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Dr Ritu Khare, was acknowledged for her contribution as a faculty in Gulf HPB conference. Her talk on microlithiasis in patients on Mounjaro was well received. She also mentored the younger generation of surgeons. The scientific paper under her supervision won the “Best Abstract Award” for her intern. She continues to provide her expertise in Laparoscopic gall bladder surgeries in the UAE.
Gulf HPB Conference 2025
Oral Pesentations: Biliary Microlithiasis in patients on Glucagon-like Peptide-1 receptor agonist (GLP-1RA) Therapy for Diabetes and Weight loss
DAY 2 19 APR, 9:00 – 9:05, Novotel Abu Dhabi Al Bustan, UAE.
Dr. Ritu Khare
MS FRCS FACS,
Colorectal, Laparoscopic and Breast Surgeon.
Whatsapp: +971585484228
✉ dr.ritu.khare@gmail.com
www.lapsurgery.ae
Once the stones are formed in the gallbladder, there is a very unlikely situation that they will dissolve completely. Most of the times, if the gallbladder stones have to come out of the body, they have to pass through important structures like the bile duct and the pancreatic duct, to reach the lumen of the intestine from where they can be excreted out. During the process they can cause severe abdominal pain and lead to complications like obstructive jaundice, cholangitis and pancreatitis. These complications are not only serious in nature, but they can be medically difficult to manage. Sometimes they may merit another intervention called ERCP to actually help to clear the stones from the bile duct. We would not recommend that the patient should have a situation that the stones are coming out of the gallbladder and passing out through the common bile duct. If the stones stay in the body for a long time, they are predisposed to develop such complications. In order to prevent these kind of complications and to provide a definitive cure it is important not just to remove the stones, but also the gallbladder and therefore the surgery is mandatory for patients who have been diagnosed to have gallstones. It can be done as early as possible in an acute setting, or it can be deferred if the patient does not have any symptoms to a point when the patient starts developing symptoms of abdominal pain or discomfort in the upper part of the abdomen.
Sometimes, the stone may block the tube connecting the gallbladder to the common bile duct. This may give rise to infection inside the gallbladder or severe distention of the gallbladder because of the blockage of the bile inside. This can lead to severe pain and infection of the gallbladder. This situation may also need an urgent surgery for the removal of the gallbladder.
What is a parastomal Hernia?
Patient may have an ileostomy or colostomy for various reasons. It can be temporary or permanent. Ostomy is a condition when the part of the small intestine or the large intestine is brought forward on the abdominal wall and the content of the alimentary tract drain out through the stoma. Now, in some cases, with due course of time, the hole that is created for the ostomy enlarges and other contents of the abdomen specially the small bowel starts protruding out through the same hole. These can create a bulge in the area where the stoma is created and interfere with the application of the appliance or the stoma bag. It can also lead to development of intestinal obstruction at times.
Repair of a parastomal hernia has significant challenges. One, the stoma has to be maintained and only the surrounding tissue has to be repaired. The placement of the mesh in the area is difficult as the mesh can sometimes erode into the bowel. Secondly, the area is considered as contaminated because there is efflux of stools from the stoma. So there is a higher possibility of an infection.
Repair of Parastomal Hernia, is done with great attention to the surrounding tissues and the health of the patient in general. Optimization of the general condition and greater emphasis on the surgical technique is needed. This kind of surgery is performed by experts in Hernia surgery. If you need a consultation regarding a parastomal hernia, connect with our team.
Dubai Hernia Summit 2025!
Date: January 18-19, 2025
Place: Grand Plaza Movenpick Media City, Dubai, UAE
Faculty Speaker:
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Dr. Ritu Khare
MS FRCS FACS, Colorectal, Laparoscopic and Breast Surgeon.
Expert in abdominal wall hernia repairs and reconstruction of the abdominal wall.
For more information visit: https://dhs2025.com/
Whatsapp: +971585484228
✉ dr.ritu.khare@gmail.com
www.lapsurgery.ae
