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Surgery Tips

Every Abscess Doesn't Mean Operation!

Dr. Puneet Agrawal 93% (99 ratings)
MBBS, MS - General Surgery
General Surgeon, Agra
Every Abscess Doesn't Mean Operation!

Every abscess doesn't mean operation.Many abscesses are caused by tuberculosis bacteria. In these abscesses we just aspirated and give drugs to fight tuberculosis.Most patients recover without surgery luckily.

1 person found this helpful

Spleen Removal - Why Is It Performed In Kids?

M.Ch - Paediatric Surgery, MBBS, MS - General Surgery
Pediatric Surgeon, Hyderabad
Spleen Removal - Why Is It Performed In Kids?

Splenectomy is an operation conducted to remove the spleen. The spleen plays a vital role in building immunity against bacterial infections, located in the uppermost area of the left hand side of the abdomen, just below the diaphragm. There are some specific requirements with regard to the immunizations as well as blood work that might need to be completed before this surgery takes place.

Why is Splenectomy need to be performed?
There are a number of chronic illnesses like Hereditary Spherocytosis or Idiopathic Thrombocytopenic Purpura, which make it a necessity to get a child’s spleen removed. Though it is a rare case but still any kind of trauma to the spleen along with uncontrolled bleeding can create a very serious situation, wherein an emergency might arise to get the spleen removed immediately.

Immunization of child before the operation
Before the surgery of Splenectomy is conducted, immunizations are given to children as a preventive against some specific kinds of infections that are most common for patients to arise after having undergone the surgery of Splenectomy.

How is the surgery performed?
The paediatric surgeon, who performs the surgery, need not require making a large incision for going about the process of operation. In most of the instances, a splenectomy is performed in the following manner, which includes:

  • A laparoscopic way through which a Paediatric Surgeon makes use of a small telescope along with some instruments of miniaturized nature, while placing them through small band-aid sized cuts on the abdomen.
  • The operation gets completed within three hours
  • At the time of hospitalization, a child would receive intravenous fluids, antibiotics as well medicines to get relieve from any kind of pain.
  • As and when the child feels as if he or she is fit enough, he or she would be allowed to eat, drink and also take medicines by mouth.

Essentials after the Surgery
After the surgery has taken place and the child returns home after a couple of days, there are certain essentials that require to be kept in mind:

  • Pain Management: Management of pain is the very first thing which should be kept in mind. The medicines prescribed by doctor for dealing with pain are not required after getting discharged from the hospital.
  • Most of the children would only need Acetaminophen or Ibuprophen once they get back home.
  • Care for Dressings: One may remove the gauze and clear plastic, which are placed over the small cuts, a couple of days after the surgery. The skin that surrounds the incision might have a reddish tinge and look bruised, which can last for few weeks.
  • Restrictions related to Activities: There are no real restrictions with regard to the resumption o regular activities. A child can go back to school as and when he or she feels totally comfortable.

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

What To Do Before And After Spine Surgery?

Dr. Rakesh Kumar 89% (124 ratings)
MS - Orthopaedics, MBBS
Orthopedist, Delhi
What To Do Before And After Spine Surgery?

Spinal surgery becomes inevitable when back pain cannot be managed with medications and/or exercise. This is a major decision and requires planning for many things before, during, and after the surgery.

Before a spinal surgery- This preparation will help in smooth recovery, especially if you do not have a full-time caretaker.

  1. Discontinue pain killers: Discontinue pain killers at least 10 to 14 days before surgery. These are blood thinners and can prolong bleeding during the surgery.

  2. Prepare for blood loss: Most people experience some blood loss, but not excessive.

  3. Use a toilet seat raiser: Sitting and getting up from the toilet seat may be difficult. The seat raiser is used to increase the height, making this movement easy.

  4. Enable easy access to common items: Before heading for the surgery, keep things which are commonly used within easy reach. This will help reduce movement and avoid searching (especially if someone else is going to be doing it).

  5. Stock it up: Cooking may not be feasible during the initial postop period, and so it is advisable to stock up food items (ready to eats, fruits, soups, etc.) which will come in handy.

  6. Slip-ons: Bending down and tying shoes may not be easy, so slip-ons can be used.

  7. Caregiving: It is always advisable to have someone stay over with you during the initial postop days. They could help with regular household chores, cooking, etc.

  8. Lifestyle changes: Ensure you eat well in the days before surgery, quit smoking, quit/use moderate amounts of alcohol, and exercise as advised by your surgeon.

After Surgery- Post surgery, there will be some pain and limitation of movement. It is important to understand that adherence to post-op instructions will improve the success rate of the surgery. Also, recovery time for spine surgery is slightly longer and affects overall quality of life, so psychological preparation is required.

