Wednesday, 15 November 2017

Laparoscopic Pancreatic Surgery for Solving Pancreatic Conditions

Pancreas is an organ we rarely discuss until something goes wrong with it. It's present in the deeper abdominal area and helps in regulating our digestive system by production of enzymes to break down food into necessary nutrients. Pancreatic diseases are fairly common and can really affect your quality of life and sometimes can be grave or life threatening. Laparoscopic pancreatic surgery involves surgery through very small cuts to correct the problems affecting the pancreas.

When laparoscopic pancreatic surgery is done ?


Some of the diseases and conditions that warrant laparoscopic pancreatic surgery include the following:

Acute Pancreatitis and its sequelae: involves inflammation of pancreas and leads to accumulation of infected fluid in and around the pancreas. 

Chronic Pancreatitis: long standing pancreatic inflammation leading to stone formation in the ducts

Pancreatic Cancers: cancer affecting pancreas characterised by jaundice, loss of appetite and weight loss.

Types of laparoscopic pancreatic surgeries


The different types of pancreatic surgeries include: -

Laparoscopic necrosectomy: ideal for treatment of pancreatic necrosis, a complication of acute pancreatitis and involves removal of dead cells and infected fluid accumulated around the pancreas.

Whipple’s Procedure: used for treatment of pancreatic cancer where the affected area is removed

Laparoscopic distal pancreatectomy: removes the body and tail of pancreas affected by the disease.

Benefits of Laparoscopic procedure

  • Relatively painless
  • Reduced bleeding
  • Faster recovery
  • Smaller incisions
Dr. NP Kamalesh is a leading gastrointestinal and laparoscopic surgeon, with vast experience in pancreatic surgery based in Cochin.

For more details,

Email: surgicalgastrokochi@gmail.com
Visit us: surgicalgastro.com

Saturday, 28 October 2017

All you want to know about Appendix Operation

What is Appendix ?


The appendix is a small, worm-like tubular structure attached to the cecum (first part of the colon) of the colon. Most of the victims are between the ages of 10 and 30. Appendicitis occurs when the appendix becomes blocked and bacteria invade and infect the wall of appendix.

Bacteria found in the appendix invade the wall and body starts to respond to it by inflammation.  If inflammation progresses it ruptures and infection spreads throughout the abdomen.  In most cases symptoms are identified before the rupture and can be avoided with the use of antibiotics.  In chronic cases, surgery is suggested and is known as appendectomy. In India appendix surgery is very common and a lot of surgeons are available.

http://surgicalgastro.com/appendicitis/

Appendix Symptoms and Signs


Abdominal pain, loss of appetite, nausea and vomiting, fever and abdominal tenderness are the usual symptoms associated with appendix.
Other symptoms include swelling of the abdomen, inability to pass gas, constipation and diarrhea with gas, a mild and moderate fever.

Appendix Diagnosis and Treatment


Diagnosis of the disease can be from white blood cell count, urinalysis, abdominal x-ray, barium enema, ultrasonography, Computerized Tomography and laparoscopy. 

Surgery is the major treatment for appendix removal. Laparoscopy(key-hole surgery) are popular  appendix treatments. In case of a pus filled abscess in appendix, a procedure for draining it out is carried out prior to the appendix removal procedure.


Dr N.P Kamalesh is one of the Gastric Surgeons in Kerala who has performed a large number of laparoscopic Appendix operations in Kerala.  Those who are suffering with appendicitis and other gastro diseases are safe in the hand of Dr N.P Kamalesh and team.

For more details,
http://surgicalgastro.com/contact-us/

Drop a mail at  surgicalgastrokochi@gmail.com
Website: surgicalgastro.com

Thursday, 14 September 2017

A bulge near belly button ? Groin Hernia Causes and treatment


A hernia bulge is highlighted in the above figure. When the tissues advance through a weak spot in the groin area, groin hernia occurs. It is also known as inguinal hernia. This appear as a bulge in the groin or scrotum. The bulge will either hurt or burn.

What causes groin hernia?

Most groin hernias are caused because the opening in the muscle wall does not close as it should before birth. Due to this, a feeble area in the belly muscle will be present. Pressure on that area can cause tissue to push through and bulge out. 


