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What is Anal Fistula?An And Fistula is a narrow tunnel with its internal opening in anal canal and external opening in the skin near the anal verge.

What are the symptoms of anal fistula?

Pus or bloody discharge

Constant pain, throbbing and worse when sitting down

Depending on presence or severity of infection- Pain, smell, tenderness, fever

What are the types of fistula?

Extrasphincteric

Suprasphincteric

Intersphincteric

Transphincteric

What is the treatment of fistula in Anal fistula?

Surgery is procedure of choice

Fistulotomy — lay -open the tract

Fistulectomy — Excision of tract with or without seton

For More about Fistula in ANO, you can reach directly to Dr. Mradul Garg at +91–9560413585

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Best Piles Surgeon in Faridabad

PILES TREATMENT

What are the causes of Hemorrhoids?

Chronic Constipation

Sitting for long period

Family history

Straining

Hereditary

Chronic Constipation

What are the symptoms of Hemorrhoids?

Extreme Itching

Irritation or pain around anus

Bleeding Per Rectum (Mainly painless)

What are the symptoms of Haemorrhoids ( Piles Surgeon in faridabad )?

Painless bleeding from rectum / anus , Anal Itching.

What are the complications of Haemorrhoids ( Piles )?

Infection & thrombosis of piles and anaemia due to severe bleeding.

What is the treatment of Haemorrhoids ( piles ) & period of recovery?

Pile injection / banding for early cases

Surgery ( Stapler Haemorrhoidectomy - MIPH ) for advanced disease

Operative Recovery time is 2-3 days

What is the cost of Surgery?

The surgical package costs between Rs 40,000 and 75,000 in a private hospital for Piles Treatment ( India ) depending upon the type of room.

For More about Piles Treatment, you can reach directly to Dr. Mradul Garg at +91-9560413585

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Breast Surgery Hospital in Faridabad

What are the common symptoms of breast disease?

Nipple discharge

lumps in one or both breasts

Swelling

Tenderness

What are the indications of breast surgery?

FibroadenomaSimple cystsFat necrosisBreast abscess

Breast cancer

For More about Breast Surgery, you can reach directly to Dr. Mradul Garg at +91–9560413585

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What is Thyroid Gland?

Thyroid gland is a butterfly shaped organ located in the base of your neck. It release Hormone that controls metabolism .

What are indications for Thyroid Surgery?

Hyperplastic Nodule

Retrosternal Goitre

Colloid Nodule

Thyroid Adenoma

Thyroid Cyst

Thyroid Carcinoma

Toxic Multinodular Goitre

For More about Thyroid Gland, you can reach directly to Dr. Mradul Garg at +91-9560413585

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Best Weight Loss Surgeon in Delhi

What is Roux-en-y Gastric Bypass?

Roux-en-y is a both Malabsorptive and restrictive Bariatric procedure. This procedure involves stapling the stomach to create a small pouch that holds less food and then shapping a position of small intestine into a Y. The Y portion of intestine is then connected to stomach part.

What will be the weight loss following Gastric Bypass?

Gastric bypass allow us to lose 80% of excess body weight in 6 months. It is 100% effective in recovering disease like Sleep Apnea , Diabetes , Hypertension .

What is the deficiency assaulted malt Gastric Bypass?

Gastric bypass procedure cause more serious symptoms. There is increased risk of Anemia, calcium and vitamin B12, deficiency leading to metabolic bone disease and osteoporosis.

What are the physical activity recommendation following bariatric surgery?

Patient is strongly recommended physical activity after surgery to ensure proper level of metabolism

Long walks — 10 days

Aerobic activity — 20 days

Weight training — 30 days

Exercise — 3 months later.

For More about Laparoscopic Gastric Bypass, you can reach directly to Dr. Mradul Garg at +91–9560413585

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Best Weight Loss Surgeon in Faridabad

What is Sleeve Gastrectomy?Sleeve Gastrectomy is a surgical weight loss procedure generally done by laparoscopy where the stomach is reduced to about 25% of the original size.