  1. Postoperative medications: These will be given to control infection and pain in the immediate postop period, and should be taken without fail

  2. Rehab: The surgeon will recommend physical therapy and rehab exercises which need to be followed. Complete recovery may take anywhere between 3 to 12 months. During this time, care should be taken to avoid repeat injury.

  3. Support: Adequate back support should be provided using lumbar support and ergonomic chairs, and the right posture should be maintained. Ensure there is no undue strain on the back muscles.

  4. Weight management: With excess weight, there is too much strain on the lower disks. Therefore, weight should be managed to reduce this strain.

  5. Smoking and alcohol should be completely stopped, as healing can be hampered.

With some preparation, spinal surgery can be sailed through smoothly. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

What Can You Expect After Laparoscopic Hernia Surgery?

MBBS, DNB ( General Surgery )
General Surgeon, Delhi
What Can You Expect After Laparoscopic Hernia Surgery?

A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin.

What are the symptoms?
Some of the common symptoms of a hernia include:

  • Constipation
  • Nausea
  • Feeling of fullness even without eating a thing
  • Sharp pain while lifting weight
  • Burning sensation
  • Dull ache near the groin area
  • Bulge near the groin area

How is a laparoscopic hernia performed?
This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc.

Usually, the patient doesn’t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month.

Benefits of Laparoscopic Hernia Surgery
The benefits of laparoscopic surgery are quite evident.

  1. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital.
  2. The pain is significantly less compared to the conventional surgery.
  3. The cost of a laparoscopic surgery is lesser
  4. Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed.

What to expect after the surgery
Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery. In case you have a concern or query you can always consult an expert & get answers to your questions!

Foot Problems Which Require Surgery!

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Bangalore
Foot Problems Which Require Surgery!

Following are the most common foot conditions which require surgery:

  1. Plantar fasciitis: It is one of the most common causes of heel pain which is aggravated in the morning with initial few steps. Too much pressure on feet can damage or tear the ligaments because of which the plantar fascia becomes inflamed, and the inflammation causes heel pain and stiffness.
  2. Rheumatoid arthritis: It is an autoimmune condition that affects the joints and causes swelling of the joint lining (synovium). It commonly affects the small joints of the hands and feet. Surgery is required when the condition leads to deformity or cartilage loss.
  3. Sesamoiditis: It is a condition where there is a pain on the bottom of the foot at the base of the great toe. Excision of the chronically inflamed sesamoid is required.Ankle arthritis: It is usually caused by osteoarthritis where the cartilage covering the ends of bones gradually roughens and becomes thin and the bone underneath thickens. This leads to pain, swelling, and occasional deformity of the joint. 
  4. Fracture: Healing fractures require immobilizing the foot with a boot and sometimes even surgery.
  5. Bone spurs: An excessive growth of bone is causing pain or limitation of movement. These spurs develop at the edge of the joint causing pain, tenderness, and difficulty in walking. Surgery is required to remove these excessive growths.
  6. Gangrene: It is one of the most common conditions requiring amputation where the death of the tissue occurs.
  7. Clubfoot/Talipes Equinovarus: It is a foot deformity in newborns where the foot is rotated inwards (varus) and downwards (equinus).
  8. Claw Toes/Hammer Toes: It is a condition affecting the toes in people as they age causing difficulty and pain while walking. The affected joints require replacement with artificial joint or fusion (surgical stiffening). 
  9. Morton's Neuroma: The patient presents with pain in the forefoot, in the “ball” of the foot causing irritation of one or more of the small nerves, just before they travel into the toes.
  10. Hallux Valgus/Bunion: It is one of the most common conditions, especially seen among women, where bony lumps develop on the side of the foot and at the base of the big toe causing malpositioning of the foot. For some people, it is only a cosmetic problem. Bunionectomy is a surgery performed to remove the bony prominence.
  11. Hallux Limitus/Rigidus: It is an arthritic condition of the big toe joint leading to pain and loss of motion.
  12. Diabetes mellitus: It affects circulation and blood supply causing delayed healing. Ulcerations, infections, and sometimes severe infections require amputations.
  13. Cysts and ganglions: These are painful lumps that cause pressure and rub on the shoe while walking. If a change in the footwear doesn’t solve the problem, surgical removal of the cyst or ganglion is done.

Facial Cosmetic Surgery - Things To know Before You go For It!

Dr. Ashutosh Misra 87% (28 ratings)
Fellowship In Cosmetic Surgery, M. Ch. (Plastic Surgery), MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Delhi
Facial Cosmetic Surgery - Things To know Before You go For It!

