What Are Chronic Ulcers & How Do You Treat Them?

Chronic ulcers/wounds are open wounds on the surface of your skin that take a long time to heal. These ulcers are common on your ankles, feet, and legs. There are several reasons that can cause these ulcers. Given that the treatment is a long process, here’s all you need to know about chronic ulcers and their treatment process in Jodhpur.

What Are Chronic Ulcers/Wounds?

Chronic ulcers are wounds on your legs that, due to tissue loss, look like a hole inside your body. As they are open, they can become infected and get worse if not treated accordingly. Even with treatment, these wounds take a long time to heal. These wounds are not a result of accidents; they are caused by varying factors, which are discussed below.

What Causes Chronic Ulcers?

There are several risk factors that can lead to chronic ulcers. Let’s review the risk factors and why they contribute to chronic ulcers.

Chronic Venous Insufficiency

Due to blockages in the veins or due to reflux, which is the backflow of blood inside the veins, tissues in your leg can be affected by a condition known as chronic venous insufficiency. It is caused due to prolonged exposure to high pressure inside the veins of your legs. This is one of the main causes of chronic ulcers and wounds.

Obesity

Obesity is another leading cause of chronic ulcers because obesity has adverse effects on your circulatory system. The added pressure on your veins and arteries, combined with the possibility of developing clots in them, are what make obesity a leading cause of chronic ulcers.

Diabetes Mellitus

Diabetes is also a common cause of chronic ulcers because of its inherent effect on your body. Diabetes makes your body prone to infections, especially in your foot. Any wound takes longer to heal if you have diabetes. So, the possibility of getting chronic wounds increases with having diabetes mellitus.

It should be noted that chronic ulcers may seem like a variation of skin cancer, but for the most part, ulcers on the leg are not skin cancer. They are chronic ulcers or wounds.

How Do You Treat Chronic Ulcers/Wounds?

The treatment of chronic ulcers depends greatly on finding out the root cause of it. These ulcers don’t have any go-to treatment option particularly. The goal is to find the main cause and treat that until the ulcer is healed. So, for you to get treatment for your chronic ulcers/wounds, you need to see a specialist, a vascular surgeon, to be precise.

A vascular surgeon will thoroughly examine your body to determine the cause of your ulcer. It’s crucial that you disclose your entire medical history to them for a correct diagnosis. If you go through any of the conditions listed above that are causes of ulcers, you should let your doctor know. Other than that, if you have any other vascular disease, rheumatoid arthritis, or varicose veins, you should let your doctor know.

With the right information, your doctors can figure out the root cause and treat that, which will ultimately help your chronic ulcer heal.

Conclusion

That’s a brief overview of chronic ulcers and how to treat them. If you or someone you know has chronic ulcers/wounds, feel free to visit MediPulse hospital in Jodhpur. MediPulse is the best tertiary care multispeciality hospital in Jodhpur, with ample experience in dealing with chronic ulcer cases. For more information about chronic ulcer treatment at MediPulse, visit the hospital website or visit the hospital for consultation.

---

What Is Gynecomastia? Do You Need Treatment For It? What Are Your Treatment Options?

As the quality of life improves in India, people take time to try and fix the quality of life problems for a better body image. Body dysmorphia is a real issue, and even though women more commonly go through it, it affects men as well. Gynecomastia is a condition that doesn’t hurt your physical health, but it can definitely trigger body dysmorphia in your head. 

Given this condition is faced by men, it often goes unnoticed and untreated even after triggering body dysmorphia in men. So, if you or someone in your known circle is facing Gynecomastia in Jodhpur, this blog will help you get the right treatment approach if needed. 

What Is Gynecomastia?

Gynecomastia is a condition that men suffer from where the breast gland tissues start growing abnormally due to hormonal imbalances. This condition can be triggered at any point in a man’s life due to imbalances in their estrogen and testosterone levels. It can affect the two breasts differently and cause abnormal growth in the tissues of one or both breasts.

There is another condition known as pseudogynecomastia, which refers to a fat increase in the breast area of men or boys. This issue is not caused by hormonal imbalance but rather a matter of gaining weight. So, now that you know the types of gynecomastia, let’s discuss its causes and if you need treatment for it.

Causes Of Gynecomastia

Gynecomastia is caused when estrogen surpasses the testosterone level in a man’s body. The condition can be caused by several factors, such as diabetes, poor diet, overusing steroids, or chronic stress. Generally, gynecomastia doesn’t come with any symptoms, but in some cases, the changes in size can cause pain or tenderness in the breasts or discharge to come out of the nipples. In such cases, you should visit a doctor. Otherwise, treatment is not necessary unless it creates a problem for your body image or self-confidence.