What are the symptoms?

The main symptom of an inguinal hernia is a bulge in the groin or scrotum. The bulge may form over a period of weeks or months. Or it may appear all of a sudden. A hernia may be painful, but some hernias cause a bulge without pain.




How is groin hernia treated?

Surgery is the one and only way to treat a hernia. In some cases, hernias that are small and painless may never need to be repaired.

Surgery is preferred by most of the people to repair them, even if they do not have symptoms. This is because many doctors believe surgery is less dangerous than strangulation, a serious problem that occurs when part of the intestine gets trapped inside the hernia.

A hernia may come back after surgery. To reduce the chance that this will happen, it is necessary to stay at a healthy weight. Do not smoke, avoid heavy lifting, and try not to push hard during a bowel movement or while passing urine.

DR. N P Kamalesh is one of the best laparoscopic surgeons in Kerala. He is currently working in PVS Memorial Hospital, Cochin. This hospital is known to provide the best hernia surgery in Kerala. Also, this hospital is the best option if you are looking for day care surgery for groin hernia in Cochin.
Visit us : surgicalgastro.com
Write to : surgicalgastrokochi@gmail.com

Friday, 25 August 2017

Is Laparoscopy Appendicitis Recovery better than Open Appendectomy?

     Appendicitis is a 3 1/2-inch-long tube of tissue that extends from the large intestine, simply in words an inflammation of the appendix. Appendicitis almost always requires a prompt surgery to remove the appendix. If untreated, an inflamed appendix will eventually sport, or perforate, spilling infectious materials into the abdominal cavity. This will cause a serious inflammation of the abdominal cavity's lining called as peritonitis, which can be fatal.


     The major cause for appendicitis is when the appendix becomes blocked, often by stool, a foreign body, or cancer. The appendix can swell from any infection in the body.

What Are the Symptoms of Appendicitis?

  • The first warning of the appendix will be a dismal pain in the upper abdomen that increases as it moves to the lower right abdomen. 
  • Loss of appetite
  • Nausea and/or vomiting 
  • Abdominal swelling
  • Fever of 99-102 degrees Fahrenheit
  • Severe cramps
  • Constipation or diarrhea with gas

How to treat Appendicitis?


     Appendectomy is the standard treatment for almost all cases of appendicitis. It can be done either as an open surgery or laparoscopic. Laparoscopic Surgery is done by making small incisions in the abdomen and inserting small camera and tools for surgery.


Appendectomy: What to expect?


     Antibiotics are given before an appendectomy to fight possible peritonitis. General anesthesia is usually given, and the appendix is removed laparoscopically. The abdomen is also irrigated and drained of pus when you have peritonitis.

Benefits of laparoscopic appendectomy

  • Less post-operative pain
  • Faster recovery and return to normal activity
  • Shorter hospital stay
  • Less post-operative complications
  • Minimally sized incisions/scars

About Us


     Gastro Surgeon manage disorders of the digestive system. Nowadays due to the changing life style and food habits of man, the significance of Gastroenterology has improved. We provide the best assistance and care to all patients. 

Vist us: surgicalgastro.com
Mail us: surgicalgastrokochi@gmail.com

Thursday, 6 July 2017

Do you know? About 6,00000 People Dies From Liver Cancer in Every Year

Liver cancer is an uncommon type of cancer, constituting to less than 2 % of all cancer cases.  Although there are many types of cancers that affects the liver, only those that originates in the liver cells are considered as liver cancer. The other types are of cancer are those that spreads to the liver from other organs. They are named as metastatic or secondary cancer.

