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Laparoscopic Surgery For Gastrointestinal Problems - The Benefits!

Dr. Ashish Pitale 94% (10 ratings)
MBBS, MS - General Surgery, FRCS - General Surgery , Fellowship in Minimal Access Surgery
General Surgeon, Delhi
Laparoscopic Surgery For Gastrointestinal Problems - The Benefits!

Laparoscopy is an advanced surgical technique that is often used to find out and treat any abnormalities or a myriad of medical complications such as an infection, ectopic pregnancy (a condition where the embryo attaches itself to an organ other than the uterus), cyst, fibroids, endometriosis, or pelvic inflammatory disease. Laparoscopy comes in handy in the case of an accident or an injury where it helps in the detection of any damages to the internal organs. There are instances where laparoscopy is even used in a biopsy (to collect the tissue sample).

The technique involves a small incision, often in the belly, through which a lighted tube, called a laparoscope, is inserted into the abdomen to analyze or treat the problem. The technique is quite hassle-free, causing minimum discomfort to the patient. In fact, there are so many associated benefits that more and more people are choosing laparoscopy over other surgical techniques and open surgery.  In this regard, some of the advantages of laparoscopy that deserves a special mention are as follows:

  1. Involves a smaller incision: Most of the surgical procedures, including open surgery, can be quite messy. The laparoscopic technique is simple, minimally invasive, and involves an incision which is 1.2 inch or less.
  2. Quick recovery with lesser chances of an infection: In surgeries involving a large cut, there is a high probability of infection at the incision site, leading to complications and delaying the recovery and healing process. In laparoscopy, with a small incision, chances of an infection or associated complications are almost negligible. An infection-free surgery will heal at a faster rate, ensuring a quick recovery.
  3. The USP of Laparoscopy lies in the fact that the procedure is less painful (since the procedure involves a small cut with reduced loss of blood) as compared to many of the other surgical techniques. In some of the surgeries (including an open surgery), there may be profuse bleeding with the patient even requiring a blood transfusion. Such complications are unheard of in the case of a Laparoscopic surgery. In fact, patients undergoing a laparoscopy are often required to spend a lesser time in the hospital.
  4. Negligible chances of a wrong diagnosis: PCOS or endometriosis can be a contributing factor, triggering infertility in women. In females with fertility issues, an accurate diagnosis can go a long way to treat the condition better. The symptoms and complications associated with PCO or endometriosis can be alleviated if diagnosed early and accurately. Laparoscopy, in the majority of the cases, ensures an accurate diagnosis, making the treatment effective.

Most of the surgical treatments such as an open surgery can leave a huge hole in your pocket. Laparoscopy, though effective, is not very expensive, making it a highly affordable surgical treatment.

Laparoscopic Surgery for Gastrointestinal Problems

The Laparoscopy surgery is often advised to treat a myriad of gastrointestinal problems such as Diverticulitis, Crohn's disease, Familial polyposis, Colorectal Cancer, Ulcerative Colitis. The Laparoscopy surgery may also be helpful in the case of severe constipation, bowel incontinence (a condition where a person fails to control the bowel movements) or a rectal prolapse.

As with most laparoscopic surgeries, the procedure involves the surgeon to make few (usually 3 and more) incisions in the abdomen. With the stomach inflated with carbon dioxide gas (to view the diseased organs better), a laparoscope and the surgical instruments are then placed into the stomach via the incisions to perform the surgery. The different laparoscopic surgeries of the intestine to treat the gastrointestinal disorders include:

  1. Abdominoperineal Resection: In people with cancer affecting the anus or the lower part of the rectum, a surgeon may perform the Abdominoperineal Resection to get rid of the rectum, anus as well as the sigmoid colon. With the removal of the rectum and the anus, the surgeon creates a colostomy (an arrangement to connect the healthy end of the colon to the anterior wall of the abdomen through an incision) to eliminate the waste and the fecal matter out of the body. 
  2. Proctosigmoidectomy: In people suffering from Diverticulitis (an inflammation or infection of the diverticula) and polyps (both cancerous as well nonmalignant growths), a Proctosigmoidectomy may be carried out to excise (complete or partial removal depending on the severity of the case) the affected part of the sigmoid colon or the rectum.
  3. Total abdominal colectomy: This laparoscopic surgery is used to treat conditions of Crohn's disease  (an inflammatory bowel disease that causes abdominal pain and a host of associated symptoms), Ulcerative colitis (severe inflammation of the colon), or Familial polyposis (a condition that triggers the formation of many colon polyps). Total abdominal colectomy involves the surgical removal of the large intestine (usually from lower part of the ileum to the rectum which is then followed by the stitching the end of the ileum and the rectum together).
  4. Right colectomy: As the name suggests, Right Colectomy, also termed as Ileocolectomy involves the surgical removal of the right side of the colon or the large intestine. The excision also includes the end part of the small intestine (attached to the right side of the colon). The Right Colectomy is used to treat cancer, the symptoms associated with Crohn's disease as well as the polyps.
  5. Rectopexy: In the case of a rectal prolapse, where the rectum protrudes out of its original place, a rectopexy goes a long way to stitch the rectum to its original position.
  6. Total proctocolectomy: This is a laparoscopic surgery to remove the large intestine, the rectum and the anus (the anus may or not be removed depending on the severity). People with inflammatory problems of the colon such as Crohn's disease or  Ulcerative colitis benefit immensely from total proctocolectomy. The surgery may be followed by a temporary ileostomy (in the case the anus is removed or damaged, a permanent ileostomy may be needed) to eliminate the wastes out of the body.

On what days me and my wife should sex to avoid pregnancy. We want sex normally with out condom or protection. But we do not want pregnancy.

Dr. Dinesh Kumar Jagpal 94% (65185 ratings)
MBBS
Sexologist, Panchkula
On what days me and my wife should sex to avoid pregnancy. We want sex normally with out condom or protection. But we...
You can have sex 5 days before start of periods and 5 days after end of period. There are no chances of pregnancy in this period. Follow this and be happy.
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Sir mere face pr pimple or chote chote dane h kafi time ho gya. Please btaye ye kaise thk hoga?

Dr. Ashutosh Goyal 88% (381 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Gwalior
Sir mere face pr pimple or chote chote dane h kafi time ho gya. Please btaye ye kaise thk hoga?
Diet & Lifestyle Advice Avoid Pitta-aggravating foods like spicy, heavy, and oily foods, as well as tea and coffee. Avoid refined foods, refined sugar, junk food, and alcoholic and carbonated drinks. Increase intake of fresh fruits, green leafy vegetables, and vegetable juice prepared from lettuce, carrot, capsicum, and alfalfa. Avoid using chemical products on the hair. Try herbal oils and shampoos instead. Home Remedies Mix powdered Indian gooseberry (amla) and sesame seeds in equal amounts. Take 1 teaspoon twice a day with water. If you want more better treatment consult me.
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I want sex with my gf but I don't want to use condoms pls. Tell me any medicine that will stop my sperm for 3 days.

Dr. Dinesh Kumar Jagpal 94% (65185 ratings)
MBBS
Sexologist, Panchkula
I want sex with my gf but I don't want to use condoms pls. Tell me any medicine that will stop my sperm for 3 days.
You can do sex 5 days before start of periods and 5 days after end of period of time. There are no chances of pregnancy in this period. There is no medicine to stop sperms.
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Dear sir /mam I am 22 year old the problem is that while doing the sex my sperm is coming so less nd my penis loose the sperm in 4 min so I want the treatment nd one most important question is that if am doing twice sex my penis does not response proper in the age of 19 I have started the masturbate so please I want a treatment so please help mi out I leave in mumbai.

Dr. Bhagyesh Patel 93% (3959 ratings)
MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Dear sir /mam I am 22 year old the problem is that while doing the sex my sperm is coming so less nd my penis loose t...
Hello dear lybrate-user, Warm welcome to Lybrate.com I have evaluated your query thoroughly.* There is no effect of masturbation at 19 giving current problem.* 4 minutes of lossing sperm time is normal after erection.* Penis takes varying period of time in second time sex after ejaculation which varies from 1 - 3 hours. Hope this clears your query. Wishing you fine sex life ahead. Welcome for any further assistance. Regards take care.
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I suffer from lower back pain from one month. This pain caused by lifting heavy weight at a position up to 15 minutes weight is 70 kg approximately.

Dr. Sachin Rathod 90% (77 ratings)
Post Graduate Diploma In Orthopardics, DNB Orthoapedics
Orthopedist, Mumbai
I suffer from lower back pain from one month. This pain caused by lifting heavy weight at a position up to 15 minutes...
Hello, you had paraspinal muscle spasm becoz of lifting heavy weight, would suggest to take muscle relaxant, rest and later physiotherapy back strengthing and stretching exercises.
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During zym orr anything else I don't know. When I wake up in morning left shoulder paining after two days I do zym regular now in day it's normal but In night it's hurting. What can I do?