The various facial cosmetic surgeries, be in Rhinoplasty, the PRP or the different facelift surgeries (for cosmetic as well as for reconstructive purposes) have made life a lot simpler. Based on the latest and advanced technologies, most of the facial cosmetic surgeries are hassle-free, with a reduced risk of complications. From treating the acne scars to reducing the signs of aging (wrinkles, fine lines, eye bags, or saggy skin, to name a few), the facial surgeries have filled people with a new lease of confidence and positivity. They no longer have to hide their faces with the fear of being ridiculed or humiliated.

However, the facial surgeries may not always produce the desired results. There are few vital factors that should be taken into consideration before one opts for a facial cosmetic surgery.

  1. Know the credentials of your surgeon well: One wrong surgery (a botched surgery) can spell disaster for the rest of your life. Facial cosmetic surgeries require experience and precision. Most of the cosmetic surgeons undergo special training to master the surgical procedure. Research on your surgeon and the surgical procedure thoroughly before you take the plunge. Go through the reviews of other patients. Zero upon a surgeon only when you are fully satisfied and convinced about their credibility. Though a little expensive, it makes sense to opt for an experienced surgeon with a higher success rate. Most of the cosmetic surgeons are plastic surgeons who undergo special training to master the surgical procedure.
  2. Are you eligible for the surgery? Not all the people with the same problems can be treated identically. What works for one may not produce the desired result for another. Factors such as the nature and extent of the skin damage, age, as well as other medical problems (such as diabetes or heart problems which may interfere with the surgery triggering complications), should be extensively discussed with the surgeon before the surgery. Do not follow what the world is doing blindly. Go for a surgery that will work the best for you.
  3. Are you ready for the changes that the surgery will bring along? From dietary restrictions to lifestyle modifications, there will be changes post a facial cosmetic surgery. Some people find it difficult and suffocating to cope up with the changes. They long for the life they used to live. In extreme cases, people may even go into depression over this.
  4. A facial cosmetic surgery, no matter how advanced, comes with their share of pros and cons. In some cases, the demerit or complications can affect your life drastically. Thus, do not be impulsive in making your decision. Take your time. Understand the changes the surgery will bring along and if you are ready to embrace them.
  5. How well are you financially equipped for the surgery? The advanced facial cosmetic surgeries can leave a big hole in the pocket. Make sure you are financially prepared to go for the surgery.
  6. A facial surgery is an important decision of your life. Make sure your family and loved ones are informed about the same. You need their love and support the most.

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

2 people found this helpful

5 Quick Tips To Deal With The Post-Surgery Pain!

Dr. Ajay Kumar Gupta 86% (10 ratings)
MBBS, MS
General Surgeon, Faridabad
5 Quick Tips To Deal With The Post-Surgery Pain!

When a person is told of the need to undergo surgery, one of the first things that comes to mind is the pain after the procedure. Is it going to be very painful? How long is it going to last? How to manage it? These are some questions that doctors are repeatedly asked and they spend quite a bit of time trying to put the patient at ease.

The talk about post-surgery pain management should begin well ahead of surgery so that the patient can plan accordingly and be mentally prepared. There could be cases where the patient may need to have a caretaker when back home so that they can assist in daily chores and manage pain. Read on to know some of the tips to manage pain.

  1. Expect the pain: Talk to your doctor well in advance so that you are mentally prepared for the pain that will come post the surgery. The type of pain, duration, radiation to surrounding areas, etc., will help to plan in pain management. While back surgery produces spasms, abdominal surgery can cause cramps in the stomach. If you have pre-existing conditions like chronic pain, the pain is likely to get worse.
  2. Beat the pain: After surgery, take the pain medication before the anesthetic effect wears off. This gives enough time for the medication to kick in before the effect of anesthesia wears off. Else, there could be a period of intense pain, which can be quite difficult to manage. Though some people avoid pain medications, take them if you need. Also, if you had side effects with any, let your medical team know so that an alternative medicine can be prescribed.
  3. Emotional management: A surgery comes with a lot of anxiety and depression. This could be due to social, financial, physical, and emotional reasons. Pain is a lot more emotional than physical, so preparing for pain helps in dealing with it better. Talking to friends and family can be really help you deal with the entire situation and If required, you can reach out to social workers or counsellors so that you are at ease with other issues and manage pain better.
  4. Alternative therapies: For some, in addition to the painkillers, therapies like mild yoga, acupressure, meditation, music, and other relaxation techniques work wonders. They soothe the mind and make sure pain is lot reduced. They also improve blood circulation and thereby promote healing. Quicker healing promotes pain relief, making it further easy.
  5. Types of pain relief measures: Depending on the severity of the postsurgical pain, one of the following may be used
    • PCA or patient-controlled analgesia: The patient can program the amount of pain medicine via a small pump.
    • Nerve blocks: This is useful to control pain over a specific area supplied by a nerve.
    • Oral pills: In mild to moderate cases, tablets are given to control pain. Depending on their duration of action, repeat doses are planned. Narcotics could be used initially before switching to non-narcotic painkillers.

