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Surgery Tips

Ulcerative Colitis: What Type Of Surgery Should You Opt?

Dr. Preetham Raj 90% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Bangalore
Ulcerative Colitis: What Type Of Surgery Should You Opt?

Ulcerative colitis is a chronic inflammatory condition whereby, tiny abscesses and ulcers are formed on the inner lining of the large intestine, or on the colon or rectum. These ulcers may burst frequently resulting in diarrhea and bloody stools. This disease may also be responsible for causing anemia as well as harsh abdominal pain.

Ulcerative colitis normally alternate periodically from flaring up to receding quickly. These periods of remission can either last for weeks or maybe, even for years at a stretch. They are, however, not permanent and although the disease may seem to have disappeared completely, it can soon show up again in no time. Usually beginning in the rectum, it can, by and by, spread rapidly to other parts of the colon. If it is, however, limited only to the rectum, then it is more commonly referred to as ulcerative proctitis.

Surgery is generally obligatory and mandatory when it comes to treating ulcerative colitis. If surgery is not performed, you may suffer from long-lasting side effects, including cancer and colon rupture. Here are the different types of surgery that you may undergo:

  1. Colectomy: This is done when the entire colon needs to be removed and is usually performed to eliminate the perils of acquiring colon cancer.
  2. Proctocolectomy: This concerns the total removal of both colon and rectum and is usually the standard procedure when dealing with ulcerative colitis.
  3. Ileal Pouch Anal Anastomosis: If the treatment does not require a permanent stoma, and if you can still manage to let out stool from your anus, then this surgery, also called restorative proctocolectomy would be most appropriate.

Here, both colon and rectum are removed, but at the same time, the small intestine is utilized to form an internal reservoir, called a J-pouch, which is linked to the anus and can hereafter serve as your new rectum. In case you have a concern or query you can always consult an expert & get answers to your questions!

Everything You Want to Know About Butt Implants!

Dr. Lalit Choudhary 89% (63 ratings)
M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Everything You Want to Know About Butt Implants!

Cosmetic surgery is not restricted to the top half of your body. Today along with facelifts and breast implants, butt implants are also gaining popularity. This procedure is also known as gluteal augmentation. Butt implants are usually made of silicone. These soft, solid structures are implants under the gluteus maximus muscles and above the pelvic bone through an incision. The incision is typically made in the butt crease so that it is less noticeable. Here are a few others things you should know about butt implants:

  1. It is performed under anaesthesia: Butt implant surgery may be performed under local or general anaesthesia and usually takes anywhere between 2 to 7 hours. However, this procedure is usually an outpatient procedure and no hospitalisation is required.
  2. It takes time to recover: After the procedure, you will probably notice swelling and tenderness in the area. In most cases, the patient is advised to wear a compression garment for a few days after the surgery. This should resolve itself in about 4-6 weeks but complete recovery can take up to 8 months. This is because the tailbone muscles are cut during the procedure.
  3. The effects are permanent: Silicone implants can last a lifetime and hence the results of this surgery are permanent. With time the body’s natural tissues merge with the implant. However, in some cases, the implant may slip with time causing an asymmetrical appearance. This can be corrected through a follow-up surgery.
  4. Anyone can get a butt implant: Butt implants are typically used for people with a flat posterior, but you don’t necessarily need to have a skinny frame to undergo this procedure. Also, there are no size or weight limitations to getting the procedure.
  5. It is customisable: Butt implants can be customised to suit the person’s size and frame. A surgeon will typically take into account the shape of the patient’s pelvic bone and natural butt contours to create a butt implant that enhances the patient’s frame and does not look unnatural.
  6. There are risks: Complications are rare but possible with this surgery. Making an incision under the butt crease reduces its visibility but increases the risk of infections. There is also a risk of allergic reactions to anaesthesia. Other possible side effects include pain, discomfort, nerve damage and reduced sensitivity.
  7. They do not feel completely natural: Silicone butt implants may feel harder than normal tissue and at some angles may not look very natural remove these and post more of positive aspects.

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

Gallstone Surgery - Medical Factors You Must Consider!

Dr. Kinker. Mrinal 85% (10 ratings)
MBBS, MS - General Surgery
General Surgeon, Kota
Gallstone Surgery - Medical Factors You Must Consider!

This surgery involves the removal of Gallbladder, which is a pear-shaped organ that lies right beneath the right side of the liver. The main function of the gallbladder is to collect and concentrate bile, which is a digestive juice produced by liver after eating, aiding digestion. The most common disorder of the digestive system is presence of Gallstones, which are the stones made up of a mixture consisting of cholesterol, bile pigment and calcium salts.

