Endoscopic Micro Ear Surgery Tips

Nowadays, people do not have to go for open surgeries for the treatment of certain conditions. You need not have large incisions on your body for getting a surgery done. It can be done with a few small incisions. This kind of surgery has a lot benefits over the open surgery such as less pain, less recovery time, fewer scars and less time in the hospital. So, with so many benefits, who would choose an open surgery? For those who are opting for an endoscopic surgery for any problem and have no knowledge about it, here are some common FAQs about endoscopic surgery.

What is endoscopic surgery?
Endoscopy means inserting a small tube into the body, to inspect the interior. A small endoscope is inserted, which has a camera and light attached to it. This will help in seeing the internal organs of the body without having to cut open the body. Usually, this procedure is used for diagnosing certain health conditions. But in some conditions, it is also used for providing treatment.

Is there anything I should know before the endoscopic surgery?
Yes, your doctor will help you understand what to eat and what not to eat, also he will tell you about when to stop eating. Your body has to be prepared for the endoscopy.

Are there any kind of side effects of endoscopic surgery?
Any kind of surgery will have some pain. It is the same with endoscopy as well. With endoscopic surgery, the pain is less but there is no surgery with zero pain. Hence, you will have some pain at the place of the surgery. This depends on the place of surgery and how far the incisions are made.

Are there any chances of moving to an open surgery during the endoscopic surgery?
This happens in very rare conditions that you need to switch to an open surgery. You need to discuss this with your doctor in advance in order to understand whether it can happen. Not all surgery will require this.

How long does it take for recovery?
Usually, endoscopic surgeries are performed even on an outpatient basis. That means you need not even have to get admitted to the hospital for getting the surgery done. You can take care of yourself at home and keep visiting the doctor as suggested.

What kind of medicine is usually prescribed?
Depending on the type of surgery that you have undergone, you will be prescribed medicine. Along with that, you will also be prescribed painkillers after any kind of surgery. The pain is usually less but taking one or two pills may be required.  In case you have a concern or query you can always consult an expert & get answers to your questions!

Sarwalheartsurgery at max institute of ctvs, max superspeciality hospital, mohali has launched endoscopic vein harvesting (taking out veins through key hole) on a regular basis for bypass surgery. We are the pioneers in this region north of delhi with no other hospital offering this so far on routine basis the procedure is of immense benefit. No long incisions on leg, low or no infection rates and no uneasiness, less swelling of legs at a very economical cost extra to the package. It has huge benefit in females cosmetically and no infections especially in obese and diabetic patients.

For long, people have had a tough time dealing with hair fall and baldness. In some people, especially men, the baldness may appear in patches, affecting their overall appearance, with people looking way older than their age. Scalp Micro Pigmentation has been a revelation in the truest sense, taking the market by storm. It is a natural and non-surgical procedure to deal with hair fall and the associated problems.

Scalp Micro Pigmentation can be used to treat a host of hair problems including

• Alopecia (hair loss which is genetically triggered), crown balding, partial or complete baldness in men, as well as diffused hair loss.
• Women, too, can benefit from the Scalp Micro Pigmentation.
• Scars (in the scalp), resulting from an injury or an accident can be successfully camouflaged using SMP.
• Also termed as the Medical Hairline Tattoo, Scalp MicroPigmentation is much more than any ordinary hair tattoo. It is a scientifically approved procedure which uses natural and hypoallergenic (thereby eliminating the chances of any allergic reactions) pigments.

Unlike Hair transplant, Scalp MicroPigmentation (SMP), does not help in hair regrowth. However, the bald patches (partial or complete) can be perfectly camouflaged using SMP. In SMP, natural pigments are applied to the scalp (the 2nd dermal layer). These pigments give the impression of natural hair follicles. In the case of complete baldness, your scalp will appear to be clean shaved (due to the pigments that mimic the natural hair follicles).

Merits and Demerits of Scalp MicroPigmentation (SMP)

• Scalp MicroPigmentation comes as a blessing for people who have made desperate and all possible attempts to deal with the hair loss and the associated stigma that comes with it.
• Being a non-surgical procedure, SMP involves no incision (unlike hair transplantation).
• SMP is not very expensive and leaves only a small pinch in the pocket.
• The use of natural and hypoallergenic pigments minimize the chances of infections or associated complications.
• Side-effects are seldom observed in SMP.
• It has a quick healing time of about 2-4 days.

