The Laparoscopic Surgery For Treating Inguinal Hernia

What is hernia??

• A hernia is a medical condition in which space is created between the strong tissues of muscles. When the inner layer of the muscles of the abdominal area starts weakening and results in a bulge, then this condition is called a hernia. The inner layer of the abdomen pushes the weakened muscle and results in to form a balloon-like sac in the abdominal area. And due to this, the abdominal tissues or a loop of intestine can be pushed into the sac. The medical condition of hernia is really problematic and causes severe pain. And due to the other serious problems caused by a hernia, it is very important that you should go for emergency surgery during this condition.

• Anyone can get a hernia at any time whether it's a man or woman.

• The only procedure for treating hernia is surgery. It can never be diagnosed in any other way. No physical exercise or therapy can help in curing hernia.

The symptoms of a hernia

• The most common areas of hernia are the groin, belly button, and on the area in which previously incisional operation has happened.

• A bulge under the skin, severe pain, and discomfort while lifting heavy objects and feeling of tightness during bowel movement and urination.

• The intensity of the severe pain increases towards the end of the day.

• If the bulge is stuck out all the time and you are suffering from continuous pain and redness, then you should contact your surgeon as soon as possible.

The laparoscopic surgery for treating hernia

• In the laparoscopic surgery of hernia, minimally invasive surgery devices are used for performing the small incision in the abdomen area which is about 1-2 cm. An endoscopy HD camera and minimally invasive surgery instruments are used for performing the surgical procedure through the incision. With the help of the laparoscopic surgical procedure, the chances of damaging the surrounding tissue are minimized.

• During the surgical procedure, with the help of the minimally invasive surgery devices, the peritoneum is segregated which helps in making more space for the endoscopy HD camera. Due to this, the hernia gets detected and the surgeon will pull it back to its original position.

The advantages of laparoscopic surgery

1. It helps in lowering the risk of the infection because the incisions made during the surgery are very small.
2. The laparoscopic surgical procedure for treating hernia is one of the most efficient methods of treatment with incredible skills.
3. The recovery time of the patient is also very less as compared to the open surgery of hernia.
4. The after surgical effects are also very less painful due to the small incisions.
5. The scars on the body after the surgery are also negligible to notice.

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Red color urine: An alarming situation for kidney

Our organ known as “filters of our body” are very crucial for life . Our kidneys are two bean-shaped organs located behind your abdominal organs, with one kidney at one side. They excrete the waste from blood. Any disease condition which affects kidneys, makes our health to detoriates. Healthy kidneys are important for vital metabolism of our body.

As we all are aware with the mortality and morbidity rate due to cancer. Thus, the cancer of kidneys are originates in the kidney cells. Renal(term used for kidneys) cell carcinoma is the common type of kidney cancer in adult— most of them are cancerous and metastatic. Renal cancer developed young one are called Wilms' tumor.

What problems you will have due to renal cancer?

In early stages renal cancer does not show any signs and symptoms. But, In the progressed stages, kidney cancer can show following symptoms:

1) Hematuria- Blood tinged urine or red color or brown colored urine.

2) Back pain that is mostly in any side.

3) Anorexia — lost appetite

4) weight loss which is unexplained

5) weakness and tierdness

6) Intermittent fever

Preventive measures you can take for renal cancer?

Preventives measures are taken to improve renal health and reduce risk of cancer:

1) Quit smoking- many necotine based quitting products are available.

2) weight maintenance- maintaining daily calories intake to check obesity.

3) Control blood pressure numbers.

Diagnostic measures for renal cancer?

Procedures to diagnose renal cancer are:

1) Blood and urine tests — Blood and your urine test results might give doctor some clues about reason behind cause of symptoms.

2) Radiological imaging tests -imaging procedure allow your doctor to visualize a kidney tumor. These procedures might include an ultrasound(USG), a computerized tomography (CT) scan or magnetic resonance imaging (MRI), pylogram.

3) Biopsy- Very rarely doctor may recommend this procedure involves removing a small sample of cells as a sample from a suspected area of your kidney to checks its histopathological changes.

Management and treatment of renal cancer?

Although, many treatment option are available. Chemotherapy, cryoabalation of cancerous cells, radiation therapy but the most efficient is surgical removal of kidney or it's part, nephrectomy or partial nephrectomy respectively.

