General Surgery

blog, Cancer, Diagnostic Procedures, General Surgery, Hernia Surgery

Recovery After Perineal Hernia Surgery: Expert Advice

blog, Cancer, Diagnostic Procedures, General Surgery, Hernia Surgery / kapoorcmc

Recovery After Perineal Hernia Surgery: Expert Advice Perineal hernia surgery, while often necessary to address a bulge or weakness in the pelvic floor muscles, can leave you feeling achy and apprehensive about returning to your normal routine. However, with proper guidance and a commitment to recovery, you can navigate this experience confidently and regain your well-being. This blog serves as your comprehensive guide to recovering after perineal hernia surgery, packed with expert advice and practical tips- 1. Prioritizing Rest and Recuperation: The Foundation for Healing Just like any surgery, perineal hernia repair requires adequate rest for your body to heal effectively. In light of the nature and intricacy of the procedure, as well as the advice of your physician, schedule at least a few days off from work. Prioritize restful sleep each night, aiming for 7-8 hours. However, complete inactivity isn’t ideal. Short walks around the house can improve circulation and prevent blood clots. Listen to your body’s cues for fatigue and discomfort. Pushing yourself too hard can hinder recovery. 2. Hydration: Your Body’s Ally in Healing Dehydration can slow down healing, exacerbate constipation, and make you feel sluggish. Make water your go-to beverage. Aim for eight or more glasses daily. Consider using a reusable water bottle and tracking your intake to ensure you stay well-hydrated. Alcohol, sugar-filled beverages, and too much caffeine can cause dehydration. Proper hydration also helps with constipation, a common post-surgery side effect. 3. Dietary Do’s and Don’ts: Fueling Your Recovery Journey A balanced, fiber-rich diet is essential for a smooth post-surgery experience. Fruits, vegetables, and whole grains are packed with essential nutrients that support healing and promote healthy digestion. Include plenty of fluids with meals to help soften stool and prevent straining, which can put pressure on the surgical site. Here’s a breakdown of dietary do’s and don’ts: Do: Include plenty of fruits and vegetables (apples, pears, broccoli, spinach) for essential vitamins and fiber. For long-lasting energy, opt for whole grains like brown rice, quinoa, and whole-wheat bread. Consume healthy fats like those found in avocados, nuts, and seeds (in moderation) to promote healing. Don’t: Consume processed foods, greasy meals, and white bread and refined sugars, as they can contribute to constipation. Limit spicy foods, which can irritate the digestive system. Stay away from alcohol and caffeine in excess as they can dehydrate you 4. Pain Management: Partnering with Your Doctor It is common for pain to occur throughout the postoperative healing phase. However, uncontrolled pain can hinder recovery and make it difficult to participate in essential activities like walking or coughing. Don’t hesitate to take prescribed pain medication according to your doctor’s instructions. Over-the-counter pain relievers like acetaminophen might also be helpful. Remember, managing pain effectively allows you to rest comfortably and promotes healing faster. Discuss alternative pain management options like ice packs or sitz baths (shallow baths in warm water) with your doctor to find what works best for you. 5. Incision Care: Maintaining a Clean and Protected Healing Environment Proper incision care is vital to prevent infection and promote optimal healing. Follow your doctor’s specific instructions regarding wound cleaning and dressing changes. Typically, the area will need to be kept clean and dry. Avoid wearing tight clothing that might irritate the surgical site. When showering, gently pat the area dry instead of rubbing. In case of redness, swelling, or pus, consult your doctor immediately. 6. Managing Coughing and Sneezing with Care: Minimizing Strain Coughing and sneezing can put pressure on the incision site and cause discomfort. To minimize strain, support the area with a pillow or rolled-up towel when you cough or sneeze. This helps distribute the pressure and reduces pain. 7. Gradual Return to Activity: Respecting Your Body’s Limits While rest is crucial, complete inactivity can be counterproductive. Gentle movements promote healing and prevent complications. Once you can handle the length and intensity, progressively increase from short walks around the house. However, avoid lifting heavy objects for at least 6-8 weeks, or as advised by your doctor. Listen to your body and gradually increase activity to avoid setbacks. 8. Postural Support: Promoting Healing From the Inside Out Maintaining good posture can significantly reduce pain and promote healing after perineal hernia surgery. When sitting, use a supportive chair with good lower back support. Avoid slouching or hunching over. While sleeping, elevate your head slightly with pillows to reduce tension on the pelvic floor muscles. 9. Open Communication with Your Doctor: Addressing Concerns and Monitoring Progress Don’t hesitate to reach out to your doctor if you experience any concerning symptoms after surgery, such as: Fever Increased pain Redness or swelling at the incision site Difficulty urinating Drainage from the incision site Difficulty controlling bowel movements A smooth recovery can be ensured and complications can be avoided with early management. Regular follow-up appointments with your doctor are crucial to monitor your progress and address any concerns you may have. 10. Patience is Key: Trusting the Healing Process Recovery from perineal hernia surgery takes time.Have self-compassion and let your body recover itself at its own speed. Everyone heals differently, so don’t get discouraged if you don’t feel back to normal immediately. Focus on following your doctor’s instructions and gradually increasing your activity level. Celebrate small victories as you progress through your recovery journey. Additional Tips for a Smoother Recovery Pelvic Floor Exercises: After consulting with your doctor, incorporating pelvic floor muscle exercises into your routine can strengthen the muscles in the pelvic floor, which can aid healing and prevent future hernias. Bowel Management: Maintaining regular bowel movements with a soft stool consistency is crucial for reducing strain on the surgical site. If you experience constipation, consider using a stool softener as directed by your doctor. Intimacy: Discuss the appropriate timeframe for resuming sexual activity with your doctor. Typically, several weeks of abstinence are recommended to allow for proper healing. Emotional Support: Perineal hernia surgery can be an emotionally challenging experience. Don’t hesitate to seek support from your loved ones, or consider joining a support