These Gallstones don’t cause any problems in most cases. But prompt treatment is required if stones block ducts and cause infections and inflammation in the pancreas. This may lead to removal of the gallbladder through a surgery, known as cholecystectomy, which further includes techniques such as laparoscopic (keyhole) cholecystectomy or open surgery.
Although it is a less vital organ, the body can cope up even after removal.

Procedure of surgery:

  1. The surgery involves removal of gallbladder and gallstones through several incisions in the abdomen. In order to see clearly, the surgeon inflates the abdomen with air or carbon dioxide.
  2. A lighted scope attached to a video camera is inserted into one incision near the belly button. The video monitor is used as a guide for inserting other surgical instruments into the other incisions to remove the gallbladder.
  3. Intraoperative cholangiography is the X-ray procedure which shows the anatomy of bile ducts. This is done before the surgeon removes the gallbladder.
  4. Bile flows from the liver through the common bile duct after the surgery into the small intestine. As the gallbladder has been removed, the gallbladder can no longer store bile between meals but has no effect or little effect on digestion.
  5. In case of open surgery, the surgeon reaches the gallbladder through a large, single incision in the abdominal wall.

Complications after gallbladder surgery:
This surgery carries some degree of risk like any other surgery. Complications such as internal bleeding, infection, injury to nearby digestive organs, injury to the bile duct and injury to blood vessels.

Types of gallstones:
There are three main types of gallstones. They are
1. Mixed stones: They are made up of cholesterol and salts. They tend to develop in batches.
2. Cholesterol stones: Mainly made of cholesterol, which is crucial to many metabolic processes. They can grow large enough to block the bile ducts.
3. Pigment stones: The colour of bile is greenish-brown, due to some particular pigments.

Medical factors to consider before cholecystectomy:
The most important factor is a consideration of your medical history. This is because the pre-existing conditions influence decisions on surgery and anaesthetic and information about any bad reactions or side effects from any medications would be helpful for surgery.

Self-care after the surgery:
Taking rest is the most important thing after surgery. Avoid things such as heavy lifting and physical exertion. The usual recovery period after the surgery is one week. In case you have a concern or query you can always consult an expert & get answers to your questions!

Scared of Surgery? Choose Laparoscopy!

Dr. Ramya Ranjan Behera 87% (87 ratings)
F.N.B.(Minimal Access Surgery), MS (General Surgery) , MBBS, FALS(Fellow Advanced Laparoscopic Surgery), FCLS(Fellow International College of Laparoscopic Surgeons), FIAGES
General Surgeon, Bhubaneswar
Scared of Surgery? Choose Laparoscopy!

Traditional open surgery requires an 8-10 cm incision to expose the surgical area of the abdomen which needs to be operated. This large incision is a major post-operative side-effect which results in longer recovery period.
The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5–1.5 cm are made far from the location of the operation. One or more such holes on the abdominal wall serve as passageways for a specialised instrument called a laparoscope. A long, thin tube headed by a high-resolution camera and a high-intensity guiding light is inserted through the incision. As the instrument moves along, the camera transmits images to a video monitor enabling your surgeon to see inside without opening up your body for surgery.
This process is used to diagnose unidentified abdominal or pelvic pain. Minimally invasive surgery (MIS) is usually performed when all non-invasive alternatives have been tried. Imaging techniques like ultrasound, computed tomography (CT) scan or magnetic resonance imaging (MRI) are sometimes unable to provide enough data for diagnosis.
Laparoscopic surgery is used for the removals of an inflamed appendix, gall bladder, hernias, and cancer-affected organs, fibroids from the uterus, the womb (hysterectomy) and also for performing weight-loss surgeries.

Laparoscopy has a lot of advantages over the more common, open procedure. They are:
1. Less post-operative pain
2. Smaller scars
3. Reduced haemorrhaging and blood loss
4. Shorter recovery period
5. Less pain medications and analgesia requirements
6. Reduced exposure to internal organs
7. Faster return to normal activity
8. Reduced risk of infection

Laparoscopy is a proven safer choice with a fast-healing process side-stepping conventional surgery!

Joint Replacement Surgery - Know Everything About It!

Dr. Ankit Varshneya 92% (162 ratings)
MS orth, Diploma ort
Orthopedist, Agra
Joint Replacement Surgery - Know Everything About It!

Joint Replacement Surgery is a procedure where the damaged surface of the advanced arthritic joints are removed and replaced by artificial joints, such as metallic, plastic and ceramic joints.
These surfaces closely replicate the original anatomy.

