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Laparoscopic, Robotic and LASER Surgery - GI & Colorectal, Navi Mumbai


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    Hernia Treatment

    Who is at Risk For Hernia?

    A Hernia is a common medical condition affecting people of all ages and backgrounds. It occurs when an organ or fatty tissue protrudes through a weak spot or tear in the surrounding muscle or connective tissue. While hernias can develop in anyone, certain factors can increase the risk of developing this condition. In this article, we will explore who is at risk for hernia and discuss Hernia Treatment options.

    Factors That Increase Hernia Risk

    Several factors can contribute to an increased risk of developing a hernia. These risk factors include:

    1. Age

    One of the most common risk factors for hernias is age. As individuals get older, the muscles and connective tissues that support the abdominal wall may weaken, making them more susceptible to hernias. This is especially true for individuals over the age of 50.

    2. Gender

    While hernias can affect both men and women, they are more commonly seen in men. In particular, inguinal hernias, which occur in the groin area, are more prevalent in males.

    3. Family History

    Hernias can also run in families, suggesting a genetic predisposition. If you have close relatives who have experienced hernias, you may be at a higher risk of developing one.

    4. Obesity

    Excess body weight and obesity strain the abdominal muscles, increasing the risk of hernia development. The additional pressure on the abdominal wall can lead to muscle weakness and tears.

    5. Chronic Coughing or Sneezing

    Frequent, persistent coughing or sneezing can strain the abdominal muscles and increase the likelihood of developing a hernia. Conditions such as chronic obstructive pulmonary disease (COPD) or allergies can contribute to chronic coughing.

    6. Heavy Lifting

    Jobs or activities that involve heavy lifting can increase the risk of hernias, especially if proper lifting techniques are not used. Lifting heavy objects without engaging the core muscles can strain and weaken the abdominal wall.

    7. Pregnancy and Childbirth

    Pregnancy and childbirth can put significant pressure on the abdominal muscles and pelvic floor. This increased pressure can lead to the development of hernias, particularly in women who have had multiple pregnancies or experienced difficult childbirths.

    8. Constipation and Straining

    Chronic constipation and straining during bowel movements can stress the abdominal muscles and increase the risk of hernia formation. Maintaining a healthy diet and managing constipation can help reduce this risk.

    Hernia Treatment

    If you or someone you know is at risk for hernia and develops one, it’s essential to seek medical attention promptly. Hernias do not typically resolve on their own and may require treatment. The type of hernia treatment recommended will depend on the size and location of the hernia, as well as the individual’s overall health.

    1. Watchful Waiting

    In some cases, particularly with small hernias that are not causing symptoms, a “watchful waiting” approach may be recommended. This involves monitoring the hernia’s size and any symptoms while making lifestyle changes, such as avoiding heavy lifting and managing constipation.

    2. Hernia Trusses

    A hernia truss is a supportive undergarment that can help keep the hernia in place and reduce discomfort. While trusses may offer temporary relief, they are not a long-term solution and should be used under the guidance of a healthcare professional.

    3. Lifestyle Modifications

    For individuals at risk of hernia or those with small hernias, lifestyle modifications can be beneficial. This may include weight management, avoiding activities that exacerbate the hernia, and addressing underlying conditions like chronic cough or constipation.

    4. Surgical Repair

    In most cases, surgical intervention is necessary to repair a hernia fully. Surgery involves pushing the protruding organ or tissue back into its proper position and strengthening the weakened muscle or tissue. There are various surgical techniques, including open surgery and minimally invasive laparoscopic and robotic procedures, depending on the hernia’s size and location.

    Conclusion

    Hernia can affect individuals of all ages, but certain factors can increase the risk of hernia development. Age, gender, family history, obesity, chronic coughing, heavy lifting, pregnancy, and constipation are all factors that can contribute to hernia risk. If you or someone you know is at risk for hernia and develops one, seeking medical attention is crucial. Treatment options vary, but surgical repair is often necessary for a full recovery. To learn more about hernia treatment and prevention, consult a hernia specialist. Early intervention can help alleviate symptoms and prevent complications associated with hernia.

