FAQs - General Surgery

  • Discuss about anorectal conditions?
    Discuss about anorectal conditions?
    Shiv Chopra
    Dr. Shiv Chopra, General Surgery Senior Consultant, Mool Chand Hospital, New Delhi, will explain the anorectal conditions in this video. Piles are usually painless, painful conditions are fissures, fistula and proctitis. Fissure is a longitudinal cut in the anal canal. Whenever hard stool is passed there is some amount of trauma to the area. The management for fissure is to have enough water and pass soft stool and avoid being constipated. Chronic fissures need surgery. He will further explain about piles and its management.
  • Discuss hernia and its management?
    Discuss hernia and its management?
    Shiv Chopra
    In this video, Dr. Shiv Chopra, General Surgery Senior Consultant, Mool Chand Hospital, New Delhi, will talk about hernia and its management. Hernia is basically due to certain weakness of abdominal wall or manmade creations such as smoking, obesity, sedentary lifestyle. Treatment is to reduce the defect with some prosthetic material known as mesh. He will further explain about mesh which is used to strengthen the abdominal wall. Also, he will discuss why it is important to evaluate the patient properly before the surgery.
  • Advantage and Disadvantage of Laparoscopic Surgery?
    Advantage and Disadvantage of Laparoscopic Surgery?
    Shiv Chopra
    Dr. Shiv Chopra, General Surgery Senior Consultant, Mool Chand Hospital, New Delhi, will discuss the advantages and disadvantage of laparoscopic surgery in this video. The advantages of laparoscopic surgery are small incisions, less wounds, less infections, less hospital stay, etc. Certain surgeries cannot be done through laparoscopy such as cancers as there is risk of complications and sometimes incomplete clearance.
  • What is an asymptomatic gallstone?
    What is an asymptomatic gallstone?
    KK Aggarwal
    In this video, by Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about the asymptomatic gallstones. Asymptomatic gall stones are also known as incidental gallstones which are found in routine health check-up. The percentage of occurrence of complications or symptoms is very low hence prophylactic surgery should be avoided in asymptomatic patients.
  • How should we manage biliary colic?
    How should we manage biliary colic?
    KK Aggarwal
    The video will discuss about biliary colic by Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks. Once the person develops a biliary attack, he must be operated to remove the gall bladder unless there is comorbid condition present and the risk of removing it is higher. 70% of the patients with biliary colic will develop recurrent symptoms in the next two years.
  • What can happen if gallstones are left untreated?
    What can happen if gallstones are left untreated?
    KK Aggarwal
    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about gallstones left untreated. Majority of patients with gallstones will not develop symptoms. Only 15% will become symptomatic in 15 years of follow-up. No prophylactic surgery is needed as surgery might carry risk.
  • Is it necessary to cut hair with a razor before any surgery?
    Is it necessary to cut hair with a razor before any surgery?
    KK Aggarwal

    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk about cutting hair with a razor before any surgery in this video. He says that we should not cut hair with razor as it can cause micro-injuries or micro-abrasions and has more chances of surgical site infections. Clippers or depilatory creams or hair removing creams can be used to remove hair.

  • If you are going for an elective surgery, should you stop smoking?
    If you are going for an elective surgery, should you stop smoking?
    KK Aggarwal

    In this video, Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about smoking and elective surgery. He says that you need to stop smoking 6 to 8 weeks before the surgery for the benefits. If you smoke till the date of surgery, then it can result in chest infections, complications, etc.

  • When should we remove gallbladder in a patient with acute cholecystitis?
    When should we remove gallbladder in a patient with acute cholecystitis?
    KK Aggarwal

    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will talk about the gall bladder surgery in a patient with acute cholecystitis in this video. If a patient has an acute cholecystitis or gangrenous cholecystitis, then laparoscopically gall bladder should be removed within 72 hours. An after 72 hours, an open laparoscopy operation should be done. If the patient has a comorbid condition, then it is better to wait and operate after 6-8 weeks of stabilization.

  • Surgical management of acute appendicitis?
    Surgical management of acute appendicitis?
    KK Aggarwal

    Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks, will discuss about the acute appendicitis and its management in this video. Patient with acute appendicitis should be operated within 12 hours. He will further explain that any surgery done after 48 hours has surgical related infections. In non-perforated, uncomplicated, acute simple appendicitis should be operated in less than 12 hours.

  • Can a person with acute appendicitis have normal appendix during surgery?
    Can a person with acute appendicitis have normal appendix during surgery?
    KK Aggarwal

    The video will discuss about whether a person with acute appendicitis can have normal appendix during surgery by Dr. K K Aggarwal, President Heart Care Foundation of India and Group Editor in Chief MEDtalks. In 15% of the cases, the appendix can look normal during surgery. Surgery can be done with a suspicion of appendicitis or the appendix can have a microscopic inflammation which can be detected with histopathology. He will also explain the protocol to be followed before appendectomy.

  • When should we send the patient for kidney transplant?
    When should we send the patient for kidney transplant?
    Ramesh Hotchandani
    In this video, Dr. Ramesh Hotchandani, Nephrologist, answers "When to send the patient for kidney transplant"
.