Breast Cancer, Cancer, General Surgery

Relevance of Breast Cancer Awareness Month

Breast Cancer, Cancer, General Surgery / kapoorcmc

Breast Cancer Awareness Month Each year, October is breast cancer awareness month, a campaign to educate people about breast cancer. It is one of the commonest cancer in India. Breast cancer is defined by unrestrained development of cells, which leads to formation of swellings within the breast. If not spotted early, it can spread to other parts of the body. Breast cancer affects females both in the established and the developing world. This cancer can arise at any age but, very common above the age of 40 years. Breast Cancer is the second most commonest cancer in women in India. The typical age of developing breast cancer is 30 – 50 years. Risk factors: Family History: Ladies whose mother or sibling had breast cancer carry a greater risk of establishing this disease. Breast swellings: Women who have actually had some type of non-cancerous breast lumps are more likely to establish cancer later on. Age: As women get older, they are at higher threat of breast cancer. Diet plan and way of life choices: Females who smoke, eat high fat diet plan, drink alcohol are more at risk of establishing breast cancer. Weight problems: Obese ladies are at a higher risk of establishing breast cancer. Oestrogen exposure: Ladies who began having periods early or gone into menopause later than typical are at a greater threat of developing breast cancer. Tips for Breast Cancer Prevention It is necessary to self-examine your breasts. Ladies need to be aware as to how their breast generally feel and look. If you feel any change, then speak with your doctor. It is advisable for females who are around 40 to get their mammography done. It is an easy radiographic technique which helps in detecting abnormalities in the breast tissue. Addition of vegetables and fruits in your diet plan helps in keeping a healthy body weight. For new mothers, it is a good idea to breastfeed their child a minimum of for one year. One should be aware about self-breast exam, beginning from 20 years of age, and regularly done each month; if there is an abnormality it should be got counter checked from your surgeon. Book Your Appointment or Call at +91-9876-507-444 to get the best treatment.

General Surgery

Appendicitis Surgery in Chandigarh | Appendicitis Treatment, Doctor in Chandigarh