Dr. Julie Mercy J David Raja 90% (4242 ratings)
Erasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPT
Physiotherapist, Chennai
During zym orr anything else I don't know. When I wake up in morning left shoulder paining after two days I do zym re...
That you can do hot water fermentation and ice therapy at home. If you have shoulder pain then the stiffness will develop more that might make the arm to have less improvement which might make you to feel more pain the arm. And also cervical pillow can be used which might make you to have better posture of the shoulder neck and arm.
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I am 31 yo weighed 98 kgs I have sedentary lifestyle. I haven't going to gym or jog since long back which resulted in excessive weigh gain and low libido. In between I was also facing enormous Stress and Depression. Which leads me to more inactive lifestyle. 4 years back I was weighed same but was very active with good physique. Now I wanna get rid of it. Could you please suggest me the diet for weight loss.

Dr. Arun Desai 92% (179 ratings)
BAMS, M.D.Alternative Medicines
Ayurveda, Belgaum
I am 31 yo weighed 98 kgs I have sedentary lifestyle. I haven't going to gym or jog since long back which resulted in...
your Problem Obesity Causes 1.Poor Diet-Taking more quantity Calories, diet rich in fats, refined sugar, fast junk food 2.Poor Eating habits-Irregular, frequent, Over eating, 2.Lack of physical Activity. 3.Sedentary Life style. I.e. Eat and sit. 4.Medical problems-Hypothyroidism, PCOD,Cushing Bank. 5.Medications-Steroids, Anti depressants etc. 6.Psychological-Stress, anxiety, Depression. 7.Gentic-Heridatary. Proper Management 1.Proper Diet -e.g.Highly nutiritious balanced diet. Etc 2.Proper Exercise- e.g.Running, Cycling,jogging etc 3.Yoga-Areawise belly fat-Kapalbhati, Thigh fat-Baddha konasan etc 4.Ayurvedic Medicines.-Like Trushan, Silajit,Guggulu, Varun etc. 5.Counselling-Stress, anxiety mannagement. 6.Life Style Management-Proper regularizedfood sleep pattern. Home Remedy- 1.Honey 2 tsf with luke warm water. 2.Krishna Jeerak with luke warm water. Herb Remedies- 1.Medohar Churna with honey. 2.Shilajatu with Goark. I have very Good Ayurvedic treatment and complete management for obesity. No side effects. U can Consult me for your problems. Wish I happy healthyand prosperous life ahead. GOD BLESS U. Regards
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Hi doctor, I belong from govt sector as a ground duty but unfortunately my weight is gaining. Suggest me what to do. My weight is 85 kg and height is 178 c.m.Please suggest me something for weight loss.

Dr. Vignan Rachabattuni 90% (47 ratings)
MBBS, Diploma in Sports Medicine
Doctor, Hyderabad
Hi doctor,
I belong from govt sector as a ground duty but unfortunately my weight is gaining.
Suggest me what to do. ...
Hello. Firstly avoid being empty stomach for long hours as this will eventually lead to over eating at meal times. To tackle this multiple smaller meals (5) during the day will keep your glucose level maintained and solve hunger pangs and over eating. A basic home workout is advised since hitting the gym may seem impossible for you given your profession. Jump rope exercise and few aerobic exercise starting with 10 minute workout daily (with a day off) may help you.
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Suffering from IBS problem since last more than 12 years. Consult many doctors and they did many tests like endoscopy, colonoscopy but all normal. I feel constipation and gas. Take about 45 mins while going for fresh. Go 2-3 times in day for fresh but have feelings to go more time also but due to time limitations I tolerate it. Gas problem is much much high. Whole day gas pass. If go for fresh then too much gas passed. Feel very shame if some relative come in our house or I go somewhere because big sounds of gas passing come while go to toilet.

