Thursday, 29 December 2016

Day Care Laparoscopic Appendectomy in Chennai

The inflammation of the appendix that looks like a small worm-like pouch that is attached to the large bowel is known as appendicitis. Appendicitis is usually caused when small pieces of hardened stool get stuck in the appendix, blocking the opening that connects the large intestine and the appendix, thus leading to pus formation and inflammation.


Appendicitis Symptoms

The most common symptom of appendicitis is a sharp, shooting pain in the centre of the abdomen, moving to the right. The pain keeps recurring and becomes strong, if moved. Some other symptoms of appendicitis are anorexia, abdominal swelling, nausea, vomiting, constipation, and diarrhoea.

Appendicitis Diagnosis
There is no specific single test for the diagnosis of appendicitis. Though physical examination and medical history of the patients is taken, blood and urine tests are recommended. Finally, a CT scan or ultrasound is done to check inflammation.

Appendicitis Treatment

The only treatment for severe appendicitis is surgery. This surgery is known as appendicectomy. It is a very common procedure that requires a horizontal incision of about 3-6 cms in the lower part of the abdomen in the right side to remove the appendix. For speedy recovery, appendicitis can be treated through key hole surgery and laparoscopy.

Although all these treatments may sound complex and scary, appendicectomy is now offered as a day care treatment. A patient with severe appendicitis pain is admitted and then goes through the surgical procedure and gets discharged within 24 hours.

SIMS hospital
in Chennai offers the option of Day Care Surgery for Treating Appendicitis. The patients of appendicitis can now go home the same day after successfully completing the post-operative care. With high-end facilities, SIMS is people's choice for successful and speedy recovery. Dr. Patta Radhakrishna and his team of expert medical professionals ensure to provide you memorable and remarkable holistic treatment.

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Monday, 19 December 2016

Is Your Blood Pressure High ? Checkout for Portal Hypertension

Portal Hypertension is a disease that can affect your liver, portal system of veins, oesophagus, and spleen. The portal vein is a group of veins merged which starts from your stomach, intestines, spleen, and pancreas. The function of the portal vein is to take blood from the gut and supply it to the liver. Sometimes, there is an impedance of this blood flow to the liver through the portal vein.

The blood flow through the liver is hampered as the vessels in the liver are blocked. The high blood pressure in the veins of the liver further leads to swelling in the veins of the oesophagus, stomach, rectum and umbilical area, leading them to bleed internally if those varies in rupture. This can be catastrophic in most cases.

Causes of Portal Hypertension 

There are many causes that explain portal hypertension or obstructions. They are:
  • The Prehepatic cause, due to portal vein thrombosis and congenital portal vein Artesia.
  • The Posthepatic cause is due to hepatic vein thrombosis, inferior vena cava thrombosis, and restrictive pericarditis.
  • The Intrahepatic cause, that includes Cirrhosis and hepatic fibrosis scarring are the commonest cause of portal hypertension.
Some other causes of Portal Hypertension are fatty liver, alcohol abuse, hepatitis B and C infections, wilson’s disease, cystic fibrosis, hemochromatosis, primary sclerosing cholangitis, biliary Artesia, schistosomiasis (a parasitic infection seen in Central Africa, where there is fibrosis of the liver sinusoids), and Budd-Chiari syndrome: thrombosis of a hepatic vein (the veins taking blood away from the liver).

Symptoms of Portal Hypertension

The most common symptoms of Portal Hypertension are swollen and enlarged veins, hematemesis, tarry and bloody stools, abnormal fluid collection within the peritoneum, and enlargement of spleen and overall feeling of being confused and lethargic.

Portal Hypertension Diagnosis 

Based on the above mentioned symptoms the following diagnosis is required, liver function tests and coagulation profile, Full blood count, and Serum electrolytes.

Portal Hypertension Prognosis

Finally, the prognosis for the patient depends on the level of the cirrhosis.

Treatment for Portal Hypertension

There are surgical and nonsurgical methods of treating Portal Hypertension.  Nonsurgical treatments to reduce Portal Hypertension are the use of beta blockers like propranolol, maintaining healthy lifestyle, medications, radiology, sclerotherepy, latex banding and balloon tamponade etc.

However, when all the above mentioned methods fail to reduce the Portal pressure then you are left with no choice other than using a surgical procedure.

The most common surgical procedure to cure Portal Hypertension is Tran jugular Intra-hepatic Porto-systematic Shunting. This procedure creates a bypass connecting the portal system to the hepatic outflow system, bypassing the liver.

Surgical Procedures

Other surgical procedures are Proximal Spleen-renal shunt, distal splenorenal shunt, and orthotropic liver transplantation also known as OLT.

Liver transplant is recommended to patients with Cirrhosis depending on the how and why it is caused, the patient's compliance and overall health status.

'SIMS' provides Best Portal Hypertension Treatment in Chennai With help of experts and other staffs.

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