When we think of surgical removal it's sounds to be more painful and big scar mark but now days with laparoscopy the fear has reduced among population. As minimal invasive surgery are taking the stage for these types of surgical management. Endoscopic instruments which very miniature of instruments are used to perform surgery, resulting in small scar and less pain.

Generally surgery is done under general anesthesia. Surgeon gives tiny incision on abdomen and inserts medical verses needle inside. The medical verses needle helps in creating space in abdomen for surgery. The camera is inserted to obtain images on monitor, with its help miniature medical scissors through another incision is inserted through trocar to remove kidney or it's part, meanwhile maintaining the blood loss and homeostatic balance.

Laparoscopic surgery are beneficial. It provides fast healing and patient can get back to normal life easily with less pain.

These minimal invasive surgeries are making the life peacefully and stress-free. For having more information about services and laparoscopic accessories please feel free to contact us on https://www.diasurge.com/

PELVIC CRAMPING AND HEAVY BLEEDING: UTERINE FIBROID MIGHT BE REASON

 

In today's world where most of the things you take as your meal are adulterated and have chemicals in it. Which are harmful for your body. These things greatly effect reproductive system. Almost every time gynecologist face similar situation with women that is normal to bleed heavy in menstruation and every time having gastric disorders like indigestion as a problem of being a lady.

What may be the reason for heavy bleeding?

Painful lower abdomen and heavy bleeding are the signs of non-cancerous tissue of uterine walls which is termed as uterine fibroid. It is matter of concern as it may affect reproductive process. These symptoms appear to be normal and daily but it is a serious problem. So uterine fibroid can be the reason behind these problems. Its size range from very small to large as football.

How uterine fibroid affect your daily life?

It affects the daily routine in many ways with different symptoms:

1. More bleeding with clots.
2. Anemia due to loss of blood.
3. Difficulty in conceiving or bad obstetrical history.
4. Lower backache.
5. Lower abdomen pain and feeling of bulkiness.
6. Frequency of urination and constipation.

How doctor diagnose uterine fibroid?

1. Physical examination- abdominal palpation to rule out other mass or pain.
2. Blood test to check hormonal balances.
3. Ultrasonography of pelvis.
4. CT scan or MRI.

What are the treatment option for you to make choices?

Hysterectomy is the main and permanent treatment for fibroid. But this treatment might not fit to the requirement of women who want to have a baby. So going for major surgery may not be their choice.

These days, women can choose among options ranging from non-invasive treatment to minimally invasive surgery. If you suffer uterine fibroid, discussion on treatment option for you to your gynecologist.

Medical management : some of the cases like to manage uterine fibroid by treating symptoms. Like for pain they may use prescribed NSAID (non-steroidal anti-inflamatory drugs), for anemia related to it iron supplements can be taken and heavy bleeding tranexemic acid (used to stop excess bleeding can be taken.

Uterine fibroid embolization: Minimal invasive surgery to cut the blood supply of fibroid to make the fibroid tissue destroy by starving.

Myomectomy: It is of three types depending upon the size of fibroid and approach of surgery. Laparoscopic surgery with tiny medical scissors is much preferred over traditional surgery. The types are: hysteroscopy (hysteroscope a rigid endoscope),in this the surgeon reach the uterine cavity and removes all the small fibroid entering through vagina and cervix with Endoscope equipped with HD camera.

Second surgery is laparoscopic surgery, through small tiny wholes on abdomen surgeon enter with laparoscope with HD camera and small surgical instruments including small medical scissors to remove fibroid. Uterus has great blood circulation system so, laparoscope with coagulation unit to control bleeding is required. With the coagulation system irrigation and suction unit is also required during surgery.

Depending upon the approach recovery is estimated as hysteroscope and laparoscopic surgery heals much faster that is one to six weeks.

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ENDOSCOPIC REMOVAL OF HEMORRHOIDS

 

Inflamed and swollen blood vessel of anus which is mostly known as piles by community is hemorrhoids. Hemorrhoid is very common diseases of anus and can be classified as internal and external depending on the origination point that is upper or lower dentate line of anus.

How you will know that you suffer hemorrhoids?

Internal and external hemorrhoids gives different symptoms.

For external following can be the symptoms.

• Itching in and around anus.
• Pain while sitting around the anus.
• Swollen, tender lumps around anus.

