Tuesday, 12 June 2018

Anal Fistula : Get Rid Of Your Painful Days!

Anal Fistula is a condition which starts with infection in the glands of the anal canal. This is a chronic abnormal communication with the epithelialised surface of the anal canal and the perianal skin. Anal fistula generally arises in people with a history of anal abscesses and which has not healed properly.

https://www.gastrosurgeoncochin.com/fistula-in-ano.html

This originates from the Anal Glands which drain into the anal canal. If the opening of these glands get closed, then a swelling forms and will finally burst into the exterior skin. The area along which pus drains can become a fistula.

 

The symptoms of Anal Fistula are mentioned as follows:

  • Irritation of skin around the anus.
  • Throbbing ache near the anus while you sit, shift around, during a bowel movement, coughing or sneezing.
  • Foul smelling discharge from or around the anus.
  • Swelling and redness in the region of your anus and warmth or fever and if you have an abscess.

These are the main symptoms of Anal Fistula and the treatment for curing this medical condition are mentioned as below.

 

Treatments for the condition.


As a few of the fistula conditions will heal by themselves, surgery is usually necessary to cure Anal Fistula. Surgery for an anal fistula is regularly carried out under regional anesthetic. Most of the patients require a single day hospital admission. Some of the options for the treatment are mentioned below.

 

Fistulotomy: 

It is the most common surgery for anal fistulas and it includes cutting along the length of the fistula to open it up and hence it heals as a flat wound. Fistulotomy is considered as the most common surgery with less risk.
https://www.gastrosurgeoncochin.com/fistula-in-ano.html

Seton techniques: 

Seton is a thread which will keep along the fistula tract for a stipulated period of time to induce fibrosis of the tract. This drains and helps it cure. Seton is also played during fistulotomy around the sphincter muscles, to avoid injury to the muscle and incontinence.
Advancement flap procedure: This process scraping out the fistula and wrapping the tract where it enters the bowel using the part of the skin and terminal most part of the anal canal. This is a more complex procedure and is required only for recurrent and complex fistulae.

These are the common options of treatments available in the modern medicine. To avail the best fistula surgery in Kerala, you can contact Dr. Deepak Varma, the well known Gastro Surgeon in Kochi. The best anal fistula treatment in Kochi is provided by them.
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Wednesday, 16 May 2018

All About Oesophagal Cancer You Want To Know

Certain diseases have been really harsh and it scares the worst out of you at times. CANCER- The word itself arouses terror and anxiety in you and it is high time we break this myth. Cancer is not to be feared and today's most modern medical advancements have found out the perfect solutions for the same.


https://www.gastrosurgeoncochin.com/oesophagus-cancer.html

One of the most common cancers found today is Oesophageal cancer. We, Gastrosurgeon Cochin, stands the best in oesophageal cancer treatment in Kochi with the high expertise and specialization in the same. Oesophageal cancer affects the pipe that carries the food from mouth to the stomach.

Barrett's oesophagus has been found to be the most important precancerous condition of the oesophagus cancer. Barrett's oesophagus is the medical condition in which the cells of the oesophagus grow abnormally. Heartburn and indigestion are the major symptoms of the disease. The major cause of Barrett's oesophagus is the acid reflux. The extreme version of this, Gastroesophageal reflux disease or GERD, the condition of continuous and frequent acid reflux or backwash, is an important predisposing factor for oesophagal cancer.

https://www.gastrosurgeoncochin.com/oesophagus-cancer.html

Lifestyle has also been a major reason for oesophagal cancer. Smoking kills and yes, through oesophagal cancer. Smoking is an important way of inviting cancer just because of having the worst life habit. Alcohol consumption, improper food habits causing obesity, and sometimes, certain other medical conditions too can be risk factors for oesophagal cancer.

After the proper diagnosing methodologies like PET, CT Scan, endoscopy, pathological biopsy etc has confirmed the condition of oesophageal cancer, it is important to start the treatments as early as possible so as to avoid further complications. The preoperative administration of chemotherapies and radiotherapies are followed usually by the oesophagectomy, the removal of oesophagus based on the severity of cancer in the patients. Oesophagus will be replaced by tubular stomach during the surgery.

We, the best in Cancer treatment in Ernakulam consider it our duty and responsibility to treat and care you and to wipe out your worries. We care about your happiness! We provide the best oesophagus cancer surgery in Kerala.

https://www.gastrosurgeoncochin.com/contact-us.html
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Tuesday, 20 February 2018

Weight Loss Surgery - Start Dreaming about a Slim You

Weight loss surgery is a major life-changing option for people with obesity, excessive weight. The person with excessive weight can’t reduce their weight only by diet or exercise and they need bariatric surgery (weight loss surgery) to lead a normal life.

