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General Surgery

Our range of services include Aortic Aneusysm, Varicose Vein Removal, Gall Bladder Removal, Hyelrocele Operation, Abdomino Perineal Resection and Abscess Intra Abdominal Medical Surgery Services -.

Aortic Aneusysm
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Aortic Aneusysm

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The aorta is a big vein (artery) which takes blood from your heart to your feet. It moves in your belly down to your belly button. There it divides into the two bloodstreams which move down to your feet. Many a times the aorta swells out (an aneurysm). This is quite risky because the aneurysm can burst out, leads to critical internal bleeding. Sometimes parts of the lining of the aneurysm crack out and stop the leg bloodstream. Then, the aneurysm has to be changed by a new artery.
The OperationYou will have provided a dose of general anesthesia and you will be completely asleep during the surgery. A cut mark is made in the epidermis of the belly button, usually at the left of the belly button, from the ribs below the groin. A new pipe (artery), of strong plastic material, is used to change the infected part of the aorta and is stitched in place inside the aneurysm. It is known as grafting. The cut in your belly is then stitched up. Many a times, two blood vessels which go to your feet have aneurysms as well. A fresh tube made from the same material as described above, is shaped identically is then used for the replacement. The turn up of the pants is mended to the leg arteries. An extra cut in each genital is required for this surgery. If more than one artery is blocked, they may be replaced at the same time. The life of new pipe is about 20 years. The duration of the surgery is about three to four hours.
Any AlternativesIf you leave it unattended, there could be a high probability of the aneurysm burst (rupturing). Also, as the aneurysm swells, surgery is difficult to do then. This is a complex surgery. Covering the aneurysm to protect it, extract the aneurysm, and fill the space of the aneurysm to stop it to leak is not so-effective as grafting the aorta. Any oral medicine is not so effective, not even an X-ray and laser treatment. This facility is available in some specialized centers only where new pipes are transplanted into the aneurysm via small cuts in one or more of your feet arteries and by the technique of special radiological. This technique however, is not so common. The best possible way is to have surgery.
Before the operationYou may have admitted in the hospital in emergency. If there is no emergency, then stop smoking and reduce your weight, in case, if you are obese. If you have blood pressure, heart, or lungs problem, consults to your family doctor to examine whether they are under control. Check the hospital's precaution list about the Pills or hormone replacement therapy (HRT). Check you have any family member, who can come with you to the hospital, take home, and take care of you for the first month after the surgery. Take all the medicine with you in the hospital. Before the operation, you will be fully examined for the past

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Varicose Vein Removal
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Varicose Vein Removal

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A varicose vein is a trivial (close to the epidermis) vein under the epidermis. It has swollen due to the reason of overflowing of blood from nerves going deep in the muscles of the feet. This occurs because some valves that carry blood to flow from the trivial to the deep nerves of the leg and the other way around are not working fine. Varicose veins do not show any symptoms. Though, many patients’ encounters with the problems like itching, pain and heaviness in the legs. In rare case, varicose veins can also feel bruising and swelling and even clotted and further it can be a reason for leg ulcer.
The Operation Normally, the main career nerve to the varicose veins is attached through two tiny cuts- first at the groin and other at the knee - and is then detached. There are many ways to perform this general surgery and you can consult the surgeon for the procedure. The most common treatment for this is to insert a special wire through the incisions in the groin into the vein and further by stripping of the nerves. Many a times, the other feeder vein needs to be tied off with the same way as for the main feeder vein. After that, small varicose vein is removed through the incision which was marked in the leg. This operation can be performed as soon as you admit to the hospital and you can get discharge on the same day and other case it also happens, in which you have to stay to the hospital for one or two nights after the general surgery. You will be provided general anesthesia to make you asleep during the surgery. Local anesthesia may be provided to you in the groin area and also on the smaller cuts on the skin, so that you don’t feel any pain when you wake after the surgery.
The initial phase of the surgery is to measure the extent of ulcer. A probe inspection may be done to examine the blood flow. A sample of the discharge is extracted for the lab to analyze for the appearance of any problem in ulcer. This information will help the doctor to prescribe anti-biotic which you will be needed in the future. The stomach problems are cleaned. A non-sticky dressing is applied on the ulcer. Four layers of bandages are covered circular your leg from the knee joint to the feet of your toes. The surgeon will call you to examine weekly. You will be provided after doctors get your laboratory report. 
Any Alternatives If you don’t treat this well, it will not cause any trouble for some time. But after 5 or 10 years, you will find your veins are getting worse. This causes bad symptoms and by the time you will feel pain, bruising and swelling at the infected location. Injection option performs on its own, if the blood vessels are only visible below the knee joint and they are very small injections that can be useful to manage the veins that are still there after the surgery. Elastic stockings will be helpful for you, if you don’t want to go for surgery. They can help to figure out if you are feeling pain due to varicose veins. Laser device treatment, medicated gel, and medicines are not so beneficial for this type of veins. Application of Camouflage can help to lessen the pain to some extent.

