Hernia Operation in Bangalore | best Hernia Repair Surgery in Bangalore | Hernia Treatment in Bangalore

This happens at the site of a previous surgery. This type of hernia is because of incomplete healing at the time of a previous surgery or as a result of some complication, such as infection, of the previous surgery. It has to be noted that 5–10 percent of all patients who had undergone surgery develop this. This is very rare after laparoscopic or keyhole surgery.

Umbilical and paraumbilicalherniae (by hernia operation in Bangalore)

Both these types of hernia occur around an already existing weak spot in the abdomen, that being the umbilicus.

Umbilical hernia can be present at the time of birth, and there is no need to repair it unless it is big. Usually, most of the cases of umbilical hernia resolve by the end of one year. If present beyond 5 years, then surgery is needed.

Paraumbilical hernias are acquired hernias that develop above or below the umbilicus. 

Epigastrichernia (by hernia operation in Bangalore)

These are hernias appearing in the midline above the umbilicus up to the chest bone.

Inguinal and femoral hernias(by hernia operation in Bangalore)

Inguinal hernias are the most common hernias. They are more common in men than in woman.

Femoral hernias appear in the groin below where the inguinal hernias appear. They are more common in elderly females.

Who gets hernias? (byhernia operation in Bangalore)

People who have conditions that lead to increased abdominal pressure are at  a greater risk of developing hernias. Some of the conditions are:

·Persistent coughing

·Being overweight 

·Lifting, carrying or pushing heavy loads

·Straining on the toilet

What are the symptoms? (byhernia operation in Bangalore)

Most times,hernias are asymptomatic (no symptoms). People might just notice swelling. The swelling tends to get bigger while standing or doing work and disappear while sleeping. Some might feel a dragging/aching sensation. The swelling tends to get bigger with time.

Symptoms develop when there is a complication such as strangulation. This happens when the contents of the abdomen (intestine) come out and can’t go back. There will be severe pain in the region and vomiting, along withhard irreducible swelling. The skin might get red. When this happens, you would need surgery by hernia operation in Bangalore within 24 hours to save the stuck intestine. Otherwise, the blood supply to the part of intestine outside the abdomen might get cut off and it might dye (gangrene, requiring resection of that part of the intestine.

How are hernias repaired? (byhernia operation in Bangalore)

Most of the hernias are repaired laparoscopically by Hernia operation in Bangalore. This means you are in the hospital for only 24 hours. Each type of hernia repair is different and depends on many factors such as the site of the hernia, size of the defect, associated medical conditions, type of hernia, affordability of patients and skill of the surgeon.

In general, laparoscopic hernia repair is costlier as the mesh used needs the side in contact with the intestine to be covered with a special layer. This layer makes sure that the intestines do not stick to the mesh. Then,tackers (screws) are needed to fix the mesh. In addition, the cost of laparoscopic instruments tends to be more than that of instruments used in an open surgery. 

Laparoscopic repair has a clear advantage over open repair. Laparoscopy results in less pain, small scars, early return to work and resuming of daily activities. Laparoscopic repair is also associated with less recurrence.

Complications (by hernia operation in Bangalore)

About 2 percent of hernias being operated for the first time come back worldwide. (Even if your surgeon does not tell you this, it is a fact. The day when surgeons can design hernia repairtechnique without recurrence it will be a significant milestone in medical field.) 

What essential facts to be known about hernia-operation?

Hernia-operation is nothing but repairing hernia surgically. Only surgeons having specialized knowledge about hernia-repair can deal with this operation efficiently. Hernia operation in Bangalore is now mostly getting done laparoscopically. This is because laparoscopy is the easiest and safest method of making hernia repaired without bringing any post-surgical side-effects or complications.

Only highly competent surgeons can produce great results at hernia operation in Bangalore. All surgical-dangers can be easily avoided in case of laparoscopic approach. Many people think laparoscopic hernia-surgery is expensive but if you go deeper into the concept then you will come to know that by choosing this surgery you can save great costs.

How decision for hernia-operation is taken?

·         You have to move to any sincere hernia-specialist near to your place. The specialist will take the decision that whether you are in need of hernia operation in Bangalore or not.