Treatment Options For Gynecomastia

If you are suffering from pain or discharge from your breasts, doctors will, in most cases, try to treat the root cause of your problem. These treatments can take time, and you can’t guarantee that your breast size will be reduced. 

Treatment options include testosterone supplements to help you boost your testosterone levels. You can also be asked to review your diet or diabetic status in order for a thorough examination of the cause of your issue. If you are found to have diabetes, treatment plans will be utilized accordingly to help reduce your diabetic levels and keep them under control; the same goes for a poor diet.

The last resort treatment is to go for gynecomastia surgery or male breast reduction surgery. The doctors will remove the additional breast tissues in your body through surgery to help you get a reduced breast size and a better look. As this is a non-essential surgery except in specific cases, most medical insurance will not cover the cost of the surgery and the recovery.

There are very few risks to the surgery, and it doesn’t even require you to have an overnight hospital stay unless explicitly requested. Based on your condition, doctors can suggest that you go through with the surgery, or you can even request the doctors for the surgery yourself.

Conclusion

This is a brief overview of gynecomastia. It is most common nowadays among adult and aging men in the age group between 50 to 80. So, if you are going through this issue, you can visit MediPulse hospital for a checkup to find out the root cause behind your problem and help treat it accordingly. The experienced staff and doctors at MediPulse hospital have considerable experience dealing with gynecomastia surgery if required. So, for further information and treatment, visit MediPulse hospital, Jodhpur.

---

Role of Laparoscopy in Chronic Abdominal Conditions

There have been times where you must have felt sudden and acute pain in your lower left abdomen. A vigorous activity or a heavy meal might have caused pain in the upper abdomen. What is the cause of this sudden pain? How did this pain develop? How to treat this medical condition? Let’s find out:

What is Abdominal Pain/Condition?

Abdominal pain can range from minimal to chronic, and from sudden to longstanding, as a result of inflammation or disease in the organs surrounding abdomen. These organs include the stomach, small intestine, liver, gallbladder, pancreas, etc.

Chronic abdomen pain are often recurrent and persistent, posing unique challenges for patients. Various causes of abdominal pain are;

1.         Indigestion

2.         Gallbladder Inflammation

3.         Inflammatory Bowel Disease

4.         Appendicitis

5.         Ulcer

6.         Pancreatitis

7.         Abdominal Hernia

8.         Gastroenteritis, etc.

However, the pain is not restricted to just these conditions; the causes can be far and many. As the nature and characteristics of pain is dependent on a number of factors, the medical diagnosis of the cause is quite tricky and challenging.

In case of minimal pain, the treatment entails medication and dietary changes however persistent and severe medical conditions call for a surgery for complete diagnosis.

Treatment: Diagnostic Laparoscopy

Since the day of inception, medical science is constantly striving to achieve innovation, simplification and effectiveness in its procedures. As a result, various advancements have been made in the management of chronic abdominal disorders. Although techniques like ultrasound, computed tomography scan help is clinical examination of abdominal disorders yet the diagnosis of chronic abdominal disorder remains uncertain in most cases. In such a scenario, Laparoscopy has proved to be an effective treatment for patients with chronic abdominal disorders. Over the last two decades, laparoscopy has successfully offered simple, rapid and safe diagnosis of abdominal disorders. In fact it has been 100% accurate in diagnosing intra-abdominal malignancy as well.

1. Diagnostic laparoscopy provides the advantage of tissue diagnosis in less operative time and without significant complications.

2. Visualization of abdominal cavity through laparoscopy helps to conduct precise targeted biopsy, fluid analysis, etc.

3. One of the distinct advantages is that it is capable of detecting lesions of size less than 5 mm. Techniques like ultrasound and CT scan fail to scan small lesions.

4. Laparoscopy-guided biopsy offers more accurate diagnosis than radiological guided biopsy.

Laparoscopy has undoubtedly proved to be a fantastic diagnostic modality with less inherent risks, minimal invasion and fast recovery time. Rapid advancements in the field have made this procedure highly successful in diagnosis of abdominal disorders. Ranked as the best laparoscopic surgeon in Jodhpur, Dr. Vivek Agarwal and Dr. Kamal Kant head the General and Laparoscopic Surgery Department at the Medipulse Hospital, Jodhpur. Our department is equipped with world class facilities to ensure high standards of diagnosis, treatment and research in laparoscopic surgery. Book your appointment now!



Why undergo Laparoscopic Surgery for Hernia?