    For more information on hernia treatment, you can visit

    https://laparoscopicsurgeonmumbai.com/treatment-hernia-laparoscopic-hernia-surgery/
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    Diagnosing And Treating Inguinal Hernia

    Diagnosing And Treating Inguinal Hernia: Understanding The Basics

    Inguinal hernias are a common medical condition that affects millions of people worldwide. While they can occur in both men and women, they are more prevalent in men. In this blog post, we will delve into the diagnosis and treatment of Inguinal Hernias, shedding light on the key aspects of this condition and how it is managed.

    Understanding Inguinal Hernia

    What Is an Inguinal Hernia?

    An inguinal hernia is a medical condition characterized by the protrusion of soft tissue, often part of the intestine, through a weakened or torn abdominal wall in the inguinal canal, located in the groin area. If left untreated, this condition can cause discomfort, pain, and sometimes serious complications.

    Common Symptoms of Inguinal Hernia

    Recognizing the signs and symptoms of inguinal hernia is crucial for early diagnosis and treatment. These symptoms may include:

    A noticeable bulge in the groin area, which may become more prominent when standing, coughing, or straining.

    Discomfort or a feeling of heaviness in the groin.

    Pain or aching in the groin, especially when bending over, lifting heavy objects, or during physical activities.

    Sharp or burning pain in the groin that may extend into the lower abdomen.

    Diagnosing Inguinal Hernia

    Diagnosing an inguinal hernia typically involves a combination of medical history review, physical examination, and diagnostic tests. Here’s how healthcare professionals go about diagnosing this condition:

    Medical History Review: Your doctor will begin by asking about your symptoms and medical history. Be sure to provide accurate information about when your symptoms started and their severity.

    Physical Examination: A thorough physical examination is conducted to check for the presence of a groin bulge and assess its size and location. Your doctor may ask you to cough or strain during the examination to observe any changes in the bulge.

    Imaging Tests: In some cases, imaging tests like ultrasound, CT scans, or MRI may be ordered to get a clearer view of the hernia and its contents. These tests can help confirm the diagnosis and determine the extent of the hernia.

    Treatment Options for Inguinal Hernia

    Once diagnosed, inguinal hernias require surgery to alleviate symptoms and prevent potential complications. The treatment options for inguinal hernia include:

    Watchful Waiting: In some cases, especially if the hernia is small and not causing significant symptoms, a “watchful waiting” approach may be recommended. Regularly monitoring the hernia’s size and symptoms is essential in these cases.

    Hernia Truss: A hernia truss is a supportive device that can help hold the hernia in place and reduce discomfort. However, it is typically considered a temporary solution and may not be suitable for everyone.

    Surgery: Surgical repair of the hernia is the most common and effective treatment for inguinal hernias. There are two main types of hernia surgery:

    Open Hernia Repair: In this procedure, the surgeon makes an incision in the groin and repairs the weakened abdominal wall using stitches or mesh.

    Laparoscopic Hernia Repair: This minimally invasive technique involves making several small incisions and using a camera and specialized instruments to repair the hernia with mesh.

    Robotic Hernia Repair – In this technique the surgeon controls the robot as it translates surgeons hand movements into smaller, more precise movements of tiny instruments through tiny openings. 

    Conclusion

    Inguinal Hernias are a prevalent medical condition that can cause discomfort and, if left untreated, lead to serious complications. Early diagnosis and appropriate treatment are essential for managing inguinal hernias effectively. If you suspect you have an inguinal hernia or are experiencing symptoms, seek medical attention promptly. Your healthcare provider can help determine the best action to relieve your symptoms and prevent further complications. Remember that this blog post provides general information and should not replace professional medical advice. Always consult with a healthcare professional for personalized guidance on your specific condition.

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    Incontinence treatment and symptoms

    Incontinence treatment and symptoms

    What is incontinence?

    Do you have a frequent or sudden need to urinate or you can’t control your bladder? You may have this common condition known as urinary incontinence which is more commoner among the female gender.

    Types of urinary incontinence:

    Stress incontinence is when urine leaks when you exert pressure on your bladder by coughing, sneezing, laughing, exercising or lifting something heavy.

    Urge incontinence is if you have a sudden, intense urge to urinate followed by an involuntary loss of urine, you may need to urinate often. Urge incontinence may be caused by a minor condition, such as infection, or a more severe condition such as neurologic disorder or diabetes. Urge incontinence is also called overactive bladder, spastic bladder or reflex incontinence.

    Overflow incontinence is when you experience frequent or constant dribbling of urine due to a bladder that doesn’t empty completely.

