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Cerebrovascular Surgery Tips

Know After Care Of A Surgery!

Dr. Prakash Bhimrao Shendge 88% (10 ratings)
MS - General Surgery, DNB - General Surgery, AFIH
General Surgeon, Navi Mumbai
Know After Care Of A Surgery!

You probably think many more things can go wrong during a surgery as compared to after a surgery. However, you are wrong. The chances of infection after a surgery are very high and it used to be the highest cause of unsuccessful surgery in the past before it was known just how deadly an infection is. A doctor, however, cannot monitor everything afterwards. Therefore, it is crucial you know and take care after the surgery. Here are some ways in which you can do so:
1. Keep it dry
It is crucial that you keep the incision dry for whatever period of time the doctor tells you to keep it dry as otherwise the chances of infection increase dramatically. Some of the things you should do to keep it dry is to not take a bath, scrub the incisions or put lotions on it. In fact, you should also not expose it to sunlight.
2. Keep the incisions
You must trust your doctor as the doctor is trained and usually knows better than you. Therefore, if the doctor tells you to keep the incisions then keep them. Do not scrub, rub or put powder on them either.
3. Check for signs of infection
This may be the easiest thing to do as there are many symptoms of an infection. These include a change in the color, size, or odor of the incision, fever, redness, hardening or heating of the surrounding area or in extreme cases more bleeding and pain than usual.
4. Changing a dressing
This is a major cause of infections among surgery patients and the only way to prevent it is to follow the doctor's instructions to a tee. Once again, trust your doctor and remember to wash your hands and put on medical gloves. Do not put alcohol, iodine or hydrogen peroxide either.

2608 people found this helpful

Phaco Surgery - How This Surgery Can Be Of Help?

Bharti Eye Hospitals 88% (25 ratings)
Cornea Cataract & Lasik
Ophthalmologist, Delhi
Phaco Surgery - How This Surgery Can Be Of Help?

Cataract is a common eye problem experienced by the elderly. In some cases, babies may also be born with cataract as a congenital defect or it may develop as a result of conditions such as diabetes. Cataract can affect one or both eyes and is characterized by the clouding of the lens in the eye. This can make it difficult to see clearly and if not treated in time can lead to blindness.

Common symptoms of cataract include:

  1. Blurred vision
  2. Nearsightedness
  3. Changes in the perception of colour
  4. Night blindness
  5. Increased sensitivity to glares
  6. Double vision

An eye examination is the first step to diagnosing cataracts. To confirm a diagnosis the doctor will also dilate the pupil to check the lens. Most cataracts can be easily treated with surgery. This surgery involves the separation of the cataract from the lens and its removal after which an intraocular lens implant is placed in the eye. In cases where this cannot be used, corrective contact lenses or glasses will need to be used. One of the most popular methods of cataract surgery is known as phaco surgery or phacoemulsification.

This surgery involves making two, small incisions on the eye where the cornea meets the sclera. This is then used to create a circular opening in the lens through which a probe is inserted into the eye. Sound waves or laser is then used to break the cataract into small pieces. This is then removed from the eyes and an intraocular lens implant is put in its place. Stitches are rarely required for this surgery and it is usually performed as an outpatient procedure while the patient is under local anaesthesia. When treating cataract, both eyes are usually not addressed simultaneously.

This surgery is usually pain free. The operated eye may be bandaged overnight and the patient will be given a protective eye shield to be worn for a week. The doctor will ask you to get a check up 2-3 days after the surgery where they can evaluate the clarity of the lens, overall health of the eye, eye pressure and visual acuity.

