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.

Visit us: thegastrosurgeon.com

Mail us: gastrosurgeonchennai@gmail.com

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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Day Care Laparoscopic Cholecystectomy

Gallbladder Stone Removal Surgery now has the option of day care surgery. Day care surgery is when the patients report to the hospital early in the morning and go through the surgery with no complications during the post-operative process and get discharged the same day. Once the degree of the severity of gallbladder stones problems is known, your doctor may or may not suggest the day care surgery for the removal of gallbladder stone.

How are gallbladder stones formed?

The gallbladder fluid is the  greenish brown colour liquid, also known as bile. This bile is made by the liver and includes cholesterol, fats, bile salts, proteins, and bilirubin (waste of red blood cells). This bile is very important in  helping the small intestine to breakdown and emulsify fats that will be absorbed by the blood stream. But sometimes this bile, based on its composition, becomes concentrated and turns into gallbladder stones or gallstones. If not disturbed, these stones can continue sitting in the gallbladder without causing any problem. But if they move and block the cystic or the drainage duct from the gallbladder, it can lead to inflammation and infection in the bile ducts causing severe pain.

Are you likely to have stones in your gallbladder?

If you are an adult above the age of 50 and having higher levels of estrogen or triglycerides, diabetes or cholesterol lowering drugs, you are susceptible to gallbladder problems. However, people who are obese or have a family history of Gallstones are more likely to suffer.

Symptoms of gallbladder stones and bile duct problems
Usually, until the gallstones block the bile duct, none of the symptoms of Gallbladder stones are felt. But once the gallstones block the drainage duct, the following symptoms should not be ignored:

Biliary colic: A sharp shooting pain in the right part of the upper abdomen or into the chest, that lasts anywhere between 30 minutes to a few hours followed by vomiting in some patients.

Acute cholecystitis: A very serious condition where the pain is similar to Biliary colic but more severe and lasts for many days. The pain is experienced around the neck, shoulder blade, breast bone or entire left side.

Chronic cholecystitis: It is similar to acute cholecystitis but may take up to months or years to return to normalcy, causing mild inflammation and scarring and stiffness in the gallbladder.

Stones in the bile duct (choledocholithiasis): When stones reach the bile ducts, you will experience jaundice (due to built up bile in the ducts), fever, and chills with severe pain.

Pancreatitis: When gallstones get stuck in the bile duct that passes through the pancreas, it discharges enzymes causing acute pancreatitis.

Diagnosis of gallbladder stones and bile duct ailments

After a thorough check-up of the medical history and physical examination, your doctor may suggest medical procedures such as blood tests, X-rays, endoscopic ultrasound, CAT scan, magnetic resonance cholangiopancreatigraphy (MRCP), HIDA scan, and Endoscopic retrograde cholangiopancreatigraphy (ERCP). Based on these diagnosis, the most suitable treatment is suggested.

The treatment of Gallstones depends on its size and severity. Sometimes, they can be just dissolved using medicines, but have chances of reoccurring. The soft and small stones can be shattered using sound waves generated by a machine through Lithotripsy.

In about 80% of the cases, surgery called gallbladder cholecystectomy is required. In acute cases, an open cholecystectomy is done. In most cases, laparoscopic cholecystectomy is performed where the gallbladder is removed through a small incision in the abdomen. This type of surgery heals faster and leaves a smaller scar as compared to open surgery.

Laparoscopic common bile duct exploration is similar to laparoscopic cholecystectomy and have an option to be performed via Percutaneously (needle puncture onto the skin) laparoscopically or endoscopically. Laparoscopic bile duct bypass carries longer cuts in the abdomen for removing stones in the bile duct. The Choledochal ducts can be resected using different techniques of surgery.

SIMS hospital in Chennai now provides you with Day Care Surgery Facility to Treat Gallbladder Stones and other bile duct ailments. SIMS prides itself in providing world class facilities for your holistic recovery under the expert guidance of its founder Dr. Patta Radhakrishna. 

Visit us: thegastrosurgeon.com

Mail us: gastrosurgeonchennai@gmail.com

Laparoscopic Surgery For Faster Recovery

Laparoscopic Surgery is a minimally invasive surgery in which the operations in the abdomen are performed far from their locations through small incisions. The surgery is done with the help of video camera and small instruments. An instrument called laparoscope is used for the surgery. Small thin surgical instruments are passed through the incisions to perform the surgery.