Weight loss surgery cause reduction of weight by limiting the quantity of food the stomach can carry, causing abnormal absorption of nutrients., or by a combining both gastric restriction and malabsorption. It may also cause hormonal changes.
http://www.gastrosurgeoncochin.com

Common bariatric surgery procedures are:

  • Sleeve Gastrectomy
  • Gastric Bypass
  • Gastric Band surgery
  • Biliopancreatic Diversion with Duodenal Switch (BPD/DS).

Sleeve Gastrectomy

A banana-shaped section of the stomach that is closed with staples is formed by removing the 80% of the stomach in sleeve gastrectomy. The new banana-shaped stomach carries a small amount of food than the normal stomach. Hence, it helps to reduce the food quantity.

Gastric bypass

Gastric bypass is already known as a Roux-en-Y Gastric bypass. It is considered as the ‘gold standard’ of weight loss surgery. The surgeon staples stomach, forming a small pouch in the upper part. It makes the stomach much smaller, so when eating food feel full sooner. Next, the small intestine cuts and joins with the stomach pouch. Food then bypasses most of the stomach and small intestine, so body imbibes small calorie.
http://www.gastrosurgeoncochin.com/bariatric-weight-reduction-surgery.html

Gastric band surgery

By employing a ring with an inner inflatable band around the top of the stomach tiny pouch creates. This makes feel full after eating a small quantity of food. The band has a circular balloon filled with salt solution, the doctor can regulate the area of the opening from the pouch to the rest of stomach by injecting or removing this solution through a device called ‘port’ placed beneath the skin.

Biliopancreatic Diversion with Duodenal Switch (BPD/DS)

The Biliopancreatic Diversion with Duodenal Switch is a procedure with two segments. A smaller, tube-shaped stomach pouch is created by detaching a portion of the stomach. Next, a large portion of the small intestine is bypassed.  When eating food it goes through newly created tubular stomach pouch and empties straight into the last segment of the small intestine.

Dr.Deepak Varma is a leading bariatric surgeon in Kochi. He is currently working in Aster Medicity. Aster Medicity providing thebest weight loss treatment kochi.

http://www.gastrosurgeoncochin.com/contact-us.html

Tuesday, 30 January 2018

How serious is a hernia?

The most frequent location for a hernia is the stomach area. The abdominal wall is a sheet of muscles and tendon that runs down from rib to legs. The most common function is that it holds the abdominal contents, primarily the intestine. If a weakness opens up in the wall the intestine is pushed through the opening. The resultant bulge which is often quite visible against the skin is Hernia.

This window of weakness generally occurs where there is a natural weakness in out abdominal wall. The umbilical area is a prone area of natural weakness which is very frequent for a hernia. 

An understanding Hernia

Mostly the hernias do not cause pain. Paradoxically the larger one often hurt less, the reason being that a large window in the abdominal wall permits the intestine to slide without causing much pain. Pain tends to have been associated with something getting squeezed, which is often in the case with the smaller hernias. Both of them often requires being operated as soon as possible. If left such intestine untreated will strangulate and tend to cause the longest post-operative pain. So hernia has to be fixed as you know about it.

Laparoscopic Inguinal Hernia Repair



Laparoscopic inguinal hernia repairs use an instrument called the laparoscope. There are two or four small incisions made in the abdominal wall through which a laparoscope is passed which is a thing telescope with light at the end. Also, the surgical instruments are passed through it. The incision is small so the whole technique is often called Keyhole surgery, which is different than the conventional Open surgery. Such Laparoscopic hernia surgery is also widely called minimally invasive surgery Hernia surgery. 

A hernia is then viewed from inside the abdomen from another side of the abdominal wall. the abdominal cavity is inflated with the help of the carbon dioxide gas to provide space to the surgeon to work inside the body of the patients. The actual operating is done remotely with the long instrument by the surgeon. The hernia imperfection or hole is often covered with the mesh from within the abdomen and stapled into the muscles in order to fix the patch.
Dr. Deepak Varma is one of the leading laparoscopic surgeons in  Kerala offers Laparoscopic hernia surgery in Kochi with advanced technologies. 


For the appointment, get connected... 
Mail us: toshhospitals2013@gmail.com




Monday, 29 January 2018

Laparoscopy Removal of Hernia

We have always come across people complaining about the pain in the abdomen due to a hernia, mostly from people who are aged. When we cross that boundary of youthfulness to middle age, then it is time to worry about a hernia. As age catches up the process of building up and breaking down of muscles and tissues go out of balance. As a result of this imbalance, the muscles or tissues weaken causing weak spots in the area. A hernia occurs when organs push through an opening in the muscle or tissue that holds its place.


Causes for the occurrence of Hernia

Many reasons can be cited for the occurrence of a hernia.
1) Aging.
2)  Lifting heavy weight.
3) Obesity.
4) Persistent coughing and sneezing.
5) Constipation.
6) Heredity.
Apart from natural causes, Damage from injuries or surgery can also result in the occurrence of a hernia.