    Functional incontinence is where a physical or mental impairment keeps you from making it to the toilet in time.

    Symptoms of incontinence are — feeling a sudden need to urinate or feeling a frequent need to urinate (more than 7 times a day or 2 times a night), weak bladder control and leaking. Some people experience occasional, minor leaks of urine. Others wet their clothes frequently.

    What are the main causes for incontinence?

    Diseases like diabetes, Parkinson’s and multiple sclerosis (MS) can damage the nerves that control your bladder.

    Vaginal childbirth, recurrent urinary tract diseases, strokes, surgeries and treatments for pelvic cancers can also cause urinary incontinence.

    What are the treatment options available for this condition?

    Treatment depends on what kind of incontinence you have and how bad your symptoms are. There are four main treatment approaches for incontinence which include bladder and pelvic floor muscle training, lifestyle changes, medications, surgery and bladder retraining.

    For Urge incontinence– Practices like double voiding (urinating and wait for another few minutes and doing again), toilet trips which involves 2-3 hourly scheduled toileting rather than waiting

    until an urge arises and proper fluid and dietary management play a major role in reaching a symptomatic improvement.

    Behavioral modification therapy is the therapy where an urologist might suggest techniques like limiting the amount of fluid you drink, eliminating caffeine because it irritates your bladder or bladder training, which will teach you to hold your urine longer and doing exercises to strengthen your pelvic floor.

    Both Stress incontinence and Urge incontinence can be treated effectively with Electrical stimulation which enhances the tone and strength of pelvic floor muscles.

    Furthermore, medications like Anticholinergics, Mirabegron (Myrbetriq), Alpha blockers and topical estrogens can also be used to address symptoms in all the three types.

    Is there any place for surgical treatments?

    In patients who do not respond to any of the conservative or pharmacological management, can be treated with surgical interventions like Sling procedures, bladder neck suspension, prolapse surgery and artificial urinary sphincter fixation, depending on the etiology

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    Life style modifications for GERD

    Life style modifications for GERD

    Do you also get a burning chest pain following meals which hugely interrupts your day today life? The presence of an incompetent valve between esophagus and stomach can cause a leakage of food and acid from the stomach back into the oral cavity by a reflux mechanism causing heart burn.

    Gastroenterologists in Mumbai encourage GERD Patients to practice life style modifications to prevent from mild GERD episodes.

    Diet modification for GERD

    Be extra cautious on what you are eating
    Always try to find the ingredients, containing in a meal before you consume them, to make sure that they don’t have too much spices like chilies, pepper, oils, fats, tomatoes, garlic, peppermint, onions, citrus, chocolate etc. which possibly have an exacerbating impact on the acid reflux.
    Some beverages can also agitate your symptoms, so it is good to keep an eye on what you are consuming. Few of the commonest acid-reflux triggers include coffee, tea and carbonated soft drinks.
    It is recommended to cut down sugars, fatty food and oils and consume a balanced diet rich in vitamins and proteins.
    Have small meals in a frequent basis
    According to latest research studies, it has been found out that the best method of staying healthy in every aspect is to consume tiny quantities of main meals as well as snacks in a frequent manner.
    Large meals take a long time to get emptied from our stomach and therefore apply an extra pressure on the valve between the stomach and esophagus. Persistent pressure on this valve, can later become weakened and incompetent, resulting in GERD.

    Lifestyle modification for GERD

    Stop smoking and alcohol which are major risk factors for GERD.
    Do not wear excessively tight clothes since they could squeeze the stomach contents, favoring the back flow of acids through the incompetent valve.
    Do not stay reclined at least for 3 Hours after Eating
    Lying flat on a bed results in an elimination of the gravity. This will place the stomach contents here and there, making it quite easier for the incompetent valve to act ineffectively, with a subsequent back flow of acids into the esophagus and throat- Heart burn
    When sleeping- Make sure to use pillows and raise the head end of your bed around six to eight Inches. Because when there is a slight inclination, gravity can act on the down-ward food flowing pathway, helping the stomach to reduce nighttime reflux attacks.
    Monitor weight- Over weight and obesity are two major risk factors for GERD due to their potential impact on the distortion of esophageal valve anatomy thus resulting in an acid-reflux.
    Since GERD is a chronic condition, these simple life style alterations can ease the symptoms effectively but it is important to practice these with proper medical advice, based on the severity of the condition.