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Gall Bladder Removal
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Gall Bladder Removal

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Roughly 10-15 % of the adult people or more than 20 million people in the United States have the problem of gallstones. About 1 million new sufferers are clinically diagnosed per year. Gallstones are more common problem in women, old people, and certain cultural people, and are linked with several pregnancies, being obese and quick weight-loss. In the year 1991, approximately 600,000 sufferers experienced cholecystectomy (removal of the gallbladder) general surgery. Gallstones are formed due to cholestrerol. Stones begin to develop in the first 2-3 years, after some time it freezes; 85 % of all gallstones are less than of 2 cm. Many gallstones patients don’t show any symptoms for many years and some never show the symptoms. However, the repercussions of gallstones may be serious, which range from brief periods of biliary pain (misnamed "colic") to possibly life-threatening problems, such as serious attacks of the gall bladder or pancreatic, or can have gallbladder cancer. A decade ago, the prevailing surgical treatment of symptomatic gallstones was an open operation through an abdominal incision to remove the gallbladder.Laparoscopic cholecystectomy is a minimally-invasive surgical procedure that is performed using laparoscopic visualization of the gallbladder and surrounding vital structures. This technique requires that only a few small (about half-inch) incisions be made in the abdominal wall. The gallbladder is removed through one of the small incisions, the laparoscope and instruments are removed, and the incisions are closed with sutures and covered with small bandages. The operation usually requires general anesthesia and is subject to the same risks and complications as open cholecystectomy. However, patients may have little pain after the operation, and hospital stays (1-2 days) and recovery (1-2 weeks) are usually shorter as compared to open cholecystectomy. It is estimated that more than 15,000 surgeons have received some training in the technique of laparoscopic cholecystectomy in India, and demand for this form of surgery has escalated to the point where probably about 80 percent of cholecystectomies are being performed in this manner.

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Hyelrocele Operation
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Hyelrocele Operation

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A hydrocele is a pocket of watery liquid that has built up around your testicle. Sometimes this is because the testicle is diseased. More often it is because the liquid cannot drain into the circulation properly. In a child, the cause of the hydrocele, and its treatment, are different.
The OperationMost patients have a general anaesthetic so that they are asleep during the operation. Sometimes the operation can be done by an injection of local anaesthetic in the back which will numb the area from the waist down. A cut is made into the skin over the hydrocele. The liquid is emptied out. Some of it will be checked for the possible presence of bugs and some of it in order to exclude the presence of cancerous cells.
The testicle is examined. If it is all right, the double coverings of the testicle are stitched up to stop the liquid building up again. If the testicle is diseased, it may be necessary to remove it. This will be discussed with you before the operation. Finally, the skin is stitched up. The operation is usually done as a day case. This means that you come into hospital on the day of the operation and go home the same day. You may need to stay in for a day or two, if you are over 50, having trouble passing urine, have other illnesses, or if you cannot manage at home.
Any AlternativesIf you leave things as they are, the hydrocele will slowly get bigger. It will not be certain why there has been a build up of fluid unless you have an operation. The fluid can be drained out using a needle, but it builds up again in a month or two. There is no injection treatment that works well.