Like most of the surgeries and procedures, the Scalp MicroPigmentation too comes with its share of demerits.

• The biggest drawback of SMP is that it does not cause any hair growth. All it does is to hide the bald patches or the receding hairline with the natural pigments.
• The procedure will only give the scalp a fuller look. It can do nothing about the length of the hair, unlike a hair transplant, where you have a hair growth of the desired length.
• If you intend to go for hair transplant at a later period, do not opt for SMP, as it will leave a disparity in the hair color.
• In spite of the few demerits, SMP is still widely recommended, although the ultimate decision will always be yours.

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

The carpal tunnel is the passageway for the median nerve to pass through on the inner side of your hand, when your palms are facing down. For example, while typing, there is a lot of movement of the fingers and this puts a lot of pressure on this tunnel. In fact, people who are involved in a lot of typing are one of the most prone people for carpal tunnel syndrome (CTS). Other causes would include trauma, fractures, etc., where the tunnel is injured.

Conventional measures to treat CTS included a combination of exercise and pain killers in mild to moderate cases. In moderate (sometimes) to severe cases, surgery was also done. However, with advancements in medical technology, endoscopic surgical procedure is gaining popularity.

What is done?
In endoscopic surgery, a small incision is made in the wrist or one each in the palm and the wrist. Through this, a flexible tube with a camera and minute cutting tools are inserted into the wrist. Another ligament known as transverse carpal ligament is cut. This reduces the pressure on the median nerve, which provides relief from the CTS symptoms.

What to expect as benefits?
The intention behind the surgery remains the same in both traditional and endoscopic procedures. The pressure on the median nerve is released, restoring movement and reducing pain in the joints. In addition, the endoscopic procedure has the following benefits.

1. Less invasive: Needless to say, there are only one or two small incisions done for this procedure, so less surrounding tissue is damaged.
2. Same day surgery: No hospitalization is required, and unless required, the patient can return home on the same day of surgery.
3. Reduced recovery time: The recovery period is usually substantially less compared to the traditional surgical approach.
4. Back to work: Depending on which is your dominant hand, you would be able to return to your regular work earlier than with regular surgery. If your non-dominant hand is involved, a day or two of rest is required. If your dominant hand was involved, give it up to four weeks for complete recovery.
5. Reduced chances of nerve injury: The area of operation has many nerves and blood vessels, and endoscopic surgery reduces the chances of damaging adjacent nerves.
6. Anesthesia: This is done under local anesthesia. Therefore, complications arising out of general anesthesia are completely avoided.

Indications
While these sound promising, your doctor will decide if you are a candidate for endoscopic procedure depending on the following:

• Nonsurgical treatment including exercise and pain killers have not provided relief, even after several months.
• Severe symptoms including those of nerve damage, like loss of sensation, altered coordination, etc., is affecting your normal daily routine.
• Person requiring bilateral surgery like severe trauma, wheelchair dependent, etc.

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

There are a number of parts in the human body, which cannot be easily accessed. In times of disease or other complications, it becomes difficult for doctors and other medical practitioners to access those areas of the body in order to facilitate proper treatment. This not only leads to aggravation of the disease and further complications, but also prolongs the agony. However, technological advancements have made it possible for surgeries and other medical interventions to become easier.

Surgery for the skull base using endoscopy has become the chosen path these days. The reasons for these are as follows:

1. The intrusion is minimum.
2. There are no ugly scars or stitch marks.
3. The patient feels the least amount of pain as compared to any other method of operation.
4. It is likely to be far more effective.

The people who choose to go for this sort of an operation are most likely to be suffering with problems with regard to:

1. Skull
2. Spinal cord

Since bones and cartilages makeup a major part of the skull structure, the medical practitioner who will be entrusted with the job of taking care of the complexity should be well-versed with the history or cause of the development of the following:

1. Cysts that have developed over the years
2. Problems which a person may be born with
3. Cancerous swellings which may aggravate as the years go by
4. Tumours which may not be that harmful as long as they are taken care of swiftly
5. Fluid leaks which may make their way to other parts of the body

Different skull bade surgeries are done through nasal endoscope by an ENT surgeon. For example pituitary tumor surgery, repair of brain fluid leakage surgery, etc.​ Usually, below given are two types of endoscopic skull base surgery, which may be required for a person:

1. The minimally invasive type, which does not cause much of an opening
2. Open surgery where an incision has to be made in the facial area or somewhere in the vicinity of the complication

Nonetheless, both these measures are equally beneficial and effective as far as outcomes are concerned. Patients who come up with such complaints usually have symptoms like inability to hear properly, numbness, headache and dizziness, and facial pain. These are some of the preliminary signs when a person should get a check up immediately. Also, chemotherapy and radiation therapy can be considered to be some of the options that can be used in conjunction with the endoscopy method of skull base surgery. That way, the chances of a positive outcome will be higher. If you wish to discuss about any specific problem, you can ask a free question.

Minerals are important constituents that the body needs for proper cellular functioning as every process of the body requires the presence and action of these elements. An imbalance in these essential elements can cause several health problems including hair loss. The various minerals have to be in harmony with one another as too much of a particular mineral can lead to an imbalance in another.

Causes of mineral imbalance

Coming to the causes, several reasons can lead to an imbalance in your mineral levels and these are:

- Diet
- Medications
- Stress

Here are the minerals that your hair need.

1. Calcium - The first mineral that your hair requires is calcium. This vital mineral plays a key role in stimulating the growth of hair follicles. The foods that you can turn to for your daily calcium dose are nuts, almonds, beans, vegetables, etc.

2. Magnesium - Following closely after calcium and one which must be taken together with calcium is magnesium. Without the presence of magnesium, the consumption of calcium can be harmful for the body. Both these elements are used by the body in tandem. So, foods you can have to meet this requirement are cashews, milk, almonds and so on.

3. Potassium - Lack of potassium in your diet can cause you to lose hair as well. Increasing the intake of this mineral helps in removing the buildup of sodium around your hair follicles that interfere with the absorption of nutrients required for strong hair. Potassium can be obtained from bananas, whole grains, almonds, etc.

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

Adenoids are part of the ENT (ear-nose-tongue) area. They are basically lump of tissues situated at the back of the nose and higher up in the throat passage. Along with tonsils, they form a part of the lymphatic system and are also known as pharyngeal tonsils. They work in conjunction with tonsils to keep infections and viruses at bay. They also help in maintaining the body fluid balance.

Adenoids mostly occur in children. They basically start to grow from birth and can become enlarged between the ages of 5 to 7 years. They become swollen by fighting some bacteria or virus. However, by teenage years they start to shrink and completely disappears by adulthood. They do not help in fighting diseases and the body develops other ways to fight germs and bacteria.

Problems Caused by Adenoids:
Although adenoids are not harmful, they can become enlarged or swollen when fighting bacteria or viruses. In such situations, it is best to consult pediatric or ENT specialists. However, there are certain symptoms that occur in children:

1. Breathing problems- Children may experience difficulty in breathing through the nose. Instead, they breathe through the mouth which might lead to dry mouth resulting in bad breath and cracked lips.
2. Sleeping problems- Children having swollen adenoids having difficulty in having sound sleep. They might snore or experience sleep apnea (irregular breathing or might stop breathing for few seconds).
3. Ear infections- Have ear infections and even develop glue ear (the ear duct is filled with fluids).
4. Sinus problem- Your child may experience runny nose or facial pain.

Diagnosis
If your child is experiencing the above symptoms and having difficulty breathing, its best to visit an ENT specialist to get the adenoids checked out. The adenoids cannot be seen through normal eyes and has to be examined using special methods like endoscopy. An endoscope is a long flexible tube with a light, it is inserted through the mouth and the image of the inside of the mouth is seen on a screen.

Treatments for Adenoids:
Depending on the severity of the adenoids, it can be treated with nasal sprays or drops and antibiotics suggested by a doctor. If the adenoid does not shrink or the problem persists, it’s best to go for adenoidectomy.
What is Adenoidectomy? Adenoidectomy is the surgical removal of adenoids. It is generally performed by an ENT surgeon and carried out through the mouth under general anesthesia. The whole operation only requires a day. Your child is released at the end of the day.

Recovery:
After the surgical procedure, your child may experience:

1. Sore throat
2. Ear ache
3. Stiff jaw
4. Runny nose
5. Bad breath

All of these difficulties pass away within a week or two. However, you should be careful as there is always a risk of infection after an operation. In case of excessive bleeding, known as hemorrhage, your child may need another surgery where the bleeding is stopped by cauterization.