For internal following can be the symptoms.

• Painful bowel movement and bleeding while passing stool.
• Hemorrhoids when come out is called prolapse.

Internal hemorrhoids can be relieved by medical management with suppositories and ointments along with some lifestyle changes and prevent straining while defecation. If symptoms doesn't relieve by medicines it is better to get surgical intervention. Minimal invasive surgery for hemorrhoids through endoscopes  are giving better result nowadays. 

What are the surgical intervention available for hemorrhoids?

Rubber banding- Rubber band ligation is a procedure which involves banding the hemorrhoids to restrict the blood supply which results in reduced swelling of blood vessel and falling of hemorrhoids.

Sclerotherapy- it involves injecting chemicals to the swollen blood vessels to damage the blood vessel and tissue. These chemical destroys the hemorrhoids. It decreases pain and discomfort.

Hemorrhoidectomy- This procedure includes removing swollen blood vessels and coagulating it. It decreases the pain,bleeding and discomfort.

How surgical management is done for Hemorrhoids?

Above all surgical intervention is done through Endoscopes. The rigid tubular metallic structure called as Endoscope (anoscope). Endoscope HD camera to visualize the inside of anus and rectal wall. These endoscopy HD camera is used for diagnostic as well as treatment purpose. This endoscopy is attached to video system to have images on monitor and thus helping surgeon to perform a good surgery. Endoscopy video processor is also helpful in recording the surgery.

Endoscopic hemorrhoids removal is done under the local, general, or spinal block(anesthesia). Depending on the origin of hemorrhoids and grade of hemorrhoids.

How much time will it take to heal hemorrhoidectomy?

It usually takes few days to 2-3 weeks. After surgery the condition is managed by antibiotics, pain killers and bleeding controller.

Some the dietary improvement which includes high fiber and liquid diet to decrease further risk of redeveloping the diseases. Some lifestyle changes like a consistent amount of physical work improves the good bowel movement and help in defecation at right time with preventing constipation.

Have a healthy life with good lifestyle. For getting more info about endoscopic removal of hemorrhoids contact us at- http://diasurge.com

WILM TUMOR: PEDIATRIC LAPAROSCOPIC SURGERY

The kidney is an organ that cleanses the body and excretes waste in the urine. In addition to purifying blood, it also maintains electrolytes and fluids in the body. It's damage always results in many health problems. If your child is facing some problems in excretion like haematuria, recurrent urine infection with fever.  It can be a renal tumor. A rare renal cancer that affects children is known as Wilma tumor. Medically known as nephroblastoma, it's rare but common in children. Early diagnosis and treatment give a good prognosis.

What your child will go through if he suffers Wilms tumor?

Usually, in starting days your child doesn't show any symptoms. Following two to three symptoms they may show.

1. Abdominal mass.
2. Swelling of the abdomen.
3. Abdominal ache.
4. Fever.
5. Heamaturia.
6. Nausea or vomiting or both.
7. Constipation
8. Anorexia
9. Breathing difficulty.
10. High blood pressure.

When to take an appointment with a doctor?

If your child shows any symptoms that worry. This condition is rare so symptoms may be due to any other reasons. To make it clear the diagnosis must be done early.

What causes Wilms tumor?

The real cause of Wilms's tumor is not known. Heredity may play an important role in Wilms's tumor.

The error in DNA causes cells to divide and grow rapidly. Thus, the accumulation of these cells forms a tumor. In Wilms tumor, it occurs in kidney cells.

How the diagnosis of Wilms tumor is made?

For diagnosis, your doctor may recommend your child to get,

• A physical examination - The doctor will physically palpate the abdomen to see symptoms.
• Blood and urine tests. These tests will show the function of the kidney. They don't make the proper diagnosis.
• Imaging tests. USG, CT scan, magnetic resonance( MRI) of the abdomen show the anatomical changes in the kidney. The doctor will see to the extent of the tumor.

What are the treatment option available for Wilms tumor?

When it comes to its treatment science is so developed now for cancer treatment that it is fully curable provided medical facility is sought on time. Usually, treatment for cancer involves surgery, chemotherapy, and radiation. In context with Wilms, tumor surgery plays a vital role in it. Let's see about the surgery,

SURGICAL MANAGEMENT-

Surgery is done to remove the whole kidney (nephrectomy) or a part of it. Surgery is also aid to diagnose the malignancy of tumors as tissue removed during surgery send to the lab for its a histopathological examination.

