstanding condition, and the following precautions are necessary, which are generally heart-healthy.

  1. Quit Smoking: In addition to the multiple benefits of quitting, managing AFib is one.

  2. Diet Changes: Change to a heart-healthy diet with whole grains, fresh fruits and vegetables, increased fish oils, reduced fat, reduced salt and sugar etc.

  3. Work It Out: Get into an exercise regimen. Discuss with your doctor to identify and agree on the type and level of exercise. This helps manage weight and stress, both essential for controlling AFib.

  4. Manage Alcohol Consumption: Avoid excess consumption of alcoholic beverages. Avoid them completely if they trigger symptoms.

If you have the risk factors for AFib, implementing these changes earlier than the onset of symptoms can help delay progress and reduce severity of the symptoms. If you wish to discuss about any specific problem, you can consult a Cardiologist.

3013 people found this helpful

7 Hidden Atrial Fibrillation Dangers

PGD In Ultraasonography, Non Invasive Cardiology Course, MD - Medicine, MBBS
General Physician, Narnaul
7 Hidden Atrial Fibrillation Dangers

When you are diagnosed with atrial fibrillation, or afib, the most common type of irregular heartbeat, putting your heart back in its proper rhythm is only half the goal. Stroke prevention is the other.

Both objectives require rethinking certain foods and medications that once seemed innocuous and now could be a danger to your health. From common over-the-counter drugs to some of the healthiest vegetables on the planet, here's a list of atrial fibrillation dangers to sidestep.

Caffeine can trigger atrial fibrillation

Chugging cup after cup of coffee may help you stay awake, but too much caffeine can be an atrial fibrillation trigger, causing more frequent episodes of the irregular heartbeat. The same goes for caffeine pills, energy drinks, and other caffeine-containing substances.

" they [energy drinks] have the capacity to make afib worse or more frequent, even in people who have never had afib before" says larry chinitz, md, a cardiologist and professor of medicine at nyu langone medical center in new york city. But, Dr. Chinitz notes, when you have afib, only excessive caffeine intake is a problem, so you can sip a latte here or there without any trouble.

Alcohol can be toxic to your heart

Think twice before you order that next round alcohol and atrial fibrillation can be a dangerous combination. Alcohol in excessive amounts is a depressant to the brain, but a stimulant to the heart. This stimulation can worsen or instigate afib episodes.

" it's also a direct toxin to the heart muscle" chinitz says. Sometimes, heavy drinking over a short period of time can cause episodes of atrial fibrillation in people who have not been previously diagnosed with it, a condition known as holiday heart syndrome.

Cold and allergy medications can trigger afib

For most people, nonprescription medications for stuffy and runny noses are fine, but cold/allergy medicine and atrial fibrillation don't mix well. Use caution when taking these remedies because they could cause more frequent episodes of an irregular heartbeat.

" all medications that are trying to decrease secretions or dilate the airways or lungs are all direct stimulants to the heart" chinitz explains. A few common stimulating over-the-counter (otc) medications to watch out for include actifed (chlorpheniramine and phenylephrine), sudafed (pseudoephedrine), and contac (acetaminophen, chlorpheniramine, and phenylephrine), though others may present the same atrial fibrillation dangers. Talk to your doctor before taking any of these medications if you have afib.

Leafy green vegetables affect blood clotting

Whoever thought that veggies could be bad for you? but as it turns out, some of them can be dangerous if you have atrial fibrillation. If you're on a blood thinner such as warfarin (coumadin, jantoven) for atrial fibrillation to prevent stroke, you should carefully monitor your intake of green leafy vegetables like spinach and kale, which contain high amounts of vitamin k.

Vitamin k can counteract the blood-thinning effects of warfarin, making some veggies atrial fibrillation dangers. But you don't have to give up vitamin k for afib management; the key is to eat about the same amount of k-rich foods every day" you shouldn't have none for a month and then huge amounts over the course of a few days" chinitz says.