Liver is a significant organ in our body contributing to the breaking down of food and absorption of nutrients with the production of bile. It also helps in cleaning up of toxins, metabolism and the production of blood clotting proteins.
Cancer, irrespective of its form is considered with a lot of fear, given its vicious death rate. However, with proper and early detection and treatment from a qualified and skilled doctor, it is treatable. Dr.NP Kamalesh, who is the best gastrointestinal and laparoscopic surgeon in cochin has a proven track record in identifying and treatment of wide range of gastrointestinal disorders, including liver cancer.

http://surgicalgastro.com/liver-cancer/


Symptoms of Liver Cancer
Liver cancer does not usually manifest any symptoms in its initial stages. However some of the symptoms associated with liver cancer are as follows: -
  • Loss of appetite
  • Unintentional and unexplained weightloss
  • Nausea or vomiting
  • Pain in the upper abdomen
  • Abdominal swelling
  • Increased tiredness and fatigue
  • Jaundice like discoloration and appearance in eyes and skin
  • Chalky, white stools
Causes of Liver Cancer
Liver cancer is known to develop when the liver cells undergo changes in their DNA. This causes them to multiply uncontrollably leading to tumour formation. Conditions such as chronic HBV or HBC infections, cirrhosis, excessive alcohol consumption and so on are known to increase the risk or probability for liver cancer.

Diagnosis and Treatment
Liver cancer can be diagnosed with the help of blood tests, imaging tests and biopsy tests. These help in detecting abnormalities in liver functions, presence of tumours and also for confirming the presence of cancer cells.
The treatment of liver cancer is mainly dependent on its stage, age and overall health of the patient and other preferences. Surgery is adopted usually in cases where the cancerous growth is small. In cases where the cancer is coupled with other diseases that deteriorate the liver condition, liver transplant is preferred. 


Mail Us:surgicalgastrokochi@gmail.com


                                                                                                                                      
                                                                                                                                        

                  














 










Friday, 2 June 2017

Severe Stomach Pain?? You May Have Ulcerative Colitis..

Ulcerative colitis is an inflammatory bowel disease (IBD). Inflammatory bowel disease is a cluster of disease that affects the gastrointestinal tract. Ulcerative colitis developed when the lining of large intestine and rectum becomes inflamed. Tiny sores, known as ulcers are developed on the lining of the colon due to this inflammation.

http://surgicalgastro.com/ulcerative-colitis/

This inflammation starts in the rectum and then spreads upwards. The entire colon can effect by the inflammation.  The ulcers may discharge pus and mucus and sometimes causes bleeding. Ulcerative colitis affects people of all ages but mostly diagnosed in the people aged 15 to 35.  Causes of Ulcerative Colitis includes abnormal immune system, environmental impact etc.

Symptoms


  • Stomach pain
  • Bloody stools
  • Rectal pain
  • Increased abdominal sounds
  • Diarrhea
  • Weight loss
  • Fever
  • Mal-nutrition or low appetite
  • Joint pain
  • Sore mouth
  • Skin problems
Ulcerative colitis may increases the risk of colon cancer. The longer person has the disease, the higher the risk of cancer. If a person suffered with Ulcerative colitis then regular screening can help to reduce the risk of colon cancer. 

Risk factors of Ulcerative colitis


  • Blood infection or sepsis
  • Thickening of the intestine wall
  • Severe dehydration
  • Liver disease
  • Rapidly swelling colon 
  • Kidney stones
  • Intestinal bleeding
  • Rupture of colon

http://surgicalgastro.com/ulcerative-colitis/

Diagnosis


  • Stool test
  • Endoscopy
  • Colonoscopy
  • Biopsy
  • CT scan

Blood test is highly recommended and useful test for Ulcerative colitis. Ulcerative colitis is a chronic condition and its treatment involves drug therapy or surgery. The doctor prescribes medication for reducing swelling and inflammation. Apart that, a person should follow these guidelines to stay fit.
  • Drink small portion of the water whole day
  • Eating mini meals whole day
  • Avoid fatty or oily food
  • Permit the intake of high fiber food
  • Avoid milk if suffered with lactose intolerance
Dr. N. P. Kamalesh, Laparoscopic Gastro Surgeon in Kochi is a well-known  for the treatment of Ulcerative colitis and other urination infections. The clinic prefers medical therapy over surgery. 

http://surgicalgastro.com/contact-us/
Visit Us : surgicalgastro.com
Mail Us : surgicalgastrokochi@gmail.com

Wednesday, 31 May 2017

Lose Your Weight Fast With Bariatric Surgery

Bariatric surgery is a group of surgical procedures for those of us who had our heart broken by seeing numerals on the weight machine. Obesity not only hurts our aesthetic sentiments, it invites a horde of other diseases as well. The procedures in bariatric surgery helps in long term weight loss while relieving related disorders like blood pressure, diabetes, arthritis and so on.

http://surgicalgastro.com/bariatric-surgery/


Bariatric surgery is done laparoscopically and hence is simpler and painless, when compared to conventional surgeries. The recovery period is shorter as well. They are known to bring about a loss of about 70-90% of excess weight, though the results are not instantaneous.