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A laparoscopic abdominoperineal resection is surgery operation in which the anus, rectum and sigmoid colon are taken out. This surgery is performed to treat the cancer affected area in the rectum or in the anus, which is located near sphincter muscles (muscles that dominate the bowel movements). As the Anus and rectum have been eradicated, a new exit must be needed for passing the waste from the body. This exit is called a “stoma” is created from the large intestine to the skin surface of the abdomen and can be of length of around 1 to 1.5 inches. (This process is known by a term “colostomy”, with regard to “colon” and “stoma”). 
As comparing with your anus, the stoma has no sphincter muscle tissue, so you usually cannot management the exit of waste material. You usually need to put on a pouch for some time period to gather the waste circulation. 
How Laparoscopic Abdominoperineal Resection surgery performs?Laparoscopic term is used in a surgery called as “laparoscopy”. In this surgery, surgeon does the operation through a tiny hole known as “keyhole” incision in the abdomen. A small telescope like apparatus called as “laparoscope” is implanted in the belly button through the keyhole. 
An abdominoperineal resection surgery is performed in 4 stages. These stages are:
Positioning the LaparoscopeWhen you are provided with General anesthesia, the surgeon makes a small cut near belly button of around ½ inches. The laparoscope is then infused in the abdomen via this belly button. Pictures are taken by the laparoscope which can be appeared on the monitor, which is placed near the surgery table. As soon as the laparoscopic device is placed inside the body, surgeon will make more “keyhole” incisions near the abdomen. Through these incisions, surgical apparatus are used to accomplish the surgery. 
Create the Sigmoid Colon and Rectum for dischargeSurgeon does perform many small activities before the removal of anus, rectum and sigmoid colon. Primarily, the infected sections of the bowel, which is main blood vessel in the body is carefully removed and closed. Next step is to isolate the sigmoid colon from the infected part. The rectum is disentangled from the attached parts. 
Remove the Anus section from the bodyAs sigmoid colon and rectum are processed for segregation, a surgeon now is going to operate the section of the body, which is in between the legs known as “perineal” section. This stage allows the doctor to isolate the anus, rectum and sigmoid colon from the body. 
Develop the StomaAfter the removal of anus, rectum and sigmoid colon from the body, the surgeon develops the stoma by using one of the keyhole incisions. Stoma is normally developed on the left side of the abdomen. Initially, a small section of the skin is detached from the incision area. The detached part of the descending colon is then brought to outer side of the body, it means on the skin surface side. (This is a kind of stoma known as “end colostomy) The stoma is stitched together. The abdominal cavity flushed out with a small drainage tube, which is placed in the lower abdominal incision site. This drainage tube is placed for the quick healing purpose inside the abdomen. Ultimately, the surgeon examines the abdominal part, which is stitched. 

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The most common and serious problem in medical profession is Intra-abdominal abscess. Usually, required cure is usually postponed because of bad condition or swelling in the affected area, which in turn makes the diagnosis and localization problematic. Related pathophysiologic effects may sometimes causes life danger or even bring a long time illness due to extended hospitalization. Postponed analysis and treatment can result to higher death rate, so it increases the monetary influence of late treatment.
A good perception of intra-abdominal abscess pathophysiology and a higher medical index of doubt may need early traceability, good cure and also lessen the illness and death ratio. There are six working sections in peritoneal cavity, which includes:
1. Pelvis
2. Right Paracolic Gutter
3. Left Paracolic Gutter
4. Infradiaphragmatic spaces
5. Lesser sac
6. Interloop potential spaces of the small intestine.
The paracolic gutters mountain into the subhepatic and subdiaphragmatic areas superiorly and over the pelvic brim inferiorly. In a supine individual, the peritoneal liquid tends to gather under the diaphragm, under the liver organ, and in the hips. Common abscesses begins to develop in the affected areas, such as abscesses may begin from secondary to main pancreatitis, or periappendiceal abscesses from a perforated appendix can appear in the lower right quadrant. Small bowel interloop abscesses can occur in any place of the ligament of Treitz to the ileum. A better knowledge of these basic things is crucial for the examination and drainage of this abscessess.
PathophysiologicIntra-abdominal abscessesses are specific area targeted, where pus collected which are restricted in the peritoneal cavity with instigative obstruction. This obstruction may have omentum, inflammatory attachment, or adjoining intestines. The abscesses commonly have a combination of aerobic and anaerobic bacteria in distance of gastrointestinal (GI) tract.
Infection in the peritoneal cavity, which is usually developed from large intestine, accelerates the inflow of intense inflammatory cells. The peritoneum and viscera try to locate the infected area, thus produces a phlegmon. The hypoxia in return in that part will increase anaerobes and spoils the infection action of the granulocytes. The phagocytic action of these tissues further lessens the cellular and bacterial residuals, developing hypertonic surroundings that develops and extended the abscesses infection in the reaction to osmotic pressures. If unattended, the procedure goes on until bacteremia created, which will then lead to popularized sepsis with shock. Etiology

