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All Posts Tagged: Hernia Surgery Kolkata

Comments Off on What Do Real Masters Of Surgery Have In Common?
Dr._Sarfaraz_Baig

What Do Real Masters Of Surgery Have In Common?

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I travel the World a lot for seeing the masters of their discipline. And there are many things in common to all of them.  They all have passion, focus and open- mindedness!

Superficially, it may seem that these characteristics have nothing to do with surgical skills that I write about, but it’s actually these attributes that translates into a master.

In my last trips to the USA, I had the privilege to meet Dr. Yuri Novitsky, Dr. Igor Belyansky, Dr. Phil Schafer and Dr. Parks, all surgeons who have made their names in field of hernias, bariatric and reflux disease. It is their work that has shown new and future directions in these disciplines.

What is striking about these masters are that they are not afraid to think freely in the interests of the patients. They executed their innovative strategy with good intention, recorded their results and shared it with their colleagues with an open mind to accept criticism.

So, what can we learn from them that can improve patient care?

First, the approach is to improve regularly and not to stay in the comfort zone. This can be achieved by reading, thinking, retraining and self-reassessing frequently. Secondly, keeping a mentor and asking for help is an important strategy to improve. The Masters have mastered this trait. Asking for help, keeping ego aside, will translate into pursuing excellence ultimately. Finally, the conservatives and the society at large is always resistant to change in the beginning. The proponents of change are always looked as disrupters and challengers rather than free thinkers. It is probably common to all disciplines and from times immemorial. However, the passion of these masters seem to be undeterred, in speaking what they think is right, with these upheavals. The Masters can somehow ignore individual interests and short term goals and can look at the BIGGER picture with clarity.

Personally, travel and meeting these greats has made an enormous impact on my life. It has brought humility, passion, focus and clarity in my work as a surgeon. I question myself more often in how I decide and operate, everyday and introspect on self-improvement.

It has also led me to believe that a hospital may not be the best way to dispense health. But that topic is best left for another day!

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Comments Off on TAR Comes as Blessing for The People Suffering from Severe Hernia
Hernia Surgery Kolkata

TAR Comes as Blessing for The People Suffering from Severe Hernia

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New surgery (TAR) for failed hernia repair gives new life to frustrated patients.

Hernia surgery has undergone a sea of change. The surgery depends on the hernia. It is no longer acceptable to treat all hernias by one strategy.

Although smaller defects can be managed laparoscopically (with tiny holes in the abdomen) with ease, Complex Hernias– failed hernia repairs (sometimes 5-6 times), very big gaps and poor condition of overlying skin are best treated by a surgery called TAR. This surgery has given new life to some frustrated patients where conventional surgery is doomed to fail.

This technique is unique in the sense that it covers the entire weak abdomen with a mesh and also restores the functionality of the abdominal muscles better than any other procedure. Plainly put, a mesh cannot behave like normal human tissue and may interfere with normal movement of the abdomen. This is in contrast to TAR where the defect is closed with the mobilised muscles of the patient and hence the patient is able to perform movements at the torso level more efficiently.

For patients and surgeons struggling to repair difficult hernias, TAR procedure for hernia is the right option. As with all advanced procedures, it should be performed only by experts for optimum results

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Comments Off on What You Need To Know About Hernias?
Hernia Surgery

What You Need To Know About Hernias?

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‘Hernias are bulges in the belly where intestines and abdominal fat come out under the skin through an abnormal opening. The abnormal opening may be a defect in a scar from a previous operation or a naturally present gap in the abdomen. Hence the common sites for hernias are the groin, navel or a previous operation site. A very common scenario is an elderly gentleman having a groin hernia or a middle-aged lady having hernia through a previous operative scar such as following a previous pelvic surgery.Hernias may be totally innocent not causing any problems or may produce pain, ugly bulges or may at times be a source of great danger to health when their blood supply gets impaired.A patient usually ignores an asymptomatic hernia in the hope that it will go away. Unfortunately this isn’t going to happen. An untreated hernia will increase in size over a period of time, during which it will also become more uncomfortable as well. A visit to the doctor makes it worse when he talks about surgery to correct the problem. Now imagine someone who has had a previous surgery and now has developed hernia through it. The thought of having to undergo one more cut in the belly is traumatic. As it is, the female patients are embarrassed to wear saris lest their scar should show. Surely, another scar is unacceptable. To add to it, the fear of recurrence (having a hernia again) is always there. Hence, it is understandable that many patients avoid surgery, the only cure for such a condition and fall prey to unscientific methods.In recent years, laparoscopic repair of hernias has emerged as an increasingly popular option. The very concerns of the patients such as more scars, fear of pain and failure are addressed by this procedure. Laparoscopic repair of hernias are done by making small holes in the belly instead of a large incision. This makes the procedure painless, stitchless and bloodless. There is almost no chance of wound infections, something that is seen more commonly in conventional surgeries. It also allows the patient to go back home in 1-2 days and resume normal activities. This is unprecedented in conventional surgery where the patients are hospitalized for many days with usually a tube sticking out of the abdomen. And they are not allowed to return to normal activities for few weeks.In the laparoscopic procedure, the mesh (an artificial sheet made of synthetic materials) is placed from inside the abdomen to reinforce the defect unlike what is done in open surgery where it is placed just below the skin (this leads to more discomfort). According to research, this is responsible for the decreased failure rates seen with this method.\r\nIn recent times lots of development has taken place in improving the quality of meshes and the way they are fixed. This makes it more comfortable for the patient.\r\nHowever just like all good things in life, this method of treatment too does not come cheap. The mesh costs a lot of money. As does the fixation devices. But for patients who love their body and are conscious for the comfort and results, the expense is worth it.’,

Watch this video on YouTube to know more on Hernia Surgery.

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