General Surgery / kapoorcmc

Appendix Treatment Doctor in Chandigarh Emergency Surgery: Appendicitis should never be ignored Appendicitis Surgery in Chandigarh – Appendicitis happens if your appendix becomes irritated or infected; it is commonly called acute appendicitis. The appendix is a small tube-shaped organ affixed to cecum, a part of the large intestinal tract on the right lower abdomen. Nobody understands what the appendix’s function is– but we do recognize that appendicitis is a serious condition. A surgeon is required to diagnose and treat appendicitis; surgery involves removing of the appendix, a procedure called an appendectomy. Approximately 5% of the population can get appendicitis necessitating surgery. Appendicitis can occur at any type of age, although it’s most typical in individuals in their teens and 20s. An infected appendix may create discomfort off and on. Or it may rupture open (rupture), creating sudden, severe discomfort. A ruptured appendix can spread microorganisms in the abdomen. This infection of the abdomen can sometimes cause infection called peritonitis, which can be fatal if not treated promptly. Where is your appendix? The appendix is in on the right side of the umbilicus in the lower abdomen. Signs and symptoms of appendicitis It’s unclear what brings on appendicitis. Something causes an inflammation (irritability and also swelling) or infection in your appendix. Causes could include: Clot at the opening where the appendix attaches to the intestinal tracts. Digestion system infection. Inflammatory digestive tract condition. Cancer inside the appendix. What are the symptoms of appendicitis? Severe stomach pain in the right lower abdomen is a sure shot indicator of appendicitis. Signs usually begin suddenly as well as become worse. They include: Stomach pain aggravated when you cough, sneeze, breathe in or relocate. Swollen tummy. Bowel irregularity. Looseness of the bowels. Inability to pass gas. Loss of appetite (not really feeling hungry when you usually would). Low-grade high temperature (listed below 100 levels F). Nausea as well as vomiting. Diagnosis of appendicitis Blood test to check for infection. Ultrasound or CT scan Magnetic resonance imaging (MRI) is rarely required Treatment of appendicitis Once appendicitis is diagnosed everyone will require a surgical procedure called an appendectomy. It gets rid of a diseased appendix. If the appendix hasn’t yet ruptured, surgical procedure stops that rupture and also maintains infection from dispersing. Prior to surgery, you receive intravenous (IV) antibiotics to treat infection. Some instances of mild appendicitis improve with prescription antibiotics alone. Your doctor will certainly watch you closely to identify if you need surgical treatment. Surgery is the only method to treat appendicitis. Laparoscopic Appendicectomy If you need surgical procedure appendectomies are done laparoscopically. Laparoscopic procedures take place with a scope via little incisions. This minimally intrusive method aids you heal much faster, with less discomfort. You might require open abdominal surgical procedure (laparotomy) if the appendix tears and causes peritonitis What are the complications of appendicitis? If it isn’t treated, an unhealthy appendix can fracture. A burst appendix can cause an infection that can result in severe ailment as well as even fatality. These complications include: Appendicular Abscess This pus is drained under radiologic guidance and a tube is inserted. These tube will eliminate liquid from the abscess; surgery is planned later after a few weeks Throughout this time, you take antibiotics to combat infection. After the abscess is gone, you’ll have surgical treatment to eliminate the appendix. Peritonitis Peritonitis is infection of the abdominal cavity. It is a serious condition, if infection spreads throughout the abdomen. Open surgery (laparotomy) eliminates the fractured appendix and also deals with the infection. Sepsis Bacteria from a ruptured appendix can enter your blood stream. If it does, it can create a major problem called sepsis. It can be fatal. It needs hospital treatment with strong antibiotics. Surgery is also indicated in these situation. Important Tips about Appendicitis

Colorectal Surgery, General Surgery

Anal Fistula: Surgery is the Best Bet

Colorectal Surgery, General Surgery / kapoorcmc

Anal Fistula Surgery Surgery is typically essential to deal with anal fistula as they normally do not heal on their own. There are a number of different procedures. The very best alternative for you will certainly rely on the position of anal fistula and also whether it’s a solitary channel or branches off in various instructions. Occasionally you might require to have a first evaluation of the location under general anaesthetic (where you’re asleep) to assist figure out the best treatment. This is called Examination under Anaesthesia. This can be done during the main surgery too. Proper communication and consents will have to be obtained about possible options to be used. Your colorectal surgeon will talk to you concerning the choices available and which one they really feel is one of the most suitable for you. There are a few procedures, which became popular but long term results showed high recurrence rates and thus they fell by the way. Surgical treatment for an anal fistula is typically executed under general anaesthetic. In most cases, one day overnight stay in the hospital is required afterwards. Also See: Fistula Doctor in Chandigarh The main goal of fistula surgery treatment is to heal the fistula while avoiding damage to the sphincter muscle mass, the ring of muscular tissues that open up as well as shut the rectum, damage to which might possibly cause loss of control (anal incontinence). The most commonly used procedures are: Fistulotomy One of the most common type of surgical treatment for rectal fistulas is a fistulotomy. This includes cutting along the whole size of the fistula to open it up so it recovers and heals from within. A fistulotomy is one of the most effective treatment for lr fistulas that do not go through a lot of the sphincter muscle mass, as the risk of incontinence is least in these cases. If the specialist needs to cut a portion of anal sphincter muscle mass throughout the procedure, or the risk of incontinence is thought to be high, another procedure might be advised instead. Seton surgery If a considerable portion of rectal sphincter muscular tissue is involved, a seton surgery will be done, which is inserted into the fistula tract running across the muscle. The rest of the fistula tract is excised and the wound laid open. A seton is an item of medical string that’s left in the fistula for several weeks to keep it open. This allows it to drain and also assists it heal, while preventing the damage to the sphincter muscles. Loose setons permit fistulas to drain, however they do not cure them. They help in draining all the pus and infection over a span of weeks or months. Subsequently another surgery is required to use a tighter seton, which cuts the tract gradually over days or weeks. This way the sphincter gets time to heal and thus maintain continence. At time, this may require numerous procedures that the doctor can go over with you. It may involve using a combination of the procedures depending upon the type of fistula. At times, The procedure involves opening up a little section of the fistula each time. Advancement flap surgery An advancement flap treatment might be considered if your fistula travels through the rectal sphincter muscular tissues and other procedures have not given good results. This entails cutting or scraping out the fistula as well as covering the hole where it went into the bowel with a flap of tissue extracted from inside the rectum, which is the final part of the digestive tract. This is used very selectively as it carries a high recurrence rate. It may be used in conjunction with seton surgery. Other Procedures There are some other procedures being used for treatment of anal fistulas recently and the long term success rates are either awaited or not very good. A few have shown good results in simple fistula. Some of the procedures are meant for specific fistulas and some just are alternate procedures. A few like fibrin glue, fistula plug and endoscopic ablation have shown higher recurrence rates. LIFT and laser ablation procedures will need more time to show long tern results, but could be used selectively for specific fistulas. At this time, best results are shown by fistulotomy or seton techniques, but as said before the choice of surgery to be employed depends on the number, length, association with abscess, previous surgeries and underlying diseases. At times, a combination of procedures give the best result. Risks of anal fistula surgery Like any type of type of therapy, therapy for anal fistulas brings a number of risks. The primary risks are: Infection as this is a high bacteria colonized area because of the passage of stools. Recurrence of the fistula– the fistula can occasionally persist despite surgical treatment Faecal incontinence— this is a potential danger with the majority of types of rectal fistula treatment, although severe incontinence is uncommon and also every effort is certainly made to prevent it. Things to remember about Fistula Surgery