Laparoscopic surgery is commonly used in the diagnosis of abdominal and pelvic conditions. Laparoscopic surgery has many advantages than traditional open surgery. Some of the advantages are:

• Shorter hospital stay
• Less pain and bleeding after surgery
• Much smaller scars
• Quicker recovery time

Digital laparoscope

A laparoscope is a long thin fiber optic cable which illuminates and magnifies the structures inside the abdomen. There are two types of laparoscope:

Telescopic rod lens system: This is a device which uses single chip or three chip video camera.

Charge-coupled device: Here the charge-coupled device is placed at the end of laparoscope instead of the telephonic rod lens system.

After laparoscopic surgery, there is possibility of causing infection and bleeding

Some of the signs and symptoms are:

• stomach pain
• continuous nausea or vomiting
• Fever
• chills
• redness, swelling, bleeding, or drainage at the incision sites
• inability to urinate
• persistent cough

If you experience any of these problems after surgery then,

How Long Does It Take to Recover from Laparoscopy?

After surgery, the patient will be observed for several hours. Vital signs such as heart rate and breathing will be monitored closely. The timing of your release depends on:

• Your body’s reaction to the surgery
• The type of anesthesia used
• Your overall physical condition
• Lightheadedness

The Gastro Surgeon provide effective Laparoscopic Surgery in Chennai at an affordable cost. For more information,

Visit: www.thegastrosurgeon.com

E-mail: gastrosurgeonchennai@gmail.com

Best Laparoscopic Surgery in Chennai

Laparoscopic surgery is a minimal invasive surgery used to perform surgery for your abdomen related disorders. This is a low risk surgical procedure where only small incisions are made.

Laparoscopy is performed using the surgical instrument termed laparoscope. This helps to view the abdominal organs using a thin tube with a high intensity light and a high resolution camera at its front. An incision made on the abdominal wall is made use to insert the instrument inside the body.

Why a laparoscopy is performed?

Laparoscopy is often used to identify the source of abdominal disorder. But this is usually performed only when other diagnostic procedures like imaging techniques (ultrasonic sound images, CT scan, MRI scan) fail provide a clear information. Your doctor may suggest you laparoscopic procedure for examining,

• Appendix
• Stomach
• Gallbladder
• Reproductive organs
• Liver
• Pancreas
• Spleen
• Small and large bowel

Other than using this for diagnostic procedure, this can be used to perform treatment for certain disorder. Several problems that can be detected by the procedures are,

• Liver disease
• Abnormal tumors
• Fluid filled in abdominal cavity
• Degree of progression of cancer

Advantages of laparoscopic surgery:

Being minimal invasive procedure, this is a less complicated as well as less complicated surgical method. The patients get a quick recovery from the surgery performed and soon can return to their normal daily activities.

The Gastro Surgeon in Chennai, gives you the best laparoscopic surgery in Chennai, helping you resolve your abdominal issues. Our skilled and experienced surgeons with the advanced and safest technological methods, are at your service aiming at your betterment.

For more details visit us on : www.thegastrosurgeon.com

E-mail us on : gastrosurgeonchennai@gmail.com

Make It Up With Bariatric Surgery

Bariatric surgery is a weight loss surgery adopted by people suffering from obesity conditions. This weight loss surgery is carried out by, reducing the stomach size, removing a portion of stomach, re-routing the small intestine to small stomach pouch.

The serious condition of obesity, which is a chronic disorder, is hard to be treated with diet control and exercise alone. Bariatric surgery is an option for those who are not losing their weight by any other means or to those who are at serious medical condition due to overweight. Studies show that this surgery helps to lose of weight for a significantly long term and helps the people to recover from diabetes and cardiovascular risk factor, reducing the mortality to a greater extend.

Types of Bariatric Surgery:

There are four types of Bariatric surgeries to reduce the overweight condition.