Cataract surgery is generally considered to be a safe surgery but like any other surgery there are risks involved. Some of the possible complications of this type of surgery include:

  1. Pain and redness of the eye
  2. Vision problems
  3. Swelling of the eye
  4. Discharge from the eye
  5. Flashes or floaters in the patient’s vision

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

3555 people found this helpful

Surgery and Post Surgery Care for Ulcerative Colitis

Dr. Kanwaljit Chahl 88% (349 ratings)
Membership of the Royal College of Surgeons (MRCS), MS - General Surgery, MBBS
General Surgeon, Mohali
Surgery and Post Surgery Care for Ulcerative Colitis

This is a disease that affects the large intestine and the rectum. The Ulcerative Colitis refers to the inflammation in the innermost lining of the large intestine. The main function of the large intestine is to absorb water from indigestible food matter in the body before throwing away any waste. Hence, the large intestine is a vital part of our body. If left untreated, the disease increases risk of colon cancer.

Symptoms:

  1. Diarrhea with blood or pus: A person suffering from Ulcerative Colitis is likely to suffer from loose stools accompanied with blood or pus.
  2. Stomach pain and Cramping: In many cases, patients complain of severe stomach pain and cramping.
  3. Rectal pain: At times, many patients feel pain while sitting or even after a bowel movement.
  4. Bleeding from the rectum: Bleeding can be observed while passing stools.

The other complications leading to this disease are kidney stones, swelling of the colon, thickening of intestinal walls and blood infection.

Diagnosis:
This disease can be diagnosed by several methods. A simple stool test may be done to check out for bacteria and parasites. A blood test to check the level of C-reactive protein helps determine the inflation rate of the body. Endoscopy, colonoscopy, biopsy are some other methods of diagnosis.

Treatment

  1. Oral medication: Treatment involves drug therapy or surgery. The first step in treating Ulcerative Colitis will be an intake of anti-inflammatory drugs, but these may have a side effect. Another option is immune system suppressors, which help to bring down the inflammation by suppressing the immune system response. Antibiotics, anti-diarrheal medications, pain relievers are some of the additional drug supplements recommended by doctors.
  2. Surgery: Surgery plays an important role because this disease is pre-malignant in nature. Depending on the severity of the condition, the medical practitioner may advice surgery. The common methods of surgery are:
    1. Proctocolectomy and Ileostomy: Proctocolectomy involves removal of the colon in part or whole. Ileostomy is carried out by placing a special bag in the small intestine to collect waste from the body.
    2. Proctocolectomy and Ileo-anal: Ileo-anal pouch is a bag directly created the small intestine and connected to the anus, for diffusing the stools. As colon is removed Ulcerative Colitis cannot re-occur.

Precautions after surgery
It is very important that the patient takes healthy, sufficient and nutritious food so that bowel movement can be carried out with ease and zero strain. The patient has to restrict lifting of heavy grocery, mowing the lawn, any physical activity that can strain the abdomen and related areas.

3410 people found this helpful

How to Know if You Need a Plastic Surgery or a Cosmetic Surgery?

Dr. Vipul Sud 90% (51 ratings)
Fellowship In Microsurgery -, Fellowship In Hand Surgery, M.Ch - Plastic Surgery -, MS - General Surgery -, MBBS
Cosmetic/Plastic Surgeon, Delhi
How to Know if You Need a  Plastic Surgery or a Cosmetic Surgery?

The difference between plastic surgery and cosmetic surgery explained

The terms plastic surgery and cosmetic surgery are often used interchangeably. Plastic surgery is a broad field, which has two branches - cosmetic surgery and reconstructive plastic surgery. There are marked differences between the two in terms of method of surgery and cause of requirement.

Cosmetic surgery

This type of surgery is used to improve the physical and aesthetic appearance of a person. The requirement for this form of surgery does not generally arise out of any pressing medical or diagnostic need and is completely elective. A cosmetic surgeon is skilled at both surgical and non-surgical procedures. Surgical procedures include breast augmentation and reduction, abdominoplasty (tummy tuck), liposuction, eyelid surgery, etc. Examples of non-surgical procedures are botox, laser treatments for skin and hair, collagen injections, microdermabrasion (removal of dead skin cells by spraying exfoliating crystals), etc.

