#peritoneal flap
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Cirrhosis causes increased INR because the liver makes clotting factors 2, 7, 9, and 10. If the liver is cirrhotic, you can’t make those clotting factors. Risk of bleeding.
So you monitor the INR. Also monitor albumin. The liver lakes albumin, so if it's cirrhotic, albumin is low.
The liver detoxifies things. If the liver doesn't work, you get build up of ammonia-> hepatic encephalopathy. Ammonium builds up in brain-> asterixis (flapping tremor).
Hepatic encephalopathy is diagnosed clinically with confusion and asterixis. Tx: lactulose (eliminates nitrogen through the gut). Rifaximin and zinc can also be used to eliminate excess nitrogen.
The liver metabolizes estrogen. Without liver function, estrogen builds up-> gynecomastia, palmar erythema, spider angiomata.
Portal hypertension-> thrombocytopenia, ascites, varices (porto-caval shunts). Caput medusa, hemorrhoids, esophageal varices result.
Do EGD to evaluate for varices. Tx of bleeding varices is banding and beta blockers (nadolol or propranolol). In the pts we have, octreotide is given for bleeding. Propranolol is to prevent bleeding when the pt is no longer bleeding. Must be a non-selective beta blocker.
If pt has bleeding varices, give octreotide and ceftriaxone. Octreotide reduces portal pressures acutely. If that doesn't work and pt is bleeding, TIPS can be done. TIPS bypasses the liver; connects portal vein to hepatic vein. It saves the pt from bleeding but also increases ammonia because now blood isn't going through the liver, which detoxifies the blood, increasing risk of hepatic encephalopathy.
Serum Ascites Albumin Gradient (SAAG) helps you determine the cause of the ascites. It tells you whether the ascites is due to portal HTN or not. Get paracentesis and determine the difference between the pt's serum albumin and the ascitic fluid albumin. A score greater than 1.1 means the ascites is due to portal HTN. It means there's mostly fluid in the abdomen. A SAAG less than 1.1 means there are cells in the ascitic fluid, so ascites is due to something like TB or cancer.
Ascites presentation: bulging flanks, shifting dullness, fluid wave.
Tx ascites with furosemide and spironolactone; restrict sodium and water intake, therapeutic paracentesis.
SBP = streptococcus and/or gram negative rods. Dx SBP with paracentesis showing polymorphonuclear cells greater than 250. If greater than 250 neutrophils, tx with IV ceftriaxone. If total protein of ascitic fluid is less than 1, give fluoroquinolone for SBP prophylaxis.
Secondary bacterial peritonitis occurs if the ascitic fluid culture shows lots of different bugs, meaning there's a bowel perforation and pt will require exploratory surgery.
Don't wait for the culture to return--if neutrophils are greater than 250, treat SBP with antibiotics. Even if the culture comes back negative, keep treating SBP.
Chronic liver inflammation (cirrhosis or hep B)-> hepatocellular carcinoma. Screen for hepatocellular carcinoma with RUQ US and AFP. Confirm the diagnosis with a triple phase CT (this is the one cancer you don't need a biopsy to diagnose). During the arterial phase of the triple phase CT, cancer lights up.
Hepatocellular carcinoma that's small is treated with resection. If it's big, pt needs liver transplant, if it's really big or multiple sites in liver are affected, tx with radio-frequency ablation or chemo embolization.
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Cat care, cat products and cat diseases
In USA, Cat care, cat products and cat diseases Articles a cat is sold from cattery at cost any where up to US $ 20000. In USA alone people spend more than four billion dollars every year for cat food. People of USA spend more money for buying cat food than buying their baby food. Cats need balanced diet consisting of proteins, vitamins, fats and carbohydrates. People also spend large amount of learn more money for buying cat beds , cat furniture, cat clothes, litter box, cat bathing soap, cat carriers, cat toys, catnip, apparel, collars leash harness, cat identification tags, cat sleeping baskets, cat toys, cat flap, scratching posts, articles of cat grooming, cat bathing articles, skin remedies, cat combs, cat brushes, cat shampoo, cat tooth paste, cat medications, vitamins and cat vaccinations.