When do you need a replacement?
When you suffer from severe pain or deformity in the joint (knee in this case), the pain or stiffness and deformity makes it difficult to perform simple tasks. Severe grade IV osteoarthritic knees of  people over 50 years when have pain, swelling and deformity fail to respond to medicines, physiotherapy, injections and rest.

Aim of the surgery
Correct the deformity: Relieve the pain and give near full movements almost immediately after the procedure. Details including techniques and safety, it is a safe, rewarding surgery with a success rate of as high as 99.5% when done by an able and experienced professional.

Anaesthesia: Usually it is the spinal cord epidural where one is rendered numb for 3 to 4 hours waist down. Sometimes a general anaesthesia is given. A 4 to 5 inches cut is made in front of the knee and all the damaged cartilages, bones, loose bodies are removed from the lower end of the thigh, upper end of the tibia (usually of few millimetres) and the surface re-crafted to match the size and shape of the artificial joint (it is usually imported). They are fixed with bone cement. The ligaments and muscles are reattached and the parts closed.

Recovery: Stand up and walk a few steps with a walker the day after the procedure i.e. in 24 hours. Physiotherapy in hospital for 5 to 7 days and/or walking. progressively longer walks and exercises over the following 15 days. Stitches are removed in 15 days. The patient can return back to normal activity in 4 to 8 weeks the surgery.

Activities: Normal walks of 3 to 5 km per day Climbing stairs, cycling, swimming, and driving can be performed with the new implant(s) now.

Avoid: Squatting/kneeling Prohibited: contact sports like football, cricket, tennis; jumping; adventure sports Longevity of joints: 15-35 years depending on the materials used.

1 person found this helpful

Liposuction Surgery

Dr. Shobha Jindal 90% (184 ratings)
M Ch., MS - General Surgery, DNB Plastic surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Liposuction Surgery

Liposuction is a type cosmetic surgery that refers to the removal of excess fats from the body through suction.During liposuction, small, thin, blunt-tipped tubes (cannula) are inserted through tiny cuts in the skin.

Liposuction is used to remove fat deposits from:

  1. Thighs.

  2. Hips and buttocks.

  3. Abdomen and waist.

  4. Upper arms.

  5. Back.

  6. Inner knee.

  7. Chest area.

  8. Cheeks, chin and neck.

  9. Calves and ankles.

Different techniques are adopted in liposuction process. Some of them are:

  1. Traditional Liposuction: In traditional liposuction, the surgeon uses a thin tube called a cannula, connected to a powerful suction pump.

  2. Tumescent Liposuction: Tumescent liposuction is similar to traditional liposuction, but experts often hail its innovative use of medication and reduced risks for complications.

  3. Super-wet Liposuction: Super-wet liposuction is a variation of the tumescent technique that uses less fluid injection.

  4. Ultrasonic Liposuction: This popular form of liposuction uses a specialized cannula that emits ultrasonic sound waves into the fat deposits to liquefy fat cells and make them easier to remove.

  5. Power Assisted Liposuction: By employing a cannula that has a vibrating tip, surgeons are able to break up fat cells for easier removal.

More and more people are turning to liposuction to help achieve their aesthetic goals. Patients benefit both mentally and physically from liposuction. In fact, liposuction has become one of the most popular plastic surgery procedures in the world because it is a safe and effective way to remove fat and cellulite in your body. To add to it’s effectiveness, liposuction can be paired with a myriad of complementary procedures such as breast augmentation, tummy tuck, and even facial plastic surgery.

The benefits of liposuction include:

  • Safe removal of fat

  • Reduction of cellulite or improvement in the appearance of cellulite

  • Improved health, usually associated with fat loss

  • Changes the way you look, and the way others perceive you

  • Boost in self-esteem

  • Sculpting areas of body that even exercise and diet don’t seem to impact

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

4 people found this helpful

Undergone A C- Section - Tips For Faster Recovery!

Dr. G.K. Bedi 82% (26 ratings)
DGO, MBBS
Gynaecologist, Chandigarh
Undergone A C- Section - Tips For Faster Recovery!

Pregnancy is an exciting time for most. However, having a child can be burdening to your body, particularly in the case where a woman delivers the baby through a C-section. In such cases, one requires more time and opportunity to recover than a normal vaginal delivery. If you have undergone a cesarian (C-Section) delivery, it is time you take extra care for a quicker recovery.

Here are six remedies to accelerate your recovery so you can invest less energy in getting sore and tired, and additional time holding your new child.
You may feel deadness and soreness at the cut site, and the scar will be marginally raised, puffy, and darker than your regular skin tone. Your specialist will have regular appointments with you to know how you are doing and make sure that the injury is healing quickly.