Reconstructive plastic surgery

Also known simply as reconstructive surgery, this is performed on abnormal structures of the body that have become deformed due to congenital defects, trauma, accidents, and burns, or illnesses and infections. The central aim of this type of surgery is to repair and improve functioning in the affected part of the body. This includes surgical techniques such as skin grafting, flap procedures, cleft lip surgery, correctional procedures, etc.


Both cosmetic surgery and reconstructive surgery require a thorough examination of the patient's medical history and lifestyle habits prior to the procedure. The surgeon concerned shall make an evaluation of the case and decide on the best possible course of action. Each case is different and is approached differently, which means that the most suitable technique of surgery is a subjective matter.

'consult'.

Related Tip: Sceptic about Getting Your Nose Corrected? 5 Myths about a Nose Job Busted!

4096 people found this helpful

All About LASIK Eye Surgery!

Dr. Arjun Kumar Singh 91% (1129 ratings)
MBBS, DOMS, MS - Ophthalmology, Fellowship In Phacoemusification, Senior Consultant Surgeon
Ophthalmologist, Patna
All About LASIK Eye Surgery!

Laser-Assisted in Situ Keratomileusis (LASIK) uses a computer controlled laser to reshape the eye's cornea ( the transparent part in the front region of the eye), so as to enable light passing through it to focus correctly onto the retina of the eye.

When do you need this surgery?

This surgical procedure is ideal for people having following conditions making spectacle use mandatory :

  1. Myopia or nearsightedness - Far off objects appears blurry
  2. Hypermetropia or farsightedness - Close objects appear indistinct
  3. Astigmatism - Overall fuzzy vision

What Are the Advantages of LASIK Eye Surgery?

LASIK has many benefits, including:

  1. It corrects vision. Around 96% of patients will have their desired vision after LASIK. An enhancement can further increase this number.
  2. LASIK is associated with very little pain due to the numbing drops that are used.
  3. Vision is corrected nearly immediately or by the day after LASIK.
  4. No bandages or stitches are required after LASIK.
  5. Adjustments can be made years after LASIK to further correct vision if vision changes while you age.
  6. After having LASIK, most patients have a dramatic reduction in eyeglass or contact lens dependence and many patients no longer need them at all.

Facts about the surgery -

- Practically painless procedure done under numbing drops

- Short surgery time as well as recovery time
- No use of stitches
- Reduced dependency on glasses and contact lenses
- Better vision as compared to vision through high power glasses
- Minimum age to opt for the procedure is 18 years

What Happens During LASIK Eye Surgery?

During LASIK eye surgery, an instrument called a microkeratome or femtosecond laser is used to create a thin flap in the cornea. The cornea flap is then painlessly peeled back and the underlying corneal tissue is reshaped using another laser. After the cornea is reshaped so that it can properly focus light onto the retina, the cornea flap is put back in place and the surgery is complete.

LASIK is performed while the patient is under local anesthesia in the form of eye drops and usually takes about 10 minutes to complete. Patients may also request mild sedation. Plan to have someone drive you home after surgery.

LASIK in Presbyopia or Presbylasik:

The surgery can also be opted for individuals who suffer from presbyopia, which is long-sightedness brought on by the loss of flexibility of the eye lens, and usually occurs in individuals in their middle and old age. The condition renders individuals with the inability to focus on objects that are close by, leading to difficulty in reading smaller prints or doing chores close up.

In Presbylasik or Multifocal LASIK different power zones are created for seeing at varying distances - near , intermediate and distance vision. Consulting a doctor is best as he or she can help you to decide on the right course of action.

2883 people found this helpful

When Should You Go For Brain Surgery?

MBBS, Cerebrovascular and Micro neurosurgery fellowship, MS - General Surgery, MCh Neurosurgery
Neurosurgeon, Jaipur
When Should You Go For Brain Surgery?