A hernia is a condition in which parts of an organ, often in the abdomen, are displaced due to the weak muscular wall that keeps organs in place. It is the disease of the abdomen, but they can appear in other parts of the body, including the groin, belly button, and upper thighs. 

 Unlike other abdominal diseases, hernia is not very common and approximately only 5% of the population

develop hernia during their lifetime. The condition can be caused due to a combination of factors, for

instance, damage from injury, failure of the abdominal wall to close properly, chronic coughing, etc.

The individual suffering from a hernia can experience symptoms like a bulge or a lump in the affected area, pain or discomfort in the lower abdomen, feeling of heaviness in the abdomen, and aching sensation at the site of the bulge.

Laparoscopic Treatment

Sir Astely Paston Cooper has rightly said that "No disease of the human body, belonging to the province of the surgeon, requires in its treatment, a better combination of accurate, anatomical knowledge with surgical skills than hernia in all its variety."

Since hernia tends to get bigger, it often leads to life-threatening complications. So, with the passage of time, many treatment procedures have been developed for hernia, including laparoscopy. The laparoscopic repairs have also undergone considerable evolution with time.

Some of the traditional laparoscopic techniques even received criticism due to their failure to demonstrate good result; and hence, were abandoned. However, these techniques become more advanced with the advancement in medical science and technology. Today, laparoscopy is one of the preferred and advised treatments for the condition due to the benefits it offers. 

Why Patients Should Undergo Laparoscopy

The minimally invasive technique of laparoscopic surgery can be used to repair most of the common hernias. Generally, three half-inch incisions are made in the abdomen instead of one large cut. A camera is then inserted to visualize the hernia and guide the surgeon’s movement.

●       The biggest advantage of undergoing this technique is it deals with the hernia at the point of its origin, exactly where it started appearing, making it a suitable approach.

●       Another advantage of the laparoscopic approach is the ability to view the fascial defects while avoiding the pitfalls of a tedious anterior dissection, making it less damaging to surrounding tissues.  Also, there is a lower incidence of the abscess and wound infection post-operatively.

●       In addition, laparoscopic surgery has a much shorter recovery time, meaning a patient can get back to a normal routine, including work only after a few days.

●       Besides, postoperative pain is also minimal in these surgeries. With the development of newer techniques of laparoscopy, the surgeries are also becoming cost-effective, leading to greater societal benefits.

●       Lastly, after the procedure is completed, the abdominal incisions fade away within a few months. Laparoscopy, when carried out by the hands of an adequately trained surgeon, produces excellent results as compared to open repairs and other conventional treatments.

If you or your known is diagnosed with hernia, you must seek immediate medical care to avoid serious complications. Medipulse understands this and houses extremely skilled surgeons in all the departments. You can find the best general and laparoscopic Surgeon  surgeon in Jodhpur at Medipulse. Dr Vivek Agarwal is part of the general and laparoscopic surgery; he, together with his team, has been handling the most complex cases of laparoscopy for last 20 years.

Things To Do Before And After A Laparoscopic Surgery

Laparoscopy surgery or keyhole surgery is a minimally invasive diagnostic procedure, preferably performed for curing various diseases and conditions. It is usually done in cases where traditional non-invasive diagnosis and imaging techniques (Ultrasound, CT Scan, MRI scan) cannot identify any clear reasons for a certain condition. It is a low-risk procedure used for examining pelvic organs like the appendix, gallbladder, pancreas, liver, etc.

Although rare, there are some risks attached too: the most common being bleeding and infection. But doctors/surgeons refer diagnostic laparoscopy only after proper consideration of the patient's history and the risk factors involved. Equally important is the role of the patient for ensuring a safe recovery. This blog highlights some of the important things that patients can follow before and after the laparoscopic procedure for minimizing risk as well as accelerating recovery.

Before Surgery

Laparoscopy diagnosis is usually carried out within 4-5 hours, and for most patients, the length of stay is not more than 24 hours. However, in cases where a patient has a critical medical history, and the surgery is complex, the length of stay extends over to a few days. In either case, there are a few things that patients can do to prepare better and smarter.

1. Clear All Your Doubts:

It is natural for patients to be wary and fearful about surgery. Patients, however, must bear in mind that discussing one's apprehensions is an excellent way to get over any anxiety. Let's say a patient is fearful of the pain that the invasion might cause. The patient must discuss the same with the surgeon. The surgeon will explain the procedure and the pain management steps involved. In addition to this, doctors also suggest relaxation techniques that are very fruitful for the patients.