How the Sleeve Gastrectomy is done?The majority of weight loss sleeve gastrectomies performed today by laparoscopy technique , which is considered minimally invasive. Average time of procedure is 1.5-3 hrs, and also average hospital stay is 2-5 days. How quickly is weight loss following these Sleeve Gastrectomy?Following Sleeve gastrectomy average excess weight loss at 6 months is 60%. What is the requirement of vitamins and minerals following Sleeve Gastrectomy?Vitamin and mineral deficiencies are rare in this pressure since there is no intestinal bypass. However, the procedure is very restrictive, so most surgeons recommend that patients have a multivitamin, calcium following surgery. For More about Laparoscopic Sleeve Gastrectomy, you can reach directly to Dr. Mradul Garg at +91-9560413585

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What is Rectal Prolapase ?

Rectal Prolapse is when part of your rectum protrudes (sticks out) through youranus. Your anus (back passage) is where your rectum opens onto your skin. A rectal prolapse can be uncomfortable and embarrassing and may affect your daily life.

What are causes of Rectal Prolapse?.

Rectal prolapse can occur as a result of many conditions, including:

Chronic Constipation or Chronic Diarrhea

Long-term history of straining during bowel movements.

Older age.

Weakening of the anal sphincter.

Prior injury to the anal or pelvic areas.

Damage to nerves

Other diseases, conditions, and infections.

What are the symptoms of Rectal Prolapse?

A person with a prolapsed rectum may feel tissue protruding from the anus and experience the following symptoms:

Pain during bowel movements.

Mucus or blood discharge from the protruding tissue.

Fecal incontinence (inability to control bowel movements)

Loss of urge to defecate (mostly with larger prolapses)

What are treatment options for Rectal Prolapse?

Nonoperative Management

Generally, a prolapsed rectum can be reduced with gentle digital pressure;. Although no medical treatment is available for rectal prolapse, internal prolapse should always be first treated medically with bulking agents, stool softeners, and suppositories or enemas.

Operative management

Surgical approaches in rectal prolapse can be either perineal or abdominal. A perineal approach (or trans-perineal) refers to surgical access to the rectum and sigmoid colon via incision around the anus and perineum (the area between the genitals and the anus). Abdominal approach (trans-abdominal approach) involves the surgeon cutting into the abdomen and gaining surgical access to the pelvic cavity. Procedures for rectal prolapse may involve fixation of the bowel (rectopexy), or resection (a portion removed), or both. Trans-anal (endo-anal) procedures are also described where access to the internal rectum is gained through the anus itself.

Abdominal procedures

The abdominal approach carries a small risk of impotence in males (e.g. 1-2% in abdominal rectopexy). Abdominal operations may be open or laparoscopic (key hole surgery)

Perineal procedures

The perineal approach generally results in less post-operative pain and complications, and a reduced length of hospital stay

Laproscopic procedures

Recovery time following laparoscopic surgery is shorter and less painful than following traditional abdominal surgery. Rectopexy and anterior resection have been performed laparoscopically with good results.

Perineal rectosigmoidectomy

Perineal rectosigmoidectomy aims to resect (remove) the redundant bowel via the perineum and anchor the lower rectum to the sacrum through fibrosis in the hope of preventing future prolapse.

Delorme Procedures

This is a modification of the perineal rectosigmoidectomy, differing in that only the mucosa and submucosa are excised from the prolapsed segment, rather than full thickness resection.

Anal encirclement (Thirsch procedure)

This procedure can be carried out under local anaesthetic. This procedure is generally reserved for debilitated or other individuals at high anesthetic risk who may not tolerate other perineal procedure

For More about Laparoscopic in Rectal Prolapse, you can reach directly to Dr. Mradul Garg at +91-9560413585

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Best Splenectomy Doctors in Faridabad

What is Splenectomy ?

