Hernia Repair (Inguinal, Ventral, Umbilical, and Others)
A hernia occurs when an organ, typically a part of the intestine, pushes through a weak spot in the surrounding muscle or tissue. Hernias can develop in various locations, including the inguinal (groin), ventral (abdominal wall), and umbilical (belly button) regions. Hernia repair is a common surgical procedure that aims to return the displaced organ to its original position and reinforce the weakened area to prevent
recurrence.
The two primary methods for hernia repair are laparoscopic surgery and open surgery.
Laparoscopic Hernia Repair
Laparoscopic hernia repair is a minimally invasive surgical technique used to treat hernias, which occur when an organ or tissue protrudes through a weak spot in the surrounding muscle or tissue. This procedure offers several advantages over traditional open surgery, such as reduced postoperative pain, shorter hospital stays, and quicker recovery times.
Postoperative care generally involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their daily routine within a few weeks.
Open Surgery
Open surgery involves making a single, large incision in the affected area, while laparoscopic surgery uses several smaller incisions and specialized instruments. Laparoscopic hernia repair offers several advantages, such as reduced postoperative pain, shorter hospital stays, and faster recovery times.
Postoperative care typically involves pain management, wound care, and gradual reintroduction of physical activities. Most patients can expect to return to their daily routine within a few weeks.
Gallbladder Surgery (Cholecystectomy)
Cholecystectomy is the surgical removal of the gallbladder, a small, pear-shaped organ located beneath the liver. The gallbladder stores bile produced by the liver, which aids in the digestion of fats. Gallbladder surgery is commonly performed to treat gallstones, inflammation, or infection, which can cause severe abdominal pain, fever, and jaundice.
There are two primary methods for cholecystectomy: laparoscopic surgery & open surgery.
Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy is a minimally invasive surgical technique used to remove the gallbladder, a small organ that stores bile produced by the liver. This procedure is commonly performed to treat gallstones, inflammation, or infection, which can cause severe abdominal pain, fever, and jaundice. Laparoscopic cholecystectomy offers numerous benefits over traditional open surgery, such as reduced postoperative pain, shorter hospital stays, and quicker recovery times.
Postoperative care typically involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their daily routine within a few w. Since the gallbladder is not a vital organ, the body can function normally without it.
Open Cholecystectomy
Open cholecystectomy involves making a single, large incision in the abdomen, while laparoscopic cholecystectomy uses several smaller incisions and specialized instruments. Laparoscopic surgery is the preferred method, as it offers numerous benefits, including reduced postoperative pain, shorter hospital stays, and quicker recovery times.
Postoperative care typically involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their dailyroutine within 10-15 days. Since the gallbladder is not a vital organ, the body can function normally without it.
Appendicectomy
An Appendicectomy is the surgical removal of the appendix, a small, tube-like organ attached to the large intestine. This procedure is commonly performed to treat appendicitis, a potentially life-threatening inflammation of the appendix that can cause severe abdominal pain, fever, and vomiting.
There are two primary methods for Appendicectomy: laparoscopic surgery & open surgery.
Laparoscopic Appendicectomy
Laparoscopic Appendicectomy is a minimally invasive surgical technique used to remove the appendix, a small, tube-like organ attached to the large intestine. Laparoscopic Appendicectomy offers several advantages over traditional open surgery, such as reduced postoperative pain, shorter hospital stays, and quicker recovery times.
Postoperative care typically involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their daily routine early.
Open Appendicectomy
Open Appendicectomy involves making a single, large incision in the lower right abdomen, while laparoscopic Appendicectomy uses several smaller incisions and specialized instruments.
During the procedure, the surgeon will first isolate the appendix and carefully separate it from the surrounding tissue. Next, the base of the appendix is tied off,and the organ is removed. Finally, the incisions are closed using sutures or surgical staples.
Laparoscopic surgery is the preferred method, as it offers numerous benefits, including reduced postoperative pain, shorter hospital stays, and quicker recovery times.
Postoperative care typically involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their daily routine within 10 days or so.
Fissure-in-Ano
Fissure-in-ano is a common condition characterized by a small cut or tear in the lining of the anus. This condition, also referred to as an anal fissure, may occur due to constipation, chronic diarrhea, childbirth, or anal intercourse, among other causes. It often results in pain and bleeding during bowel movements.
Symptoms
The primary symptoms of a fissure-in-ano include pain during and after bowel movements, often described as a sharp, tearing, or burning sensation. Bleeding is also common, usually noticeable as bright red blood on toilet paper or in the stool after defecation. Some individuals may also experience itchiness (pruritus ani) or a noticeable lump or skin tag near the fissure. Symptoms can be acute (lasting less than six weeks) or chronic (lasting more than six weeks), and chronic fissures may be more resistant to treatment.
Treatment Options
Management of fissure-in-ano often begins with conservative treatments aimed at softening the stool and promoting healing. This might include a high-fiber diet, increased fluid intake, warm sitz baths, and over-the-counter stool softeners. Topical treatments such as nitroglycerin ointment can help to relax the anal sphincter and increase blood flow to the area, promoting healing.
When conservative treatments are not effective, more advanced options can be considered. These include botulinum toxin (Botox) injections to relax the anal sphincter, topical calcium channel blockers, and in severe cases, surgical intervention. The most common surgical
procedure is a lateral internal sphincterotomy, which involves making a small cut in the anal sphincter muscle to reduce spasm and promote healing.
It’s important to consult with a healthcare professional if symptoms persist despite conservative management, or if there’s severe pain or bleeding. Early diagnosis and appropriate treatment can greatly improve the prognosis and quality of life for individuals with fissure-in-ano.
