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Surgery for Hernia These operations are performed either by open surgery or by laparoscopy. Depending on the fitness of the patient and the onset of complications Open surgery for Hernia In Jalandhar Often performed under regional or local anesthesia. The scar is larger than in laparoscopy. The recovery takes longer and few patients may land with groin pain syndrome. Laparoscopy surgery In Jalandhar This surgery is performed under general anesthesia and requires catherisation of the urinary bladder. A small telescope is passed either in front of the peritoneum or behind it and the hernia is treated by reducing the sac and inserting a mesh and fixing it to the abdominal wall. Advantages of Laparoscopic Hernia Repair Small scar Rapid recovery Less possibility of groin pain syndrome Both sides can be treated through a single scar Cosmetically superior Complications of treatment Infection Bleeding Recurrence Surgery for Hernia In Jalandhar
Painless Delivery Epidural anesthesia is a most effective and advance in pain management during the labor, which will ensures that a pregnant woman will have a comfortable labor. It is a regional anesthesia in which the anesthetic drug is been injected near the spinal cord in the spinal canal. PROCEDURE: :In this, at the place of lower portion of the back, a fine plastic tube is been inserted with the medicine in epidural space. :After this, pain lowering medicines were regularly supplemented with the determined quantity with a help of infusion pump until the birth of the child. :From this, the sensitivity to the pains will disappears for some period of time, but the capacity of running motor fibers such as muscle remains active. :Since the mother can be cooperate in delivering child by applying her normal force. The women will get full relief from the labor pain. :She will remains by talking with full relaxation & she does not get the feeling that the mouth has fully opened up & the child is about to come outside. Even the family members will be surprised to see the child to be having been delivered without pain. :Unless it was experienced on self, it is very difficult to believe this smooth process. Painless delivery in Jalandhar
Breast cancer treatment In Jalandhar 1. Breast cancer treatment options depending on the location and size of the tumor in his chest. 2. Various methods of treatment of breast cancer Breast cancer treatment can be local or systemic. Radiation therapy and surgery is the treatment of breast cancer. Local breast cancer treatment that is used to destroy, remove or control the growth of cancer cells. Hormonal therapy and chemotherapy is a systemic treatment. Systemic treatment is targeted to control or destroy cancer cells throughout the body. Various forms of breast cancer treatment can be determined at the same time or one after the other. The operation is one of the treatment of breast cancer is the most common. Many types of surgical interventions can be used. Surgical intervention to remove the breast is called mastectomy. Surgery is done to remove the cancer cells without affecting the size of the breast is called breast conserving surgery or breast-saving. Radiation therapy or radiotherapy: The breast cancer treatment specialist using high energy radiation to kill cancer cells and to stop them from growing. Chemotherapeutic breast cancer treatment: The Specialist using different types of drugs or combination from different drugs to kill cancer cells or to stop them from growing. Drugs given in cycles; time of treatment followed by a longer recovery period followed by another breast cancer treatment. Hormone therapy for breast cancer treatment: It used to stop the growth of cancer cells that affects the female hormones. Breast cancer treatment may include the use of drugs, which changed the way hormones work or surgery to remove the ovaries produce female hormones. Breast Cancer Specialist in Jalandhar
How to Gain Weight After Radiation Therapy Cancer therapy can be an extremely physical and emotional time for the patient. In patients with cancer of the head and neck for instance, the immune system is often not functioning properly. The immune system does not destroy cancer cells. Causes of the failure of the immune system include severe malnutrition. To exacerbate the problem, radiation can severely effect the taste buds and saliva glands. The loss of appetite, difficulties in swallowing, no taste buds and the inability to dissolve food will result in a tremendous amount of weight loss. To gain weight after radiation therapy it takes patience and focus. Some cancer patients have gone days without a meal because they simply did not think to eat. No hunger pains or cravings for food means the brain doesn’t doesn’t let us know to do so. It has to be a conscious thought to sit down and eat a meal. There are a number of things to do and eat that can help the patient to gain weight. Some are obvious but need to be mentioned none the less. 1. It is important to eat and maintain good nutrition despite changes in taste. Prepare foods that appeal to you. Try and focus on foods from the food pyramid to help with a well balance diet. 2. Use a powdered or liquid diet supplement. Available on the market also include weight gain supplements in a gel tab form, with all the nutrition needed, enhance appetite and slow down metabolism to better absorb nutrition and calories. Even if you’re not very hungry, it’s important to keep your protein and calorie intake high. A weight gain supplement in gel tab form might be the answer. Doctors have found that patients who eat well can better deal with having cancer and with the side effects of treatment. 