All Posts Tagged: Laparoscopic Surgery

Digestive surgery clinic

Hernia Workshop At Philippines-An Experience Of A Lifetime.

Recently I had an opportunity to visit the Philippines as an invited faculty for a Hernia workshop

The opportunity resulted when one of our trainees – Dr. Domingo Sampang- an extremely talented, skilful and kind-hearted surgeon who spent a couple of weeks with us at our centre, recommended our name to Dr. Alfred Allen Beunafe- the president of the Philippines Surgical Society.

Frankly, I was expecting a small training center attached to a private hospital in Manila. What I saw took me by surprise. There it was – a 4 story building with state of the art animal lab and a cadaveric station. The lecture hall was also well equipped as was the rooftop hall overlooking the stunning Manila skyline meant for refreshments.

I was stunned by the logistics and on enquiring, I found that this was a brainchild of none other than Dr. Alfred (I call him Allen now)

He was one of the pioneers in advanced laparoscopic surgery in his region and was enthusiastic even then to spread the knowledge and skills that he was acquired from the world over

This led him to start a nationwide tour where he would visit a surgeon in provinces and teach and train them free of cost

When he joined a premier private hospital in Manila he ensured that his spirit of imparting training did not end and ensured the creation of this state of the art training centre

I was also amazed at the energy Allen possesses. After a long day of clinical work involving multiple operations and training, he goes home way past midnight and sleeps as less as 4 hours (please don’t try this, I don’t recommend it) and is up again with full vigour and passion to lead the life.

Over a lunch the day after the workshop, I asked him and his lovely wife the reason behind the cheerfulness, contentment, and happiness that Allen has despite these long schedules

And Allen said – I love to give what I receive

And that line explained to me crystal clear why this man was happier than a lot many despite his mad rush.

He was interested not only in TAKING knowledge and learning skills, but he was also eager to GIVE it away too.

This way he contributed to his community of surgeons eager to learn from him. He was full of gratitude for those who taught him and received it manifolds from whom he trained

Probably that weaved a web of positive energy all around him keeping him and his companions always happy, always positive.

People like Allen make this world a better place to live in.

They know the value of the gift of GIVING!

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hernia surgery India

Laparoscopic Ventral Hernia Repair – Overcoming Incisional Hernia

Hernia surgery is undergoing continuous change in technique to improve results and to meet high expectations of the patient.

No more is one surgery held as treatment for all and neither is one technique. Each case is evaluated and strategy tailor made. Thus, we now perform open Stoppa repair, component separation procedure, laparoscopic IPOM to name a few. In some cases, a prior weight loss surgery (bariatric surgery) is even done to optimise results.

Here is a case of post pelvic surgery incisional hernia which had been repaired 3 times by open technique. We repaired it laparoscopically.

Some of the critical steps of the procedure that are crucial to good outcome such as careful adhesiolysis, raising of peritoneal flaps, suture closure of the defect, large mesh and strategic fixations are shown.

Watch the video right here:

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chronic pancreatitis

Chronic Pancreatitis – Learn How It is Cured!

Here is a case of chronic pancreatitis that was managed surgically at our center.

A 40 year old diabetic female was referred with intractable pain abdomen. She was a known case of chronic pancreatitis managed on medical treatment (pancreatic enzymes, analgesics) for the last 3 years. She also had developed diabetes during this period.

CT and MRCP picked up a large impacted stone at the head of pancreas with dilated pancreatic duct and atrophic pancreas.

After optimising, a decision to do laparoscopic lateral pancreatojejunostomy was taken. The stone and pus was removed from the duct and it was joined with a limb of jejunum.

She recovered well and was discharged in a painless condition on the 5th postoperative day.

Here is how it was done:

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Arthritis

Arthritis, Obesity and Bariatric Surgery

Obese people frequently have knee pain that makes walking painful. This is more common with advancing age. It prevents them from walking, playing sports and enjoying vacations.

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Some patients may benefit from medicines and physiotherapy and some may need joint replacement.  However, weight loss remains the most important measure for long term relief.

If patients cannot lose weight through dieting, they can be offered bariatric surgery. Even the orthopedicians are recommending it these days.

Surgeon at work in operating room.

After bariatric surgery, not only the patients lose significant weight, they start leading an active life because their knee pain is relieved dramatically. Those with diabetes, blood pressure and sleep apnea also have relief from these diseases.

Because of its diverse benefits, bariatric surgery is increasingly becoming popular amongst obese patients with arthritis even in the elderly age group!

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stomach inflammation

Heartburns? A Laparoscopic Surgery Can Give Permanent Relief!

1. Heartburns can be a source of great discomfort. Typically, it is brought on by eating spicy food.  Many patients also have regurgitation of food from the stomach to the gullet and sometimes mouth. This can be aggravated at night. If left untreated, this may lead to cancer of the food pipe.

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2. Many patients can benefit from medicines but in certain situations surgery is the better option:

A. Those who have hiatus hernia (big gap in the partition between chest and abdomen making the stomach enter the chest)
B. Those who want to avoid taking the pills lifelong
C. When medicines are not working
D. Where reflux is causing very distressing

3. Surgery for heartburns and regurgitation (Fundoplication) can be done laparoscopically; hence, it is almost painless, needs one day hospital stay and patients can return to work within 3-5 days.

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Dr. Sarfaraz Baig

Anal Symptoms that Matter!

Worried about certain prevailing conditions in your body?

Here are some questions and their answers which will help you to understand the situation better.

 

I have bleeding when I pass stool. Is it something to worry?

It depends. If it’s been for years and is painless and there has been no change in the bowel motions recently, then it’s likely it’s the piles (or haemorrhoids in scientific jargon).

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