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You have a very little cancer in the breast, or there is something in your breasts that can be a cancer. The strategy is to remove the infected part of the breasts with an obvious rim of healthier breasts. The glands will be taken from your underarm (axilla) simultaneously. The glands are little groups of tissues that are connected with small depleting pipes in the breasts and axilla, also known as lymphatics. Whenever cancer ‘prevails’ and travels through the lymphatics, the glands are influenced largely and grows more. This is known as a wide excision and axillary model. Many a times, all the glands are extracted from the armpit and this is called an axillary clearance. The two parts of tissue are examined under the microscope in the laboratory to check whether the lesion in your breast is having cancer or not and also the impact of cancer on the glands of your axilla. Treatment is decided according to this information. 
Breast Surgery - wide excision and axillary sampleYou are provided general anesthesia and make you asleep during the surgery.A small cut is made on the swelling part of breast skin. Usually, a skin part is extracted from the body. The swollen or infected part of the breast with a rim of breast tissue is extracted. Glands part is extracted from the armpit. If the cut is distant from the targeted armpit, second cut is applied. The breast size shrinks a bit. The total time needed for the surgery is about 45 minutes. Normally, doctors put a thin drainage pipe in the surgery part of the breast. The blood comes from the wound can be easily drained out. The skin is then stitched or closed by steri-strips (paper tape). The tissue is sent to the laboratory to be looked at under a microscope to find out what is going on. It takes about one week to get an answer. The surgery can be possible on the same day, you admitted to the hospital and go home as well. You can even be at the hospital for the day or two, if you are not feeling well due to anesthesia, or the swelling or you are of the age of 50 and facing other ailment and you can’t be able to manage at the house. 
Breast Alternative - wide excision and axillary sampleEliminating the complete breasts (a mastectomy), would be similarly excellent therapy as the primitive option, but it is not necessary in your situation. X-rays therapy on its own can not be as excellent in your situation. Neither would medicines can repair it on its own. If you don’t do anything, the cancer in the breasts will get increase continuously. 
Before OperationGive up cigarette smoking and lose your weight if you are obese.If you know that you have blood pressure problems, your heart, or your respiratory system, asks your family doctor to examine about their status. Read out the precautionary measures provided by the hospital authority before taking any Pill or hormone replacement therapy (HRT). Examine you have any family member or buddy who can come with you to the hospital, take you home, and take care of yourself for a week or so after surgery. Bring all your tablets and pills with you to the hospital. On the ward, you will be examined for previous diseases and will have unique assessments to ensure that you are well ready and that you can have the surgery as securely as possible. You will have the surgery that is prescribed to you and will be requested to sign the consent letter.

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The main artery which carries blood to your bad leg is blocked near your tummy button. The leg is starved of blood. This causes pain, infection and even loss of the limb. The artery carrying blood to your other leg is not blocked. Some of the blood from the good side can be led across to the bad side (bypass the problem) using a new piece of artificial artery (vascular graft). The blood will then run down the leg arteries below the blocked part. The pain and infection then get better. Your good leg can easily spare some blood to go to the bad side.
The OperationYou will probably have a general anaesthetic, and will be asleep for the whole operation. Sometimes you may be numbed from the waist down with an injection in your back or groin. A cut is made into the skin in the groin and thigh on each side. The left and right arteries are found below any blockages. A new artificial artery of a special plastic material is stitched in place to join the two arteries under the skin. The cuts are then stitched up. If all goes well, you should plan to leave the hospital about five to seven days after the operation.
Any AlternativesDrugs and by themselves will not work. Injections into the nerve in your back which control the arteries will not help. Unblocking the artery with an X-ray guided balloon or a laser will not work for you. An alternative to re-routing blood from the other limb is a major operation on your tummy arteries or a medium operation to channel blood from an artery just below your collar bone. For you they are not as beneficial as getting a If you do nothing, the problems you are having with your limb will surely get worse. blood supply from your other groin. The doctors are aiming to save your leg by doing the planned graft. Sometimes it is better and safer to go ahead with an amputation than a graft.
Before the operationStop smoking and try to get your weight down if you are overweight. (See Healthy Living). If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the Pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to the hospital, take you home, and look after you for the first week after the operation. Sort out any tablets, medicines, inhalers that you are using. Keep them in their original boxes and packets. Bring them to the hospital with you. On the ward, you may be checked for past illnesses and may have special tests to make sure that you are well prepared and that you can have the operation as safely as possible. Please tell the doctors and nurses of any allergies to tablets, medicines or dressings. You will have the operation explained to you and will be asked to fill in an operation consent form. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks.