• Adjustable Gastric Band
• Roux-en-Y Gastric Bypass
• Biliopancreatic Diversion with a Duodenal Switch
• Vertical Sleeve Gastrectomy

Each one has its own benefit and risks. Doctor and patient together have to take the effort to choose the apt surgery among these, depending upon the health as well as other condition of the patients.

a) Adjustable Gastric Band:

Here a small bracelet type band is placed at the upper part of the stomach to which the throat opens to. A reduced opening is provided so that only less food is intaken through the throat. A balloon is placed inside the band which gets inflated and deflated with the amount of saline solution required to meet the needs of the patients.

b) Vertical Sleeve Gastrectomy:

This is an emerging surgical procedure where almost 85% of stomach is being removed and only a small sleeve shape of stomach remains. This sleeve shaped stomach is closed with staples. This is an irreversible process as a greater part of stomach is removed from the body.

c) Roux-en-Y Gastric Bypass:

Here in this surgery, the upper portion of the stomach is divided from the rest of the stomach portion and this portion is connected to the bottom part of the small intestine. This helps in reduced intake of food as the stomach portion is very small. A little amount of intake will give us a feeling of fullness and only less calorie is absorbed from the food.

d) Biliopancreatic Diversion with a Duodenal Switch:

This surgery deals with the removal of a small part of stomach and the first portion of small intestine is divided at the outlet of stomach. This distal segment of small intestine is then connected to the new reduced stomach.

Advantages of Bariatric Surgery:

• Reduces the food amount that stomach can hold.
• Excess weight loss of 40-50% approximately.
• Almost all surgeries are reversible and adjustable.
• Lower risk of vitamin and mineral deficiency.
• Produces significant long term weight loss.
• Reduces absorption of fat by 70% or more.

The Gastro Surgeon gives you the best bariatric surgery in Chennai, helping you resolve your obesity and overweight and keeping you out of reach of heart diseases or diabetes. Our skilled and experienced surgeons are at your service aiming at your betterment.

For more details visit us on : http://www.thegastrosurgeon.com/

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Acute Pancreatitis Treatment in Chennai

Pancreas is a large gland situated behind the stomach and next to the small intestine. It’s main function is to release powerful digestive enzymes into the small intestine to support the digestion process and it also releases the hormone insulin and glucagon into the bloodstream.

Pancreatitis is a disease which cause inflammation in pancreas. There are mainly two types of pancreatitis Acute and Chronic. Chronic pancreatitis is recurring while Acute pancreatitis occurs suddenly and will cause pain and swelling in the upper abdominal. Acute pancreatitis can spread to other organs or change into chronic pancreatitis if it’s not treated properly.




Causes of Acute pancreatitis :

The acute pancreatitis can be caused due to

• Formation of gallstones
• Pancreatic or gallbladder damages due to injury or surgery
• Excessive fats called triglycerides accumulated in the blood
• Sudden immune system attack happened in pancreas

Symptoms of Acute pancreatitis :

Some of the symptoms that help us to diagnose acute pancreatitis includes :

• Fever
• Nausea and Vomiting
• Diarrhea
• Increased heart beat
• Upper abdominal pain that radiates into the back
• Swollen and tender abdomen

Diagnosis and Treatment :

Acute pancreatitis can be recognised by number of methods. Some of the includes CT Scan, MRI Scan, and Abdominal ultrasound. Depending upon the depth of inflammation various treatment procedures are available including endoscopic, laparoscopic and open surgical methods.

Here we provides Acute Pancreatitis Treatment in Chennai. We provide our treatment procedures and facilities in a sophisticated manner which will help the patients to fulfill their expectations. We offers our treatment procedures and facilities at affordable price.
Mail Us : gastrosurgeonchennai@gmail.com

Abdominoplasty in Chennai

Abdominoplasty is an another name of tummy tuck. It is a major surgery to expel excess fat and skin from abdomen. Aims to tighten the stretched abdomen skin and muscles. By this abdominoplasty  you can remove the sagging skin and also helps you to make a slim abdomen by this surgery. Depending on nature of surgery abdominoplasty is divided into subgroups or different category. They are :

• Complete abdominoplasty
• Partial abdominoplasty
• Extended abdominoplasty
• High lateral tension abdominoplasty
• FAB Technique
• Circumferential abdominoplasty
  
  
  
  
  

Women can take this surgery whose skin is extended after pregnancy. If you smoke, you must want to stop the smoking before surgery because smoking may cause complications during surgery. Abdominoplasty will lasts around one and five hours. Anesthesia will gives patient to sleep during the operation. After abdominoplasty the area which is operated will be stitched and bandaged so you must take care yourself. And it is very important to follow your surgeon’s instructions.

Liposuction : Liposuction is a type of cosmetic surgery, to remove the excess fat  from any part of body such as neck area, hip, buttocks, abdominal, back, thigh, chin, breast etc. The slim,flexible and shaped body is the main aim of this surgery

Lipoabdominoplasty: It is also a type of cosmetic surgery. It is the combination of  abdominoplasty  and liposuction.