    Gastroenterologists in Navi Mumbai are experts in healing GERD patients, thanks to their years of experience in the field.

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    Dietary Precautions-Anal Fistula

    Dietary Precautions For Anal Fistula

    What you eat is what you are, especially when it comes to taking care of your internal organs like, stomach, liver, intestines, rectum, etc. your diet reflects their health. Conditions like anal fistula can be prevented with a healthy diet and lifestyle.

    What is an Anal fistula?

    Anal fistula is defined as an abnormal communication between the epithelial surface of the anal canal and the perianal skin. Anal fistula usually initiates with a tissue damage.

    Patients with this condition usually are present with,

    • A constant pain in the area, throbbing in nature which gets worsen on sitting down.
    • A chronic irritation of the skin associated with swelling, redness and tenderness around the anus.
    • A smelly discharge of pus with or without blood
    • Constipation
    • Pain on bowel movement
    • Mild to moderate fever

    In acute stage, a fistula can be extremely painful and may bleed frequently but if ignored for a long time for more than 7-8 months, it gets partially healed up and a skin growth known as sentinel tag or sentinel pile surrounds it.

    What are the causative factors for Fistula?

    In most of the individuals, anal fistulae usually develop following an anal abscess. Untreated abscesses in the anal area or ones which have not healed completely can give rise to fistula.

    In fact, research studies have put forward a fact that one in every two-four people with an anal abscess have the chance of developing an anal fistula, later in life.

    There is also a significant male predominance between the ages 20-40 years.

    Other less common causes for anal fistula include,

    • Crohn’s disease
    • Diverticulitis
    • Hidradenitis Suppurativa
    • Tuberculosis

    How anal fistula can be prevented through diet?

    Diet plays a major role in improving this condition. Furthermore, since constipation is one of the major reasons for the exacerbation of anal fistula, it is highly important to control it as much as possible using dietary remedies.

    1. Take adequate dietary fibers such as bran, beans, passion fruit, berries, green leaves, mushrooms, banana, cabbage etc.
    2. Eat more vegetables, fruits and salad.
    3. Avoid gluten-free junk food, French fries, potato chips, processed meat and refined grains.
    4. Drink plenty of water and fluids but avoid much coffee and tea.
    5. Avoid straining during defecation (especially while constipation)
    6. Avoid excessive oils, chilies and spices in food items.
    7. Avoid much of non-veg. food. Try to be vegetarian.
    8. Use of buttermilk (Lassie without butter) with a pinch of cumin powder and black salt keeps the digestion correct

    How do you manage anal fistula?

    Prevention is the best treatment. Maintaining a good nutritional habit is a great way to maintain health issues and ward off fistulas. In addition, abstaining from smoking is important to promote fistula healing.

    Are there any specific dietary measures to be taken?

    Apart from the general precautions mentioned above, it is recommended to refrain from alcohol and smoking since they are known to play a major role in exacerbating the signs and symptoms of anal fistulae

    In addition, you can take dietary advice from a dietician or the specialist to choose the best schedule of meals, depending on the individual requirements and severity of the condition.

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    Precautions after a laparoscopic gallbladder surgery

    Precautions After a Laparoscopic Gallbladder Surgery

    Laparoscopic gallbladder surgery (cholecystectomy) removes the gallbladder and gallstones through several small cuts (incisions) in the abdomen. The surgeon inflates patient’s abdomen with air or carbon dioxide in order to see clearly.

    Sometimes patients are nauseated after waking from the anesthesia. This sensation usually passes. If it does not, medication can be given to relieve it.
    Postoperative pain can usually be controlled with over-the-counter pain relievers. Some patients may need a stronger, prescription analgesic.

    The incisions are covered by small adhesive bandages that can be removed in about 5 days and the stitches dissolve over time. The area must be kept dry until the wound begins to heal and sponge baths are recommended for the first day or two.

    Recovery from the laparoscopic procedure is quicker than from the open procedure. As the anesthesia wears off, and once vital signs stabilize, the nurse offers the patient ice chips. If ice is tolerated, water and other clear liquids are offered. Once liquids are tolerated, patients can eat a light meal and the IV is removed.

    How is it different from an open surgery?