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Mastectomy

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Mastectomy is surgery to remove all breast tissue from a breast as a way to treat or prevent breast cancer. Many women with early-stage breast cancer can choose breast-conserving surgery (lumpectomy), in which only the tumor is removed from the breast. Deciding between mastectomy and lumpectomy can be difficult. Both procedures are equally effective. But lumpectomy isn't an option for some women with breast cancer, and others prefer to undergo a mastectomy. 
Newer mastectomy techniques can preserve breast skin and allow for a more natural breast appearance following the procedure. Surgery to restore shape to your breast called breast reconstruction may be done at the same time as your mastectomy or during a second operation at a later date
Why its doneThe goal of mastectomy is to remove all breast tissue if you have breast cancer or are at especially high risk of developing it. You may have a mastectomy in one or both breasts.
Physically removing the tumor is the single most effective treatment for breast cancer. Removal and examination of breast tissue and nearby lymph nodes also provides important information to help guide future treatment decisions.

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Pilonidal Sinus

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A pilonidal sinus means a nest of hairs under the skin over the tailbone. Hairs pass inwards through the little holes (sinuses) in the skin. Germs build up among the hairs, causing pain, swelling and discharge. Sometimes the sinuses like these form near old scars or between the fingers.
The OperationThe aim is to get rid of the hairs and close off the space under the skin. The problems are to get good healing and to stop the pilonidal sinus coming back. There are many operations for this, ranging from very small operations to major plastic surgery operations. In all methods the tissue is taken out. The differences are in the ways of getting the space healed up properly. One way is to let nature fill in the space with scar tissue. Another is to stitch up the space and let the wound heal. You would usually have a general anaesthetic and be completely asleep. For a small operation, numbing the skin with a local anaesthetic injection may be all that is needed. The skin with the sinuses is cut out. The space with its hairs is either cleaned out or is cut out. The space may be left open to fill in from inside to leave a widish scar. Alternatively the space is stitched up to heal with a narrow scar. Bigger operations are designed to move the scars away from the midline. Ask your surgeon which way he finds best. Most operations mean a day or two in hospital. The small operations with local anaesthesia are usually as day visits to hospital.
Any AlternativesIf you leave things as they are, the trouble will remain. It may get better on its own by the time you are 40 years old or so. Burning the deeper tissue with a phenol treatment is an alternative. It does not necessarily lead to better healing than the small operation.

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Thyroidectomy

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The thyroidis anH-shaped gland. It lies just in front of the windpipe in the neck. It is about 3 inches across. It makes the hormone thyroxine. Thyroxine passes into the blood stream to keep the body active. If the gland makes too much thyroxine, the body gets overactive and the heart can be strained. If the gland swells, it presses on the windpipe and other parts of the neck. It may cause an ugly swelling in the front of your neck. When this happens, the gland, or parts of it, need to be removed.
The Operation The operation will be performed under general anaesthetic which means that you will be put to sleep. You will be unconscious and you will not feel pain during the operation. A cut is made across the front of your neck. Some or all of the thyroid is taken out. Usually enough thyroid is left to supply your needs for thyroxine. Sometimes this is not possible, but you can easily take tablets of thyroxine to top up your supplies. Great care is taken to avoid damaging the nerves that control your voice. The surgeon also avoids the nearby glands (parathyroid glands) that control your blood calcium salts. The cut in the skin is closed so that it heals with a barely visible scar. Plan to go home four days after your operation.
Any Alternatives If you leave things as they are, the thyroid problem will remain. For an overactive gland, drug treatment will not work very well, or may cause a bad reaction in you. Pressure effects are likely to get worse. Any swelling will get more unsightly. When the thyroid, or parts of it, are removed, they are sent for examination under the microscope to make sure that they don’t harbour a cancerous tumour. If you don’t have the operation, the possibility of a missed tumour remains. Drawing fluid out of a swelling gives relief only for a week or two. X-ray and laser treatment do not work.
Before the operationStop smoking and get your weight down. (See Healthy Living). If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation. Bring all your tablets and medicines with you to hospital. On the ward you may be checked for past illnesses and may have special tests, ready for the operation. Many hospitals now run special pre-admission clinics where you visit for an hour or two, a week or so before the operation for these checks.
On the ward, you may be checked for past illnesses and may have special tests, ready for the operation. Please tell the nurses of any allergies to tablets, medicines or dressings. You will have the operation explained to you and will be asked to fill in an operation consent form. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks. 