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

Laparoscopic Hernia Repair - What Should You Know

Dr. Manish K. Gupta 92% (69 ratings)
F.I.A.G.E.S , MNAMS (Membership of The National Academy) (General Surgery), DNB (General Surgery), MBBS
General Surgeon, Delhi
Laparoscopic Hernia Repair - What Should You Know

Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.

Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.

Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.

Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia. 

Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.

555 Manish Technique for inguinal hernia repair:

Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.

555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

Knee Replacement After 50 - What You Need To Know About It?

Dr. S.S.Soni 86% (10 ratings)
Fellowship in Joint Replacement and Reconstruction, MS - Orthopedics, M.Ch - Orthopaedics
Orthopedist, Jaipur
Knee Replacement After 50 - What You Need To Know About It?

Complaint of pain in the knee joints is a fairly common occurrence among the people of advanced ages. Arthritis and other bone related diseases are common causes of knee pain. The onset of such troubles might set in as early as the late thirties and permeate well into one's nineties. In fact a substantial number of people face issues pertaining to osteoporosis right after fifty. This impedes the ability to perform essential tasks including walking, sitting cross-legged and other rigorous activities. Non-surgical treatments like medication and physical exercises are often the first option that most physicians avail of. However, for a more effective and lasting solution, knee replacement surgeries are gaining steam all across the globe. Joint replacement surgeries have largely been successful at soothing knee pain, curing leg injuries and restoring the potential to fulfill normal activities.

The benefits of knee replacement surgery are multiple. More number of people can reap the advantages of it.

  • Moreover, the endurance of the surgical joints is fairly long. A large number of people accredit a new leash of life to these replacement surgeries.
  • Not only these contribute to lessening the joint pains extensively but also enable one to resume all the normal activities without the slightest glitch. All such factors have contributed to the phenomenal success rate of the knee replacement surgeries.

Precautions
However, there are certain precautions that one needs to be mindful of when volunteering for a knee replacement surgery. Although a rarity, certain complications might arise in the course of the implant. Blood clots and infections might occur as well as cardiovascular injuries. In such cases, the potential of recovering gets limited. But overall, it a very safe process with testified success rates. Another precaution one must necessarily observe is that of moderating the activities. Excess of strenuous activities or a prolonged period following the implantation results in the wearing of plastic patella. As a consequence of which, there could be a possible resurgence of pain. In case you have a concern or query you can always consult an expert & get answers to your questions!

Brian Surgery - Important Facts You Need To Be Aware Of!

Dr. Arun Sharma 90% (28 ratings)
MBBS, MS - General Surgery, MCh - Neuro Surgery
Neurosurgeon, Delhi
Brian Surgery - Important Facts You Need To Be Aware Of!

The most powerful and amazing organ in our body is the brain. It differs from many other organs of our body not only by its shape, but also by its special type of cell called neurons. When these cells gets affected or dead it can never be reverted or regenerated which is the most exclusive nature found only in brain cells. The cells in other parts of our body has the capacity to regenerate (can be replaced or new one can be grown or produced), but brain cells are exception. Hence any damage to the brain, injury or trauma is really a crucial thing to be considered with utmost care.

Brain surgeries really need skill, proper training, confidence and intelligence to perform this highly complicated and risky surgery.


Purpose:
Brain surgeries are performed to:

 

 

  1. Remove the brain tissues that are grown abnormally
  2. Make a nerve free
  3. Drain the abnormal blood or clot collection or to drain any excessive fluid collection caused by infection.
  4. To reduce pressure in brain
  5. To obtain histopathological diagnosis & guide for further requirement of chemotherapy/radiotherapy

Types:

  1. Biopsy: A part of brain tissue is removed for the brain or whole tumour is removed.
  2. Craniotomy: The skull bone is opened to remove tumour, an aneurysm and drain fluid or blood from infection.
  3. Minimally invasive endonasal endoscopic surgery: Endoscopic devices are inserted through the nose to remove the lesions or tumour.
  4. Minimally invasive neuroendoscopy: Similar to endonasal surgery but small incision is made.

Risks:

  1. Anaesthesia risks like breathing difficulty, allergic reaction to medications, excessive bleeding or clots and infection.
  2. Risk related to the brain surgeries are seizures, coma, swelling of brain, infection to brain or meanings, surgical wound infection that intrudes to the brain structures, abnormal clot formation and bleeding.
  3. General risks include muscle weakness, disturbances in memory, speech, vision, coordination, balance and other functions that are controlled by the brain.

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

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