Many types of cat litter boxes and cat food are now available in the market. There are many grooming centers for cats in USA and other countries. Grooming of a cat includes combing, brushing, bathing and nail trimming. The articles of cat grooming includes combs, brushes, rakes, pet shampoo and nail trimmer. Cats can become ill, if they are not provided with clean food and clean water. Cats are very susceptible to various diseases.
Cats need protection from germs. The cats are extremely sensitive to slight variations in the taste of water. Some cats can refuse to drink tap water due to presence of Chlorine or other minerals in the tap water. In this case, bottled water should be provided to these cats. House cats do not dislike water but react adversely to being chilled or doused with cold water. Cats with white fur are very prone to sunburn. Frequent sunburn can cause skin cancer in cats. Cats are susceptible to a variety of viral and bacterial diseases.
The most common cat diseases are Feline Distemper, Coryza, Feline Leukemia, Toxoplasmosis, Disorders of eye and ear, respiratory diseases like Feline viral Rhinotracheitis, Feline Calicivirus and Chlamydia, Feline infectious Enteritis, cat flu, Feline infectious Peritonitis, Feline Dysautonomia, Leptospirosis, common cold, Dirrhoea, Furballs, Cat Allergies, Cat Scratch Disease, Pneumonia, Rabies, Scabies, Cancer, Diabetes, Abscesses, Acne, Arthritis, Anal prolapse, Asthma, Allergy, Constipation, Diarrhoea, Eczema, Fits, Feline Infectious Anaemia, Kidney Infections, Kidney Stones, Heartworms, formation of furballs, Internal Parasites like tapeworms, lungworms and roundworms, External Parasites like ringworm, ticks, fleas and mites. Fleas and Ticks causes Allergies, skin irritation and Anaemia. Cats can get infested by internal parasites like tapeworms and roundworms through contaminated food and water.
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Cancer Surgeon in Delhi
Cancer Surgeon in Delhi
Dr. Neeraj Goel
MBBS, MS, MCh (GI Surgery), Fellow Minimal Access HPB Surgery, South Korea, Robotic Surgery, Italy, Advanced Laparoscopic Colorectal Surgery, Taiwan, Obesity Surgery, USA
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Director & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Awards & Honors
1. Faculty at various National and State level Surgical Conferences
2. Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
3. Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
4. Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
5. Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
6. Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
7. Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
8. Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
9. Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Contact Information:
Name: Gastro Delhi
Address: D-1, Hakikat Rai Rd, Block D, Adarsh Nagar, Delhi, 110033
Phone: +91–9667365169, +91–9599294453
Website: www.gastrodelhi.com
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GI Surgeon in Delhi, HIPEC Surgeon in Delhi, Colorectal Surgeon in Delhi, Cancer Surgeon in Delhi - Dr. Neeraj Goel
DR. NEERAJ GOEL
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GIsurgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Director & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Awards & HonorsFaculty at various National and State level Surgical Conferences
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Presented following Papers at Annual Conference of Delhi State Chapter of ASI
Postmastectomy Edema - An added a venous component
Small Bowel Tumors.
Biliary Fistula of unknown origin - An iatrogenic Complication.
Rare skin Tumors.
TAG : HIPEC Surgeon in Delhi, GI Surgeon in Delhi, Cancer surgeon in Delhi
#dr. neeraj goel#GI Surgeon in Delhi#HIPEC Surgeon in Delhi#Laparoscopic Esophageal Surgery In Delhi
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Dr. Neeraj Goel, Cancer Surgeon in Delhi at gastrodelhi
Dr. Neeraj Goel
Cancer Surgeon in Delhi
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is the best Cancer Surgeon in Delhi.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Clinical Lead & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Awards & HonorsFaculty at various National and State level Surgical Conferences
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Tags = Cancer surgeon in Delhi, GI Surgeon in Delhi
For more information = https://www.gastrodelhi.com/
See related blog = https://gisurgeonindelhi.blogspot.com/2022/06/how-doctor-performs-robotic-surgery-in.html
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GI Surgeon in Delhi, HIPEC Surgeon in Delhi, Colorectal Surgeon in Delhi, Cancer Surgeon in Delhi - Dr. Neeraj Goel
Dr. Neeraj Goel is the Best GI Surgeon in Delhi
Dr. Neeraj Goel
Dr. Neeraj Goel is the best GI Surgeon in the Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from the coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery in South Korea. He performs all kinds of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey at University College Medical Science. He did his post-graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Clinical Lead & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in the Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Intraperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing a full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super, especially in Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at the International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to the Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in the management and research of abdominal cancer.
