Posts by rajeev

The Future of Minimally Invasive Surgery : ROBOTIC SURGERY

Posted on Jan 17, 2014 | 5 comments

The Future of Minimally Invasive Surgery : ROBOTIC SURGERY

Many of you now understand Minimally Invasive Surgery, in which the surgeon operates inside the abdomen via tiny keyholes, assisted by a video camera. The technique requires surgeons to train hard and learn new skills. It is limited by 2D vision and restriction of hand movements. Slowly and steadily, the robot is entering the minimally invasive surgery arena. One such system today is the Da Vinci Surgical System. Here the surgeon sits on a console after placing all the ports (key hole) with instruments on the patient’s abdomen. The operation is performed via the console, with the...

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Piles Symptoms ? It could also be Fistula or Fissures. Here’s how to tell the difference.

Posted on Oct 18, 2013 | 23 comments

Piles Symptoms ? It could also be Fistula or Fissures. Here’s how to tell the difference.

“Blood in my stools! I have piles!” When someone sees blood in the pan, has pain while passing stools or feels a swelling in the anal region, the first thought is of piles. Piles symptoms might not always mean piles. The truth is, piles is just one of many conditions that affect the anal region.       Piles, Anal Fistula and Anal Fissures are not the same. They are different pathologies and differ in their symptoms and methods of treatment. Let’s take them one at a time.   1. PILES Medically speaking, ‘Piles’ are swollen blood vessels in the anal canal. They...

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Hitech Hernia Surgery : The role of the light weight mesh

Posted on Apr 10, 2013 | 4 comments

Hitech Hernia Surgery : The role of the light weight mesh

This article discussing the latest advancements in Hernia Mesh technology was published in the Times of India on March 24th, 2013. What is a Hernia? A hernia usually shows up as a abnormal ‘bump’ in the abdomen area. It is caused by the protrusion of an internal organ through an abnormal opening in the abdominal wall. Hernias can be painless for years and may become symptomatic suddenly leading to life threatening complications such as strangulation. The Society of Surgery for the Alimentary Tract recommends seeking surgical evaluation within one month of detection of a groin...

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Piles Treatment Without Surgery : Read this first.

Posted on Apr 9, 2013 | 73 comments

Piles Treatment Without Surgery : Read this first.

Piles treatment without surgery is definitely possible. Not all piles (haemorrhoids) cases require surgery. Before exploring alternative treatments, one must first understand the stage the disease is in. Before we begin Are you sure you have Piles? Click here to understand the difference between piles, anal fissures and anal fistula.  When a surgeon examines you, he will first confirm the diagnosis with history and examination and will then try to understand why you developed piles. Not all piles cases require surgery.   Piles Causes Piles usually occurs because of  low fibre diet and...

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I think I need an antibiotic now…

Posted on Mar 14, 2013 | 1 comment

I think I need an antibiotic now…

Infections such as common cold, body pain and fever are becoming frequent. Do we always need an antibiotic to get over it ?   This is the question that always runs in our mind and its very easy for one to pop an erthyromycin or a ciprofloxacin. However this has far reaching implications… When antibiotics are used unnecessarily or an inappropriate course is used such as a single dose, it wipes off only the vulnerable bacteria and the more resistant bacteria survive leading to more severe infections. This inappropriate use of antibiotics cause resistant strains to develop causing...

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VAAFT Surgery : Video Assisted Anal Fistula Treatment

Posted on Nov 2, 2011 | 17 comments

VAAFT Surgery : Video Assisted Anal Fistula Treatment

Today we have a new minimal-access technique to address complex, recurrent and high fistulas. What is an Anal Fistula ? An anal fistula is an abnormal connection between the anal canal and the outer skin of the anus. Fistulas occur when an infected anal gland bursts into the anal canal internally, and then becomes a conduit for pus discharge to the anal skin area. Fistulas show up with pus discharge in the anal area (a ‘wet feeling’ at the anal area). They may also go through periods of pus discharge and quiet periods when there are no symptoms. Click here to understand Anal Fistula in...

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What is an Anal fistula?

Posted on Nov 1, 2011 | 11 comments

What is an Anal fistula?

  Anal fistula is a age old disease with multiple modalities of treatment in modern medicine,ayurveda, homeopathy and so on. Today we have a minimal access surgery for fistula called VAAFT – Video Assisted Anal Fistula Treatment.                                                                                                                                                                                                                               In medicine, a fistula...