MBBS
General Physician,
Suffering from IBS problem since last more than 12 years. Consult many doctors and they did many tests like endoscopy...
Hi First of all I will advise you not to take stress as stress aggravates irritable bowel syndrome. It happens when our large intestine colon gets hypersensitive and overreacts to mild stimulation. First of all tell me do you feel pain too and exactly where and are stools hard or weak and secondly are you taking any other medications for anything else too. Now for gas and constipation do as follows:- Take Tab Pantocid 40 mg Od Half hour before breakfast Syp Looz 3tsf BD And do some diet and lifestyle modifications like   CHECK YOUR SYMPTOMS FIND A DOCTOR FIND LOWEST DRUG PRICES HEALTH A-Z DRUGS & SUPPLEMENTS LIVING HEALTHY FAMILY & PREGNANCY NEWS & EXPERTS MOBILE APPS SUBSCRIPTIONS SUBSCRIBE SUBSCRIBE Irritable Bowel Syndrome    Guide  Irritable Bowel Syndrome IBS affects between 25 and 45 million Americans. Most of them are women. People are most likely to get the condition in their late teens to early 40s. IBS is a mix of belly discomfort or pain and trouble with bowel habits: either going more or less often than normal (diarrhea or constipation) or having a different kind of stool (thin, hard, or soft and liquid). It’s not life-threatening, and it doesn't make you more likely to get other colon conditions, such as ulcerative colitis, Crohn's disease, or colon cancer. But IBS can be a long-lasting problem that changes how you live your life. People with IBS may miss work or school more often, and they may feel less able to take part in daily activities. Some people may need to change their work setting: shifting to working at home, changing hours, or even not working at all. What Are the Symptoms of IBS? People with IBS have symptoms that can include: Diarrhea (often described as violent episodes of diarrhea) Constipation Constipation alternating with diarrhea Belly pains or cramps, usually in the lower half of the belly, that get worse after meals and feel better after a bowel movement A lot of gas or bloating Harder or looser stools than normal (pellets or flat ribbon stools) A belly that sticks out CONTINUE READING BELOW Stress can make symptoms worse. Some people also have urinary symptoms or sexual problems. There are four types of the condition. There is IBS with constipation (IBS-C) and IBS with diarrhea (IBS-D). Some people have an alternating pattern of constipation and diarrhea. This is called mixed IBS (IBS-M).  Other people don’t fit into these categories easily, called unsubtyped IBS, or IBS-U. What Are the Causes? While there are several things known to trigger IBS symptoms, experts don't know what causes the condition. Studies suggest that the colon gets hypersensitive, overreacting to mild stimulation. Instead of slow, rhythmic muscle movements, the bowel muscles spasm. That can cause diarrhea or constipation. Some think that IBS happens when the muscles in the bowels don't squeeze normally, which affects the movement of stool. But studies don’t seem to back this up. Another theory suggests it may involve chemicals made by the body, such as serotonin and gastrin, that control nerve signals between the brain and digestive tract. CONTINUE READING BELOW Other researchers are studying to see if certain bacteria in the bowels can lead to the condition Because IBS happens in women much more often than in men, some believe hormones may play a role. So far, studies haven’t borne this out. How Is It Diagnosed? There are no specific lab tests that can diagnose IBS. Your doctor will see if your symptoms match with the definition of IBS, and he may run tests to rule out conditions such as: Food allergies or intolerances, such as lactose intolerance and poor dietary habits Medications such as high blood pressure drugs, iron, and certain antacids Infection Enzyme deficiencies where the pancreas isn't releasing enough enzymes to properly digest or break down food Inflammatory bowel diseases like ulcerative colitis or Crohn's disease Your doctor may do some of the following tests to decide if you have IBS: Flexible sigmoidoscopy or colonoscopy to look for signs of blockage or inflammation in your intestines Upper endoscopy if you have heartburn or indigestion X-rays Blood tests to look for anemia (too few red blood cells), thyroid problems, and signs of infection Stool tests for blood or infections Tests for lactose intolerance, gluten allergy, or celiac disease Tests to look for problems with your bowel muscles CONTINUE READING BELOW How Is IBS Treated? Nearly all people with IBS can get help, but no single treatment works for everyone. You and your doctor will need to work together to find the right treatment plan to manage your symptoms. Many things can trigger IBS symptoms, including certain foods, medicines, the presence of gas or stool, and emotional stress. You’ll need to learn what your triggers are. You may need to make some lifestyle changes and take medication. Diet and Lifestyle Changes Usually, with a few basic changes in diet and activities, IBS will improve over time. Here are some tips to help reduce symptoms: Avoid caffeine (in coffee, teas, and sodas). Add more fiber  with foods like fruits, vegetables, whole grains, and nuts. Drink at least three to four glasses of water per day. Don't smoke. Learn to relax, either by getting more exercise Limit how much milk or cheese you eat. Eat smaller meals more often instead of big meals.
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