He has to his credit multiple Chapters in post-graduate and graduate books. He has many publications in national and international journals.
Awards & HonorsFaculty at various National and State level Surgical Conferences
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented the following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Presented following Papers at Annual Conference of Delhi State Chapter of ASI
Postmastectomy Edema - An added a venous component
Small Bowel Tumors.
Biliary Fistula of unknown origin - An iatrogenic Complication.
Rare skin Tumors.
Tag = GI Surgeon in Delhi, Colorectal surgeon in Delhi, Cancer surgeon in Delhi
#GI Surgeon in Delhi#Colorectal surgeon in Delhi#Cancer surgeon in Delhi#Dr. Neeraj Goel#Gastrodelhi
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When the barber-surgeon peeled the dressing from the wound. Dandelion groaned pitifully.
'Relax,' Regis said, cleansing the wound. 'It's nothing. Only blood. Only a little blood... Your blood smells nice, poet.'
At precisely that moment the Witcher did something Milva would never have expected. He walked over to the horse and drew a long Nilfgaardian sword from the scabbard fastened under the saddle flap.
'Move away from him,' he snarled, standing over the barber-surgeon.
'The blood smells nice,' Regis repeated, not paying the slightest bit of attention to the Witcher. 'I can't detect in it the smell of infection, which with a head wound could have disastrous consequences. The main arteries and veins are intact... This will sting a little.'
Dandelion groaned and took a sharp intake of breath. The sword in the Witcher's hand vibrated and glistened with light reflected from the river.
'I'll put in a few stitches,' Regis said, continuing to ignore both the Witcher and his sword. 'Be brave. Dandelion.'
Dandelion was brave.
'Almost done here,' Regis said, setting about bandaging the victim's head. 'Don't you worry. Dandelion, you'll be right as rain. The wound's just right for a poet. Dandelion. You'll look like a war hero, with a proud bandage around your head, and the hearts of the maidens looking at you will melt like wax. Yes, a truly poetic wound. Unlike an abdominal wound for instance. Liver all cut up, kidneys and guts mangled, stomach contents and faeces pouring out, peritonitis... Right, that's done. Geralt, I'm all yours.'
He stood and the Witcher brought the sword up against his throat, as quick as lightning.
'Move away' he snapped at Milva. Regis didn't twitch, even though the point of the sword was pressing gently against his neck. The archer held her breath, seeing the barber-surgeon's eyes glowing in the dark with a strange, cat-like light.
'Go on,' Regis said calmly. 'Thrust it in.'
Baptism of Fire (Andrzej Sapkowski)
Geralt: *points a deadly weapon at Regis*
Regis, absolutely calm and vaguely amused: Watch’a gonna do? Stab me?!
#Baptism of Fire#Andrzej Sapkowski#books#quotes#Zaklínač#V#favourite scene#I love him.#Emiel Regis#book!Jaskier#book!Geralt of Rivia#Maria Barring aka Milva
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What is The Cost of Fistula Laser Treatment in Hyderabad?
What is Fistula?
A fistula occurs as a result of an abnormal connection between two body parts, usually an organ or vessel and another structure. They are usually caused by an injury or surgery. Sometimes, infection or inflammation also can result in a fistula.
Theoretically, while Fistula can happen in many different places of the human body, the most common locations however are:
An artery and vein
The cervix and vagina
The neck and throat
The space inside the skull and paranasal sinus
The bowel and vagina
The colon and surface of the body, causing faeces to exit through a gap aside from the anus
The stomach and surface of the skin
The uterus and greater peritoneal sac (the space between the walls of the abdomen and internal organs)
An artery and vein within the lungs (results in blood not learning enough oxygen within the lungs)
The navel and gut
Symptoms of Fistula
The symptoms will vary depending on the location:
Between different parts of the large and small intestines: diarrhoea
Between the intestines and the bladder: urinary tract infection
Between the intestines and vagina: stool or gas may passed through the vagina
The most common fistulas tend to occur in and around the anus, so the symptoms to be watchful for are inflammation, swelling, or pain around the rectal area. You may also notice a lump initially at the location of the opening of the fistula; these lumps can open and start oozing foul-smelling fluids like pus, blood, or stool. Some other symptoms for a few other types of fistula are:
Burning smell while urinating; the urine may contain blood
Pain with bowel movements
Bleeding
Occasionally fever coupled with feeling tired
Causes – Anal Fistula
The leading causes are
Clogged anal glands and anal abscesses.