Laparoscopic nephrectomy is a very effective method to cure a diseased or cancerous kidney. Laparoscopic nephrectomy is a minimally invasive surgery, Laparoscopic nephrectomy is done under general anesthesia. Laparoscopes are a minimally invasive surgery device. This minimally invasive surgery is performed through a small incision made in the abdomen. A telescope and minimally invasive surgery instruments are inserted in the abdomen through incisions, which allow the surgeon to completely free and dissect the kidney with holding tissues with minimal invasive forceps. Then the kidney is removed. Minimal invasive surgery is easily healed and less painful.

Chemotherapy and radiation are also done to decrease the size of a tumor before surgery. Afterward, surgery is the main curative measures for Wilms tumor.

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Laparoscopic Adjustable Gastric Banding (LAGB): obesity solution.

Life is becoming hectic these days with so many works to do and no time for ourselves. This is increasing obesity in people. Sedentary and time taking jobs doesn't leave time for cooking healthy home food and craving for fast foods increases. It may lead to other life-threatening conditions. If your weight is not reducing by dieting or workout, you may need bariatric surgery.

Gastric Banding

The adjustable band is put to bind the stomach below oesophagus so as to make a small pouch-like structure. The outlet to the distal part of the stomach is very narrow, this makes the obese person satiated for a long time. The small pouch gets full by a small amount of food. Thus, resulting in weight loss. It is scheduled for a limited time, a follow-up visit is needed at 6 weeks, or monthly, depending on the medical requirements.

Why might I need a laparoscopic adjustable gastric banding?

LAGB is done to cure severe obesity, which is related to hypertension, high cholesterol, type 2 diabetes, arthritis, apnea, etc. It is advised for persons whose plans for weight loss doesn't result in long-term success. Adjustable gastric banding may help you to lose weight if it is not working in other ways. And decreases the risk for life-threatening disease.

In what condition LABG is recommended?

Severe  obesity BMI > 32

Large volume eaters.

 Obesity not responding to any weight loss plans.

 Obesity with other cardiovascular diseases where exercising is restricted.

What benefits do you get with LABG?

1. Rapid healing < 48 hours.
2. LABG is a reversible procedure.
3. Doesn't create disturbance in normal natural anatomy and function.
4. Band is inflatable as well adjustable.
5. More effective.
6. Increases quality of life.

What are the  preparations done before LABG?

Pre Operative preparation includes blood tests and ECG and PAC( pre anaesthesia checkup). Surgery is not advised for abusers of drugs or alcohol or any other serious medical problems.If you're a smoker, you must stop it before surgery and not restart again. You have to be bill per oral for at least 8 hours before surgery.

How LABG is performed?

Laparoscopic adjustable gastric banding (LAGB) is the least invasive weight loss solution available for obesity. It's done with laparoscope by making small abdominal incisions. Surgeon inserts instruments through the incision. One of those instruments is a laparoscope, a tool with a small HD camera and LED  light. Using this, a silastic band is a bind around the stomach just below the esophagus forming a small pouch with a narrow outlet. Its reservoir is placed beneath the skin below chest in the midline so that it can be felt from above. With the help of needle through the skin to the reservoir, one can adjust the outlet size by inflating or deflating the band.

What lifestyle changes to perform after LABG?

• Mostly liquids and pureed food for 2 to 3 weeks
• Slowly changing the texture of food from soft to solid.
• 6 weeks it will take to return to normal diet but smaller in portion...
• Thoroughly chewing your food to make it like a slurry before swallowing
• Have a balanced diet rich in high fiber, protein, vitamins, and minerals but low in carbohydrates.
• Make a habit of little exercise in your daily routine.

LAGB is safer and minimal invasive surgery for weight loss instead of traditional weight loss surgery. It will not aid in sudden weight loss but it will gradually maintain your weight.just you need to follow proper diet and exercise. You may face nutritional deficiency related to surgery so you have to have supplements to check it.

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AVOID COMPLICATION RELATED TO CROHN'S DISEASE.