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A skin ulcersimply means a loss of a patch of skin. There are many causes for this. In your case, the cause comes from the veins just under the ulcer. Your veins are a little bigger than normal. These are called varicose veins because they look a bit like a  bottle from ancient Greece (varix). A varicose vein is a superficial (close to the surface) vein lying under the skin. It has swollen because of overspill of blood from veins running deep in the muscles of the legs. 
This happens because certain valves that allow the blood to flow from the superficial to the deep veins of the leg and not the other way around are not working any more. The problems with your varicose veins are not their size, but the high pressure and sluggish flow of blood inside them. These cause aching, cramping, itching, staining of the skin, eczema and finally ulcers. The ulcers are often very painful. They can bleed and get infected. In the long term they can range from a minor handicap to possible serious illness. Most varicose ulcers will heal. The key to the treatment is to put continuous pressure on the underlying veins. One of the best ways of doing this is to squeeze the veins with bandaging. The latest way of bandaging is to use four different types of bandage all at the same time. This is what you may have. The pressure dressing is far more important than any ointments, powders, granules, or dressings on the skin. Sometimes the blood supply is not good to the leg. The skin is starved of blood as well as being damaged by the pressure. The doctors may need to do special tests and suggest other treatment for this. 
You will not need to have any anaesthetic. The aim is to get your ulcers healed. This means you wear a bandage on your leg for as long as it takes. Most people heal up inside 16 weeks. You need to have the bandages changed each week. Your ulcers are measured to make sure they are healing up. Once the ulcers have healed, the aim is to keep them that way. This might mean injection treatment, or an operation for some people. For others, some type of support stocking may always be needed. When you see the surgeon, he will check you have straightforward varicose ulcers and nothing else. He will also look into any other surgical problems you may have.

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Epididymal Cyst Removal

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Epididymal cyst removal (spermatocele) is a process to remove cysts (fluid-containing sacs inside the skin) from the testicular region. A second option to treat cysts is to flush out the fluid with a needle; although, the pus usually gathers after a month or so. 
A general surgery doctor applies general anesthesia, to make the patient asleep before the Epididymal cyst removal process. Afterwards, surgeon will make an incision at the cyst formed location, drain out cyst, and stitch the incision. As they are usually not very dangerous, the doctors might inspect the fluid.
Epididymal cyst removal is immediate procedure and usually patients can move to their home after few hours from removal process. The only needed thing to recover quickly from this procedure is to take a rest, and painkillers. It may take time of 7 to 10 days to recover fully.
Epididymal cyst removal is a minor general surgery procedure, but most people have contradictory views about the seriousness of this procedure. Still, some patients don’t go for this simple procedure. There is a high risk for smokers and obese people. This is the same case for patients, who are having the problem of blood pressure, heart or lungs problem. They should firstly consult to the doctor before going further for removal. Many patients feel the problem of bruising or swelling at the targeted area, but the biggest trouble is for general anesthesia, which greatly affect the respiratory system of the patients. There is also a rare treatment, which is performed by sterilization at the infected area.

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Hernia Repair Femoral
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Hernia Repair Femoral

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A hernia is a weakness in the muscles which fo rm the front of the body wall. Usually, the bowel or some fat, and more rarely other organs, can push through this weak spot and create a bulge in the area. In your case the hernia is just below your groin. It is usually caused by the body wall being weak from birth. Sometimes the body wall weakens with the passing of time. Sometimes the body is overstrained by coughing, heavy work or sport etc. Hernias are very common and are easily treated. If left untreated they get bigger and cause pain. More dangerously, the bowel can sometimes get trapped in the weak spot of the muscles. This can cause a blockage of the bowel, which can eventually cause it to become strangulated. An emergency operation is then required to deal with the problem.
The OperationThe area below the groin is often numbed with local anaesthetic to cut down the pain you may experience when you wake up. However, it is also possible to have the area below the groin numbed with a local anaesthetic and have the whole operation under local anaesthetic. In this case, you will be awake during the operation and you will feel that something is being done in the area of the operation but you will not feel pain. The operation can be done under local anaesthetic when the hernia is relatively small and your general medical condition does not allow you to tolerate the stress of a general anaesthetic. 
A cut is made into the skin overlying the hernia. The bulge is pushed back or is cut off. The weak part is mended/closed and strengthened using strong stitches. Another alternative is to patch the weak spot with a piece of synthetic material. This is usually done when the tissues around the weak spot are not strong enough to be stitched up together with strong stitches or when the weak spot is so big that it is impossible to close it just by using stitches. The synthetic patch is placed on top of the weak spot and is stitched to the healthy tissues around it. Soon, a lot of scarred tissue develops above and under the patch which makes it very strong and doesn’t allow the hernia to come back again. The cut in the skin is then closed up. The operation takes about 40 minutes. 
Keyhole surgery for hernia repair is only carried out in some specialised centres and for selective cases. It is carried out under general anaesthetic and there is no clear evidence at the moment that it offers a significant advantage compared to the traditionally performed operations.