    Recovery from open surgery is not as rapid. Patients experience pain at the incision site and a narcotic pain reliever is usually required for the first day or two. The patient may not be able to eat until the morning after surgery. The intravenous is left in until food and fluids are taken and tolerated.
    Patients are usually able to get out of bed by the next morning. It is important to get up and walk as soon as possible to help blood circulation return to normal and to avoid complications such as blood clots. The hospital stay generally lasts 3 to 7 days and it usually takes about 3 weeks to fully recover. This procedure leaves a large abdominal scar, which may fade over time…

    Diet instructions you need to know after the surgery

    When you consider about your diet after the gallbladder surgery. No need to follow a special diet after having the surgery, as the gallbladder isn’t essential for digestion. You can usually start eating normally a few hours after your operation, although you’ll probably prefer to eat small meals to start with.

    You may have been advised to follow a low-fat diet for several weeks before surgery, but this doesn’t need to be continued afterward. Instead, you should aim to have a generally healthy, balanced diet (including some fats).

    Conclusion

    Even Though cholecystectomies are safe, but complications can develop. The main disadvantage of laparoscopic surgery has increased the risk of injury to the bile duct, which connects the gallbladder and the liver. This rarest complication can cause serious liver damage.
    If you experience side effects from the surgery – including indigestion, bloating, flatulence or diarrhea – it may help to make some small adjustments to your diet such as

    • Avoid drinks containing caffeine – such as coffee and tea,
    • Avoid foods that make the problems worse – such as spicy or fatty foods,
    • Gradually increase your intake of fibre – good sources of fibre include fresh fruits and vegetables, wholegrain rice, whole-wheat pasta and bread, seeds, nuts, and oats.
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    how are gallstones treated

    How are gallstones treated?

    Laparoscopic gallbladder surgery is the best choice of treatment for gallstones with severe signs and symptoms, disrupting one’s life style. It is time-saving and minimally invasive.

    What are gall stones?

    Gallstones are some stone like hard depositions in the gallbladder made out of Cholesterol, salt and Bilirubin (made out of destructed blood cells). Being a very common condition, gallstones vary a lot in size whereas some can be as small as a particle of sand where others can be as large as apples.

    Obesity, high consumption of cholesterol rich food, a rapid weight loss within a short period of time, Diabetes mellitus and long term intake of a high-fiber diet are the major risk factors for this condition to occur. Moreover, owing to a significant female predominance, Gallstones are most likely to affect people over 65 years of age, pregnant mothers and individuals with a positive family history.

    Treatment options

    Gallstones are usually treated depending on the severity and how they could disrupt the quality of life.

    Patients without symptoms yet diagnosed with gallstones, coincidentally in ultra-sound scans, the concept of ‘active monitoring’ is recommended. This method doesn’t involve any immediate treatment, but prompt medical advice should be sought as soon as you notice unusual presentations like yellowish discoloration of the skin or mucosal membranes (obstruction by gallstones)

    As a rule of thumb, the more you go without getting any sign or symptom, related to gallstones, the less likely it is to get the condition worsened. But there are occasions where you may need to get medical treatment even if you don’t get any presentation mentioned above, which include underlying Diabetes, portal hypertension or scarring of the liver-Cirrhosis

    Treatment is also indicated if a scan reveals a high level of calcium inside the gallbladder which can lead to gallbladder cancer in future or if there are frequent episodes of abdominal pain. If they are mild and infrequent, conservative management is alright with painkillers to relieve discomfort and healthy diet which might help in reducing further episodes.

    Some doctors prescribe medications to dissolve gallstones which are small in size and do not contain cholesterol e.g. Ursodeoxycholic acid

    Surgical interventions are considered if the signs and symptoms of the gallstones become severe such and disrupt a person’s quality of life to avoid complications due to stones.

    The main surgical treatments available for Gallbladder removal

    • Gall bladder laparoscopic surgery – A keyhole surgery performed under general anesthesia, which will only take 60-90 minutes.
    • Patients will be fully recovered after about 10 days.
    • Single-incision keyhole surgery – Latest type of keyhole surgery where the gallbladder will be removed by making only one hole on the abdomen.
    • Open surgery – A cut-open type surgery indicated in pregnant mothers in their third trimester, extremely overweight and unusual anatomical structure of gallbladder or surrounding structures which might make the surgery difficult.
    • Endoscopic retrograde cholangio-pancreatography (ERCP) – Removes only the stones from the gallbladder without removing the entire organ.