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Diabetic Foot Ulcers : Prevent them, treat them right

Posted on Oct 28, 2011 | 0 comments

Diabetic Foot Ulcers : Prevent them, treat them right

Diabetic? Here’s why (and how) you have to take extra special care of your feet. A skin ulcer occurs when an area of skin has broken down and the underlying tissue can be seen. Most skin ulcers occur on the lower legs or the feet. In a normal person, the skin ulcer heals quickly after the injury. However, in a person with diabetes, the healing process is impaired and takes more time even if the injury is minor. An ulcer can develop from any source of irritation to the skin: a corn or callus that grows too thick, excessive pressure or abrasion of one part of the foot, or a splinter or...

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Hernia : Frequently asked Questions

Posted on Oct 28, 2011 | 4 comments

Hernia : Frequently asked Questions

In this article, I try to address some of the most frequently asked questions abut Hernia. In a nutshell: Hernia surgery is safe, quick and simple ! What is a hernia ? A hernia is an abnormal protrusion of an organ or a part of the organ through a normal or an abnormal opening in the wall which contains it. For instance the bowel herniating through the inguinal or femoral orifice in the abdominal wall or bowel herniating through the umbilicus.     The word hernia is derived from the Latin word meaning bulge and greek word meaning to rupture.   How common is hernia? Why does...

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A guide to Piles

Posted on Oct 28, 2011 | 10 comments

A guide to Piles

Piles as it is commonly termed means a swollen blood vessel or “Ball”. Piles medically is termed Haemorrhoids, meaning “Blood Flowing”. What is Piles? Piles are actually swollen blood vessels in the lower part of the rectum and anal canal. In the initial stages the blood vessel which is swollen are internal and bleed when hard stool rubs and tears them. As the disease progresses the swollen blood vessel prolapses out of the anal canal to cause much discomfort and more bleeding. At a later stage the pile may get strangulated at the anal sphincter muscle to...

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Daycare Surgery : What it is, and why it’s good for you

Posted on Oct 28, 2011 | 3 comments

Daycare Surgery : What it is, and why it’s good for you

I know what you’re thinking: “Isn’t daycare meant for my kids? How is it connected to surgery?”   Is Daycare Surgery  just a new fad, or is it truly patient friendly ? Let me help you understand it .   What is Daycare Surgery ? Daycare Surgery means hospitalization for a few hours during which the surgery is carried out and discharge from the hospital is on the same day. In essence it means caring during the day (within 24 hours) similar to daycare for your child.   How does a surgeon send his patient home in 1 day? Does the patient have no pain ? Day...

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Hernia Surgery is Simple Surgery

Posted on Aug 10, 2011 | 5 comments

Hernia Surgery is Simple Surgery

New age technologies like the 3D-Mesh are making Hernia surgery faster, simpler, safer and less painful. Here’s how. Surgery makes us shudder. The very thought of needles, pricks and pain and the idea of lying in bed for days makes no one happy. We worry about the outcomes of surgery, infection and how much time we will lose in the number of productive days. There is internet for us, probably to confuse us, probably to guide us, but that would depends on what page you are reading. There is so much information on the net that is not authenticated. However, surgery like technology is...

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Laparoscopy & Mini-laparoscopy

Posted on Aug 5, 2011 | 3 comments

Laparoscopy & Mini-laparoscopy

Laparoscopic surgeons use modern technologies to perform operations through very small cuts (less than two centimeters).  Smaller cuts mean lesser pain and faster healing.   What is Laparoscopy ? Laparoscopy is derived from a Greek Word, ‘Laparos’ meaning abdomen and ‘Scopy’ meaning to see inside. So indeed it is a means for the surgeon to visualize the internal abdominal organs and advise medical treatment or perform surgery. Diagnostic Laparoscopy is the most basic of laparoscopic surgeries where the surgeon uses a high definition camera placed through the...

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“But Doctor, the Internet says so!”

Posted on Jul 7, 2011 | 0 comments

“But Doctor, the Internet says so!”

Many of my patients google their ailments before they consult me. Is that a good thing to do? Recently I heard one of friends say “Google is God !” Actually reflecting on this statement it does have some truth, you never get a “Don’t know” from a google search. However all answers may not be correct. Google is an excellent resource of information for anyone, be it a doctor looking for an update, a patient searching information on his/her disease or a mother seeking dietary advise for her child. But a point of warning, anyone can publish anything he or she wants...

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