Brain surgery involves several medical procedures, which incorporate fixing issues with the brain, including changes in the tissues of the brain, cerebrospinal fluid and brain blood flow. Brain surgery is quite a complicated method of surgery and the type of surgery to be conducted depends on the underlying conditions.

Reasons for Brain Surgery:
Brain surgery is performed for the correction of physical brain abnormalities. These abnormalities could occur because of diseases, birth defects and injuries. A brain surgery is required when the following conditions arise in the brain:

  1. Abnormal blood vessels
  2. Aneurysm
  3. Bleeding
  4. Blood clots in the brain
  5. When the protective tissue or dura is damaged
  6. Epilepsy
  7. Due to nerve damage
  8. Parkinson's disease
  9. Any kind of pressure after an injury
  10. Abscesses
  11. Skull fractures
  12. In case of stroke and tumors

A surgery may not be required for all the above mentioned conditions, but in case of many, a brain surgery is very important as the conditions may worsen health problems.

Types of brain surgeries:

  1. Craniotomy: During this open brain surgery, an incision is made in the scalp, and a hole is created in the skull, near the area, which is being treated. After this process is complete, the hole or bone flap is secured in its place using plates or wires.
  2. Biopsy: This form of brain surgery helps in the removal of a small amount of brain tissues or tumors. After removal, the tissues or tumors are examined under a microscope. The creation of a small incision and a hole in the skull is indicated as a part of this process.
  3. Minimally invasive endonasal endoscopic surgery: This form of brain surgery enables the removal or lesions and tumors via the nose and sinuses. Private parts of the brain can be accessed without creating an incision. An endoscope is utilized in the process which is used to examine tumors all across the brain.
  4. Minimally Invasive neuroendoscopy: This process is similar to the minimally invasive endonasal endoscopic surgery. This method also involves the use of an endoscope for removal of brain tumors. Small, dime sized holes may be made in the skull to access some brain parts.

Risks:
Brain surgeries may be associated with several risks. They may be:

  1. Allergic reactions to anesthesia
  2. Bleeding
  3. Blood clot formations
  4. Swelling of the brain
  5. A state of coma
  6. Impairment in speech, coordination and vision.
  7. Problems in memory
  8. Strokes and seizures
  9. Infections in the brain

A brain surgery is a serious and very complex surgery. There are different kinds of brain surgeries, which are conducted depending on the condition and severity of the disease. If you wish to discuss about any specific problem, you can consult a Neurosurgeon.

2010 people found this helpful

Why Should You Rinse Your Mouth After Surgery?

Dr. M. R. Pujari 92% (644 ratings)
MDS, BDS
Dentist, Bangalore
Why Should You Rinse Your Mouth After Surgery?

Starting 24 hours after surgery gently rinse your mouth with salted warm water 3 times a day.

Anorectal Surgeries

Dr. Ashish Ganatra 90% (109 ratings)
M.S
General Surgeon, Rajkot
Anorectal Surgeries

Never be afraid of surgeries for piles, fistula or fissure as now minimally invasive surgeries are available without any cuts, sutures or dressings. No fear of loss of control. Day care surgeries with faster recovery.

3 people found this helpful

Why Should You Go For Thyroid Surgery?

IAGES, MS, MBBS
General Surgeon, Noida
Why Should You Go For Thyroid Surgery?

Thyroid is a small butterfly shaped gland, which is present at the lower frontal region of the neck, right beneath the voice box. It produces hormones which regulate metabolism (the breakdown of food by the body to convert it into energy). It even plays a pivotal role in boosting organ functions as well as in helping the body to sustain heat. However, too much of hormone production by the thyroid gland might yield structural problems, for instance, growth of nodules (abnormal tissue growth) or cysts (non-cancerous sac-like structures containing fluid) and swelling. Hence, a thyroid surgery is a must once these problems occur. The surgery, administered with general anesthesia, eliminates the thyroid gland either wholly or partially.

