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All Posts Tagged: Digestive Surgery Clinic

Man Snoring

Snoring, Obesity and How Bariatric Surgery Helps?

Most people would like to dismiss their snoring as a normal phenomenon during sleep. They feel it’s the spouses who are the only one affected.

Wrong!

Man Snoring

Snoring can be a sign of a bad disease called OSA – Obstructive Sleep Apnea. It is characterized by fatigue, day-time sleepiness and frequent disturbance of sleep at night. It is a dangerous disease since it produces lack of oxygen and accumulation of Carbon Dioxide (CO2), leading to heart disease and high blood pressure in the long run. Patients with untreated OSA commonly suffer with heart attacks and strokes that have a high fatality.

OSA has a strong association with obesity. Hence the treatment of OSA targets the weight of a person.

In dedicated centers treating OSA, like ours, the following policy is adopted:

  • If patient is mildly obese (BMI < 35) then treatment comprises of CPAP machine (a device that is applied in the nose and mouth to deliver oxygen during night) or an ENT surgery.

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  • If the patient is moderately or severely obese (BMI > 35), bariatric surgery is strongly recommended.

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Bariatric surgery produces dramatic improvement in OSA. Within days of surgery, patients have tremendous benefits in many ways, which are listed as follows:

  1. They sleep better with less awakening in the night.
  2. Snoring is gone, much to the relief of their spouse.
  3. They feel fresh when they wake up in the morning.
  4. The blood pressure is improved.

Because of these reasons, bariatric surgery has become popular for obese patients with OSA throughout the world!

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hernia surgery India

The Secret of Good Hernia Repair

Hernias are defects in the abdominal wall because of which organs from within the abdomen tend to come out just below the skin. More than a million patients a year undergo surgery for some kind of hernia.

Laparoscopic Hernia Surgery

About 80% are so-called inguinal hernias in the groin area. The rest is in the anterior abdominal wall.

The common causes of hernia are:

  1. Hereditary or linked to weakness in the abdominal wall that may happen at birth when the abdomen lining doesn’t close properly.
  2. Pregnancy
  3. Trauma
  4. Previous surgical incisions.

Hernias don’t go away on their own and tend to get larger and more difficult to repair with time. Worst-case scenario – they become stuck in the groin and cut off the blood supply to the intestine, a potentially life-threatening emergency.

So even if the hernia is not giving you trouble today, it may do so tomorrow. It’s always better to deal with hernias when they are not complicated for best results.

Patients need a surgery to fix their hernia defect. The most common principle of hernia repair is to plug the defect with a mesh (an artificial sheet that mimics human tissue). The can be done by conventional or laparoscopic technique. Of course the laparoscopic technique allows faster recovery and less wound complications. There is also less likelihood of chronic pain.

The cost of surgery is highly dependent on the mesh used. A good mesh may cost anywhere between Rs 25,000 to a Lakh. Although this may sound too much it is true that the comfort level (pain, mobility, etc) with these meshes are better than the cheaper ones.

A hernia repair is good only if it does not fail over time, is painless and does not interfere in the daily movements of the abdomen.

Spending on a good mesh, therefore, for hernia surgery should not be seen as an expenditure but as an investment!

There are two scenarios where this strategy may need different approach, which are as follows:

  1. Patients with Large Hernia Defects

In the event of a large defect, a mesh plug alone may not be the ideal form of defect repair. Instead the closure of the defect by the patient’s own local muscles along with mesh closure may be the ideal method to ensure not only organ protection but also restoration of abdominal wall. Otherwise, there is a chance of failure and deficient abdominal wall movement.

  1. Obese Patients

We must also appreciate that if the patient is obese, there is high abdominal pressure that may not allow the mesh to stay in place. Thus, a patient will see the failure of surgery and the possibility of second surgery. These patients should be operated only after weight loss. This may mean dieting or bariatric surgery (laparoscopic solution for obesity).

It is for the above reasons that we have started evaluating thoroughly what will work best for the patient. A single surgery is not the answer to all hernias! We adopt different surgery for different patients. We have operated patients who had surgery multiple times but their hernia repair failed. The secret to good hernia repair is evaluating each patient individually and adopting a different approach.

To ensure taking the right decision, patients need to get well informed before undertaking the hernia surgery. I hope this article helps the reader to do the same.

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skipping meals is not healthy

Fight Hunger! Stay Satiated!

The festive season has started since Eid and the Pujas and it is likely that the spirit will continue till the Christmas and the New Year. With it will stay the hunger for having more and more of fun, food and revelry.

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Dr. Sarfaraz Baig

Anal Symptoms that Matter!

Worried about certain prevailing conditions in your body?

Here are some questions and their answers which will help you to understand the situation better.

 

I have bleeding when I pass stool. Is it something to worry?

It depends. If it’s been for years and is painless and there has been no change in the bowel motions recently, then it’s likely it’s the piles (or haemorrhoids in scientific jargon).

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