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Abscess Subphrenic

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The abscess is a pool of 50 percent a pint (250ml) or more of fluid pus. It causes you feel ill and having temperature in the body. If unattended, it can be severe, which can be the reason of serious issues and even, hardly ever, endanger your life. Usually these abscesses only appear two or more weeks after the infection. Also they often need to be left even more time than this before they are 'ripe' enough to be started out up and cleared securely. The abscess can then swells up under the ribs, or move down in the pelvis, or somewhere in between. There may be chances to have more than one. 
The operation You are provided a general anesthesia, and make you asleep during the whole surgery.A cut about 3 inches long (8cm) is created in the skin of the tummy close to the abscess location. The cut is made to the depth until doctor reaches to the abscess point. Then, the pus drains out of the epidermis. 
The surgeon also clears out the abscess location with a liquid with some , to stop the infection chances further. A rubber drainage pipe is placed into the abscess to extract developed pus. This pipe remains there until it is obvious from X-ray assessment that the abscess place is healing. The pipe length can then be reduced, bit by bit. Lastly, the injure gets dry up and cures over. 
Any alternativeIf you keep abscesses as they are, the abscess may strain out completely from your epidermis after some days. You may be very ill and faded during this recovery time and if neglected could lead to loss of life. Sometimes the abscess spreads into the bronchi or propagates around within your belly. These can be very dangerous for you.
cant help you much in this case. Clearing out infection is all that should be the best treatment. If there is a deep infection, this may be clear out later. In some situations, the drainage pipe can be put in the abscess location without any surgery. A targeted location of the epidermis on top of the abscess is numbed with an anesthesia injection (same case as you visit dentist) and a small (of around 1/2 inch/ 1.3cm) cut is created in this place. Through the cut and with the device of special X-rays, the drainage pipe placed into your stomach and instructed into the abscess to allow it to strain through the epidermis. Though this procedure is seemed to be very simple as compared to a surgery, it is not always very effective and may not work in situations where the liquid pus in the abscess is very thick and smooth drainage is not possible.
Before the operationYou have to be admitted in the hospital, so the notes mentioned below are only for new patients. Stop cigarette smoking and reduce the bodyweight, if you are obese. If you are aware that you have the problem of high blood pressure, heart, or breathing problem, ask your doctor to examine the status of these problems.Examine the hospital's guidance about having the Tablet or hormone replacement therapy (HRT). Check you have any family member, who can come with you to the hospital, take home, and take care of you for the first 7 days after the surgery.

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Pelvic Abscess Surgery

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We have Experienced pelvic abscess Surgeon across delhi India We will encourage the medicine and therapeutic administration at the best hospitals in India. These are hospitals most suitable for the patients line of treatment.
Pelvic Abscess A pelvic abscess is a gathering of pus in the pelvis or lower abdomen region usually caused by infection, appendicitis or an ulcer burst, or post-surgery complications. An infection usually occurs 2-3 weeks after the infection or complication occurred and can cause multiple abscesses if unattended. In general, physicians do not refer to go for surgery until it has ‘worst’ enough to be opened and drained out. 
Pelvic Abscess: The SurgeryA 3-inch cut is made in the abdominal close to the pelvic abscess. The cut is extended until the surgeon reaches the targeted areas. The pus is drained out, the area is cleaned out with antibiotics liquid, and a rubber drainage tube is put to drain pus further. The tube remains in place until x-rays confirm that the abscess place becoming smaller and smaller. It will decrease slowly and the abscess will dry up and heals within 5-6 days. 
Pelvic Abscess: AlternativesDon’t take lightly to a pelvic abscess, as it will be drained out from your epidermis. It may also drain to organs, like the bowels, and reach till the stomach. If the pus in the infection is not very thick, the general physician may put a drainage tube on the abscess without operation. The targeted area on top of the abscess is numbed with local anesthesia injection, and a tube is placed inside, using image technology for the visibility to place the tube. 
Pelvic Abscess: Post-surgery Most of the patients are capable enough to be on their own within 24 hours after pelvic abscess operation, even so, they will feel pain for several days. Many a times, the drainage tube has to be placed there for 2 weeks. Patient can take a bath, ensuring the tube and incision area are kept dry. Driving can be possible within 3-4 weeks, if no pain occurs. action can be performed after 3 weeks.