Colorectal Surgery, General Surgery, Haemorrhoids Surgery

What to Do About Painful Haemorrhoids

Colorectal Surgery, General Surgery, Haemorrhoids Surgery / kapoorcmc

About Painful Haemorrhoids There are blood vessels in the last portion of your intestines. When these vessels become swollen or large, these are called haemorrhoids. These can cause a variety of symptoms in more than 20 percent of populace. Pain is one of the most commonest symptom. The pain, discomfort as well as distress of piles can be embarrassing, but if you’re experiencing this condition, know that you’re not the only one. However, there are real treatment choices to attend to the signs and symptoms and also prospective problems of this common ailment. The very best and latest therapy strategy to resolve your painful piles and also promptly ease your signs and symptoms is available now. Signs and symptoms as well as causes of haemorrhoids. Piles are of two kinds, internal and outside. Apart from pain, piles can also feature symptoms that include bleeding, itching and prolapse The commonest cause of piles is because of straining during defecation from chronic irregular bowel movements or diarrhoea. Doing a lot of hefty training and exercises can result in haemorrhoids, as well as they generally establish during pregnancy and delivery. These are common in both the gender and more frequent as you age. Also See: Piles Doctor in Chandigarh At-home therapy options for painful haemorrhoids If you just have mild signs, you could be able to treat your painful haemorrhoid in the house. Begin by drinking plenty of water and enhancing the quantity of fibre in your diet plan. If you’re spending lot of time on the toilet and straining as well, try to limit this habit. Warm water immersion can also help. If the pain persists consult a colorectal surgeon. Quick management for painful haemorrhoids There is no reason, why one should some remain in pain because of haemorrhoids.. Amongst your treatment alternatives for haemorrhoids are rubber band ligation or urgent surgery due to a thrombosed external haemorrhoid, which can be very painful. Relying on the intensity of your condition, the decision is taken. At times a properly conducted non-surgical treatment can ward of the painful emergency and subsequently the haemorrhoids are dealt with according to their merit. These include traditional haemorrhoidectomy to eliminate outside and inner piles, in addition to minimally intrusive and incision-less banding of haemorrhoids. Stapling can be used for prolapsing haemorrhoids. This procedure is reserved for very few but is very useful at times. Thus it is prudent to consult a colorectal surgeon at the earliest especially for painful haemorrhoids as this pain can be very excruciating and does not allow the patient to sit comfortably. Tips for Painful Haemorrhoids

