Friday, April 29, 2016

Do all hernia need surgical intervention?

Hi Friends,
I do come across many patients in my OPD who afraid of the idea of being treated by surgical interventions in diseases like hernia. The hernias are of different types according to the anatomical sites and contents. The commonest are:
1. Inguinal Hernia - Common in males
2. Ventral hernia - Hernia of the abdominal wall - Common in females
3. Femoral hernia - Common in females, but incidence are not common
4. Hernia of anterior abdominal wall such as Epigastric (Above umbilicus in the epigastrium), periumbilical and Umbilical.

Inguinal Hernia:

Umbilical Hernia:
Epigastric Hernia:
Incisional Hernia:
These are a few examples of certain hernias seen in human beings. Now come to an important question, whether one requires to perform surgical procedures in all these hernia. My point is that although the hernia is a surgical disease, yet there is no need to perform surgical procedures in all hernias.

Inguinal and Umbilical hernias are prone to get obstructed and there are chances of complications in these hernias. Therefore, they should be get operated. 

Epigastric and Periumbilical hernia may be managed by certain methods like wearing supports and taking care of flatulence etc. 

However in case of sudden pain and discomfort, medical attention should be sought immediately.   

Sunday, April 24, 2016

Umbilical Hernia

What is Hernia:
It is prolapse of an organ or a part of it through an abnormal opening. It is named after the anatomical site of hernia such as inguinal, femoral, umbilical, epigastric etc.

Symptoms:
1. Swelling which increases on exertion, walking, coughing and weight lifting
2. Mild discomfort
3. Severe symptoms when it is obstructed particularly inguinal and umbilical.

Treatment:
The treatment is surgical only.

Palliation:
1. Avoid exertion
2. Wear support

When to consult:
sudden increase in size
Sudden increase in pain
Pain not relieved by medicines

Then

Go to ER


Thanks

Friday, April 22, 2016

Hodgkin's Lymphoma

There is bilateral symmetrical enlargement of lymph node of cervical, axillary and inguinal lymph nodes. These are rubbery, firm and painless.


Congenital Torticollis - Shortening of Sternocleidomastoid muscle

It occurs on account of shortening of sternocleidomastoid muscle.

Symptoms:
Patient is not able to turn the head to opposite side and in severe cases the turning of head toward shoulder occurs and it is permanent.

Treatment:
Only corrective surgery is the treatment of choice.

Sunday, April 17, 2016

Severe Jaundice in Viral Hepatitis - Yellow Eyes and skin



Jaundice:

It means yellow discolouration of skin and mucous membrane. Jaundice is of three types:

1. Hemolytic - Due to excessive hemolysis in blood disorders and Malaria etc.

2. Infective: Viral, bacterial or protozoal

3. Obstructive: Obstruction to the passage of Bile flow

Investigations:

LFT

Hepatitis profile

Ultrasound examination of Liver

Thursday, April 14, 2016

Ayurvedic Ksharsutra Therapy in Pilonidal Cyst Sinus

Pilonidal Sinus is a chronic discharging sinus present in gluteal cleft and it is common in age group of 16 to 30 years and commonly occurs in male with abundance of hair.
Depilation and Ksharsutra therapy is best in dealing with such sinuses. Surgical excision ought to be avoided as it is a frustrated experience.

https://youtu.be/mTGFrvaxvWE







Portal hypertension - Tortuous veins demonstration





Portal hypertension means raised pressure in portal vein and it is because of obstruction to the flow of fluid on account of liver cirrhosis and cardiac causes.