Vitamins and herbal supplement cautions

Though otc supplements are often thought of as harmless, some of them can affect atrial fibrillation. Vitamin e, for example, has a blood-thinning effect so if you're on a blood thinner, talk to your doctor before taking it. The same goes for herbal medications that have a stimulant effect, like ma huang (chinese ephedra) and st. John's wort.

Extreme exercise puts a strain on your heart

For most people with atrial fibrillation, moderate exercise isn't a problem and can be beneficial by helping you control your weight and improve your mood. But a few people with afib find that particularly difficult workouts can launch a fibrillation episode" we do caution those people against excessive amounts [of exercise]" chinitz says" but most people's exercise routines are not affected"

If you notice irregular heart rhythms during or just after a workout, talk with your doctor about the best way to proceed so that healthy workouts don't turn into atrial fibrillation dangers.

Stress, anxiety, and depression weigh on the heart

Emotions can play a role in bringing on an atrial fibrillation episode. People with afib who have more severe anxiety and depression symptoms may have more afib episodes than people with less-severe anxiety and depression. To help reduce stress and lower your risk of an afib episode, pay close attention to your emotions and schedule relaxing activities that you enjoy.

If your stress, anxiety, or depression becomes overwhelming, talk to a healthcare professional about ways to lighten your emotional load.

Symptoms, Types and Treatment For Atrial Fibrillation

MD - Cardiology, PG Diploma In Clinical Cardoology
Cardiologist, Rudrapur
Symptoms, Types and Treatment For Atrial Fibrillation

We all know about the heartbeat, which is produced by the opening and closing of the valves in the heart, which in turn controls our blood flow. There is a regular pattern to this beat, and when, due to various reasons, it becomes irregular, it is known as arrhythmia. Atrial fibrillation, known shortly as AFib, is one of the common types of arrhythmia.

Why AFib: The heart has an electrical impulse system, which controls the opening/closing of its valves. Due to various changes, be it lifestyle, dietary, or regular wear and tear, this electrical system is affected and so the valves do not function properly. This leads to altered rhythm, and when it happens on the right side of the heart, in the valves between the two atria, it is known as atrial fibrillation.

Signs and Symptoms: It is not something which shows up as soon as the onset happens. It is a gradual condition, and many people with AFib may go for months with no symptoms. There could be general symptoms like fatigue and headaches. Gradually, more symptoms like heart palpitations, shortness of breath, dizziness, occasional chest pain, or fainting set in. It is usually when workup for some other disease is being done.

Monitoring the pulse or heartbeat is one of the best ways to keep a check on the condition.

Types: There are different forms of it – paroxysmal, persistent, and permanent. In the first one, there are brief bursts of AFib lasting less than 7 days. With gradual progression, symptoms are more frequent and last longer, converting into persistent AFib, which lasts longer than 7 days. If the condition is longstanding and the doctor (as well as the patient) have decided not to treat it, it is permanent AFib.

Risk Factors: The chances of developing AFib increase with family history, age, obesity, smoking, hyperthyroidism, chronic lung diseases, and sleep apnea.

Living with AFib: It is a longstanding condition, and the following precautions are necessary, which are generally heart-healthy.

  1. Quit Smoking: In addition to the multiple benefits of quitting, managing AFib is one.

  2. Diet Changes: Change to a heart-healthy diet with whole grains, fresh fruits and vegetables, increased fish oils, reduced fat, reduced salt and sugar etc.

  3. Work It Out: Get into an exercise regimen. Discuss with your doctor to identify and agree on the type and level of exercise. This helps manage weight and stress, both essential for controlling AFib.

  4. Manage Alcohol Consumption: Avoid excess consumption of alcoholic beverages. Avoid them completely if they trigger symptoms.

If you have the risk factors for AFib, implementing these changes earlier than the onset of symptoms can help delay progress and reduce severity of the symptoms. Consult an Expert & get answers to your questions!