A splenectomy is a surgical procedure that partially or completely removes the spleen

What are indications for Splenectomy ?

When it becomes very large such that it becomes destructive to platelets/red blood cells

Lymphomas

Certain cases of Splenic abscess

Certain cases of wandering spleen

Splenic vein thrombosis with bleeding gastric varices

Idiopathic thrombocytopenic purpura

Trauma

Following spontaneous rupture

For long-term treatment of congenital erythropoietic porphyria (CEP) if severe hemolytic anemia develops

What are the various ways of Splenectomy?

Laparoscopy is the preferred procedure in cases where the spleen is not too large and when the procedure is elective.

Open surgery is performed in trauma cases or if the spleen is enlarged.

Vaccination for pneumococcus, H. influenza and meningococcus should be given pre-operatively if possible to minimize the chance of overwhelming post-splenectomy infection (OPSI), a rapid-developing and potentially fatal type of septicaemia

What are the side effects of Splenectomy?

Increased risk of sepsis due to encapsulated organisms (such as S. pneumoniae and Haemophilus influenzae

An increase in blood leukocytes can occur following a splenectomy.

The post-splenectomy platelet count may rise to abnormally high levels (thrombocytosis), leading to an increased risk of potentially fatal clot formation

Splenectomy may also lead to chronic neutrophilia

A splenectomy also results in a greatly diminished frequency of memory B cells and increased risk of infection.

For More about Laparoscopic Splenectomy, you can reach directly to Dr. Mradul Garg at +91-9560413585

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Liver Specialist in Faridabad

What is Liver Cyst ?

Liver Cysts (also called hepatic cysts) are fluid-filled sacs that occur in the liver of roughly 5% of the population.

What are the causes of Liver Cysts?

Simple Cysts are present from birth

Echinococcosis is an infection by a species of tapeworm specifically, the larval stage of the Echinococcus granulosus (E. granulosus) and Echinococcus multilocularis (E. multilocularis) species produces liver cysts in humans.

Cystadenoma and Cystadenocarcinoma represent benign and cancerous cystic tumors, respectively.

Polycystic Liver Disease (PLD) is a rare genetic disorder signified by the presence of greater than 20 liver cysts.

What are the symptoms of Liver Cyst ?

Liver cysts generally do not affect liver function and may remain asymptomatic for years. When cysts become enlarged, they can rupture or push against other organs, causing bloating, a feeling of fullness, and a sudden pain in the upper right abdominal region.

How can we diagnose the Liver Cyst ?

Liver cysts are primarily diagnosed (often by chance) using imaging techniques such as a CT scan, ultrasound, or MRI.

What are the treatment option for the cysts?

Most cysts do not require treatment and go away on their own. Symptomatic cysts that become enlarged or malignant are removed surgically. In some PLD patients, liver transplantation is required.

Surgery Complete removal of liver cysts is the best method of treatment, especially with cases of cystadenoma and cystadenocarcinoma. This is done using laparoscopy, a minimally invasive surgical procedure

Drug Therapy Parasitic cysts caused by echinococcosis are often treated with a combination of surgery and up to two years of chemotherapy to reduce symptoms. A course of drugs to treat parasitic worms may also be prescribed.

For More about Laparoscopy in Liver Cysts, you can reach directly to Dr. Mradul Garg at +91-9560413585

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What is Pancreatic pseudocyst?

The pancreas is a spongy, tadpole-shaped organ located behind the stomach having the function to make enzymes to digest food and hormones to regulate blood sugar levels. In case, pancreas is injured and its ducts become block, affecting enzyme-containing juices and development of pancreatic pseudocyst, which a fluid-filled sac.

What are the symptoms of Pancreatic pseudocyst ?