Here are a few tips for a faster recovery:

  1. Soup or broth: Bone soup is filled with amino acids like proline and glycine, which are required for collagen creation and incredible for skin recovery. Broth likewise contains gelatin, which is helpful for wound recovery and for the skin. There is a reason broth is a doctor recommended food for those suffering from any illness or sickness.
  2. Binding: The essential point is to stay away from heavy lifting. Lightweight can diminish the pain and speed recovery after a C-section. Indeed, this can be useful for non-cesarean births too since it decreases pain and helps the uterus come back to its original size all the more rapidly.
  3. Gentle Cesarean: Circumstances of the cesarian have a major effect on the recovery of a woman. Crisis C-sections or ones where a mother loses a considerable measure of blood clearly take more time to recover from. However, it has been established that women recuperate all the more speedily when they have a normal surgery and get sufficient holding time with the infant immediately. This is a development called tender cesarian and when conceivable, it appears to truly help recovery.
  4. Soothing balm: A cesarian is a stomach surgery where there is a big cut. Using stomach ointments during pregnancy can help reduce the risk of dry stitches that stretch the skin and cause a tear in it. Using a softening balm after the operation can get rid of the numbness and speed scar recovery.
  5. Glutamine: Glutamine is a key substrate for quickly developing and increasing cells, including white platelets. Glutamine increases the multiplication of fibroblasts, along these lines helping in wound recovery. It is the real amino acid lost during any tissue damage, suggesting a huge part in the conservation of the body mass.
  6. Water and Magnesium: Many people get constipated after surgery and this can be particularly difficult after a cesarian. To prevent this from happening, drink lots of water to ensure that you stay hydrated. Take some magnesium to soften the stool and prevent constipation.

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

Breast Augmentation - What To Expect

Dr. Pavan Murdeshwar 93% (572 ratings)
MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Breast Augmentation - What To Expect

The process of breast augmentation, popularly known as breast enlargement or implants, effectively increases the size of the breasts through insertion of silicone gel implants or saline implants. It is known to be popular among women and is frequently done, with quite satisfying results.

Why do women opt for breast augmentation?

  1. Some women opt for implants to enhance their figure
  2. Others opt for implants, when they experience some sort of sagging or alteration to their breast after a pregnancy, or after losing some weight and even due to old age.
  3. Some women also choose enhancement surgery if they feel that one breast is smaller than the other.

What does a breast augmentation procedure involve?
Breast augmentation surgery is generally performed while the patient is under the influence of general anaesthesia. In case of enhancement with the help of implants, an incision is made in the breast tissue and a pocket is created to place the implants. Once the implants are successfully placed the incision is closed and allowed to heal.

What sort of implants is available?
There are basically 4 types of implants that are recommended on the basis of the body type -

  1. Saline filled breast implants- These implants contain sterile water and are either prefilled or filled during the surgery.
  2. Silicone filled breast implants- These implants contain soft elastic gel and come prefilled. These types of implants also require an incision which is longer in size.
  3. Cohesive gel silicone implants- Commonly known as "form stable" implants, they contain cohesive gel that is more firm and thicker than normal silicone implants.
  4. Autologous fat transfer- It consists of fat that has been removed through liposuction from a part of the body, like the abdomen or thighs. The fat is then refined and injected into the breasts. But this form of implant is not very common and is currently under more research.

Breast implants are generally supposed to last for life, but on occasions they may need replacement. Thus regular check-ups are essential, so as to monitor the condition of the implants. 

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

How Laparoscopy Is Beneficial In Gallstone Surgery?

Dr. Aasim Anees Hussain 84% (12 ratings)
M.S, General Surgery, Bachelor of Medicine Bachelor of Surgery (M.B.B.S.), Medicine, Fellowship In Minimal Access Surgery, Fellowship In Laparoscopic & Robotic Onco-Surgery, FIAGES
General Surgeon, Chennai
How Laparoscopy Is Beneficial In Gallstone Surgery?

Gallstones are a medical condition in which the formation of stones takes place in the bile duct or the gallbladder. One of the major factors responsible for the formation of gallstones is an elevated excretion of cholesterol by the liver, most of which remains undissolved by the bile. The undissolved cholesterol may crystallize resulting in the formation of gallstones (yellow cholesterol stones, a condition termed as Cholesterol Gallstones). In some cases, increased level of bilirubin in the bile (triggered by a liver problem, liver damage or other medical conditions), which doesn't undergo a breakdown, may lead to stone formation (known as Pigment Gallstones). Here, the stones appear black or dark brown in color.