3. Eat five or six small meals during the day rather than three large ones. Eat when you are hungry, even if it is not mealtime. Moisten food with gravies and sauces to make eating easier. Try changing the consistency of foods by adding fluids and using sauces and gravies to make them softer. 4. Change your diet and try new recipes. If you enjoy people around while eating, try to have meals with family or friends. It may be helpful to have the radio or television on while you eat. Use low lighting, soft music, brightly colored table settings, or whatever helps you feel good while eating. 5. Keep easy meals in the freezer to use when you feel hungry. If other people offer to cook for you, let them. Don’t be afraid about telling them what you can eat. Keep healthy snacks for nibbling if you get the urge. 6. If you live alone, you might want to look into “Meals on Wheels” to bring food to you. Ask your doctor or local social service agencies about “Meals on Wheels.” This service is available in most cities and towns. 7. Add butter or margarine to your meals. Mix canned cream soups with milk or half-and-half instead of water. Drinking milkshakes between meals may help keep caloric intake high. Add cream sauce or melted cheese to your vegetables. Some people find they can drink large amounts of liquids even when they don’t feel like eating solid foods. If this is the case, take advantage of each glassful by making drinks enriched with powdered milk, yogurt or honey. A weight gain supplement in gel tab form may be a lot easier to manage. It can also help in making you hungry so you want to eat. 8. If the foods you like no longer taste good, try new foods and use different methods of food preparation. 9. Avoid spices and coarse foods such as raw vegetables, dry crackers or nuts. Remember that acidic foods and liquids can cause mouth and throat irritation. As you start to heal from the radiation you may be able to slowly add these types of foods to your diet. In conclusion, be patient and focused on the task at hand. It is a task. Weigh yourself often to keep track of your progress. If you are doing what is suggested and you still are not gaining weight, ask your physician or dietitian for help. Dr Rupinder Bhargava Oncology doctor in Jalandhar
Breast-conserving surgery Breast-conserving surgery (BCS) may be used as part of a treatment plan for breast cancer. It is sometimes called a lumpectomy or a partial mastectomy. During BCS, only the part of the breast that has cancer is removed. The cancer lump and some breast tissue around the lump are removed. How much of the breast is removed will depend on the lump’s size, and where it is located. The surgeon may also remove some of the lymph nodes under your arm to find out if the cancer has spread there. Radiation therapy is usually given after BCS. Who are suitable for breast-conserving surgery? BCS may be done as part of treatment for breast cancer. This surgery is an option for some women with a lump that is small. It’s also an option for many with early stage breast cancers. BCS removes a smaller part of your breast. You may worry that this might make your cancer more likely to return. But BCS can work just as well as surgery to remove the entire breast (mastectomy). Studies show that women who have BCS followed by radiation therapy have similar long-term survival rates as women who have a mastectomy. What happens during breast-conserving surgery? BCS is usually done under general anesthesia. A small cut /incision will be made over or near the breast tumor. The doctor will remove the lump or abnormality. He will also remove some of the normal breast tissue around it. For the removal of lymph nodes under your armpit, a separate surgical cut may be made in or near the armpit. You will likely go home the same day or in 1 to 2 days after BCS. Breast specialist in Jalandhar Cancer specialist doctor in Jalandhar
Types of Bone Cancers : Primary Bone Cancer Primary bone cancers are a specific sub type of a group of cancers which are known as sarcomas. They are cancers that begin in bone, muscle, connective tissue, blood vessels or fat and can be brought into anywhere in the body. There are various types of primary bone cancers. Osteosarcoma Osteosarcoma, also known as osteogenic sarcoma is one of the most common kinds of bone cancer and generally begins in bone cells in the arms, legs or pelvis. It happens mostly in people between the age of 10 to 30 and is common more in males than females. Chondrosarcoma Chondrosarcoma forms in cartilage cells and is the second most basic form of the ailment. This type of bone cancer barely happens in individuals under the age of 20 and the chances of creating it increase with the age. Ewing tumor Ewing tumor, also known as Ewing’s sarcoma, typically starts in the bones, however, can also start in other tissues and muscles. It is the third most common form of primary bone cancer. It occurs mostly in children and teenagers and is barely seen in adults, especially after the age of 30. Fibrosarcoma and malignant fibrous histiocytoma Fibrosarcoma and malignant fibrous histiocytoma