Regional enteritis (a disease of the intestine) and
Radiation (due to treatment for cancer)
Diagnosis of Fistula
A digital rectal examination is sufficient to diagnose an anal fistula but some patients require more tests to screen for:
1. Sexual infections
2. Inflammatory bowel diseases
3. Rectal cancer
4. Diverticular diseases
Doctors suggest tests like ultrasound, a CT scan, or an MRI to be conducted.
THE SOLUTION
While prevention is the best treatment helped by maintaining a good nutritional habit coupled with abstaining from smoking which is critical for fistula healing, treatment at times involves surgery to cut the connection between the organs.
Anal fistula can be treated but they do not heal quickly as fibre tissues develop on the inner walls of the fistula.
Fistula Laser Treatment Cost in Hyderabad
At Vitality’s Laser Piles Clinic, we believe in giving you the individual attention that you deserve. We are a specialty clinic in Hyderabad that’s dedicated to the Laser treatment of Piles, Fistula, and other related challenges. Our dedicated team of doctors, advanced laser surgery equipment, and economic costs make us the foremost sought out clinic for colon-related medical conditions in Hyderabad.
The fistula laser treatment cost will depend on the complexity of the individual cases. While fistulectomy is the most common surgical procedure used in a majority of fistula cases. The other methods may be using a bio prosthetic plug using a skin graft, coring out fistulous track using a dissection. While Laser ablation and using fibrin glue are two non-invasive options, on the other hand for complex cases Seton Techniques or Advancement Flap Procedures are used as seen fit by our doctors at our Laser Piles Clinics. We also have lady doctors for lady patients.
FINALLY
Having a fistula like any other disease is undoubtedly going to be an unpleasant experience, more so if you have ignored it for a while and discovered it late. The good news is that with 7 branches of our Vitality’s Laser Piles Clinics in and around Hyderabad, we have specialised and experienced doctors with excellent advanced laser treatment you do end up getting diagnosed with a fistula, at an affordable cost! So keep an eye on the symptoms and if you do notice any of them listed above, feel free to contact our specialists at your nearest Laser Piles Clinic’s branch. We are just a call away and what’s more the first consultation is absolutely free!
#fistulalasertreatmentcost#fistulalasertreatmentcostinhyderabad#costoffistulalasertreatmentinhyderaba#lasertreatmentforfistulacost#costoflasertreatmentforfistula
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Lee says:
Research on transgender health and wellness after gender affirming surgeries can be helpful for transgender people who want to learn more about what their options for medically transitioning are.
Knowing the potential outcome of these interventions can help inform and guide the decisions of people who are considering getting these surgeries— and it can also help inform cisgender healthcare providers too.
As someone who had bottom surgery myself (I had ALT phalloplasty) I took a deep dive into the current research on the procedure before making my decision, and while the research was helpful, talking to people who had the surgery I was planning to have equally important.
That being said, if anyone is considering getting peritoneal flap vaginoplasty, this new study should have interesting results and is worth reading!
There isn’t enough knowledge out there about this topic, especially given the relative newness of the peritoneal pull-through procedure as a vaginoplasty option.
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Here is the primary author’s Twitter summary of the study:
“📊Retrospective review of 199 peritoneal flap vaginoplasty patients
⏲️Median time to orgasm = 6 months
🚭Any smoking history = correlated with less orgasm recovery
Among those with minimum one-year follow up (89%):
🔀Orgasm pre-op not significantly correlated with orgasm post-op
🎆Rate of post-op orgasm was 86%, however,
🌷Not all anorgasmic patients were attempting to orgasm
📈Patients continue to become newly orgasmic past one year
Interventions for anorgasmia post-surgery include:
🔧Pelvic floor physical therapy for scars, hypersensitivity, or dilation difficulty
🩺Testosterone rx (orchiectomy is hormone intervention!)