    Because of all these latest and advanced laparoscopic surgical options available nowadays, you won’t have to suffer from gallstones anymore.

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    Nissen Fundoplication Surgery

    Precautions after a Nissen (laparoscopic) Fundoplication Surgery for GERD

    Laparoscopic Nissen fundoplication is a surgical approach to treating gastroesophageal reflux disease (GERD). This surgery aims to strengthen the weakened area of the esophagus that causes stomach acid to flow up instead of down. Nissen fundoplication surgery is designed to fix the weak area of the esophagus. The surgery is performed laparoscopically.

    Few complications after a fundoplication surgery are difficulty in swallowing, esophagus sliding out of the wrapped portion of the stomach, Bloating and discomfort from gas buildup, excess gas, risks of anesthesia, risks of major surgery (infection or bleeding).

    If an open surgery is done, you have to spend several days in the hospital and you may need 4 to 6 weeks to get back to your normal routine. If the laparoscopic surgery method is used, you have to stay in the hospital for only 2 to 3 days and most people can go back to their normal routine in about 2 to 3 weeks.

    After your surgery, you have to follow a special diet to help prevent diarrhea, gas, and problems swallowing. You can drink clear liquids for your first few meals. Then follow a full liquid diet and then a Nissen soft diet. Eat small, frequent meals (six to eight per day). This will help you consume the majority of the nutrients you need without causing your stomach to feel full or distended. Drinking large amounts of fluids with meals can stretch your stomach.

    Eat very slowly. Take small bites and chew your food well which will help in swallowing and digestion. Avoid crusty breads and sticky, gummy foods, such as bananas, fresh doughy breads, rolls and doughnuts. Sit upright while eating and stay upright for 30 minutes after each meal. Do not lie down after eating. Sit upright for 2 hours after your last meal or snack of the day.

    The first bowel movement may occur anywhere from one to five days after surgery. As long as you are not nauseated or having abdominal pain, this variation is acceptable. Remember that it is very common to pass a lot more gas from your rectum; this is because you will not be able to really belch.

    There are no significant restrictions on activity after surgery. You can walk, climb stairs, mow the lawn or exercise, as long as it does not put a strain on you. Returning to normal activity as soon as possible will most likely enhance your recovery. Try to avoid heavy lifting for several weeks.

    Important

    Contact your surgeon immediately, if a fever arises up to 100.4 or greater, shaking chills, pain that increases over time, redness, warmth, or pus draining from incision sites, persistent nausea or inability to take in liquids.

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    Risk-Factors-involved-in-Hernia

    Causes and Risk Factors involved in Hernia

    Hernia is a protrusion of an internal structure of the body through a weak boundary in the surrounding muscle or tissue wall, usually occurring between chest and hips, giving rise to a small, often painless swelling or lump in the tummy or groin area.

    Through this blog post you will find general information about causes of hernia and risk factors for development of hernia, for any doubt please visit General and laparoscopic surgeons who are hernia treatment specialist also.

    Causes of Hernia:

    A failed embryonic closure in male fetuses can result in the formation of an indirect inguinal hernia later in life. Prematurity is another identified cause for hernia formation due to the developmental issues of muscles and tissues of infants.

    The commonest cause for hernia has identified to be a raised pressure inside the body together with a pre-existing weak area in the tissue or muscle wall, creating a potential site for a bulging out to take place.

    Increased abdominal pressure can be a result of various external factors. Long-term activities like frequent heavy weight lifting associated with certain jobs, strenuous exercises and long hours of standing are among the commonest.

    Weakened abdominal walls or tissues as a result of injuries to abdominal wall, sports, sudden movements and dislocations of discs can also give rise to hernia formation in certain individuals.

    Other commonest risk factors associated with the development of hernias are as follows.