typically develop in the soft tissue all over the ones, such as tendons, ligaments, muscle or fat. These kinds of bone cancer also tend to occur in older people and usually harm the arms, legs or even jaw. Huge cell tumor of bone can have gentle and hard forms, although the malignant which is the hard form is usually less common. It usually occurs in the arm or leg bones of young and middle-aged individuals and barely distributes to distant parts of the body. However, these cancers may return after surgery and the chances of spreading or distributing to distant sites increase with each local recurrence. Chordoma harms bones in the spine and the base of the skull. This type of bone cancer happens mostly in adults 30 or older, mostly in men. It tends to be slow-growing with a mild risk of distributing but may return at the original site of not removes properly during the surgery and may eventually spread to the lungs, liver or lymph nodes. Bone marrow cancer in Jalandhar Bone caner treatment in Jalandhar
Lung cancer facts • Lung cancer is the number one cause of cancer deaths in both men and women in the India and worldwide. • Cigarette smoking is the principal risk factor for development of lung cancer. • Passive exposure to tobacco smoke also can cause lung cancer. • The two types of lung cancer, which grow and spread differently, are small cell lung cancers (SCLC) and non-small cell lung cancers (NSCLC). • The stage of lung cancer refers to the extent to which the cancer has spread in the body. •Treatment of lung cancer can involve a combination of surgery, chemotherapy, and radiation therapy as well as newer experimental methods. The general prognosis of lung cancer is poor because doctors tend not to find the disease until it is at an advanced stage. Five-year survival is around 54% for early stage lung cancer that is localized to the lungs, but only around 4% in advanced, inoperable lung cancer. • • Smoking cessation is the most important measure that can prevent the development of lung cancer. Lung cancer doctor in Jalandhar • Cancer of the lung, like all cancers, results from an abnormality in the body's basic unit of life, the cell. Normally, the body maintains a system of checks and balances on cell growth so that cells divide to produce new cells only when new cells are needed. Disruption of this system of checks and balances on cell growth results in an uncontrolled division and proliferation of cells that eventually forms a mass known as a tumor. • Tumors can be benign or malignant; when we speak of "cancer, " we are referring to those tumors that are malignant. Benign tumors usually can be removed and do not spread to other parts of the body. Lung cancer Treatment in Jalandhar
What is Inguinal Hernia or Groin Hernia? Inguinal hernias occur in the groin area. It is amongst the commonest of hernia. It is seen in new born and very old patients too. Diagnosis Reducible swelling in inguinal region Painful or irreducible swelling in the same region Tests Sonography of the groin Tests for fitness for surgery Besides routine tests X ray chest ECG 2D echo stress test in suspected iHD patients Surgery options Open Hernioplasty or Herniotomy Laparoscopic Hernioplasty Advantages of Laparoscopic Hernioplasty Rapid recovery No postop groin hernia pain syndrome Cosmetically superior Both sides can be tackled thru same incision Intra abdominal surgeries can be carried out Technique Patient is under general anesthesia Bladder is Catheterized Telescope inserted under vision Additional ports are inserted under telescopic vision Hernial sac is dissected Mesh bed prepared Mesh inserted and tacked Desuflation done Ports closed Complications Injury to urinary bladder Injury to inferior epigastria vessels Infection Seroma formation Recurrence Hernia Treatment Hospital In Jalandhar Best Hernia Specialist in Jalandhar
WHAT IS CANCER Our body has different types of cells which grow and multiply several times in a day to maintain normal function. Occasionally this cell division is affected and creates a wrong cell or an abnormal cell, these divide further in an uncontrolled way affecting the other parts of the body. These cells which divide abnormally are called cancers. These cells can locally infiltrate the adjacent organs or invade the blood and lymphatic system and cause spread or metastasis. Cancer can occur in almost all parts of the body and they are categorized mainly from the cell in which they begin. Cancer arising from epithelium or covering of an organ - CARCINOMA Cancer arising from connective or supportive cells (E.g.: bone, muscle, ) - SARCOMA Cancer arising from cells which produce blood(bone marrow) - LEUKAEMIA Cancer arising from cells of immune system - LYMPHOMA and MYELOMA Cancer arising from nervous system - ASTROCYTOMA, GLIOMA HOW DOES CANCER START By damage to DNA - the genetic material in the cell By interfering with cell division and other controlling mechanisms of the cell. Damage to DNA can be caused by certain hydrocarbons, chemicals which are present in tobacco for example, radiation or due to certain chemical action in our body when the built in protection mechanism fails in our body. Certain substances for example stimulate cell division causing damage to DNA and causing mutation. Any factor which leads to the above can produce cancer. Best Cancer Hospital in Jalandhar
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