Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

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FAQ

Frequently Asked Questions

What is the recovery process like after laparoscopic surgery?

Recovery after laparoscopic surgery is often faster and less painful compared to open surgery.

The hospital stay is usually shorter, typically ranging from a few hours to a few days, depending on the procedure and individual factors.

Patients may experience some discomfort or soreness around the incision sites, but this can be managed with pain medications.

It’s important to follow the surgeon’s instructions regarding activity restrictions, wound care, and medication usage during the recovery period.

Are there any limitations or contraindications to laparoscopic surgery?

While laparoscopic surgery is a versatile technique, it may not be suitable for all patients or conditions.

Factors such as extensive scarring from previous surgeries, certain medical conditions, or anatomical complexities may make open surgery a more appropriate option.

The decision regarding the suitability of laparoscopic surgery is typically made by the surgeon based on individual patient factors and the specific procedure required.

What are the risks and complications associated with laparoscopic surgery?

While laparoscopic surgery is generally considered safe, there are potential risks and complications involved.

These can include bleeding, infection, damage to surrounding organs or blood vessels, adverse reactions to anaesthesia, blood clots, hernias at the incision sites, and the need to convert to an open procedure if complications arise.

However, the overall risk of complications is typically lower compared to traditional open surgery.

How is laparoscopic surgery performed?

During laparoscopic surgery, several small incisions, typically less than an inch in length, are made in the abdomen.

Carbon dioxide gas is then pumped into the abdomen to create space for the surgeon to work.

The laparoscope, along with other specialized instruments, is inserted through these incisions.

The surgeon guides the instruments while watching a high-definition video feed from the laparoscope.

The procedure is performed with the assistance of the surgical team, who manipulate the instruments as directed by the surgeon.

What types of surgeries can be performed using laparoscopic techniques?

Laparoscopic surgery can be used to perform a wide range of procedures, including but not limited to gallbladder removal (cholecystectomy), appendix removal (appendectomy), hernia repair, weight loss surgery, gastric bypass surgery, colorectal surgery, Diabetes surgery and cancer surgery of all organs of digestive systems.

What are the advantages of laparoscopic surgery?

Laparoscopic surgery offers several advantages over traditional open surgery, including smaller incisions, less postoperative pain, reduced blood loss, shorter hospital stays, faster recovery times, and smaller scars.

It also provides improved visualization of the surgical area and can be associated with fewer complications.

What is laparoscopic surgery for digestive organs?

Laparoscopic surgery, also known as minimally invasive surgery or keyhole surgery, is a surgical technique that uses small incisions and specialized instruments to perform procedures inside the abdomen or pelvis.

It involves the use of a laparoscope, which is a thin, lighted tube with a camera attached, allowing the surgeon to view the internal organs on a monitor.

5 reasons why Indians are more prone to develop Diabetes Type 2?
  1. Central Obesity
  2. Physical Inactivity
  3. Eating high sugar & high fat-rich diet
  4. The higher tendency of Insulin resistance
  5. Strong genetic association.
What is treatment of Diabetes type 2?

The treatment of Type 2 diabetes typically involves a combination of lifestyle modifications, medication, in some cases, insulin therapy and lastly surgery. The specific treatment plan varies for each individual and is tailored to their unique needs. Here are the key components of treatment for Type 2 diabetes:

  • Lifestyle Modifications:
    • Healthy Diet: Adopting a balanced and nutritious diet, focusing on whole foods, fibre-rich foods, lean proteins, and healthy fats. Limiting the intake of processed foods, sugary beverages, and refined carbohydrates.
    • Regular Physical Activity: Engaging in regular exercise, such as brisk walking, jogging, cycling, or any other form of aerobic activity, for at least 150 minutes per week. Resistance training can also be beneficial.
    • Weight Management: Achieving and maintaining a healthy weight through a combination of diet and exercise.

 

  • Pills (Oral Hypoglycemic Agents (OHA):
    • Metformin: Usually the first-line medication for Type 2 diabetes. It helps reduce glucose production by the liver and improves insulin sensitivity.
    • Sulfonylureas: Stimulate the pancreas to produce more insulin.
    • Dipeptidyl Peptidase-4 (DPP-4) Inhibitors: Enhance insulin secretion and reduce glucose production.
    • Sodium-Glucose Cotransporter-2 (SGLT2) Inhibitors: Lower blood glucose levels by promoting the excretion of glucose through urine.

 

  • Injectable Medications:
    • Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists: Stimulate insulin release, reduce glucagon production, slow digestion, and promote weight loss.
    • Insulin: If blood glucose levels remain uncontrolled with oral medications, insulin therapy may be initiated to improve glycemic control.

 

  • Metabolic or Bariatric Surgery (in some cases):
    • For individuals with severe obesity and uncontrolled Type 2 diabetes, bariatric surgery, such as gastric bypass or sleeve gastrectomy, may be considered to promote weight loss and improve metabolic health.

 

Regular monitoring of blood glucose levels, HbA1c (average blood glucose over several months), blood pressure, and cholesterol levels is essential to assess the effectiveness of treatment and make any necessary adjustments.

For uncontrolled diabetes type 2, Is aggressive medical treatment by higher dose of OHA & insulin inferior to that bariatric surgery?

Many people think that it will be alright to take extra pills and higher doses to get diabetes under control.

But, this thought process is proved wrong by one of the best medical study. It says that on the short term & long term, surgery gives better control of diabetes and its complications than giving extra pills or higher dose including insulin.

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