It has been seen that patient having pseudocyst problem show different symptoms; however, the most common symptoms are abdominal pain and bloating. Other symptoms sometime includes:

Nausea & feeling of vomiting

Appetite loss & weight loss

Diarrheal problem

Fever

A tender mass in abdomen

Jaundice symptoms, yellowing of skin & eyes

Fluid build-up in the abdominal area

What is the treatment for Pancreatic pseudocyst ?

Small pseudocyst without any sign or symptoms, can be treated conservatively. However, in most of case one need following interventions:

Endoscopic trans-gastric drainage

Imaging guided percutaneous drainage

Laparoscopic/open cystogastrostomy or cystojejunostomy

For pseudocysts requiring treatment, most of time surgery is required which is done laparoscopically. During surgery to treat a pseudocyst, the laparoscopic surgeon makes a connection between the pseudocyst and an nearby digestive organ, allowing the pseudocyst to drain through that organ. The connection made may be with the stomach, small intestine, or duodenum, the upper end of the small intestine, depends on the location of the pseudocyst within the pancreas.

Dr Mradul Garg has great experience of managing pseudocysts.

For More about Laparoscopy for Pancreatic Pseudocyst, you can reach directly to Dr. Mradul Garg at +91-9560413585

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What is Hiatus Hernia ?

A hiatus hernia occurs when the upper part of your stomach pushes up through your diaphragm and into your chest region.

What are the symptoms of Hiatus Hernia?

It’s rare for even fixed hiatal hernias to cause symptoms. If you do experience any symptoms, they’re usually caused by stomach acid, bile, or air entering your esophagus. Common symptoms include:

heartburn that gets worse when you lean over or lie down

chest pain or epigastric pain

trouble swallowing

belching

What is the treatment of Hiatus Hernia?

A laparoscopic fundoplication is the procedure of choice. In this procedure with the help of Laparoscopy(key hole surgery) the gastroesophageal junction is dissected , the hiatus hernia is repaired with sutures/mesh depending on the size of the defect in the crura followed by a wrap at the top end of the stomach around the bottom of the oesophagus to form a new valve thus preventing the reflux.

Advantages

One hour procedure

2 Days of Hospitalisation.

No long term medication.

Excellent results

Return to work in 3-4 days time.

For More about Laparoscopic for Hiatus Hernia, you can reach directly to Dr. Mradul Garg at +91-9560413585

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What is Achalasia Cardia ?

Achalasia Cardia is an uncommon disorder causing patient difficulty in swallowing solids and liquids . In achalasia cardia, two problems are seen commonly, first inability of pumping action of the wall of the food-pipe, second also loss of ability of the valve to relax in response to approach of food; resulting in ingested food and drink get collected in the food-pipe.

What is the cause of Achalasia Cardia?

The main cause of achalasia is degeneration of the nerve cells in the esophagus (the food pipe) for which the exact reason is yet not known.

What are the symptoms of Achlasia Cardia?

Can be seen in any age group

It affects both sexes

Main symptoms are difficulty to swallow solids and liquid food

Chest pain and regurgitation

Progressive dysphagia and weight loss

What is the treatment for Achlasia Cardia ?

Laparoscopic Heller`s cardiomyotomy is the procedure of choice , here the muscle of the sphincter is cut under direct vision. This procedure is done entirely by trained laparoscopic surgeon with key-hole surgery. The procedure is generally combined with a antireflux procedure also.

Dr. Mradul Garg has performed many Laparoscopic Procedures for Achalasia Cardia with his multi-disciplinary team at Fortis Hospital's state of the art facility.

The duration of surgery is 60-90 minutes and requires overnight stay/ 2 days stay in hospital.

For More about Laparoscopy for Achalasia Cardia, you can reach directly to Dr. Mradul Garg at +91-9560413585

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Bile Duct Stones, also known as choledocholithiasis, are basically gallstones present in the bile duct. These stones can form in bile duct or at gallbladder, then migrate into the bile duct.

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Best Advanced Laparoscopic Surgeon in Faridabad