Bariatric Surgery Procedures


The several types of bariatric surgery are as follows.
  • Banded sleeve gastrectomy and gastric bypass – an add-on to standard procedure for long term result by adding a silicon band which limits food intake
  • Sleeve gastrectomy – stomach is vertically stapled to limit food intake capacity.
  • Gastric balloon – a deflated balloon is placed in the stomach and then inflated. This makes about two third of the stomach full effectively reducing its food intake capacity.
  • Adjustable gastric band – silicon band placed on stomach, dividing it into two parts.

Should I get a bariatric surgery?


Bariatric surgery would be suit your needs of weight loss if you are
  • committed to a lifestyle change
  • morbidly obese (BMI -32.5 to 37.5)
  • free of endocrine or metabolic disorders

In case of women, who have planned for a pregnancy in near future, this surgery is not advisable.

Benefits of Bariatric Surgery


In addition to weight loss, bariatric surgery has the following benefits: -
  • Relief from diseases like sleep apnoea, arthritis and so on
  • Cholesterol and blood pressure is lowered    
  • Blood sugar brought under control
  • Regains self-esteem and confidence

Dr. N. P. Kamalesh is one of the eminent Bariatric Surgeon  In Kerala. At PVS Memorial Hospital, he provides long term solutions for weight loss at an affordable cost.

http://surgicalgastro.com/contact-us/
Visit Us : surgicalgastro.com
Mail Us : surgicalgastrokochi@gmail.com

Wednesday, 1 March 2017

Ulcers Treatment Kochi

Ulceration which occurs within the duodenum is one of the most common surgical complaints with a wide spectrum of types and severity of presentation.  Many ulcers are usually caused by a bacterial infection or by particular types of painkilling drugs which change the nature and condition of the ulcer.
What causes Duodenal Ulcers?
Helicobacter Pylori Infection: A bacterium found in the stomach has been shown to have a role in the development of duodenal ulcers.
Too much secretion of the stomach acid: This is found in some cases of duodenal ulceration.
Non-Steroidal Anti-inflammatory drugs (NSAID): Widely recognized to cause ulceration in very few patients.
Smoking:  It may cause and help the development of duodenal ulcers. Although, Alcohol and Caffeine do not have any effect.

Symptoms of Duodenal Ulcers


  • Abdominal pain which is usually in the upper abdomen
  • Anemia
  • Indigestion
  • Vomiting
  • Vomiting blood
  • Black colored stools
  • Collapse and shock
  • Sever gastric

Diagnosis and Treatment for Duodenal Ulcers:
Ulcers may be diagnosed in a variety of ways but the most accurate and useful is an OGD.
The vast majority of duodenal ulcers will heal with a maximum of six week course of acid suppression therapy using a proton pump inhibiting drug. The eradication of Helicobacter Pylori can be done with a week long course of two antibiotics in combination. Clearly the treatment should also address other stimulants of ulcer formation, smoking and NSAID use.
However duodenal ulcers that present as an emergency to hospital with either bleeding or perforation do require aggressive treatment.
Bleeding may be controlled at endoscopy but in some cases, it requires surgery when unsuccessful. Perforation is always treated with urgent operation and patch repair of the hole created by the ulcer.

Dr. N.P. Kamalesh is one of the eminent surgeons in Kerala. He has a vast experience and expertise in the field of Gastroenterology. At PVS Memorial Hospital, he provide the best treatment for all types of gastrointestinal problems in a cost effective manner.



Visit us: surgicalgastro.com
Mail us: surgicalgastrokochi@gmail.com