Colorectal Surgery, General Surgery, Rectal Prolapse

Do you have Rectal Prolapse – Learn about its Management

Colorectal Surgery, General Surgery, Rectal Prolapse / kapoorcmc

What is rectal prolapse? Rectal prolapse occurs when one component or all of the wall of the rectum slides out of anal opening, often sticking out of the rectum. There are two sorts of rectal prolapse: Partial prolapse (likewise called mucosal prolapse) Partial prolapse is most typical in children younger than 2 years. Total prolapse The whole wall surface of the rectum slides out of location as well as generally protrudes of the anus. Initially, this might occur just during bowel movements. At some point, it may take place when you stand or stroll. As well as sometimes, the prolapse rectum might stay out of your body constantly. Rectal prolapse is most typical in kids as well as older adults, specifically women. What creates rectal prolapse? Lots of things boost the chance of developing rectal prolapse. Risk factors include: Cystic fibrosis. Surgery on the anus as an infant Poor in nutrition Pushing during bowel movements Irregular bowel movements. Damage caused by surgical treatment or childbirth. Weak point of pelvic flooring muscle mass that takes place naturally with age. What is the clinical presentation of rectal prolapse? The initial signs of anal prolapse may be:. Leak of faeces from the rectum (faecal incontinence). Leakage of mucus or blood from the rectum (wet anus). Other signs and symptoms of rectal prolapse include:. Bright red tissue that protrudes of the anus. A sensation of having full bowels and also an urgent demand to have a bowel movement. The feeling of not being able to clear the bowels entirely. Rectal discomfort, itching, irritation, as well as bleeding. How is rectal prolapse investigated and diagnosed? Usually it is a clinical diagnosis. A good history is always useful. Photographs help a lot ad these days camera phones are a great help. A physical exam, which includes inspecting the rectum for loosened tissue and also to learn exactly how strongly the rectal sphincter contracts are important. Investigations include sigmoidoscopy, a colonoscopy, or a barium enema are required. A sweat test in children for cystic fibrosis may be required, when it is recurring. Treatment of Rectal Prolapse Prolapse in children often tends to disappear by itself. You can aid keep the prolapse from returning by pushing the prolapse right into place as quickly as it occurs. You can likewise have your youngster use a potty-training bathroom techniques to ensure that she or he does not push or put pressure while having a defecation. In adults, there are lot of situations requiring different means. Some of them are: You can press the prolapse back into area. Prevent bowel irregularity. Consume plenty of water, as well as eat fruits, veggies, and various other foods that contain fiber. Kegel exercises to help enhance the muscle mass of the pelvic location. No pushing while having a bowel movement. A stool softener Surgery for Rectal Prolapse Individuals that have a total prolapse or who have a partial prolapse that does not go away will certainly need surgical procedure. Surgical treatment entails affixing the rectum to the pelvic flooring or the sacrum. Sometimes the redundant colon or rectum may have to be removed. There are lot of procedures as none is hundred percent effective. Recurrence rates after surgery can be as 80 percent in some individuals. Laparoscopic or robotic surgery can be done for rectal prolapse Points to remember

Anal Incontinence, Colorectal Surgery, Fecal Inconntinence, General Surgery, Survivor story

Faecal Incontinence has a Cure – Successful Outcomes Possible

Anal Incontinence, Colorectal Surgery, Fecal Inconntinence, General Surgery, Survivor story / kapoorcmc

Ritika (name changed) underwent surgery for a fistula of the anal area in 2020. She noticed that she was unable to hold stools and had to rush to the toilet. Many a times she had accidental leakage of stools without her knowing about it. The problem persisted for 6 months, while she was advised perianal exercises. She was becoming a social recluse and was finding it very difficult to concentrate at work. She looked up on google and thought that her control over passage of stools was compromised and it occasionally happens after fistula surgery. Most common causes of faecal incontinence Ritika had actually developed faecal incontinence after surgery. This condition is also called anal or bowel incontinence too. There are lot of cause of this condition, the commonest being after prolonged labour during childbirth. It can also happen after trauma to perianal area or after perianal surgery for some other causes. There are plenty of other causes, but the above three mentioned are the most common. Diagnosis of faecal Incontinence She presented to us in July, 2020 and we found that she was suffering from moderate fecal incontinence along with fistula in ano. On clinical exam, we found that her anal sphincter was disrupted at the site of previous surgery. This circular anal sphincter is a muscular ring, which gives us our control over passage of stools depending upon circumstances. Since her muscle was partially cut, she was unable to contract the muscle completely, leading to incontinence. We got a MRI and anal manometry done and that confirmed our clinical diagnosis. We counselled Ritika about the need for surgery to repair the muscle as well surgery for fistula in ano. “It was a non brainer. My life had become hell and I was always afraid of moving out of the house or going to the market for shopping. My relationship with my husband had also suffered and thus there was an overall tension all around me”. Ritika was also apprised of need for staged surgery because of the fistula and also counselled about her wound and need for dressings in the post-operative period. She was also advised certain exercises to strengthen the torn muscle. Also See: Fecal Incontinence Surgeon in Chandigarh Surgery for faecal incontinence The surgery Ritika required was anal sphincter repair along with seton surgery for fistula in ano. This surgery is called sphincteroplasty. The anal sphincter as described above is a very small ring shaped muscle. Its repair needs very careful dissection, freeing from the hard surrounding scar tissues and preserving the blood and nerve supply to the muscle. The muscle is then repaired with an overlap of edges and ring is restored. Subsequently, the anal opening has to be sculptured. Surgery has the best results, though at time redo surgery has to be done. If there is a complete tear in the muscle, then a diversion colostomy is also required temporarily. This colostomy helps in diverting the faecal matter away from the operated area, thus facilitating rest and less infection to the repaired wounds. Recovery after surgery for faecal incontinences Ritika had a partial tear and thus we could do the surgery without faecal diversion. The procedure took almost two hours and Ritika was discharged in two days. She did very well for both her surgeries and did not require any further surgery. In almost three weeks, once her wounds had healed and sutures out, Ritika could already feel the difference. She was fully continent in almost three months’ time. “Life has a different meaning now. I can move out of the house and can travel freely. I am also thinking of having a baby and waiting to get a yes from my surgeon.” Ritika says when she visited us early this year. She is doing fine and has full control over passage of her stools. Summary Up to 5% of the population suffers from this malady in some for There is reluctance to take opinion because of shyness, shame or anxiety. Faecal incontinence can be managed surgically. Situations, where the sphincter can be repaired gives the best results. The improvement in the continence can range from 30 to 90%. One should consult a colorectal surgeon for this surgery.