👂Sex therapist with 🏳️⚧️ competency
❤️🩹Trauma informed care
We examined a rudimentary outcome (orgasm: yes/no). There is so much more to learn about the sexual health of transgender women and nonbinary people after surgery! It is a privilege to work for this community under the mentorship of Dr. Zhao and Dr. Bluebond-Langner at NYU Langone”
Full publication here: https://doi.org/10.1016/j.jsxm.2022.02.015
(It costs $31.50 to purchase access to the full article, but if you are in school you can request that the research librarians help you gain access to a copy of the full text of the study)
#Lee says#trans#vaginoplasty#bottom surgery#lower surgery#medical transitioning#transgender#trans women#SRS#GRS#GAS#sex reassignment surgery#gender reassignment surgery#genital reassignment surgery#gender affirming surgery#peritoneal flap#peritoneal flap vaginoplasty
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Mid Term Functional Results Following Surgical Treatment of Recto-Urinary Fistulas Post Prostate Cancer Treatment_Crimson Publishers
Mid Term Functional Results Following Surgical Treatment of Recto-Urinary Fistulas Post Prostate Cancer Treatment by Pierre Etienne Theveniaud in Experimental Techniques in Urology & Nephrology
Recto-urinary Fistula (RUF) is a rare complication following prostate cancer treatment, and can have a major impact on patients’ quality of life. The reported incidence of RUF following brachy therapy (BT) in older series [1] has been reported to be 1%, however in recently published series its incidence has been reported to be 0.32% [2]. Symptoms following brachytherapy can develop up to 3 years and, therefore, a longer follow up is required [3]. Of all fistula’s post radiotherapy 37% are post brachytherapy, 20% post External beam Radiotherapy (EBRT) and 43% in combination of BT and EBRT [4]. The incidence of rectal Injury during radical prostatectomy ranges from 11% in older series [5] to 0.34% in recent series [6]. Treatment of these fistulas is difficult and usually requires a multidisciplinary approach. There is a lack of consensus concerning the best approach and different techniques have been proposed including endoscopic, trans rectal, perineal and trans peritoneal (open, laparoscopic or robotic). The York-Mason (YM) posterior trans-sphincteric technique [7] is most commonly used since it allows easy and rapid access to the anterior rectal wall with minimal complications. Tissue interposition by several types of flaps or bio-prosthesis has also been described as primary treatment or in the management of relapse following YM. These include gracilis [8], dartos [9] and even buccal mucosa [10]. Regardless of the type of surgical technique, the reported success rates are good, however, the impact of reconstruction on sexual function and continence (urinary and Fecal) has rarely been addressed. We describe our experience of treating RUF and the impact on Urinary and digestive Quality of life.
https://crimsonpublishers.com/etun/pdf/ETUN.000508.pdf
For more open access journals in Crimson Publishers please click on link: https://crimsonpublishersresearch.com/
For more articles in Urology & Nephrologyplease click on link:
https://crimsonpublishers.com/etun
#crimson publishers#nephrology#urology#Peer reviewed journals Urology and Nephrology Acute Kidney Failure Chronic Kidney Disease Endourology
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How The Doctor Performs Robotic Surgery In Delhi? | Robotic surgery in Delhi
How The Doctor Performs Robotic Surgery In Delhi?
There are three components in the da Vinci system. These are the patient cart, the surgeon’s console and the vision cart. These three components work in coordination and allows the surgeon to visualize and monitor the functioning of the robot during surgery. The patient’s cart is the place on which the patient lies for surgery. The cart is fitted with the camera and is attached to several surgical instruments. Through the vision cart, the surgeon visualizes the process of surgery. The vision cart helps in effective communication between the patient’s cart and console. Through the surgeon’s console, the surgeon moves the instruments precisely to perform the surgery.
About Dr.
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Clinical Lead & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Awards & HonorsFaculty at various National and State level Surgical Conferences
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Tags = Robotic surgery in Delhi, GI Surgeon in Delhi
For more information = https://www.gastrodelhi.com/
Related Blog =
https://gisurgeonindelhi.blogspot.com/2022/06/what-are-various-types-of-robotic.html
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Robotic surgery in Delhi, Advantages Of Robotic Surgery | Dr. Neeraj Goel, Certified Robotic Surgeon
What Are The Advantages Of Robotic Surgery?