·         Symptoms are being properly noticed by the specialist hernia operation in Bangalorefor taking proper decision regarding surgery. You can reveal the troubles or signs that you are experiencing so that the shernia operation in Bangalorecan get a fair idea.

·         The specialists usually conduct varied important medical or clinical-tests so that current hernia-condition can be easily and accurately known. The reports will tell how urgently you are in need of the hernia operation in Bangalore.

Key facts:

Before experiencing hernia operation in Bangalore, you should acquire necessary knowledge about the operative procedure. Some highlighted facts that are directly associated with this kind of laparoscopic-surgery are as follows:

·         Day carehernia operation in Bangalore is now getting conducted where the patients are released at the operation-day only.

·         Some common preoperative preparations that are being involved in this procedure are ECG, chest x-ray, medical evaluation and blood-work. These preparationsby hernia operation in Bangaloreare being on the basis of to important factors- current medical-condition and age.

·         Potential risks and advantages associated with Hernia operation in Bangalore need to be ascertained first. Your family-member should sign-up the consent-form for the concerned surgery.

·         Taking a proper bath is necessary before getting ready for this operation. It is now considered as one of the most important steps of Hernia operation inBangalore.

If you are facing any trouble in taking preparations then you can surely contact your doctor.

Other features of hernia operation in Bangalore

There is variation in treatment choice and choice of surgery by hernia operation in Bangalore depending on cause.

There is variation in cost of treatment by hernia operation in Bangalore depending of choice of hospital.

There is variation in cost of treatment by hernia operation in Bangalore depending on type of room opted by the patient

Do I Need to Worry About Blood in the Stool? (Rectal Bleeding)

When anyone notices blood in the toilet, it brings panic and fear in most people's minds. It is rightly so. But we need to understand that most of them do not suffer from the dreaded colorectal cancer. 

What are the causes of rectal bleeding? What are its likely symptoms?

1. Piles (hemorrhoids): Painless, recurrent, may be associated with constipation, usually self-limiting, lasting a few days, like a splash on a pan (separate blog)

2. Fissure: Painful, few drops, few days

3. Diverticular: Painless, large quantity, self-limiting

4. Colorectal cancer: Few little but persistent, associated with other symptoms (separate blog), mixed with stool

5. Inflammatory bowel disease: Long standing,  loose motion, slime/jelly

6. Infective colitis: Few days of loose motion and vomiting, settles when infection subsides

When should one worry about rectal bleeding?

If it is happening for the first time in people above the age of 50 years, then you are likely to need colonoscopy to rule out colorectal cancer. Again, it is only to rule out. Also, the incidence of colorectal canceris low in India. But a colonoscopy is almost mandatory for this group of patients.

If there is family history of cancer, then irrespective of age,a colonoscopy needs to be conducted to rule out colorectal cancer.

What is the common cause of rectal bleeding? What are its features?

Most of the times,rectal bleeding occurs due to piles (hemorrhoids). When one thinks of the following facts, it puts rectal bleeding in new light:

A. Everyone is born with piles and dies with piles. It's a normal part of the body.

B. They will never cause cancer or turn into one.

C. Piles almost never cause pain.

D. Most times, it is self-limiting.

E. It is usually aggravated by constipation.

What Is Laparoscopic (Key Hole) Surgery? Is It Safe?

Laparoscopy means looking inside someone’s abdomen through a small incision using a special camera (laparoscope). One would be put to sleep (general anesthesia) for this.

What is laparoscopic surgery?

It is a newer and better way of performing surgery. small incisions are made through which special instruments are passed and the operation is carried out in a safe environment while looking at each move on the screen. This is done instead of the traditional method of cutting open the abdomen for the surgery.

What kind of surgeries can be performed laparoscopically?

Any surgery, which is done open, can be done laparoscopically depending on the surgeon' skills. At times, a surgeon can
suggest patients to have an open surgery if the patient is not fit for laparoscopic surgery or if open surgery has clear benefits.

