What is Splenectomy? Why is it required?

They say, "the way to a man's heart is from his stomach." Let me give it a modern century twist, the way to every individual's heart be it a man or a woman is from his or her stomach. Such is the value of stomach for the overall happiness of an individual then we can conclude on the value of maintaining the overall health condition of the stomach which likewise keeps up the general well-being of the individual. In this article, we will make you aware about the medical condition of splenectomy and for highly accurate information, we have gathered our information from the best gastroenterologist in Delhi NCR.

Firstly, let's know about the basic anatomy of the spleen which will throw light on how the condition of splenectomy becomes a necessity for treating a damaged spleen. In the upper left side of abdomen just under the rib cage is the organ, spleen which is majorly involved in filtering the unwanted blood cells and it has significant roles to play in providing protection against various kinds of infections.

A highly qualified top stomach specialist Delhi points out that usually abdominal injuries become the underlying cause for a treatment through a splenectomy. Basically, injuries in the region of the abdomen can lead to rupture in the spleen which causes pain. If the spleen enlarges beyond the normal limits, it starts to interfere with the general functioning and it starts to cause discomfort to the individual by enabling a 'feeling of fullness'. Progression of some cancers namely, lymphocytic leukaemia, Hodgkin's  lymphoma, non-Hodgkin's  lymphoma, and hairy cell leukaemia, they start to interfere in the normal well-being of the individual, in such cases, a splenectomy has to be performed so that the patient can be relieved from the pain and symptoms of a dysfunctioning spleen. The best GI surgeon in Delhi points out that a splenectomy is also an effective treatment in the cases when noncancerous tumours (or cysts) inside the spleen progress into such forms that their removal from the body is not easy. Development of blood disorder can hamper the health of the spleen. Particularly, idiopathic thrombocytopenic purpura, polycythemia vera, and thalassemia can trigger an unstable working of the spleen, a splenectomy is recommended as a treatment. In addition to these, state of severe infection at times becomes an adverse medical condition to be dealt with, the recommendation of a splenectomy, in this case, is an effective measure to reclaim the normal health of the patient.

In the best GI surgery hospital in Delhi, this procedure of a splenectomy is performed under the influence of a general anaesthesia through usually a liquid or gas medication. During the entire surgical procedure, the activity of the patient is kept under strict observation. The prerequisite of a spelenctomy is a detailed diagnostic assessment of the patient which evaluate his or her eligibility for the patient contingent upon some factors, including the cause of the spleen disorder, the extent of the problem, and the overall health condition of the patient. The best gastro hospital in Delhi offers two methodologies for a splenectomy, namely traditional and laparoscopic. Even though the latter procedure of a laparoscopic surgical procedure has various advantages to offer because it is a minimally invasive surgery and it quickens up the period of rehabilitation plus, the scaring remains minimum. But the choice of the type of a splenectomy to be performed is based upon the doctor's evaluation of the patient's condition. If the spleen is large, the chances of performing a spelenctomy through a traditional method increase.

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Why do I have to get my tonsils removed?

Tonsils are small glands at the back of the throat that store white cells to fight infection, but can themselves become infected leading to tonsillitis, an infection that causes tonsils to swell and lead to a sore throat. These can be treated by tonsillectomy which is a surgical procedure that is done to remove the tonsils. Two common reasons as to why tonsillectomy is performed are recurrent strep throat and sleep apnea. You can find Top 10 ENT specialists in Delhi to get your tonsillectomy done with high success rate. ENT specialists in Delhi are highly trained and experienced and this is the reason why Delhi is the ideal place to get the surgery done. Also, it would not only be cheaper as compared to other countries but you will also be attended by experienced doctors who will provide effective and efficient treatment. 

 

The leading ENT doctor in Delhi listed a number of symptoms that might be an indication of tonsillitis. These include fever, trouble swallowing, and swollen glands around the neck.  Also if the throat is red and tonsils are covered in a whitish or yellow coating, there is definitely tonsillitis. Antibiotics are necessary to remove the swelling if does not go on its own. The doctor may recommend a tonsillectomy if the patient experiences infection five to seven times in a year and even then the severity of those infections and how the person responds to antibiotics is considered.

Children need tonsillectomy more than adults as it is a wise idea to get the tonsils removed at the younger age so that they may not cause problems in the future, however, adults can also get the tonsillectomy. ENT Hospitals in Delhi offer treatment options for both children as well as adults. Tonsillectomy can also treat other medical problems such as breathing problems related to swollen tonsils, frequent and loud snoring, periods in which you stop breathing during sleep which is also known as sleep apnea, bleeding of the tonsils and cancer of the tonsils. It is seen that usually, people stop having frequent infections after the surgery, but the surgery is still not hundred per cent effective. Although it can treat chronic infections, it can not prevent one from having the infections at all. Nevertheless, the frequency of the infections and is seen to be reduced after the surgery and when they do occur they are not as severe.

There are certain risks associated with tonsillectomy that your doctor may warn you about and these include nausea, vomiting, throat pain, difficulty in swallowing, low-grade fever, bad breath, earaches and fatigue. There are many ways to get the tonsils removed. Cold knife dissection is the most common way of getting the tonsils removed and in this procedure, the tonsils are removed with a scalpel by the surgeon. Another method is cauterization where the tissue is burnt away by ultrasonic vibration and using sound waves.

The surgery usually takes half an hour to perform and the risks that are associated with the surgery are side effects from general anaesthesia as the surgery is performed under general anaesthesia, infection, bleeding and swelling as well. ENT Surgeon in Delhi will provide you with all the knowledge regarding the surgery and will ask you about your medical history and only then will suggest you take a stride and your decision will be well informed. You will also be informed about the various alternatives if there are any. While recovering from the surgery it is normal to experience some pain in jaw, neck, ears and sore throat is also common and patients should sip water and eat ice cubes to soothe the pain and stay hydrated. Patients are also recommended not to eat anything hard or crunchy for a few days after the surgery.

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What is the right time to get treatment for gallbladder stones?

Gallbladder stones or gallstones are small stone like structure that develops in the gallbladder of a person or their bile ducts. The gallbladder is a small pear-shaped organ responsible for the secretion of bile juice which is extremely important as it helps in breaking down the fats present in our food. Gallstones can be extremely painful and need to be removed immediately. The treatment for gallbladder stones is available at the leading gastro hospital in Delhi where you can find the best gastroenterologist in Delhi NCR. Gastroenterology specialists in Delhi are highly trained and have successfully treated innumerable patients. Gastro hospitals in Delhi are known for their infrastructure and use of high-class technology.

As per the best gi surgeon in Delhi, there are a number of risk factors that increase your chances of developing gallstones. These are more common in women, people above 40 years of age, people having a family history of gallstones, obese and overweight people, patients suffering from other medical conditions like diabetes and Crohn’s disease, people having high levels of fat and cholesterol in their bodies etc. Certain drugs can also be responsible for the formation of gallstones.

Gallstones can be of two different types, pigment stones and cholesterol stones. Pigment stones are made up of bilirubin whereas cholesterol stones are made by excessive cholesterol deposition. Cholesterol stones are quite common as compared to pigment stones and from where there is too much cholesterol in the bile. Gallstones may also develop if the gallbladder does not get rid of all the bile juice that it produces. Pigment gallstones commonly affect patients suffering from cirrhosis or a chronic blood disorder.

Gallstones are also known as silent stone as they do not usually show any symptoms. The major symptom that shows the presence of gallstones is the pain associated with it. The patient usually experiences pain when the gallstones move from the gallbladder towards the various ducts. Gallstones that have a tendency of migrating from one place to another can lead to serious problems like acute cholecystitis (inflammation of the gallbladder), cholangitis (infection and inflammation of the bile ducts), and pancreatitis (inflammation of the pancreas). The presence of gallstones can also be indicated by several other factors which include nausea, sweating, unexplained fever and yellowing of the skin.

Smaller gallstones do not require surgical removal and can be treated with the help of oral medication, however, in the case of larger gallstones surgical removal will be required. The surgery is usually conducted when the patient feels excessive pain or discomfort however sometimes the doctor may remove the gallstone beforehand. It is very important to seek medical help as soon as experience any of these symptoms for immediate detection and treatment.

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What are different types of Vascular Diseases?

Vascular diseases refer to a specific category of diseases that affect our blood vessels which includes the arteries and veins. Our blood vessels function in coordination with a heart and help to supply oxygenated blood from the heart to different parts of the body and the deoxygenated blood from these body parts back to the heart. Our blood vessels are extremely sensitive and prone to a number of diseases and defects that can be hereditary, congenital or acquired due to unhealthy lifestyle practices. You can find one of the best vascular surgeon in Delhi NCR who is specialised in all kinds of vascular problems. He is listed amongst the top vascular surgeons in Delhi and has performed various successful surgical procedures to help patients suffering from a chronic vascular disease.

As per the leading vascular surgery doctors in Delhi, vascular diseases can affect people of any age group or gender and most of the time it is difficult to determine the symptoms in the initial stages. Vascular problems are more common in adults especially elderly people as their blood vessels tend to lose their strength and become defected easily. A lot of patients prefer to undergo vascular surgery in Delhi as you can find the most efficient and trusted vascular surgeons in Delhi. Depending on the type of vessel affected, Vascular diseases can be broadly divided into different types.

Some of the most common types of vascular diseases include the following:

Atherosclerosis and Peripheral Artery Disease - peripheral arteries serve as a pathway for the blood from the heart to various tissues and organs throughout our body. These can get severely affected by unhealthy deposits of fat, cholesterol and other impurities which can get easily deposited on the inner wall of the arteries. This leads to narrowing of the artery which hinders the normal flow of blood. The problem can lead to chest pain accompanied by breathlessness, nausea and fatigue. If left untreated it can lead to heart failure, stroke or even death.

Aneurysm - it refers to a bulge that occurs in the wall of the blood vessel and commonly affects the aorta. An aneurysm can either be thoracic or abdominal. All the problem does not pose any serious threat to the life of the patient but may trigger plaque build up. It can also lead to clot formation which can travel via the blood channels and get deposited on different organs.

Raynaud's Phenomenon (Raynaud's Disease or Raynaud's Syndrome) - the problems caused by temporary cut down of blood supply to your fingers or toes when you are cold or excited.

Peripheral Venous Disease and Varicose Veins - the problem occurs when your valves get so damaged that they do not close completely when your muscles are in a relaxed position. Usually, the valves prevent the backward flow of blood but in patients suffering from peripheral venous disease, there might be a flow of blood from both the sides.

Blood Clotting Disorders - there are certain disorders that can trigger the formation of clots in your body. The problem can be congenital or the result of an accident.  As a result of this problem the patient experience higher levels of the clot-forming substances like fibrinogen and factor 8, deficiency of blood thinning proteins, difficulty in breaking down fibrin and damage to the endothelium.

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How to use your shoulder after shoulder replacement surgery?

If your shoulder joint gets seriously damaged due to a disease or injury suffered in an accident, you might need to get it replaced by the help of a shoulder joint replacement surgery and you should know that your shoulder is not going to be the same after such surgery. You will have to get used to the artificial fixtures after the surgery as the surgery involves the replacement of the damaged joints by artificially created parts called grafts. The parts may include a stem made of metal and a metal ball that fits on the top of the stem and a plastic piece may be used as the new surface of the shoulder blade. Shoulder replacement surgery cost, as well as arthroscopic shoulder surgery cost, is quite affordable in India as compared to other countries in the world that is why so many NRIs prefer to get the surgery done here.

You will need to wear a sling for at least first 6 weeks after shoulder replacement surgery and this is done to provide extra support or protection to the arm and shoulder. You can continue using the sling even after this time period even after this period. You may need to wear a shoulder immobilizer to keep the joint in place as well. You should rest your shoulder and elbow on a rolled up towel or small pillow when lying down as this will help in preventing damage to your shoulder which can be possibly caused by the stretching of the muscles or tendons and you will need to keep doing this for 6 to 8 weeks after your surgery, even when wearing a sling. Wear the sling all the time unless your surgeon asks you to remove it. You should use the support of your good arm to move the arm that has undergone the surgery and move it only as much as your shoulder replacement doctors have asked you to. After 4 to 6 weeks of the surgery, your surgeon or physical therapist will show you other exercises to stretch your shoulder and gain more movement in your joint.

Your surgeon or physical therapist may teach you pendulum exercises to do at home for 4 to 6 weeks which will help your shoulder to gain strength and help you get acquainted with the new parts. To do these exercises you can lean over and support your weight with your good arm on a counter or table, hang your arm, that has been operated upon, down or very carefully and slowly swing your loose arm round and round in circles. Your surgeon or physical therapist will also teach you safe ways to move your arm and shoulder so that you do not over-exert your shoulder joints. You should not try to lift or move your shoulder without supporting it with your good arm or having someone else supporting it and your surgeon or therapist will tell you when it is okay to lift or move your shoulder without this support.

These exercises and movements may be hard in the beginning and may put a lot of strain on your shoulder but they will get easier over time and it is very important to do these as your surgeon or therapist showed you as doing these exercises will help your shoulder get better faster and they will also help you be more active after you recover.

You should try to avoid certain activities and movements like using your shoulder a lot, lifting objects heavier than a cup of coffee, supporting your body weight on the operated arm, making sudden jerking movements. Your surgeon or physical therapist will tell you which sports and other activities are okay for you after your recovery. You will probably not be able to drive for at least 4 to 6 weeks after the surgery as you might need to take narcotics during this period.

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