Many of us suffer bleeding while attending nature's call. Some times it is painfully and sometimes not. This bleeding may be accompanied by nausea, anorexia, recurrent oral sores. It can be IBD( Inflammatory bowel disease), generally, it is known as chron's disease.  Inflammation caused by Crohn's disease can affect different parts of the GI tract in deferent people. This can affect a deep tissue layer, it can be painful, debilitating and sometimes life-threatening.

WHAT ONE WILL FACE IF THEY HAVE CHRON'S DISEASE?

Symptoms can be mild or severe.They usually grow gradually, in some cases suddenly. one may have no signs of illness.

• Active disease signs and symptoms may include:
• Diarrhea
• Fever
• Fatigue
• Abdominal cramps or aches.
• Malena( blood in stool).
• Anorexia.
• Weight loss.
• Anal fistula.

The severe condition may be characterized by:

Information on joint, eyes, live, bile ducts.

WHAT CAUSES CHRON'S DISEASE?

Dietary habits, stress, immunity, malnutrition can play a vital role in causing chron's disease.

Let's have look on some of the causative risk factors:

Age: Mostly this disease is diagnosed before the age of 30.

Family history. : You will be at risk you have a history of this disease in your family.

Cigarette smoking: Smoking leads to a severe form of this disease. It may lead to surgery.

Nonsteroidal anti-inflammatory drugs: overuse of painkillers cause erosion of the superficial layer of the GI tract thus cause IBD.

Diet: Refined food and food rich in fat are not suitable for the GI tract.

 HOW IBD GET WORSEN?

It may worsen and results in intestinal obstruction, fistula with skin, among loops of the small intestine, bladder.

May cause infection of GI tract, recurrent diarrhea, severe malnutrition.

How IBD diagnosed?

• Sign and symptoms to rule out any other possible disease.
• Blood tests: Blood tests to check anemia due to GI bleeding and infection by bacterial growth.
• Stool for occult blood: to see the blood in the stool.
• Colonoscopy: Colonoscope is used to see the inside of the entire colon and distal-most part of the small intestine. Colonoscope is a thin, flexible tube with a camera and light attached to it. A biopsy can also be taken with it.
• Computerized tomography (CT). You may have a CT scan to know inside and outside the matter of bowel.
• Magnetic resonance imaging (MRI).: MRI usually used to evaluate the condition of fistula, it's occurrence site.
• Capsule endoscopy: you will ask to swallow a capsule containing the camera in it, it will travel through GI taking pictures and displaying it on a monitor. Camera exit out with stool painlessly.
• Balloon-assisted enteroscopy.: Used to see more of the small intestine where colonoscope doesn't reach.

WHAT ARE THE TREATMENT FOR IBD?

The main aim of medical management is to decrease the inflammation that increases your signs and symptoms. Medicines may limit complications.

ANTI-INFLAMMATORY DRUGS: It is the first step in medical management. It includes Corticosteroids: generally known as steroids. It used to reduce inflammation in the bowel. For short term use. Immune suppressor, antibiotics combination of medicines are used.

OVER THE COUNTER MEDICATION:  These are to ease the symptoms. Some are

 Anti-diarrheals.

Pain relievers: you may be recommended acetaminophen but not  NSAIDs.

Iron supplements.

Vitamin B-12 shots, calcium, D3 supplements: Crohn's disease can result in vitamin B-12, calcium, and Vit D3 deficiency.

Nutrition therapy: To curb malnutrition.

SURGICAL INTERVENTION:

If the above-mentioned management doesn't ease your signs and symptoms, your doctor may advise for surgery. Generally, half the case of Crohn's disease needs at least one surgery.

 Types of surgery for Crohn’s disease: surgery depends on the site of disease.

• a bowel resection involves resection of a portion of the small intestine.
• a colectomy: removing large intestine( colon)
• a proctocolectomy: removing colon and rectum. May create an ostomy( hole)
• a strictureplasty: structure removal and widening of the intestine.

Most of these procedures are performed by minimally invasive technique or 30-degree laproscope. Usually while using instruments in a very small area they overlap it. To decrease the visual illusion by 0-degree laparoscopy instead a 30-degree laparoscope are being used.

This enables the movement of the digital camera head away from the units externally and vertical overlapping of hand as well. Movement of the laparoscope away from the instrument shafts occurs naturally because the angled lens is used to obtain a view of the surgical field and improves the two-dimensional angle achieved by a 30-degree laparoscope.

Easily healed and fewer chances of complication...

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