Types and symptoms

The most common types of a hernia are:
1) An inguinal hernia which affects the intestine.This condition accounts for most of the cases of a hernia.
2) The other types which are not very common include an incisional hernia, femoral hernia, umbilical hernia and hiatal hernia.

Treatment of a hernia


The doctor before going for the surgery monitors a hernia and suggests lifestyle changes to reduce weight and advises the patient to quit smoking. The patient is also advised to remove spicy food from his diet. If the symptoms don’t recede then the patient might need a surgery.

Laparoscopic treatment to remove a hernia

Laparoscopy is more preferred than open surgery as it uses modern technology. It is easy to handle, less damaging and the recovery time is also less. In laparoscopy, a small incision is made to insert the equipment, a tiny high-resolution camera and miniaturized surgical equipment to repair a hernia. Still some types of a hernia will require open surgery.

Dr. Deepak Varma is a well-known gastro surgeon in Kochi and has been a pioneer in the treatment of a hernia. 

Mail us: gastrosurgeoncochin@gmail.com

Thursday, 14 December 2017

Rectal Cancer is not always hereditary, Know more about it..

What is Rectum?


The Rectum is a part of the human digestive system. The digestive system takes in nutrients from food and helps to eliminate waste from the body. The digestive system is made up of the esophagus, stomach, and the intestines. The first portion of the large intestine is called as colon. And rectum, together with the anal canal, makes up the last portion of the large intestine. 




Rectal Cancer 


Rectal Cancer is the abnormal growth of cancerous cells in the lower portion of the colon and it is the second most occurring cancer after lung cancer.

Major Causes of Rectal Cancer


  • High-fat diet
  • Having a family history of colon or rectal cancer in a first-degree relative
  • Having a personal history of cancer of the colon or ovary
  • Having a personal history of high-risk adenomas
  • Having inherited changes in certain genes that increase the risk of familial adenomatous polyposis
  • Having personal history of chronic ulcerative colitis or Crohn disease
  • Having three or more alcoholic drinks per day
  • Smoking cigarettes
  • Being obese


Symptoms of Rectal Cancer


  • Bleeding from the rectum
  • Anemia
  • Fatigue
  • Shortness of breath
  • Dizziness
  • Diagnosis
The determination of the disease can be done using several methods. Some are fecal occult blood testing, endoscopy, digital rectal examination, sigmoidoscopy, colonoscopy, biospsy, CT, MRI, routine blood tests etc.

How to Treat Rectal Cancer ?

The treatment depends on the stage of cancer. Most probably multiple chemotherapy medications are suggested. Surgery is used to treat and reduce symptoms. Radiation therapy is used to kill or shrink rectal cancers at a severe level.


Dr. Deepak Varma is one of the leading gastrosurgeons in Kochi who has performed numerous complicated surgeries.

For more details,

Email at: gastrosurgeoncochin@gmail.com

Thursday, 5 October 2017

Getting rid of Piles is easy!


Piles are a kind of swelling occurred inside and around the back passage.  A network of small veins is present with the anal canal lining. Sometimes, these veins become wider and bloated with more blood than usual. The bloated veins and superimposing tissues forms one or many little swellings which are known as piles.

What are the types of piles?


Piles have two variants:
  • Internal – those develop above the 2-3 cm inside the anus in the upper area of the anal canal. Internal piles are not painful as upper anal canal does not has pain nerve fibers.
  • External – those that develop below the lower part of the anal canal. External piles are painful as lower anal canal has pain nerve fibers.

The classification of internal piles


Grade 1- small swellings inside the anal canal lining. Grade 1 piles are very common.

Grade 2- large piles. Partly pushed out from the anal canal but quickly back inside again.

Grade 3- found small, soft lumps that hang out from the anal canal.

Grade 4 – permanently hang out from the anal canal and cannot go back inside the anus.


Causes of piles


  • Constipation
  • Pregnancy
  • Ageing
  • Hereditary factors
  • Heavy lifting
  • Persistent cough


What are the symptoms of piles?


  • Feeling of a hard lump around the anus
  • Feeling that bowels are full when they are not
  • Bright red color is coming with the bowel movement
  • Itching around the anus
  • Anus area is res and sore

Piles Treatments


Treatment of piles includes ointments, creams, OTC medications, pads, painkillers, corticosteroids, banding, and use of laxatives. The advanced level of piles needs surgery. Gastrosurgeon, Kochi provides all types of treatment to reduce piles. Apart that, lifestyle changes, proper diet, high water intake and balanced body weight may also help to avoid piles.

Dr. Deepak Verma, an excellent gastrosurgeon to treat anal surgeries and Piles Treatment in Kochi,Kerala. He his an expert to treat piles.