2980 people found this helpful

Defects in Sperm Count

MBBS (Gold Medalist, Hons), MS (Obst and Gynae- Gold Medalist), DNB (Obst and Gynae), Fellow- Reproductive Endocrinology and Infertility (ACOG, USA), FIAOG, MRCOG (London, UK)
Gynaecologist, Kolkata
Defects in Sperm Count
Semen analysis is an indispensable part of evaluation of an infertile couple. But the results of semen analysis often creates confusion. It is accepted that if semen analysis report is normal, male factor is usually said to be normal.

Now what, if abnormality is found. Remember, semen abnormality is very common, even in those who are already having children. Because sperm production takes almost 3 months. So, your current semen analysis reveals your health 3 months ago. If you had fever or any heat exposure to scrotum (may be even tight underwear or hot tub bath) 3 months ago, your today's semen analysis will be abnormal. So, mere abnormality does not draw a conclusion, unless it is severely abnormal.

Now, what we see in semen. There are various parameters. I'm not going into details. But to be simplified, sperm abnormality may be due to two basic reasons. 1) sperms are not produced by the testes in good quantity (amount) or quality (healthy- motility and looking normal). 2) sperms are produced normally by the testes but cannot come in semen due to defect in the sperm-carrying pathway (may cause low count, defective sperm and also low motility).

One important thing is to remember, sperm production has nothing to do with manliness. You may feel absolutely normal with normal sex life but sperm production may be defective. So, first thing is not to feel depressed when the report comes abnormal.

So, whenever we find abnormality, we have to detect the cause. Treatment without detecting thee cause is more likely to fail. So, first thing is- whether sperms are produced or not.

Sperm production may be hampered due to diseases in testes- that may present since birth or may be due to some factors occurring later life. These include undescended testes, chromosomal defect, varicocele, diseases in the body (like tb, diabetes, kidney/ liver disease etc), heat exposure to scrotum, smoking, environmental poisons and even some drugs (including alcohol, marijuana, chemotherapy). These are called" testicular defects. In some cases, testes are normal but cannot produce sperms because of problems in other glands situated in brain (hypothalamus and pituitary). We call them" pre-testicular defects.

Sperm carrying pathway may sometimes get obstructed due to diseases like infection, operations, some genetic defects. These are called" post-testicular or obstructive defects.

In most cases of semen defect, treatment is not needed, as we can bypass the normal pathway and use the sperms produced in semen to make your partner pregnant with your own sperm. In severe cases, we can collect sperms from testes and impregnate your wife. In only very few unfortunate men or who cannot afford costly therapy, only option is donor sperm.

In very few cases of testicular or pre_testicular defects, medicines can help (but in very few cases). In obstructive cases, surgery may be needed to correct the defect. But, often we don't need these treatments as the results are not good and take long time to get the results.

So, why to wait and try doubtful treatments, when your prime aim is to father a baby? just one thing, don't get depressed and talk to doctor, he will find out the cause and give you the best result.
34 people found this helpful

Popular Questions & Answers

Im suffering from asd Atrial septal defect. It is 2.27 to 2.58 cms .it will be cure with device closure or not?

DHMS (Hons.)
Homeopath, Patna
hello, liberate user, it depend upon the severity of individual case, some times surgical intervention might be needed to repair atrial septal defect. the care.

My daughter age 8 months old with congenital heart defect, recently echocardiogram report says ostium secundum atrial septal defect sizes of 0.8mm diameter, left to right shunt. No feeding problem. Is it necessary for open heart surgery to close the hole now at these age?

MD - Paediatrics
Pediatrician, Ranchi
Hello thanks for the query first of all I would like to know the exact size of atrial septal defect (asd. I think it should be 0.8 cm not 0.8 mm (as 0.8 mm asd will not cause any significant problem). The management depends on the following parameters 1) growth of the baby, 2) how frequent she is getting symptomatic 3) how severe are the symptoms 4) what is the exact hemodynamic finding in the echo (including pulmonary pressure) 8 mm asd considered to be large and chances of spontaneous closure is less. The weight and height you have mentioned is appropriate for age. Also I would like to know the margin of the defects. As on the basis of rims of the defect we can decide whether device closure can be done to avoid the open heart surgery. I request you to give detail history and to attach the echo report so that I better able to help you out. Regards.
1 person found this helpful