Gallstones are common among women, especially those who are 40 years and more. Obesity, diabetes, liver disorders, unhealthy diet (rich in fats and cholesterol), certain medications (those containing estrogen) can also trigger the formation of gallstones. Gallstones left untreated and unattended can give rise to serious complications such as blockage of the pancreatic duct (resulting in Pancreatitis) or the bile duct. There may also be inflammation of the gallbladder. In extreme cases, a person may even suffer from something as serious as Gallbladder Cancer.

Laparoscopy to remove the gallstones

  • While a lot of treatments and medications are available to deal with gallstones, most people opt for Laparoscopy. What makes laparoscopic surgery superior to the other open surgeries is that it is minimally invasive with a better and quick recovery. Also termed as Cholecystectomy, the laparoscopic surgery for the removal of gallstones as well as the gallbladder involves the following steps.
  • General anesthesia is given to the patients before the surgery.
  • The surgeon makes 3-4 small incisions in the abdomen.
  • The surgeon then inflates the stomach to get a better view of the internal organs (including the organs affected). Carbon dioxide gas is passed into the stomach to inflate it.
  • In the next step, the surgeon carefully inserts a laparoscope (a narrow and long tube that comes with a high-density light and a front camera with a high-resolution) through one of the incisions (usually the one close to the belly button) to aid in the surgery.
  • Nex,t the surgeon inserts the surgical instruments needed to get the gallstones and the gallbladder removed.
  • Before the surgical removal of the gallstones and the gallbladder, an important X-ray of the bile duct called the Intraoperative Cholangiography (shows the bile duct anatomy) is done.
  • With the gallbladder and the stones removed, the laparoscope and the surgical instruments are then removed and the incisions stitched carefully.
  • The gallbladder is known to store the bile pigment. With the removal of the gallbladder, there is a small rearrangement. The bile pigments now move from the liver into the small intestine via the bile duct.
  • The patients may require spending 1-2 days in the hospital. The patient is expected to be in a better shape (less discomfort) within 2-3 weeks.
  • In case complications arise during the surgery, the surgeon may have to switch onto an open surgery. 

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

1 person found this helpful

Throw Out Your Shapewear! How Liposuction Can Help.

Dr. Mohna 89% (14 ratings)
MBBS, MD - Dermatology , Venereology & Leprosy
Dermatologist, Noida
Throw Out Your Shapewear! How Liposuction Can Help.

Looking good and feeling good are sometimes one and the same thing which can be achieved with good skin and a fit body. One can turn to many measures to achieve the same, including cosmetic procedures. Cosmetic surgery like liposuction is generally used to remove the excess fat in the body which cannot be treated with normal exercise or diet control measures. This surgery is conducted by a plastic surgeon. Here is everything you need to know about liposuction.

About: Liposuction is a cosmetic procedure. It removes the excess fat present in one’s body with the help of a procedure known as body contouring. This kind of contouring may be carried out in various parts of the body including the calves, knees, buttocks, hips, abdomen, upper arms, breasts and even the neck and chin area. These are the areas that generally end up accumulating excessive fat which does not go away easily. For some people, persistent diet control and exercising may help. But for severe and chronic cases, one will have to make use of measures like liposuction.

Types of Liposuction: Depending on your case as well as the individual system of the patient, one can go in for one of the various types of liposuction. The fluid injection based liposuction is the most popular and common form where a large dose of medicated solution is injected with a local anaesthesia blended into it. This helps in contracting the blood vessels so that the fat can be suctioned out. The next type is the super wet liposuction where the amount of liquid solution injected is the same as the amount of fat that has to be removed. Ultrasound assisted liposuction uses ultrasonic waves in order to transform the fat cells into liquid which can be vacuumed out later. Further, laser assisted liposuction makes use of laser pulses and beams in order to make the fat cells liquid before they are vacuumed out of the system.

The procedure: The plastic surgeon will make use of a special liposuction machine and cannulas or special instruments, so that the surgery may be carried out in a proper manner. Also, depending on the type of procedure you are going in for, you will require local or general anaesthesia. A small incision is made so that the tube may be inserted for the liquefaction process to begin. After this, the fat that has been dislodged will be vacuumed away through the same suction tube. Small drainage tubes will be inserted to remove blood and fluid from the deflated areas and in some rare cases, blood transfusion or fluid replacement may also be required. High blood pressure and cardiovascular cases should not use this option. 

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

1 person found this helpful
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