Sir Ganga Ram Hospital

Namshkar. M Dr. Vivek Bindal, consultant laparoscopic, robotic, or bariatric surgeon hn. Sir Ganga Ram hospitan New Delhi k andar institute of minimal access, metablic and bariatric surgery main practice krta hn. bariatric surgery ya motapy ki surgery ya weight loss surgery ya diabetes surgery ek aisi vidhi hai jis k duhwara jo log moty hain, diabetes ya blood pressure sy warasht hn unka durbeen sy ya robotic surgery sy operation kia jata hai. Jis sy un ka wazan thek ho jata hai. Unki diabetes thek ho jati hain, blood pressure thek ho jata hai. Migrane thek ho jata hai. Infertility ki problem jin mahilaon ko hai wo problem thek ho jati hai. Or un ki life style or unki quality of life bht improve krti hai. Ye ek aisi vidhi aj ki tareekh main hamary pas available hai jo moty diabetic hypertensive, migraine, joint pains sy suffering jo patients hn un ki life ko badalny ka ek bht hi acha kargar udchar hai. Aj ki date m jo b pait k operation hamein krny party hn. Beshaq wo harniya k hn, pathri k hn, ya koi liver k, adrenal k ya pancreas k operation wo sary hm durbeen sy ya robotic surgery sy krty hn. Robotic surgery sb sy latest technique hai pait ka koi bhi operation krny k lye. Is k andar ek bht hi sateek tareky sy pait main robotic instruments k zariye maheen organs ko precise tareky sy operate kia jata hai. Jis sy blood loss minimal hota hai or recovery fast hoti hai. Is vidhi ki, robotic surgery ki training main ny America sy ek saal ki fellowship kr k li hai. Or yahan per robotic surgery hrny main Hindustan main hamara department sb sy adhere raha hai. 2012 sy hm robotic surgery kr rhy hn. Agr ap kisi b bemari k lye mjh sy consultation chahty hn, milna chahty hn to ap Lybrate k through ya mery clinic Delhi Gastro and obesity center jo pateel nagar main hai yahan per a k mery sy mil skty hain ya phr Sir ganga Ram hospital main OPD main room number F42 main ap mjhy mil skty hain.

How laparoscopy can help in treating gallbladder stone and prevent you from severe medical conditions, which can happen because of it.

Hello I am Dr Sudhir Kalhan. I am senior consultant and the CO chairman of the department of minimal access metabolic and bariatric surgery at Sir Ganga Ram Hospital. Sir Ganga Ram Hospital is a multispeciality tertiary care centre having reference from all over India. Power department specialising in treating diseases of the gallbladder appendix and hernia and diseases related to obesity. Today I am going to discuss common diseases like gallbladder stone disease. Gallbladder as we all know is a small organ in the liver bed. It stores about 30 ml of bile and whenever we have a heavy fatty meal, this extra bile is secreted into the stomach.

Very commonly especially in North India where we take a fat rich diet which is high on lipids and cholesterol we have what is known as gallbladder stone disease. So what happens is that whenever we take a fat heavy meal this gallbladder contracts and produces pain the upper abdomen which radiates it to the back. Gallstone disease can be very very dreadful if these those fall into the common bile duct it can produce jaundice. If did stones pass into the pancreas they can produce inflammation of the pancreas and dreadful disease of pancreas which can later cause diabetes mellitus. Also one of the most dreaded complications of gallbladder stone disease is that 10% of longstanding gallbladder stone disease can go into cancer of the gallbladder which is a near fatal disease.

On the other hand gallbladder disease can very easily be tackle now using a technique known as laparoscopic surgery. Yes Kotak surgery commonly known as keyhole surgery or Telescopic surgery or loosely also as laser surgery requires making small tiny holes into the abdomen 5 millimetres of size which insert a telescope which is connected to a camera. Using this telescope and camera we put and ancillary instruments and bisect the gallbladder of the liver bed and using metallic clips this is then dissected of and removed from the gallbladder. The disease gallbladder is then sent for biopsy.

This whole surgery normally takes about 20 to 30 minutes and most of the patients can start moving around 1 to 2 hours after surgery and typically with 24 hours the patients are back to the normal routines. That means they can move around the can climb stairs they can eat there normal diet and they can go back to the normal works within 3-4 days. So my suggestion to all of you is that gallbladder disease is a very dreadful disease. We should not wait for the disease to advanced.

An early treatment leads to early recovery. Thank you.

Non-Surgical way to get relief from Hernia

I am Dr Mukul Khaitan, senior consultant at Institute of minimal access metabolic and bariatric surgery Sir Ganga Ram Hospital. I am having a vast experience of laparoscopic and bariatric surgery since last 20 years. Sir Ganga Ram Hospital is a prestigious Institute and is serving the society in the field of laparoscopic and bariatric surgery since last 3 or 4 decades. Today I am going to talk about hernia. I will be talking about hernia in terms of like whether a patient or you know that you are suffering from hernia? How hernia can be diagnosed? What are the signs and symptoms and then what is the treatment option?

Hernia is the protrusion or I will say a break in abdominal wall cavity. It is similar to a wear and tear in your tire. So your tube is coming out of the tire or maybe a hole in your cloth. When we repair a tire with the patch of tire or maybe when we repair a cloth with a piece of cloth, similarly hernia is to be repaired and it needs a surgical intervention. Now how to know that you are suffering from hernia or not. Any patient who is having a sudden onset pain in the abdominal wall or sudden onset appearance of a swelling in the abdominal wall or in the groin should consult a surgeon to look further the developing hernia. Hernia occur anywhere in your abdominal wall or groin starting from just below the chest wall upto near your junction of abdominal wall and thigh and can be divided into depending upon their sites. Like epigastric hernia occurs in upper abdomen. Umbilical hernia occurs near the umbilicus.

Inguinal hernia occurs in the groin area and there is other called the incisional hernia occurs at the site of previous surgery. Now once you know you are suffering from the hernia what complications you should expect from if you are not seeking a medical advice for your hernia. If the hernia slowly grows in size the contents of the abdominal wall like your intestines, your fat inside the abdominal wall or maybe abdominal organs can come out through that hernial defect and can get and trapped leading to surgical emergency. Hernia as I said earlier requires a surgical treatment. In the era maybe 4 or 5 decades prove that heading are required I repair in terms of open surgery. Now last two decades we have a vast experience and we are running a Indian hernia Academy over there at our Institute at Sir Ganga Ram Hospital.

ENT doctors from all over the India are coming to learn the laparoscopic hernia repair skills from us acme Institute of minimal access metabolism and bariatric surgery. Hernia requires a laparoscopic repair in terms of either it is abdominal wall hernia or groin hernia. We are having a vast experience off recurrent or we will say re-recurrent hernias. Re recurrent hernias means the hernia which have recovered after a open surgical repair over after laparoscopic surgical repair. In those cases we have a very vast experience and we do almost 30 to 40 such hernia as a month and we are getting referals all over the country. So in the last I'll say if you are having a sudden onset of pain in your abdomen or a sudden onset swelling which you are not able to understand the cause you should see the surgical advise and come to our clinic for getting a surgical advice.

If you want to consult me for your hernia or any such problems you can contact me either on my website or you can connect me on lybrate or you can visit my OPD at Sir Ganga Ram Hospital. It F42, 1st floor. You can come and meet me over there.

Advantages and detail about Laparoscopic and Bariatric surgeries

Hi I am Doctor Suviraj John. I am a consultant at Minimal Access. Perform surgery through laparoscopy and now through robotic surgery as well. I am a consultant at the Institute of minimal access and metabolic and bariatric surgery at Sir Ganga Ram Hospital. Our speciality is fully dedicated to performing surgery through laparoscopy and robotic surgery. The main benefits being smaller wounding, lesser pain, early recovery, to work as well as to normal life because in the overall experience is lesser than conventional open surgery. We apply our science to the broad areas of digestive disorders like gastroesophageal reflux disease, gosselin disease and problems like rectal prolapse and also now increasingly to problems of abdominal hernia which are in gualala swell as incisional in nature.

We also cover gastrin Silo cancer and now increasingly in the areas of obesity and metabolic syndrome. Gothel affects about five percent of of the population for the large part of it is asymptomatic people don't have any symptoms but when it affects people it can come down to life threatening problems. We advise our chloesectomy that has a removal of the gallbladder through leproscopy for people affected with this disease as in the long term this disease can cause pain infection even up to rupture of the gallbladder. Ship it to the stone to the common bile duct resulting In damage the liver, jaundice and even conditions as threatening as acute pancreatitis and in the long run can cause damage related to chronic cholecystitis and also in the origin of called letter cancer which is a very aggressive cancer. So does if you are known to have gallstones on a routine checkup or having found to have gallstones for minimum symptoms such as dyspepsia we would advise you to consult a surgeon and have the gallbladder removed as soon as you can.

Hernia, this is a increasing in the population worldwide. Even in India up to 10%population can be affected with the hernia. Common hernias are in the groin and amreen inguinal hernias. The second most common of ventral hernias of the abdominal wall like the umbilical hernia as well as incisional hernia division now becoming more common as we can undergo more and more abdominal operations. We apply the science of leproscopy to the repair of these hernias because we find that people with hernias operated by laparoscopy we have quicker return to work, less pain as well as better function and christmases in gualala is a routine be prepared by laparoscopy in in our department as well as most ventral abdominal and incisional hernias.

Gastritis on cancer now ranks from III and IV most common cancers worldwide and also in Asia they are coming up in India as well. The most common cancer from stomach cancer today in India probably would be the colorectal cancer and we as a routine operate those who have operable colorectal cancer laparoscopy as well as the robotic surgery. We have found that our outcomes are excellent from the cancer point of if view as we have long-term follow-up these patients an accident short term quality of life indices. Gastric cancer is rated as the fourth most common cancer worldwide and also around the third most common cancer gastric cancer in the world.

About 50 million Indians are considered to have obesity. In fact in our cities anywhere from 55 to 65%to the population is now overweight with 20 to 35% of them be actually obese. Salary of a city is a whole health altering and a life threatening disease. Dangerous long time problems like diabetes hypertension heart disease kidney failure sleep apnea asthma and even problems like cancer are strongly associated with obesity and increasing in diseases and rates of obesity. Does obesity presents to us as a post to disease and it is our duty to impress upon people that the prevention of opacity is imperative. But sadly once the obesity has been confirmed in a person of a long term in terms of presence you have to act and resolve this problem along with its concomitant commodities like diabetes.

The best long term solution for severe obesity and its associated commodities today is bariatric surgery. The wonderful aspect of bariatric surgery is that not only does it offer you a long time resolution in terms of weight loss but it also almost results and cure promises diabetes up to 90 to 95% of people, hypertension in about to 80% of people, sleep apnea in up to 95 % of people and problems which is ask them are and diseases like diabetes up to 60 to 70%. The most wonderful thing in this procedure is it that it reduces the risk of death and increases long-term survival. People this is its biggest benefit.

You can contact me through lybrate.com website or at hospital or also at my clinic. Thank you.