My Son (D.O.B.- 05th Oct 2017) is suffered from Ventricular septal defect (06 mm) & Atrial Septal Defect (04 mm. His Surgery is recommended by AIIMS-Delhi, & surgery is expected in coming months. My question is about using DTaP-Pentaxim (Pain-Less) or DPT-Pentavac (Pain-Full). Baby weight is also seems not utpo the mark & feels little lower from standard charts. Since starting we are injecting DTaP-Pentaxim (Pain-Less). Please suggest do I need to move for Pain-Full? Because i've read over google that pain-less is not so effective. Also suggest if anything else you wish to. Thank you in advance.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear lybrate-user, hi Warm welcome to Lybrate.com I have evaluated your query for your son thoroughly.* Practically there are no major advantages of Pentavac over Pentaxim, so I do not recommend switching over it and increase pain to the baby. Hope this clears your query. Wishing him fine recovery. Welcome for any further assistance. Regards take care.
1 person found this helpful

I wanted know about Ventricular Septal Defect. Is it genetic or acquired? How it affect on day to day life & it's future consequence on pregnancy. Thanks.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Vsd is by birth, a congenital anomaly, not genetic or aquired. When there is a hole between 2 chambers of lower heart which pump the blood to entire body & to lungs for purification with fresh oxygen, the pumping action of heart will be affected for sure. Luckily the defect can be corrected but not during pregnancy. Depends upon symptoms. Avoid extra load on heart by rest, avoid swelling on body by reducing salt, eat more proteins to help baby grow faster & do operation to deliver the baby according to symptoms shown by mother about her heart being affected or not, she can carry the baby to full term at 36 weeks or an early delivery needs to be planned. But vsd is not inherited. Be sure to have a normal baby.
2 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
What are the alternatives to the treatment?
Play video
Rhinoplasty Surgery
Hi! Everybody

I am Dr. Gambhir. I am a cosmetic and plastic surgeon in Sir Ganga Ram Hospital, New Delhi. I have my cosmetic clinic in karor bagh by the name of Personna.

Today I ll be talking on Rhinoplasty. Reason being I my self is a Rhinoplasty surgeon. Most of my practice involves Rhinoplasty. What I have seen in the past few years that most of the patients with breathing difficulty, they go to the ENT surgeon for Septal correction, but this is not going to solve all that problems. Just simple correction of the septum did not solve the breating problem. It requires the total of septal framework correction as a Rhinoplasty surgeon and as a plastic surgeon I have been trained to do a septal framework correction. Just the ENT surgeon, they do the septal part, but for the framework correction the involve the plastic surgeon. What I suggest that patient who have difficulty in breathing, who have debated as a septum, or who want a groped nose correction to be done should go to a person, to a doctor, who is qualified Rhinoplasty surgeon and who has been doing Rhinopasties. For those doctors, they are not going to solve just the breathing problem but give you an aesthetic correction simultaneously.

Thank you.
Play video
Types of Trauma and Their Reconstruction
Hi, I am Dr YV Rao, a plastic and cosmetic surgeon. In this video, I will briefly mention about the various types of Trauma and their reconstruction.

Starting from the Fingertip injury to various severe injuries of different parts. This can be divided into 4-5 categories. We deal with the reconstruction, be it whatever it causes. The common cause is the birth defects, that is, congenital.

As I mentioned, some people are born with some defects, starting from nose, face, limbs or anywhere in the body. All these led to a problem if not corrected. These correctable deformities need to be corrected at certain stages. This is the Congenital birth defects.

Now comes the Traumatic defects. Deformities are caused due to trauma which may be accidental, may be operative, or may be a cancer surgery or any other deformation related to surgical. For example, reconstruction following a breast removal. Breast is considered as one of the feminine sign in females. If one breast is removed and another breast is there, so definitely she likes to have another breast. Now the time has gone in which people could live with one breast or apply padding on the defected one. Now, people are getting forward and when the possibility is there then why not get it done. Yes, it is possible. So the reconstruction of the breast is possible because of the plastic surgery. Likewise, in trauma, be it a fingertip injury or a major crush injury by road traffic accidents
Play video
Fertility Enhancing Endoscopic Surgery
Hello Everyone,

I am Dr. Sanket Pisat. I am a consultant Gynecological Laparoscopic surgeon practicing in Adheri in Mumbai.