2. Pack Essentials Too:

 Depending on the length of the stay, patients must make a list of essential items that they would need. These may include like toothbrush/toothpaste, mobile charger, hairbrush, skin lotions, etc. In case of overnight stays, patients must carry loose fitting clothes that do not put strain or stress around the waist and abdominal region.

3. Bowel Preparation:

Bowel prep is an essential prerequisite of any surgical procedure. Doctors usually suggest liquid diets for bowel evacuation. However, in case there are some special instructions, patients must pay heed and follow them steadfastly.

Dr. Vivek Agarwal, Laparoscopic Surgeon at Medipulse, says, “Although, laparoscopic surgeries require minimal invasion yet patients must be careful and consult in case of any infection around the insertion site like redness, swelling, etc ”

After Surgery

Laparoscopic surgery involves small incisions, and patients are subjected to only general anesthesia. However, the procedure does involve CO2 gas insertion into the abdominal area through the incision. This inflates the abdomen and aids in easy diagnosis by creating space for free movement of the laparoscope. In some cases, the surgeon may create some more incisions for apt diagnosis and treatment. Following the diagnosis, patients may feel some amount of pain, nausea during the first few hours. Patients must feel free to share their concerns with the doctors. In addition to this, a few things must be followed for a faster recovery. These include:

1. Managing Shoulder Pain:

Shoulder pain is a common occurrence post laparoscopy. The pain is due to the CO2 introduced in the abdomen during the procedure. But there is no reason to panic as the pain subsides with time. In the meantime, one can use heat therapy for lessening the pain.

2. Get An Aid:

For a few weeks, it might be difficult to do routine tasks with the same ease as before. Doctors advise against driving as well as carrying a heavy load. The best solution is to hire an aide for a few weeks who can take care of important things like food, grocery, etc.

3. Don’t Overthink

The post-surgery days can be both emotionally and physically challenging. The tickling sensations in an around the incision site and the post-surgery tiredness can be bothering. It is easy to drift into a self-pity mode and grow anxious. However, patients must remember not to let these thoughts overpower them. The best way to do so is to keep oneself occupied by inviting friends over, or reading a book or watching movies.

In general, the recovery time is at the most a week. But depending upon the complexity of the case and other factors, it may be considerably longer for some. Medipulse is ranked for the best laparoscopic surgery in Jodhpur. Medipulse has two of the most experienced laparoscopic surgeons in Jodhpur - Dr. Kamal Kant and Dr. Vivek Agarwal as well as Dr. Mili Inania - one of the best gynec laparoscopic surgeon in Jodhpur.

The department is equipped with modern technology and equipment offering excellence in all forms of general and specialized surgical procedures. Visit the link for more details.

Things to Keep in Mind Before & After Laparoscopic Surgery

Laparoscopic surgery has sure become a minimally invasive procedure, stemming the rapid acceptance of laparoscopic techniques. The advancements in technologies are reflected in decreased hospital stay, improved wound healing, reduced postoperative pain, earlier return to daily activity, and improved mobility. Still, fears regarding risks, pain, recovery, etc. are common to experience. So here is a guide to make everything smooth.

Before Surgery: Preparing for Operation

•    Get your body ready by staying hydrated for at least two weeks until surgery. Drink at least ten ltr of water every day to ensure smooth surgery.

•    The surgeons usually suggest bowel preparation in the evening before surgery. You should follow a liquid diet one day before surgery to assist bowel evacuation.

•    Finish common household chores beforehand to make life easier after surgery. Wash all the bed sheets, have fresh towels available and a cupboard dedicated to post-op comfortable clothes. You can also hire an assistant to help you after surgery.

•    Burst your stress with yoga and light exercises to prepare yourself emotionally. If your anxiety levels are high, you can also take little medication to stay calm.

After Undergoing Surgery: Getting Back to Normal

•    While it is important to take rest, one should start doing day-to-day activities at home after one to two weeks. However, lifting loads should be limited to lighter objects.

•    Do not perform any strenuous housework until four weeks after the operation; it may hamper internal healing.

•    Performing light exercises like walking will facilitate recovery and speed-up healing process.

•    Postpone your travel plans during your recovery period to keep yourself from discomfort and risk of deep vein thrombosis (DVT). If it is unavoidable, discuss the journey plan with your doctor for suggestions.

•    It is natural to experience more tiredness after any operation, so one should not return to work until two to three weeks. However, the period may extend or reduce depending on the recovery rate, duration of work, and the type of work.

In case you still have any concerns regarding the surgery, anaesthesia, etc., you can consult laparoscopic surgeons in Jodhpur at Medipulse. With years of experience in performing successful laparoscopic surgery, our team of experts can provide you with the best suggestion regarding your treatment.