Colorectal Surgery, Diverticular Disease, General Surgery

Diverticular Disease and Its Complications

Colorectal Surgery, Diverticular Disease, General Surgery / kapoorcmc

Diverticular disease or Diverticulosis is the general name for a condition that involves little bulges, or sacs called diverticula that develop from the wall of the large intestine (colon). Although these cavities can be present throughout the colon, they are most generally found in the sigmoid colon, the portion of the colon closest to the rectum. The various variants are as below: Diverticulosis: The presence of diverticula without connected problems or problems. The condition can result in complications consisting of diverticulitis, perforation, stricture (a narrowing of the colon that does not easily allow stool pass), fistulas (abnormal connection or tunnelling between body parts), as well as blood loss. Diverticulitis: When one of the diverticula or diverticula gets inflamed and infected, resulting in fever and abdominal pain. Complications of Diverticulitis Abscess formation (an abscess is a collection of pus walled off by the body) Peritonitis due to perforation of the colon (peritonitis is inflammation of the abdominal cavity, causing life-threatening infection that spreads within the abdominal cavity, and can trigger individuals to become fairly unwell. Anal bleeding Colonic stricture Fistula formation (Abnormal connection of the colon with surrounding structures including urinary bladder, rectum, vagina or the skin). Causes of Diverticular disease. One of the most generally approved theory for the development of diverticulosis is related to high pressure within the colon, which triggers weak locations of the colon wall to bulge out and also create the sacs. A diet low in fibre and high in red meat may likewise contribute. Currently, it is not well recognized exactly how these sacs end up getting infected and also result in diverticulitis. Signs of Diverticular disease Most individuals with diverticulosis have no signs and symptoms or problems. Nevertheless, people with diverticulitis might experience lower abdominal discomfort, high temperature, or anal blood loss. Diagnosis of Diverticular Disease. Diverticulosis often creates no symptoms, and thus, tests are done. It is typically identified throughout routine testing evaluations, such as colonoscopy or CT Scan. However, patients with diverticulitis are often symptomatic as well as consequently diverticulitis may be detected during work up of the person’s signs and symptoms. A few of the tests helpful are: CT Scan MRI abdomen Colonoscopy Treatment of Diverticular Disease Most individuals with diverticulosis have no signs. Nevertheless, as a preventative action, individuals are recommended to eat a diet high in fiber, fruits, and also veggies, as well as to restrict red meat, if discovered incidentally. Most situations of diverticulitis can be treated with antibiotics in tablet form or intravenously (IV). Diverticulitis with an abscess might call for treatment with antibiotics and a drain placed under radiologic guidance so that the pus can be drained. Surgical treatment for diverticular disease: There are situations where surgery is indicated. These are: Perforation of a diverticula leading to generalized infection in the tummy. If an abscess cannot be successfully drained with a drain inserted with the help of ultrasound. Severe cases that do not respond to optimal medical treatment, that includes a hospital stay and also intravenous antibiotics. People with immune system issues (pertaining to a body organ transplant or chemotherapy). A colonic stricture or fistula. Intestinal bleed A background of multiple attacks, a patient can undergo elective surgical procedure in order to avoid future attacks. Surgical treatment for diverticular disease generally involves removal of the afflicted part of the colon, and also may or might not entail a colostomy or ileostomy, where a part of the intestine brought out through the abdominal wall to drain right into a bag. A decision regarding the sort of procedure is made with your surgeon on a case-by-case basis. Important Points:

Colorectal Surgery, General Surgery

Colectomy Surgery in Chandigarh | Colon Resection Surgery, Treatment

Colorectal Surgery, General Surgery / kapoorcmc

Colectomy Surgery – What I Need to Know about it Colectomy Surgery in Chandigarh – Colectomy is a surgical procedure used to eliminate a part or all of the large intestine (colon). Your colorectal surgeon may advise a colectomy to deal with inflamed colon triggered by Crohn’s disease or colitis. It can additionally be done to deal with colon cancer as well as severe constipation. There are plenty of other reasons for which partial or complete colectomy is done; let’s find out below. What is the colon? The colon is another name for the big intestine. Some doctor call it the large bowel. The colon appears like a long, winding tube. It covers from right side of your belly to the left, making a square-like form. It extends almost 5 feet in size. It begins where the small intestine (ileum) finishes, and goes across the belly to end at the anus. It has various parts, which are listed in the diagram below. What is the role of colon: It assists your body digest food. Following are the steps of food movement in the colon: Food goes into the colon from the small intestine. As food moves via the colon, water gradually gets taken in. Not absorbed food waste heads to the rectum as stool. Stool exits the body with the rectum when you poop or faeces or poo Why is a colectomy done? There are various diseases for which this procedure is done. As specified above, the removal of colon could be partial, segmental or complete. Several diseases for which it is done are: Ulcerative colitis Crohn disease Amoebic colitis Ischaemic colitis Colon Cancer Diverticulitis and its complications Vascular malformation causing bleeding Chronic constipation Other infections causing colitis Colonic obstruction called intestinal obstruction Volvulus Intussception Multiple polyps In many cases, colorectal surgeon may advise colectomy surgical procedure as the best method to treat an illness, such as colon cancer. Other times, colectomy is considered as a less-invasive treatment choice, when medicines fail to control the disease. Less commonly, doctors may require to carry out a colectomy to remove a blockage or stop haemorrhaging in your colon. Also See: Colon Cancer Surgeon in Chandigarh What is a total colectomy? Many nomenclatures are used based on the area of the colon gotten rid of through a procedure. During a total colectomy, a colorectal surgeon removes the whole colon. What is a partial colectomy? Partial colectomy describes any kind of colectomy surgical treatment that involves removing one part of the large intestine. Kinds of partial colectomy surgical procedures consist of:. Hemicolectomy: Right or left part of the colon is removed Extended Right Hemicolectomy: Right colon along with a part of left colon is removed. Proctocolectomy: A colorectal surgeon gets rid of some or all of the colon plus the rectum. Sigmoidectomy: This procedure entails removing the bottom area of the colon. This section, the sigmoid colon, is next to the rectum. It’s also called sigmoid colectomy. High Anterior Resection: In this part of sigmoid colon and upper rectum are removed. What is a laparoscopic or Robotic colectomy? Colorectal surgeons perform the abovementioned surgeries by various methods. These are: Open surgery: A specialist makes one or even more long incision to enter the abdomen to remove or repair the colon. Laparoscopic colectomy: A specialist makes numerous tiny incisions. Long, advanced, flexible tools (with a video camera) is inserted inside the tummy via these cuts. The camera presents amplified pictures from inside your body onto a TV monitor by the side of the operating table. The surgeon does the surgery as required. A small incision is used to remove the resected colon. Robotic Colectomy: This is another latest method to do the surgery. It’s done through small incisions and long flexible instruments, but the instruments are help by a robot controlled by the surgeon. Surgeon gets a 3D vies from his console. The procedure remains the same as described in laparoscopic surgery. Also See: Rectal Cancer Surgeon in Chandigarh What’s the distinction in between a colectomy and a colostomy? Not all colectomy surgeries need a colostomy. If your specialist can reconnect both ends of healthy colon cells, no colostomy is required. Many a times, a colostomy is required along with the colectomy and it could be a temporary or a permanent colostomy. What is a colostomy: It involves making an opening (called a stoma) in the abdominal wall surface when the healthy and balanced end of the colon is brought out as a stoma. The waste matter is collected in a plastic bag (called a colostomy bag) covering the stoma. This water-proof bag accumulates waste from the digestive system tract. You will need to empty this bag throughout the day. Is a colostomy irreversible? Not always. Many people just require a colostomy momentarily while their colon heals. During a second operation, your colorectal. surgeon reconnects the colon and also removes the colostomy bag. In specific situations, a colostomy is permanent. How much time is taken for a colectomy? Colectomy surgical treatment may take as low as one hr or longer than 4 hours. Much depends on what the surgical treatment entails, including how much colon needs to be removed. What are the prospective dangers or complications of colectomy? Issues are usually rare. They can occur after any type of surgery. Possible difficulties of colectomy consist of: Blood loss. Infection. Blood clots. Leak from a joint connecting two parts of the colon Injury to neighbouring organs, such as the small intestine or bladder. What can I anticipate after colectomy? Recuperation from colectomy surgery is different for every person. A great deal relies on why one required a colectomy as well as what the treatment entailed. Recuperation might include minor or large modifications in how your body functions. These adjustments may be short-lived (for a short time) or long-term (long-lasting). All these issues will be explained by your surgeon. Key Points about Colectomy * Colectomy or variants are major surgical procedures. * They are mostly safe