And today we are going to talk about fertility enhancing Endoscopic Surgeries, no as you all may be appear infertility is a very common problem that is faced by a lot of couples these days which is basically inability to get pregnant. Now while there can be several problems as to why a couple cannot conceive children. One of the main causes is that in the light of more career option family and child bearing take a back seat until a very advance age. Sadly the body clock cannot be turned back and it does not really wait for us. There can be many causes as to a woman doesn t get pregnant but in at least 50 % of the cases, actual cause can be found and located within the reproductive system of the woman itself. So after confirming that the male partner does not have any particular problem for which he should be treated, it is worthwhile to look into the defects of the female reproductive system and if thee defects can be corrected than pregnancy can be achieved rather simply. Now there can be a lot of defects ranging from a very small opening of the cervix which is the entry point of the uterus to poorly growing lining of the endometrial cavity which is the inside of the uterus to fibroids in the uterus or cyst in the ovary or even blocked tubes. All of these problems can be corrected by a procedure which is called diagnostic laparoscopy and hysteroscopy. Laparoscopy is basically the examining of the insides of the abdomen and reproductive organs using the camera system. Using this camera system we are able to examine every aspect of the female reproductive system and any correctable problems for example if there is a fibroid seen or if the tubes are blocked, those can be corrected at the same instant. It s a very simple procedure, requires a single day of admission and the entire procedure is done through one or two small sized cuts on the abdomen so the patient is virtually painless after and can go immediately. Likewise there is another advance procedure called hysteroscopy, in which the inside of the uterine cavity where the baby actually grows can be examined using a camera system and a lot of defects namely, you may have defects that are congenital origin or they are since birth uterine septa or there may be am excessive band formation between the uterine cavity cynic or small growth within the uterine cavity called fibroid of polyps. Many of the times these small growth or small pathologies cannot be seen by diagnostic modalities like ultrasound, CT scan or MRI. Laparoscopy and hysteroscopy give us option of being able to diagnose these findings and treat these findings at the small instance which is almost one day procedure and the patient walks away with hardly any pain or hardly any sequelly. To summarize, fertility enhancing endoscopy surgery holds tremendous for the infertile couple in home. Small pathology which have not being diagnosed which have actually being the cause of their infertility and on surgical correction of these fertility in a single sitting it is possible for the couple to achieve pregnancy without really going for multiple or expensive treatment options like In Vito Fertilization and test tube babies.

If you have any further query regarding this matter lease fell free to contact me through Lybrate.
Play video
Problems Of Hernia
Here are some problems related to hernia

Dear Friends, I am Dr. Manish Kumar Gupta, I am consultant laparoscopic and robotic surgeon at Sir Ganga Ram Hospital. I have my own clinic with the name of New Life Clinic in Indirapuram, Ghaziabad. Friends, I will be talking about a very common problem today, which is Hernia. So we all sometimes hear about it that someone has got Hernia and got operated.

what is Hernia? Hernia is basically, whenever the content of the abdomen comes out through an opening, which is an abnormal opening or a normal opening and present as a swelling or a lump over the tummy. So whenever such sort of a swelling appears in the abdomen, patients get worried, what this type of swelling appeared over their abdomen. These hernia is usually present whenever patients walks, coughs, sneezes or strains, these swellings come out through these defects and whenever patients lie down these swellings go down into the tummy, so these are the initial symptoms and as the time passes these defects gets increases in sizes and more and more internal component like intestines or fat comes out through these opening and hernia swelling sizes keeps on increasing day by day.