Some of the surgeries performed are:

1. General surgical procedures

a. Appendectomy

b. Hernia repair

c. Gallbladder surgery (laparoscopic cholecystectomy)

d. Biopsy (omental)

2. Advanced surgeries

a. Acid reflux surgery

b. Weight loss surgery

c. Colorectal cancer surgery

d. Splenectomy

e. Pancreatectomy

3. Gynaecological procedures:

a. Endometriosis treatment

b. Pelvic inflammatory disease treatment

c. Infertility treatment

d. Ectopic pregnancy surgery

e. Sterilization

f. Ovarian cystectomy

g. Hysterectomy

h. Myomectomy

What are the advantages of laparoscopic surgery?

Laparoscopic Surgery has clear advantages over open surgery. It has proven safety compared to open surgery. Some of the benefits are:

1. Much less pain compared to open method

2.Very short stay compared to open method

3. Minimal scar compared to open method

4. Less complications

5. Early return to work

6. Less chance of hernia

7. Less chance of adhesions leading to long-term pain

I am obese (overweight). Can I opt for laparoscopic surgery?

Yes, in fact it is more beneficial for patients who are obese.

I have had open surgery before. Can I have a laparoscopic surgery now?

Yes, people who have had an open surgery can also have a laparoscopic surgery safely, but you would need an expert.

Anal Fistula and Treatment Options: Your Questions Answered

What is an anal fistula?

It is an abnormal connection between your anal canal (back passage) to the surrounding skin. It can occur due to various reasons explained below.

What causes anal fistula?

Most fistulas are caused by simple hair follicle infection that was not treated completely/properly.

There are millions of hair follicles in one’s body. Any one of them around the anal canal can get infected. Infection is more in people who sit for long time and more so among those who sit in unhygienic or hot/sweating environments (e.g., long-distance drivers). When the infection occurs and there is pus collection, the pus needs to be drained properly for the chances of fistula formation to decrease drastically.

If pus is not drained properly, then the body has to discharge the pus, and there are only two directions. If it bursts out of skin and infection gets completely cured, then a fistula does not form. If it bursts into the anal canal, then a fistula is formed. Worst case is when it bursts into the skin but residual infection spreads slowly in different directions. In such a case, a complex fistula is formed. There are certain conditions such asCrohn’sthat predispose one to having fistula. These conditions are rare in India.

Are there different kinds of fistulas?

Fistulas can be classified depending on the involvement of sphincter muscles and internal opening as shown in the picture

What are the symptoms of  a fistula?

A fistula might be characterized by recurrent discharge of pus around the back passage, which stops and starts. People end up taking antibiotic each time, and with time, the fistula will become more complex and difficult to treat. If there is a collection of pus, then it canbe present at in the form of an abscess. In this case, the abscess needs to be treated first and then fistula at a later stage.

How is fistula treated?

The only way to cure a fistula is by surgery. Most fistulae are simple and do not involve sphincter muscles, so cutting it out fully will cure the fistula. If a fistula involves sphincter muscles, then cutting out the fistula in one operation is not a solution as it might cure the fistula, but it will cause one incontinence. If sphincters are damaged, one would loose control over the passing of stool and might have to run to toilet every time one gets sensation. There might also be involuntary passing of stool. In these scenarios, the patient will need to keep clam and undergo two/three operations.

Get More:-Anal Fissure Surgery in Bangalore

Changing Face of Colorectal (Bowel) Cancer

Colorectal cancer is cancer affecting the large intestine and rectum. There has been a rapid increase in colorectal cancer in India, and this can be attributed to two factors:

• Increasing life expectancy
• Following the western lifestyle

Most cases occur above the age of 50. It is true that if detected early, then colorectal cancer can be cured.

How does colorectal cancer develop?

Contrary to belief, it takes years to develop colorectal cancer. It develops from the inner lining of the bowel (mucosa). Initially, it forms a polyp, which over time turns into cancer. The tumour then starts to invade through different layers of the bowel wall and into the lymph nodes near it. If undetected, it can eventually spread to different parts of the body.

Can polyp be treated?

Yes. Most polyps do not contain cancer cells. Removal of polyp will be sufficient to prevent the cancer from developing.

In some cases, even after removing the polyp, cancer cells may be found. If the cancer cells have spread to the colon, then further surgery is advised if necessary.

What are the risk factors for colorectal cancer?

