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.
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.
The DI surge. A conference with emphasis on advanced techniques for repair of Hernia of the abdominal wall and for management of complex cases.
Glad to be a part of the faculty. The Her-nia panel discussion with all female surgeons on board, was an interesting insight into the practices of the surgeons across the world dealing with the problem of Hernia in women. Their acceptance in the face of multiple pregnancies, the balancing act between hernia repair and contouring of the abdominal wall and of course the multiple aspects of approach and management.
Chairing the sessions and participating with the faculty on TAPP, TEP and robotic approaches to Lateral Hernia.
But the most heartfelt moments were when senior colleagues met the junior budding surgeons to share the stories of success and grind.
Thanks to Dr Deepak Subramanyam, Dr Ramana, and the entire team of Chennai for a fabulous effort in bringing the faculties across the world together on a platform.
Dr. Ritu Khare MS FRCS FACS, Colorectal, Laparoscopic and Breast Surgeon.
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.
Dr. Ritu Khare MS FRCS FACS, Colorectal, Laparoscopic and Breast Surgeon. Expert in abdominal wall hernia repairs and reconstruction of the abdominal wall.