What happens in hernia is that It can occur in any part of the abdomen, the most common site for developing these hernias are basically belly buttons and in the groin region. If a patient has undergone some surgery, some operation for some intestine or something like that in the abdomen, this is the weaker side and from this side a hernia can appear. So initially the symptom is like there is a lump, which comes out and goes in once you press or lies down.

The chances of complication can occur and the complication are initially irreducibility, it means that it doesn t go inside the abdomen and remains there because there are some additions in between the content of the hernia and the abdominal wall and the second complication is the obstruction, it means, that intestine has come into the hernial sac and there is non passage of any content like food or any fluid through the intestine and patient gets started vomiting, there distinction of abdomen and pain, the third complication is that whenever the blood supply of this intestine gets disrupted then there is strangulation, it means that it can lead to gangrene of the intestine. So these complications are like an emergency complication and one has to go and get operated as early as possible so that one doesn t develop any gangrene of the intestine.
The treatment for Hernia is basically surgery. Whenever one sees such hernial swelling, one should go and contact a surgeon so that he can advise you when to go for surgery but the earlier the better. One should not wait and watch to get the complications to occur.

Nowadays, the surgery for hernia is basically a laparoscopic surgery, it means that we make three holes which is like pencil size holes through which we put a mesh which is a polypropylene or a bio degradable mesh and put this mesh over the hernia defect and fix it with multiple tackers.
Nowadays, the chances for recurrence is quite less because of formation of application of these mesh over the hernial defect.
There are few precautions one can take. There are some precautions which a person can take, like one should not sneeze too much or cough too much so that these hernial swellings do not increase in size and don t get impacted into the defect.

So friends i have told you about hernia swellings today and if you have such problems then you should go and meet a surgeon or if you want to come to me, you can come at Ganga Ram hospitals, which is in central Delhi or you can come to me and meet me at my clinic which is in Indirapuram, Ghaziabad or you can talk to me through Lybrate, you can chat me or you can text me through Lybrate.com.
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Mental Health
How Mental illness affects Your Physical Health?

Myself Dr. Milind Barhate, psychiatrist practicing in Mumbai since last 10yrs. Mental illness is the most common illness in the world.

Stress is one of the most important factor for causing psychological illnesses. People believe that stress is not a psychiatric problem and it is a part of life. That's why most person donot come for treatment. Some misbelieves about stress are there. Stress effects everything, it effects your mind, your body from head to toe, it effects everywhere. When it effects your mind it causes migraine, headache, vomiting, nausea, paralytic attack, heart diseases, blood pressure, diabetes, acidity, stomach problems, restlessness, muscle cramps, sexual dysfunctions and a lot of illnesses like constipation, diarrhoea, anxiety problems. It effects every part of your body, and not only the body but it also effects your mind, it effects your emotions.

When the emotions are effected the person becomes irritable, he remains in a sad mood, and gradually other faculties of mind get effected and the person goes in depression or other problems like anxiety, sleep problems, psychosis, mood disorders and addictions. People believe that stress is not a problem, and when it becomes a big problem they come to us for treatment with a disease like depression, anxiety, mood disorder, psychosis or with suicide attempts. At that time the treatment becomes dfficult and the person has to take treatment for a longer period.

There are a lot of factors causing stress. Most of the people, they blame others for their own problems like inflation and job problems. Most of the time the person himself is responsible like his character depicts irresponsible behaviour, suspiciousness , not taking responsibility of family, child or at work place, unmanagebility, procastination, there are a lot of character defects that lead to problem either at home or work place or in society that leads to stress. So when it comes to stress management most of the people either go for changing their lifestyle, starting exercises, pranayam, moving around or reading some books, listening to music or going outside.

It relieves your stress but only for a couple of days or couple of weeks and again after those couple or days or weeks it becomes as it was before because the reason for your stress was character defects. Until and unless you change yourself the problem is not going to reduce. So when the management of stress comes, initially the most important character defect that leads to stress has to be managed.

It needs a long and tough behavioural therapy, counsellings, and if the problem arises again then you may need psychiatrist help. For more details you can contact me on Lybrate.com. Thank you.
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