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Hernia Repair Epigastric

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A hernia is a weakness in the muscles which form the front of the body wall. Usually, the bowel, and more rarely other organs, can push through this weak spot and create a bulge in the area. In your case the hernia is in the gristle between your breastbone and your tummy button. This is called the epigastrium. Sometimes there are more than one. It is usually caused by the body wall being weak from birth. Sometimes the body wall weakens with the passing of time. Sometimes the body is overstrained by coughing, heavy work or sport, etc. Hernias are very common and are easily treated. If left untreated they get bigger and cause pain. More dangerously, the bowel can sometimes get trapped in the weak spot of the muscles. This can cause a blockage of the bowel, which can eventually cause it to become strangulated. An emergency operation is then required to deal with the problem.Keyhole surgery for herniarepair is only carried out in some specialised centres and for selective cases. There is no clear evidence at the moment that it offers a significant advantage compared to the traditionally performed operations. The operation can either be done as a daycase, which means that you come into hospital on the day of the operation and go home the same day, or as an inpatient case, which means spending one or two nights in hospital. Your doctor will have discussed with you which operation you will be having. Any Alternatives Simply waiting and seeing if you have more trouble is not a good idea. The hernia will always get worse. A support or a belt may be useful if the hernia is very big. It is a good idea if you do not like the idea of an operation, or if you are not fit enough for one. Keyhole operations for hernia repair are experimental.
Before the operationStop smoking and try to get your weight down if you are overweight. (See Healthy Living.) If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the Pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to the hospital, take you home, and look after you for the first week after the operation. Sort out any tablets, medicines, inhalers that you are using. Keep them in their original boxes and packets. Bring them to the hospital with you. 
On the ward, you may be checked for past illnesses and may have special tests to make sure that you are well prepared and that you can have the operation as safely as possible.. Please tell the doctors and nurses of any allergies to tablets, medicines or dressings. You will have the operation explained to you and will be asked to fill in an operation consent form. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks. where you visit for an hour or two, a week or so before the operation for these checks. After In Hospital

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A Splenectomy means an operation to take out your spleen. A spleen is about the size and shape of a person's fist. It is tucked under the ribs on the left. It filters the blood of impurities and helps the body fight infections. Sometimes the spleen filters too much of the blood causing bruising, bleeding and anaemia. Sometimes it causes pain if it swells up. Sometimes it splits after an injury and bleeds very seriously. It then needs to be taken out.
The Operation You will have a general anaesthetic, and will be asleep for the whole operation. A cut is made in the skin between your breast bone and your tummy button. The spleen is taken out. The cut in the skin is then closed up. You will need some treatment for a year or more to ward off infections. Plan to go home 7 days after the operation. That is, unless there is a need for you to go back to a medical ward for extra treatment from the haematology specialist. You will be told about this at the time. You will need to take and have vaccinations for a year after the operation.
Any Alternatives If you do nothing the problem with your spleen will usually get worse. A bleeding spleen is usually life threatening and needs to be taken out. Bruises and smaller tears stop bleeding, so that the spleen does not need to be taken out. If the spleen is damaging the blood in your case, drug treatment or x-ray treatment are of no benefit. The benefits of having your spleen taken out outweigh the finer problems of living without one.
Before the operationStop smoking and try to get your weight down if you are overweight. If you know that you have problems with your blood pressure, your heart, or your lungs, ask your family doctor to check that these are under control. Check the hospital's advice about taking the pill or hormone replacement therapy (HRT). Check you have a relative or friend who can come with you to hospital, take you home, and look after you for the first week after the operation. Sort out any tablets, medicines, inhalers that you are using. Keep them in their original boxes and packets. Bring them to hospital with you.
On the ward, you may be checked for past illnesses and may have special tests, ready for the operation. Please tell the nurses of any allergies to tablets, medicines or dressings. You will have the operation explained to you and will be asked to fill in an operation consent form. Many hospitals now run special preadmission clinics, where you visit for an hour or two, a few weeks or so before the operation for these checks. 
After In Hospital
Some patients feel a bit sick for up to 24 hours after operation, but this passes off. You will be given some treatment for sickness if necessary. You will have a drain tube in an arm vein. There will probably be a fine plastic tube coming out near the skin wound. There will possibly be a fine plastic tube in your nose to drain your stomach. You may be given oxygen from a face mask for a few hours if you have had chest problems in the past. A general anaesthetic will make you slow, clumsy and forgetful for about 24 hours. Do not make important decisions during that time.

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