Speciality

Hernia

Umbilical-Hernia-After-PregnancyThis is known as umbilical hernia. These hernias are more common in women after pregnancy or in people who are overweight.

An incision hernia can occur through the previous surgery scar.
Hernias have to be repaired by surgery either by the traditional open operation or by a laparoscopic keyhole approach. The Laparoscopic method has many advantages over the open method.

You could be having a hernia if you notice a lump under the skin of your abdomen which may appear on coughing or straining. A hernia occurs due to development of a gap in the muscles of the abdomen. Straining causes the intestines to be pushed through this weak area leading to a lump.

The most common site of a hernia is in the groin known as inquinal hernia. This hernia protrudes through a natural small weakness in the abdominal wall. Another site for a hernia is around the umbilical region where there is a natural weakness of the muscles.

The laparoscopic method requires much less surgical cutting, therefore there is significantly less pain after the operation compared to an open hernia repair, and also this person will be able to return to normal activities much faster as compared to the open procedure.

Gall Stones

The most common type of pain felt with gallstones occurs after eating a meal especially a oily meal. This pain occurs in the right upper part of the abdomen. Pain can radiate to upper back and to right shoulder. It can be associated with nausea and/or vomiting.

Gallstones are diagnosed by ultrasound. Some blood tests are also done.
Another investigation that may be needed is an MRI scan of the gallbladder and liver.

Gallstones are stones found in gall bladder. Gallstones range in size and number. Sometimes multiple small gallstones less than one cm each can be present within the gallbladder or there can be one very large gallstone measuring up to as large as 5 cm.

Gallstones can lead to symptoms ranging like pain, fever and jaundice and acidity.

Some of the people with gallstones do not have any symptoms and are found to have them during a routine ultrasound.

The treatment of Gall stones is surgery, the gallbladder along with the stones is removed surgically. This is usually done by Laparoscopic method. It is a short operation done under general anaesthesia. It is performed through three or four very small cuts measuring between 5 mm and 10 mm long. The patient can go home either on the same or next day.
Risks of laparoscopic cholecystectomy are very few.
Gastrointestinal Surgery :

surgical2 It involves surgery of liver, gall-bladder, pancreas, intestines, and stomach.

Appendix

Appendix is a small part attached to the intestine. When there is swelling in this it leads to pain in the lower right side of the abdomen. It is usually very severe and associated with vomiting. Can be diagnosed with ultrasound and blood tests. Surgery is the treatment. Appendix is removed. Can be done by Laparoscopy in most of the cases.

Robotic Surgery

Robotic surgery is a type of minimally invasive surgery. “Minimally invasive” means that instead of operating on patients through large incisions, we use miniaturized surgical instruments that fit through a series of quarter-inch incisions.

Anal Fistula

Anal Fistula Surgery :

Q. What are the Anal Fistula causes?
Anal Fistula

A. An Anal Fistula is most commonly caused by an anal abscess. Anal Fistula can also be caused by conditions that affect the intestines

Q. What are the treatment options for Anal Fistula ( Fistula in Ano )?

A. Surgery – Excision of Fistula tract

Q. What is the cost of Anal Fistula surgery?

A. The surgical package costs between Rs 30,000 and 50,000 in a Apex Clinic Delhi ( India ) depending upon the type of room

Anorectic Surgery

An anorectic or anorexic also known as anorexigenic, anorexiant, or appetite suppressant, is a dietary supplement and/or drug which reduces appetite, resulting in lower food consumption, leading to weight loss.

Bariatric Surgery

Q. What is Bariatric Surgery?
Bariatric Surgery Delhi

Bariatric Surgery Delhi

A. Most weight loss surgeries today are performed using minimally invasive techniques (laparoscopic surgery). The most common bariatric surgeryprocedures are gastric bypass, sleeve gastrectomy, adjustable gastric band, and biliopancreatic diversion with duodenal switch. Surgery performed in obese patients for reduction of weight & also for relief from co-morbidities like diabetes , hypertension and sleep apnoea. Dr Srivastava is renowned for Weight Loss Surgery in Delhi.

Q. the common Bariatric surgeries performed?

A.

Laparoscopic Gastric Band ( rarely done ).
Laparoscopic Sleeve Gastrectomy ( removal of most of stomach )
Laparoscopic Gastric Bypass

Q. What is the procedure for gastric bypass surgery?

A. Gastric bypass surgery combines the creation of a small stomach pouch to restrict food intake and construction of bypasses of the duodenum and other segments of the small intestine to cause malabsorption (decreased ability to absorb calories and nutrients from food).

e type of room

Fissure Surgery

Q. What is Anal Fissure?
Anorectal Fissure

Anorectal Fissure

A.

An anal fissure is a small tear or cut in the skin at the anal opening.
Fissure typically cause pain and often bleed.
Fissure are quite common, but are often confused with other causes of pain and bleeding, such as hemorrhoids.
Most fissure occur along the mid-line – the top or bottom-of the anus.
The typical symptoms of an anal fissure are pain during or after defecation and fresh bleeding.
Most commonly due to a hard, dry bowel movement. Many women during childbirth develop an anal fissure.
Apex Clinic Delhi
Other causes of the anal fissure are: digital insertion (during examination), foreign body insertion, or anal intercourse.
The principle of treating an anal fissure is relieving the anal spasm and correcting the constipation. At least 50 percent of anal fissures heal by medical management alone, rest require surgical treatment.
Chemical Internal Sphincterotomy (CIS) and Lateral Internal Sphincterotomy (LIS) are the two most effective standard surgical treatments for anal fissure.
Lateral Internal Sphincterotomy (LIS) is the most effective standard surgical treatments for anal fissure.

Gallbladder Surgery

Q. What are the symptoms of Gallbladder Stones / Gallstones disease?
Gallbladder Surgery

Gallbladder Surgery

A. Right upper abdomen pain , vomiting , fever and occasional jaundice.

Q. What are the complications of Gallbladder (GB ) stones?

A. Infection / Inflammation of GB ( Cholecystitis ) , perforation of GB , pus in GB ( Empyema ) & jaundice ( due to slippage of stone into the common bile duct ).

Q. What is the cost of surgery?

A. The surgical package costs between Rs 20,000 and 40,000 in a private hospital in Delhi ( India ) the name of Apex Clinic Delhi depending upon the type of room.

Q. What is the period of Gallbladder Surgery Recovery?

A. After Gallbladder Surgery it takes about 3-5 days

Gastrointestinal Surgery

Gastrointestinal Surgery

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Dr. SUDHANSHU MISHRA
Mobile : +91-98 100 47 462, +91-9968 0000 11, +91-93 1375 6600