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 d...

  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 Recovery From Surgery Typically the patient is started on oral sips of fluids by the 1st post operative day itself, from where the quantity of oral intake gradually increases until the patient is on a semi solid diet by the 3rd – 4th post operative day. Read more at  https://doctormehlinazir.com/colectomy/ About Dr. Mehli Nazir: Dr. Mehli A Nazir, MBBS, MS, F.R.C.S (Edin) is a  colorectal and laparoscopi...

  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. Occasionally depending on the type of fistula and therefore selection of surgery, a few days...

  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 can be done as a day procedure operation with excellent l...

  About Hemorrhoids: 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...

  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 surgery  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 case of more complex hernia repairs, t...

  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 Less pain pos...