Excision of Skin and Soft Tissue Lesions
Excision of skin and soft tissue lesions involves the surgical removal of abnormal growths, such as cysts, lipomas, and skin cancer. This procedure is performed to diagnose or treat various skin conditions and ensure the complete removal of potentially harmful tissue.
There are several methods for excision, depending on the size, location, and type of lesion. These methods include simple excision, shave excision, and elliptical excision.
In most cases, a local anesthetic is applied to numb the area, and the surgeon carefully removes the lesion using a scalpel or other specialized instruments. The wound is then closed with sutures, surgical staples, or adhesive strips, depending on the size and depth of the incision.
Postoperative care generally involves wound care, pain management, and monitoring for any signs of infection or complications. Most patients can expect to return to their daily routine within a few days, although complete recovery may take several weeks, depending on the size and location of the excision.
Breast Surgery (Lumpectomy, Mastectomy, and Biopsy)
Breast surgery encompasses a variety of procedures performed to diagnose or treat breast cancer, benign tumors, or other breast conditions. These procedures include lumpectomy (removal of the tumor and a small margin of surrounding tissue), mastectomy (removal of the entire breast), and biopsy (removal of a small tissue sample for testing).
The type of surgery recommended depends on several factors, such as the size and location of the tumor, the stage of the cancer, and the patient’s overall health and preferences. Both lumpectomy and mastectomy can be performed using traditional open surgery or minimally invasive techniques, such as laparoscopic or robotic- assisted surgery.
During the procedure, the surgeon carefully removes the tumor, surrounding tissue, or entire breast, depending on the type of surgery. In some cases, lymph nodes may also be removed to determine if the cancer has spread. The incisions are then closed with sutures, surgical staples, or adhesive strips.
Postoperative care typically involves pain management, wound care, and a gradual reintroduction of normal activities. Most patients can expect to return to their daily routine within a few weeks.
Open & Stapler Hemorrhoidectomy
Piles, also known as hemorrhoids, are swollen veins in the lower rectum and anus. They can cause discomfort, itching, bleeding, and pain during bowel movements. There are several treatment options available, including open and stapler hemorrhoidectomy.
Open Hemorrhoidectomy
An open hemorrhoidectomy is a traditional surgical procedure used to remove hemorrhoids. This method is usually recommended for patients with large or severe hemorrhoids. During the procedure, the surgeon makes an incision around the hemorrhoid, removes the swollen vein, and closes the wound with sutures. Although it is effective, open hemorrhoidectomy may require a longer recovery time and can be more painful compared to other treatment options.
Stapler Hemorrhoidectomy
A stapler hemorrhoidectomy, also known as a procedure for prolapse and hemorrhoids (PPH), is a minimally invasive alternative to open hemorrhoidectomy. This method is suitable for patients with moderate to severe hemorrhoids or those with prolapsed hemorrhoids. The surgeon uses a special stapling device to remove a circular section of the hemorrhoid tissue, effectively cutting off the blood supply to the remaining hemorrhoid. This procedure typically results in less pain and a quicker recovery time compared to open hemorrhoidectomy.
Our team at Dharamveer Solanki Hospital understands the discomfort and inconvenience caused by piles or hemorrhoids. That’s why we prioritize providing nearly pain-free surgical solutions and compassionate care, allowing you to regain your comfort and well- eing. Our experience in both open and stapler hemorrhoidectomy techniques ensures that we can provide the most effective treatment for your specific condition.
Fistula-in-Ano
Fistula-in-ano refers to an abnormal passage or tunnel between the anal canal and the skin surrounding the anus. This condition usually results from an anal abscess that has drained inadequately or spontaneously.
Symptoms
Symptoms include discomfort in the anal region, persistent drainage of blood or pus, skin irritation around the anus, recurrent anal abscesses, and possibly fecal incontinence. Some individuals may also experience discomfort, pain, or throbbing that is worse when sitting down, during bowel movements, or when coughing.
Treatment Options
Treatment typically involves surgical intervention, the goal of which is to ensure the fistula drains properly, to prevent infection, and to protect the anal sphincter muscles. The most common surgery is a fistulotomy, where the entire fistula is opened so it heals from the inside out. In cases where the fistula involves a significant portion of the anal sphincter, other techniques may be employed, such as seton techniques, advancement flap procedures, or fibrin glue and collagen plug.
Pilonidal Sinus
A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It’s thought to be caused by loose hairs that push into the skin. Pilonidal sinuses are more common in young men and often occur after long periods of sitting.
Symptoms
The main symptom is a small, dimple-like depression on the surface of the skin. When infected, it can become a swollen mass (or cyst). Other symptoms include pain, redness, and drainage of pus or blood from the opening, often with a foul odor. It can also cause fever and malaise if the infection is severe.
Treatment Options
Treatment for pilonidal sinus depends on its severity. A small, uninfected pilonidal sinus may not need treatment. If it becomes infected, the primary treatment is usually a procedure to drain the abscess. For recurring or complex cases, a more extensive surgical procedure might be needed to remove the sinus tract. To prevent recurrence, it’s advised to keep the area clean and free of hair through methods such as regular shaving or hair removal creams. Regular follow-up with a healthcare provider is also crucial to manage this condition effectively.
In conclusion, Dharamveer Solanki Hospital’s General & Laparoscopic Surgery Center offers a wide range of surgical procedures, including hernia repair, gallbladder surgery, appendicectomy, fissurectomy, fistula in ano treatment, hemorrhoids/piles treatment, excision of skin and soft tissue lesions, breast surgery, and various laparoscopic surgeries. Our skilled and experienced team, led by Dr Chandan Deka & Dr. Pankaj Solanki, is dedicated to providing personalized, high-quality care using the latest advancements in surgical techniques. With a focus on almost pain-free surgery and laparoscopic options, we strive to minimize pain, scarring, and recovery time for our patients.