There are several advantages of the robotic surgery. Some of them are:
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Clinical Lead & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Tags = Robotic surgery in Delhi, GI Surgeon in Delhi
For more information = https://www.gastrodelhi.com/
See more blog = https://gisurgeonindelhi.blogspot.com/2022/06/liver-disorder-treatments-available-in.html
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GI Surgeon In Delhi, Colorectal Surgeon In Delhi, HIPEC Surgeon In Delhi, Cancer Surgeon In Delhi - Dr. Neeraj Goel
Dr. Neeraj Goel
MBBS, MS, MCh (GI Surgery)
Dr Neeraj Goel is the first GI Surgeon in the East Delhi & NCR to provide comprehensive GI surgical and GI Oncologic care. He is trained in GI Surgery from coveted GB Pant Hospital. He has also done his fellowship in HPB Surgery from South Korea. He performs all kind of laparoscopic GI surgical procedures. He is a trained Robotic Surgeon.
Professional Qualifications
Dr. Neeraj Goel started his medical professional journey from University College Medical Science. He did his post graduation (MS) from Hardinge Medical College. He has done his postdoctoral degree(MCh) in GI Surgery from GB Pant Hospital.
He is the first GI Surgeon In East Delhi & adjoining NCR to start full-fledged GI Surgical Services
At Pushpanjali Crosslay Hospital (Now Max Hospital). Presently he is working as Clinical Lead & Senior Consultant in Dharamshila Narayana Superspciality Hospital, Delhi. He is the only surgeon in East Delhi and NCR and amongst few in Country to perform complex surgery of Cytoreduction with HIPEC (Hyperthermic Introperitoneal Chemotherapy) for disseminated peritoneal Cancers. He is performing full array of advanced Minimal Access GI and HPB Surgery. He has worked as Senior Consultant Max Super specially Hospitals.
Minimal Access HPB Surgery
He is a fellow of Minimal Access HPBS Surgery from Seoul National University Bundang Hospital, South Korea.
Robotic Surgery
He is a certified Robotic Surgeon trained at International School of Robotic Surgery, Italy.
Advanced Laparoscopic Colorectal Surgery: Taiwan
He is trained in Taiwan for the advanced laparoscopic Colorectal Surgeries.
Weight loss Central at University of Cincinnati - Ohio USA
He has been to Weight Loss Centre at the University of Cincinnati, Ohio USA for Bariatric Surgery (Weight Loss Surgery).
GB Pant Hospital - Delhi
He completed his postdoctoral degree (MCh) in Surgical Gastroenterology/GI Surgery from coveted GB Pant Hospital Delhi.
Rajiv Gandhi cancer institute & Research Center - Delhi
At Rajiv Gandhi institute, he was involved in management and research of abdominal cancer.
He has to his credit multiple Chapters in post graduate and graduate books. He has many publications in national and international journal.
Awards & HonorsFaculty at various National and State level Surgical Conferences
Poster presentation on “Neuroendocrine Tumors of the ampulla” at Asia Pacific Hepatopancreatobiliary Association Conference in Shanghai, China.
Presented Poster on “Neuroendocrine Tumors of the ampulla” at Annual Conference of IASG, BaA video, India
Video presentation on ”Laparoscopic Lateral Pancreatojejunostomy” at Annual Conference of IASG, Bangaluru, India
Poster Presentation on “Isolated extrahepatic bile duct injury after blunt trauma abdomen” at Annual Conference of IASG, Bhopal, India
Stood Second In the Surgery Quiz at the Annual Conference of Delhi State Chapter of ASI, (as a team event).
Presented following papers at the Annual Meeting of Oncology Group of Delhi (OGD).
Gastrointestinal Stromal Tumors and Imatinib and its effect on Blood Sugar control. Deltopectoral Flap for Head & Neck Malignancies.
Presented Paper on Gastrointestinal Stromal Tumors: Our Experience at Annual Conference of Delhi State Chapter Of ASI.
Presented following Papers at Annual Conference of Delhi State Chapter of ASI
Postmastectomy Edema - An added a venous component
Small Bowel Tumors.
Biliary Fistula of unknown origin - An iatrogenic Complication.
Rare skin Tumors.
Tag = GI Surgeon in Delhi,Cancer surgeon in Delhi,Colorectal surgeon in Delhi,HIPEC Surgeon in Delhi
For more information = https://www.gastrodelhi.com/
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