• Increases with age
• Western lifestyle
• Genetic factor (first-degree relative having colorectal cancer)
• Long-term inflammatory bowel disease (Crohn’s or Ulcerative colitis)

What reduces colorectal cancer?

• Hormonal replacement therapy for women
• Vegetarian diet

What are the symptoms of colorectal cancer?

Initially, there might be no symptoms or very few symptoms. The symptoms would increase when the cancer grows in size. The symptoms include:

• Change in bowel habit either to constipation or to passing too many times
• Sensation of incomplete emptying after passing motion
• Blood mixed with the stool
• Passing mucus with stool
• A sensation of fullness after eating little
• Abdominal distension
• Abdominal pain
• Weight loss

Read Full Articel: Colorectal surgeon in Bangalore

Symptoms of Esophageal Cancer & How to Cure?

Esophagus is the pipe which takes food from the mouth to the stomach. It usually affects people above the age of fifty-five years. Since the outcome of oesophageal cancer is not good, anyone suspected of Oesophageal Cancer should be diagnosed at the earliest.

For instance, one with a new onset of dysphagia of less than fifty-five years of age need to be diagnosed.

Like any other cancers, Oesophageal Caner arise from the innermost cell lining of the Oesophagus. In upper, two-third of Oesophagus is usually Squamous cell cancer while in the lower, one-third of Oesophagus is Adenocarcinoma.

There are Numerous Risk Factors for Oesophageal Cancer:

Age: Common in people less than fifty-five years of age

Diet: High fat or processed food are the risk factors

Smoking

Alcohol

Where we live: Common in China

GERD/GORD: Long term infalmmation can lead to cancer in theone-third where initially the cells change nature because of reflux of acid (Barrrett’s Oesophagus). One in hundreds of these conditions can turn to cancer.

Chemical carcinogens: Long term exposure to chemical carcinogens (Specific to India like Tobacco/Gutka/Thambaku)

Symptoms of Oesophageal Cancer Include:

Difficulty in swallowing (Dysphagia): Commonest symptom. Seventy-five percent Oesophagus has be occluded by the Oesophagus for one who experiences Dysphagia. Hence, more than fifty-five percent of people have advanced diseases at the time of diagnosis.

Vomiting: Especially after food

Painful swallowing (Odynophagia)

Weight loss

Vomiting blood (Haemetemesis)

Hoarse voice

Confirming whether one has Oesophageal Cancer is done by Gastroscopy (Type of Endoscopy) and biopsy. Once the cancer is confirmed with biopsy one has to be assessed for stage of the cancer which is usually done by CT scan of chest, abdomen and pelvis. One might also need Endoscopic Ultrasound or PET CT and this would be decided by the treating specialist on individual basis.

One or combination of above tests would tell us whether the cancer is confined to Oesophagus or it has spread to other parts. It would also tell us to which part of the body cancer has spread to. This process is called staging. Treatment of the cancer depends on the stage of the cancer.

Read Full Article: Esophageal Cancer

Best Treatment of Appendicitis

Emergency Surgeon in Bangalore

What are the Symptoms of Appendicitis and Best Treatment of Appendicitis.

The first thing we need to understand is that appendicitis is a surgical emergency. When treated appropriately, complications are very few.

What are the symptoms of appendicitis?

A person suffering from appendicitis might experience dull aching pain around the umbilicus. The pain slowly localizes to lower right side. It is associated with vomiting and anorexia (the patient does not feel hungry). If ignored, it might result in high temperature and high heart rate (tachycardia).

How is appendicitis diagnosed?

It’s based on history and clinical examination. Blood tests will reveal the presence of an infection (increased WBC and CRP). Ultrasound of abdomen might help to confirm the diagnosis, but a negative ultrasound scan does not rule out the possibility of appendicitis. Ultrasound is more important in females as problems in ovaries, fallopian tube and uterus might be present. Ultrasound helps to rule out those possibilities.

What is the treatment for appendicitis?

Treatment of appendicitis is immediate surgery. If not tended to immediately, it might lead to serious complications.

Now a day, surgery is done laparoscopically (key hole) Laparoscopic Surgeon in Bangalore and involves three small cuts, which will be barely visible with time. Most patients go home 24 hours later, being able to do regular activities. There will be no food restrictions. Only.... Read More