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.
Abdominal wall hernia is one of the most common problems in the surgery clinic. It is a simple procedure, but it has to be performed in great earnest to receive the best outcome. The standard of care is a minimally invasive surgery to repair the hernia, reenforce the repair with a mesh and prevent any injury to the surrounding structures. In the long run, the best outcome means there should be very low recurrence rate, and the mesh should get integrated with the abdominal wall without any infection or pains related with the nerves around the area. Most cases are having a satisfactory result. But there are some special group of high risk patients who need an optimization prior to the surgery. These include obese patients, patients with chronic liver disease or renal disease and some patients who have had multiple surgeries in the past. Hernia surgery has become an independent specialty and the experts of hernia focus their attention on providing a wholesome surgical treatment and follow up to the patients.
“Minimally Invasive Surgeon of the year.” Was awarded to Dr Ritu Khare, in a glittering ceremony at Queen Elizabeth-2 ship. The award ceremony was attended by healthcare professionals from across the globe who have made a distinguished contribution in the their own respective field.
Gallbladder removal surgery, also known as laparoscopic cholecystectomy, is a safe and common procedure to treat gallbladder issues like gallstones. Understanding gallstone causes, symptoms, and treatment options is crucial for proper management and improving quality of life.
Gallbladder removal surgery, also known as laparoscopic cholecystectomy, is a common and safe procedure to treat gallbladder issues such as gallstones or other conditions causing pain, discomfort, or health risks. This guide explains when surgery is necessary, what to expect, and how it helps address gallbladder problems. Gallstones, solid particles that form in the gallbladder, are particularly common in India, especially among middle-aged women. A classic saying describes the typical gallstone patient as a “fat, fertile female of forty.” While this phrase is an oversimplification, it highlights some common risk factors. Gallstones not only cause discomfort and pain but are also a significant risk factor for gallbladder cancer. It is essential to understand the causes, symptoms, and treatment options for gallstones to prevent potential complications. Recognizing symptoms—such as upper abdominal pain, nausea, and bloating—and seeking medical advice early ensures proper management. Knowing about treatments, like laparoscopic gallbladder removal, empowers patients to make informed decisions that reduce risks and improve their quality of life.
Common Risk Factors for Gallstones
Female gender
Age over 40 years
Obesity or being overweight
Rapid weight loss
Pregnancy
High-fat, low-fiber diet
Family history of gallstones
Diabetes
Certain medications (e.g., those containing estrogen)
Liver disease
Recognizing Symptoms of Gallstones
Gallstones can cause significant discomfort and health complications. Common signs and symptoms include:
Abdominal discomfort, especially after meals (bloating, acidity, heartburn)
Persistent pain in the upper right abdomen
Pain radiating to the back or right shoulder
Tenderness in the abdomen
Nausea or vomiting
Fever (if infection occurs)
Rarely, intestinal obstruction due to large gallstones
Obstruction of the common bile duct, leading to jaundice or severe colicky pain
In rare cases, gallstones may slip into the pancreatic duct, causing acute pancreatitis.
When is Gallbladder Surgery Necessary?
Gallbladder Surgery Is Recommended For:
Acute cholecystitis (sudden inflammation of the gallbladder)
Chronic cholecystitis (long-term inflammation with gallstones)
Acalculous cholecystitis (inflammation without stones in rare cases)
Symptomatic gallstone disease
Gallbladder polyps
Benign or cancerous gallbladder tumors
Gallbladder injury or trauma
Obstructive conditions like mucocele or empyema
Gallbladder volvulus (rare twisting of the gallbladder)
As part of other surgeries, such as a pancreatic Whipple procedure
Diagnostic Procedures Before Surgery
To confirm the need for surgery, doctors may recommend:
Blood Tests: To check for infection or liver issues.
Abdominal Ultrasound: A primary diagnostic tool for examining the gallbladder and liver.
ERCP, MRCP, or CT Scans: To visualize bile ducts and check for blockages.
The Surgery: What to Expect
Gallbladder removal is typically performed using minimally invasive laparoscopic techniques, involving small incisions less than one centimeter. This approach offers benefits such as reduced pain, quicker recovery, and faster resumption of normal activities. Most patients can walk within 4–6 hours post-surgery and are discharged within 24–48 hours. Open surgery is rarely performed today, and in select cases, single-incision laparoscopic surgery is an option.
Benefits of Laparoscopic Gallbladder Surgery
Less Pain And Discomfort
Faster recovery, with patients often discharged within 24 hours
Early resumption of light activities, sometimes within a day
Minimal scarring due to smaller incisions
Enhanced visualization for obese patients
After Surgery: Recovery and Care
Post-Surgery Recovery Involves:
Diet: Stick to low-oil, low-spice foods for the first six weeks.
Pain Management: Mild pain medications may be prescribed for a week if necessary.
Bandage Care: Small bandages over incision sites can be removed after five days. Dissolvable stitches are often used.
Activity Level: Light daily activities can resume within 24 hours, but avoid strenuous exercise and heavy lifting for about three months.