Moreover, food and drink should be monitored carefully. As your child will have difficulty in swallowing food, it’s best to have fluids like soups or yoghurt. Remember to give them plenty of water to avoid dehydration.

Adenoids are not scary diseases. So don’t be scared and give your child all the care and support when they are facing difficulty in breathing or sleeping.

Medical hairline tattoo or scalp micro pigmentation is a pigmentation method of the scalp. The pigment is applied at the epidermis of the scalp that results in the re-appearance of the hair follicles. The number of sitting required is dependent on the extent of pigmentation required. Micropigmentation is one of the most popular and natural ways to regrow hair.

Who is an ideal candidate?
This is a form of treatment is suitable for people of all ages, any stage of hair loss, any skin types, and color. A normal person has close to 2000 hairs in each square inch. Thinning of hair can result in premature aging, depression, and dogmas. This is where scalp micro pigmentation comes into the picture. It can completely restore full hair to a person who has lost almost all hair.

How many sessions are required?
It typically takes 3-4 sittings to complete the whole process of scalp micro pigmentation. Each session can take up to 3-4 hours. One week of a gap in between is necessary to continue the session. The whole process works subtly with a slow hair filling process. This can take up to a month to show results. The process includes a cartridge containing 3 needles that inject the epidermal layer of the scalp. The spacing of the pigment is then determined by copying the remaining natural follicles.

What is this process capable of?
Scalp micro pigmentation can successfully instill a youthful look to a person. It can stimulate a full front hairline, it can hide all symptoms of alopecia, camouflage any scar resulting from accident or hair transplant surgery, hide birthmarks, previous scars etc.

What are the conditions scalp micro pigmentation can address?

• Crown balding: This is one of the common degenerative hair balding and thinning process. It makes a person looks aged and takes away self-confidence in the process. Scalp micro pigmentation can rejuvenate the crown and restore the old hair in a bald person.
• Hair Receding: This is another form of baldness. In this condition, the hair from the front portion degenerates. Scalp micro pigmentation can successfully restore the hair for this form of baldness.
• Restore complete hair loss: For a person who has completely lost all hair and seems like no hope to restore the old hair, scalp micro pigmentation can come handy. It can successfully restore the hair in such cases.
• b Diffused hair loss can be a problem for people of any age. It interrupts the hair cycle, creates nutritional deficiencies, emotional stress. Scalp micro pigmentation can effectively address all these problems are increasing the density of hair in a person. What’s more, it can ensure that the hair stays on the scalp for a number of years. In case you have a concern or query you can always consult an expert & get answers to your questions!

Gynaecological endoscopy is a surgical practice that aids in diagnosing the most common female disorders, such as minute vaginal haemorrhages, infertility problems and endometrial polyps (noncancerous growths on the inner uterine wall). It uses a small and slender optical device to diagnose such problems.

Gynaecological endoscopy is of two types

1. Hysteroscopy: A small optical instrument is inserted at the neck of the uterus; it is used to examine the inside of the uterine cavity, and in some cases, is used to remove endometrial polyps.
2. Laparoscopy: It is done through a small incision on the belly to examine the Fallopian tubes, the ovaries and the uterus; it is minimally invasive.

Gynaecological endoscopy has the following advantages

1. Recovery time is minimised
2. Lesser risks of infections, or other side-effects

Preparation
You do not need to do a lot to prepare for endoscopy. Here are the few things you have to go through before this surgery is conducted:

1. The preparation depends on the kind of surgery to be done. You might require imaging tests. Also, the doctor may recommend an enema or even fasting.
2. You need to inform your doctor about any medication you are taking, including supplements or non-prescription drugs. Stop taking your medications before the procedure.

Procedure followed

1. The surgery is mostly done under general anaesthesia.
2. A catheter (a small tube) is inserted to collect urine and carbon dioxide is used to fill your abdomen once you are asleep. The gas keeps your organs safe by keeping the abdominal wall away from them. This reduces the dangers of injury.
3. A small incision in your navel will allow the surgeon to insert the endoscope. The endoscope relays images on a screen, giving a clear image of your organs to your doctor. Consult a gynaecologist online.