    • Age – Commoner in adults, since advanced age can weaken connective tissues.
    • Gender – Inguinal hernias are commoner in men, femoral hernias are commoner in women whereas umbilical hernias are commoner in women.
    • Genetics – Individuals with a positive family history are more susceptible.
    • Obesity – Over weight individuals, naturally present with an increased intra-abdominal pressure which will eventually push out the increased amount of fatty tissue content and organs through a weakened spot
    • Ascites – Excessive formation of fluid inside the peritoneal cavity, occurring due to various medical conditions like chronic liver failure and tend to increase the intra-abdominal pressure, thus resulting in protrusion
    • Cystic Fibrosis – Being a genetic condition associated with abnormalities in tissue formation and chronic cough can result in a combination of both fundamental factors, required for a bulging out to take place
    • Chronic constipation – Long-term straining due to the difficulty in passing out dry faeces, can obviously cause a raised intra-abdominal pressure, where most of the affected individuals tend to develop hernias later in life
    • Pregnancy – Increased pressure inside the abdomen due to a developing fetus, can also act as a cause for Hernia formation, in certain individuals.
    • Surgery – Those who have undergone a previous abdominal surgery, have an increased potential to develop hernias due to a weakened abdominal wall

    The most important point to keep in mind is that, those who are known to have a single or multiple risk factors, should seek medical advice from a hernia specialist to prevent from possible hernia development or other complications associated.

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    Anal-Fistula-treatment-Tools

    VAAFT: Best Anal Fistula Treatment

    Video Assisted Anal Fistula Treatment, also known as VAAFT is so far the newest and most advanced surgical intervention introduced for Fistula-in-ano. This procedure is usually done under general anesthesia, where a tiny telescope is entered through the external opening of the site of the skin where the fistula-in-ano is located. The HD-camera of latest technology attached to the other end, thereby visualizes the inner aspect of the fistula pathway on a HD- monitor and the surgeon will remove the complete length of the fistula with the help of precise visualization up to its inner opening, located on the wall of the anal canal.

    More importantly, this method can also detect abnormal branching patterns of the fistula tracts and carry on the necessary therapeutic techniques at the same time. After the complete removal of the fistula, the internal opening is closed with the help of either sutures or staplers, preventing the leakage of stools back in to the fistula tract and the entire canal is sealed off using a mild electric cautery. Some surgeons may also use fibrin or cynao-acrylate glue in order to obliterate the fistula pathway.

    At the end gentle flushing of the wound with normal saline is done followed by a routine dressing at the site of fistula removal.

    This method is highly encouraged, in order to clean dead tissue left inside the fistula tunnel so that it will result in a proper and quick healing.

    What are the advantages of VAAFT:

    • In this procedure, an incision is not made on the skin around the anus and therefore there is no visible scars unlike in other major surgeries.
    • Being a camera guided and very precise procedure, no damage is caused to the muscles around the anus which are responsible in controlling bowel movements. As a result, possible adverse effects like bowel incontinence and leakage are highly unlikely when compared to other open surgeries done.
    • Due to the minimal invasive nature of VAAFT and the lack of excisions, wounds or scar formation, the pain caused after the wearing off of anesthesia is very mild or negligible.
    • Complete removal of the fistula is guaranteed since the whole procedure is being done under direct visualization of the canal. As a result of that, the incidence of recurrence is very rare.
    • Since VAAFT is known to be a day surgery, patient will be discharged on the same day of the surgery after wearing off of anesthesia.
    • Complete and quick healing of the wound will take place within a few days compared to that of a normal open surgery so patient can get back to his day to day life relatively in a short period of time.
    • According to several research studies carried out, the technique of VAAFT has been accepted world-wide as a very efficient intervention made on fistula-in-ano, with a 100% success rate.
    • More importantly, the cost of VAAFT is comparatively lower than what is expected for normal open surgery, so in patient’s point of view it is a huge benefit.

    Dr Nitish Jhawar, head of colorectal department at Fortis Hiranandani Hospital Vashi , Navi Mumbai has been trained for VAAFT procedure at Germany by the inventor Dr P.Meinero and he offers this procedure along with other latest treatments for Fistula in Ano.

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    Testimonial

    What patient says about Dr. Nitish Jhawar

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at Max hospital, he just asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Apollo staff was also very caring and good. I would mention Apollo Hospital, Navi Mumbai in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Kishore-Kumar-Das

      I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

    • Siddappa-Hasbi

      It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

    • Person Image

      I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

    • Person Image

      I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

    • Person Image

      I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

    • Person Image

      I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

    • Person Image

      Honest doctor, expert in his field....can trust his words

    • Person Image

      Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

    • Person Image

      Very nice. Doctor is very patient and gives you correct advice.

    • Person Image

      He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

    • Person Image

      Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience