Dr. Mehli Nazir Blogs

A Pilonidal sinus is a tract,small cyst or abscess that occurs in the cleft of the buttocks. It can cause severe pain and often becomes infected. What Are The Causes Of Pilonidal Sinus Disease ? Causes of Pilonidal sinus is believed to be chiefly  bifactional Seen in hirsute (hairy individuals) individuals with potential for free hair to lie within the natal cleft Presence of pits/dimples within the natal cleft area that promote the entrance of loose hair/debris into the subcutaneous tissue  How Are Pilonidal Sinus Treated?   Once a pilonidal sinus has been definitely identified, surgery is the treatment of choice.  Sometimes if this condition manifests with an abscess formation, then a procedure to drain the abscess will be required as a pre – requisite.  Occasionally abscess drainage alone may suffice. Surgery is done under General  Anathesia  where the entire diseased complex is excised.  Primary closure of this wound is almost always done (no r

Colectomy is a surgical procedure to remove all or part of your colon. Total Colectomy involves removing the entire colon Partial Colectomy involves removing part of the colon Proctocolectomy  involves removing both the colon and rectum How Is A Colectomy Performed? Colectomy is performed via open surgical or a Laparoscopic method. What Are The Benefits Of The Laparoscopic Or Minimally Invasive Approach? Benefits of Laparoscopic method includes: Better Cosmesis Earlier return of bowel function Less postoperative pain Shorter hospital stay Indications For Colectomy Surgery  Some of the frequent indications for Colectomy include: Diverticular disease of the colon Colon cancer Inflammatory bowel disease i.e. Crohn’s Disease or ulcerative colitis Bowel infarction (loss of blood supply) Recovery From Surgery   Typically the patient is started on oral sips of fluids by the 1 st  post operative day itself, from where the quantity of or

An anal fistula is a  passage ( tract) from the anal canal to an opening in the skin near the anus. What Is An Anal Fistula?   This a  channel extending from the anal canal (usually) to the skin in the area surrounding the anal verge.  It is frequently a result of the formation of an anal gland  infection which  may manifest as an abscess. What Is The Treatment For Anal Fistula ? Surgery is almost always needed as only very few fistulas heal by themselves.  The procedure of choice depends on: Type of Fistula Presence/ absence of infection/large abscess. In majority of cases a  fistulotomy  procedure alone suffice.  In this the tract is  layed  open along its entire length, and the wound so created is allowed to heal by scar tissue formation.  Occasionally in the case of a complex fistula a two stage procedure is warranted to achieve full healing without complications. Recovery From Surgery Can be done as a day procedure operation. Occasi

It is a painful tear at the lower end of the anal canal.  Why Does An Anal Fissure Occur? Anal fissure typically occur after the passage of a hard constipated motion. It sometimes is associated with other pathological processes in the colon. What Is The Treatment Of Anal Fissures ? Like other small tears in the body an anal fissure may heal by itself within 14 – 21 days. During this period a patient should:   Increase the  fibre  in their diet Increase the oral fluid intake Not delay a bowel movement when urge to defecates occurs Apply topical ointments including a local anesthetic ointment and / or glycerol  trinitrate  preparation Sit in a warm  sitz  bath 2 – 3 times/day Oral analgesia may be required If  inspite  of the above no improvement has been achieved, then other interventions may have to be considered.  This includes amongst others: Internal  Sphincterotomy Botulinum  toxin injection   Both the above

Haemorrhoids are swollen veins in the anal canal.  This is a common problem that is usually not serious. Veins can swell inside the anal canal to form haemorrhoids.   How Are Haemorrhoids Diagnosed? Haemorrhoids are diagnosed by a detailed history followed by a rectal digital examination and  proctoscopy . This is all done at the clinic itself.  The history will classically entail the passage of hard motions, bright red painless bleeding associated with motions and a history of constipation. What Is The Treatment For Haemorrhoids? Treatments of haemorrhoids depend on the stage of this disease process.  Early stage haemorrhoids are successfully treated with a combination of high  fibre  diet, plenty of oral fluids, avoidance of straining during  defaecation  and local application of topical ointment.  Surgery is almost never warranted. More advance stage haemorrhoids ( stage III  and IV) may require surgical  intervation  if all efforts at conservat

A Hernia is an abnormal protrusion of intestine or part of it through an abnormal opening in the wall that normally contains it.It usually presents as a swelling noticed by the patient. Hernia repair refers to a surgical operation for the correction of a hernia.  Hernias can occur in many places, including the abdomen, groin,  diaphragm  and at the site of a previous operation. The two main types of hernia repair surgeries are: Laparoscopic  Hernia Repair Surgery Open   Hernia Repair Surgery   How Long Does It Take To Perform A Laparoscopic Hernia Surgery? Laparoscopic hernia surgical repair take typically between 1 -2 hrs depending  on the type of hernia repair the patient is undergoing. How Long Does It Take To Recover From A Hernia Surgery? Recovery from hernia begins with the commencement of fluids and diet 5  hrs  after surgery. Patient is mobilized on the same day of the surgery.  The following day patient typically goes home. In the

Cholecystectomy is a surgical procedure to remove your gall bladder.  This is a pear-shaped organ that sits just below your liver in the upper right side of your abdomen. What Is The Gallbladder? It is an organ that stores bile, a digestive enzyme produced by the liver. What Are The Indications? Indications of gall bladder removal include: Cholecystitis  or inflammation of the gall bladder usually associated with stones. Pancreatitis- inflammation of the pancreatic gland caused frequently by the passage  of  stones  or sludge down the common bile duct (CBD). Obstructive Jaundice – increase in bilirubin due to obstruction of the flow of bile down the CBD. Biliary colic – pain caused frequently by stone traversing the CBD.  Surgery is done principally after the CBD has been cleared of stones. Gallbladder polyps. What Are The Benefits Of A Laparoscopic Procedure For Gallbladder Removal? Better  Cosmesis Early return to work