Why do you need surgery?

  1. The presence of tumors or nodules on one’s thyroid gland is one of the reasons why one should go for the surgery. Although most of the nodules are benign, few can be pre-cancerous or cancerous too. Also, those benign nodules can spell trouble, if they expand in size, thus obstructing the throat. They can be problematic as well if they cause the thyroid gland to overproduce hormones, giving rise to a condition known as hyperthyroidism.
  2. Hyperthyroidism can be corrected through surgery. It is often an outcome of Grave’s disease, an autoimmune disorder wherein the body misidentifies the thyroid gland as a foreign body, thereby creating antibodies to combat it. The thyroid gland gets inflamed in the process, resulting in the overproduction of hormones.
  3. Another reason is the enlargement or swelling up of the thyroid gland, termed as goiter. Similar to large nodules, goiter too can clog the throat, thus interfering with one’s breathing, speaking and eating.

Types of Surgery

  1. Lobectomy: This procedure calls for partial removal of the lobes when a nodule or an inflammation affects just half of the thyroid gland.
  2. Subtotal ThyroidectomyHere, a small proportion of the thyroid tissue is left behind even after the elimination of the thyroid gland.
  3. Total Thyroidectomy: Through this procedure, the entire thyroid gland is taken out along with the thyroid tissue.

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

1868 people found this helpful

Know More About Colorectal Surgery!

Pelvinic Clinic 90% (410 ratings)
MON-SAT 10 AM - 07 PM
General Surgeon, Delhi
Know More About Colorectal Surgery!

Colorectal surgery deals with the disorders of the rectum, anus and colon. Another name of colon is ‘large intestine’. These three body parts form the last stages of the digestive process. When the human waste passes through the colon, its salt and water are extracted before it exits the body as human excreta.

Colorectal disorders

  1. Swelling and inflammation of the veins in the anus (also called as Haemorrhoids)
  2. Anal fissures- unnatural cracks and fissures in the anal area
  3. Fistulas or the unnatural connections between the anus and other anorectal areas
  4. Conditions of constipation
  5. Incontinence in passing of faeces
  6. When the walls of the rectum protrude through the anus- also called as Rectal prolapse
  7. Birth defects such as imperforate anus
  8. Anal cancer- this condition is rare
  9. Colorectal cancer- cancer of colon and rectum
  10. Any injuries to the anus
  11. Removal of any objects inserted into the anus

Bowel habits after colorectal surgery
Many patients report cases of diarrhoea, leakage of stool or gas, urgency to use the toilet and a feeling of insufficient evacuation of faeces. Relax; these conditions are not going to last forever. Your rectum and anus are adjusting to new conditions after this surgery. These organs may take six to twelve months to adjust to new bowel habits.

Is there a need to take a laxative or stool softener?
There is no need to take laxatives after a colorectal surgery. Drink lots of water to make your stool softer and easy to pass. If there is a water deficiency in your body, then it may lead to your faeces becoming hard. In that case, take milk of magnesium, colace etc.

Activities post surgery
You can continue with your normal schedule after this surgical procedure. Carry on running, jogging, exercising, climbing up the stairs etc. even after your surgery. Gastroenterologists recommend that patients should desist from lifting loads weighing more than 10 pounds so that there are no post surgery complications.

Diet after colorectal surgery
Avoid spicy and heavy to digest meals after your surgery. Once the intestines begin working normally, you can continue having your spicy food. Chew your food well to aid its digestion.

Returning to work after colorectal surgery
Most people are back to their work after taking a break of 2-5 days. If the surgery is pretty detailed, you may have to take a break of up to a month. Patients undergoing laparoscopic surgery may have to take a rest of 2- 4 weeks before they report back to work. Take it easy before slipping into your regular schedule. If you wish to discuss about any specific problem, you can consult a General Surgeon.

3327 people found this helpful
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