General Surgery, Haemorrhoids Surgery

All Haemorrhoids Don’t Require Surgery

General Surgery, Haemorrhoids Surgery / kapoorcmc

What are Haemorrhoids? Haemorrhoids are also called Piles or Bawaseer in local dialect. Piles are when the veins or veins in and around your anus and lower anus become swollen as well as inflamed. This occurs when there is added pressure on these vessels. Haemorrhoids can be either inside your anus (interior) or under the skin around your rectum (outside). Piles are very usual in both men and women; fifty percent of all individuals will certainly have haemorrhoids by age 50. Several females get haemorrhoids while pregnant as well as giving birth. Labour process to press the child out when giving birth likewise puts additional stress on these veins. What are the causes of piles? Habit of exerting pressure during defecation Pregnancy Have a family history of hemorrhoids Are older Have long-term or chronic constipation Remain on the toilet for also lengthy Heavy weight training Have long-lasting or persistent irregular bowel movements or diarrhea How do Haemorrhoids present? Fresh Bleeding in Stools Mass protruding out of the anal canal Swelling around anal opening Pain while defecation Staining of undergarments with blood Painful swelling in the area of anal opening What are the complications of piles? In rare cases, piles may trigger various other problems. These may consist of:. Having a reduced blood haemoglobin that makes you exhausted (anaemia). This can take place because of haemorrhaging from a long-term or chronic piles. Haemorrhoid that is sticking out from anal canal (prolapsed). This can occur when the blood supply to the pile is cut off. This can be extremely painful and also create blood loss. You may need surgical procedure. How are haemorrhoids diagnosed? Having blood in your stool can also suggest other digestive problems, such as colorectal cancer. It’s important to see your healthcare provider for a complete exam. Physical exam: This is done to check your rectum and also anus as well as look for swollen blood vessels that are a sign of piles. Digital anus evaluation (DRE): Your healthcare provider inserts a gloved, greased (moisturized) finger right into your rectum to look for any kind of problems. Proctoscopy: A lighted tube is taken into your anus. This offers a sight of your whole anus. Sigmoidoscopy or colonoscopy: This test checks the part or complete large intestinal tract. It helps to tell what is causing diarrhea, stomach pain, irregular bowel movements, abnormal growths, and blood loss. A short, flexible, lighted tube (sigmoidoscope or colonoscope) is taken into your intestine via the anus. A tissue sample (biopsy) can be taken if required. What is the Treatment for Piles? Your doctor will create a treatment plan for you based upon many factors. These could be r age, overall health and wellness, and also past health, severity, whether you have inner haemorrhoids, external haemorrhoids, or both and how symptomatic are you. The primary objective of treatment is to minimize your signs and symptoms. This may be done by: Being in level, warm water in a tub a number of times a day Making use of ice packs to lower swelling Making use of haemorrhoid creams or medicines placed right into your rectum (suppositories). Your doctor may also recommend that you include more fibre and fluids to your diet to help soften your stools, including fruits, whole grains and green leafy vegetables. Stool bulking agents or stool softeners In some cases, surgical procedure is needed. There are numerous types of surgeries used to remove or reduce internal and also exterior piles. The recommended are: Rubber band ligation Rubber band is positioned around the base of the pile inside your anus to cut off circulation to the haemorrhoid. The haemorrhoid reduces as well as goes away in a few of days. Almost 80% of the haemorrhoids presenting in the clinic can be handled by this. Two sessions or more are required at an interval of 4 weeks. No admission is required. There is no need for anaesthesia and one can go home after a few hours of the procedure. Haemorrhoidectomy These treatments permanently eliminate your haemorrhoids by surgery. Surgery is reserved for very large or complicated haemorrhoids. Surgery will involve anaesthesia and one night hospital admission. The post-operative period can be a bit painful as one has to move bowels daily and that could cause swelling and pain. However medication and warm water baths take care of these issues. Stapled haemorrhoidectomy This is another method to remove piles surgically. It cannot be done with large external haemorrhoids. It is less painful than open haemorrhoidectomy, but expertise is needed for this procedure. This is also done under anaesthesia and requires one night stay. The decision to do this procedure depends on the type of haemorrhoids and the decision of the surgeon. Emergency Haemorrhoidectomy Sometimes haemorrhoids continue to bleed and do not respond to the usual treatment. Then t requires emergency surgery in whick haemorrhoids are removed. Surgery for thrombosed pile This is a procedure done on a large external inflamed painful haemorrhoid, which has a clot inside the lumen. The clot is evacuated in this procedure. How can I avoid haemorrhoids? It’s not constantly possible to stop haemorrhoids from occurring. But you might lower your threat of getting piles if you: • Consume a healthy diet regimen, with a lot of fiber and fluids.• Limit the quantity of time you remain on the bathroom pot.• Consult with your doctor to handle irregular bowel movements as well as avoid straining.• Remain at a healthy and balanced weight. Conclusion: Piles are a swelling of the blood vessels in and around your anus and also lower rectum. Most of the haemorrhoids requiring treatment can be handled by Rubber Band Ligation. A few needs surgery. Rubber band ligation does not require admission and is a day procedure.