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Opening
of Chittagong Apollo Information Center .
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Apollo Hospitals Dhaka Information Center .
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Nuclear Medicine Services in Apollo Hospitals Dhaka.
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News paper article : Percutaneous Nephrolithotomy (
PCNL). . .
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Read monthly newsletter published on August 2005
(pdf). . .
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Interview with Dr. Vijay Abraham published in STETHOSCOPE on 12th September
2005. . .
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News, event, and site update info now available through our RSS feed, the latest in news gathering web technology - subscribe using your RSS newsreader —
learn more!
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Apollo Hospitals Dhaka is awarded CERTIFICATE of RECOGNITION for our QUALITY CONTROL from
BIO-RAD USA.
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The department of Dentistry are now offering all types of general Dental treatment .Recently , successful insertion of full jaw ( upper & lower ) Porcelain Bonded Bridge prosthesis was performed in the department
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"IEEE StandardsWire Online" and
http://www.rfidjour
nal.com/article/
articleview/
3852/1/1/ published a feature on a
Bangladeshi's suceess story on implementing RFID
in Bangladesh.
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Apollo Fertility Centre was inaugurated on 14th February at Apollo Hospitals Dhaka. Dr. Ed L Hansen, CEO, Apollo Hospitals Dhaka, gave the welcome address and the key note speech was delivered by Dr. Mrinal Kumar Sarker, Consultant and Coordinator, OBS/Gynecology & ART, Apollo Hospitals Dhaka. The ceremony was graced by Chief Guest Mr. M. A. Moyeen – Director, Apollo Hospitals Dhaka.
Equipped with all the world class facilities under the same roof to meet up the personalized demand of infertile couples in a caring & congenial environment, Apollo Fertility Centre will provide a wide range of services for infertile couples. With modern technology and counseling services, the Fertility Centre will assist couples who are unable to have children.
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Read the New years message from CEO to the
employees of Apollo Hospitals Dhaka. Click
here (pdf). . .
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Dr. Edwin Lee Hansen, CEO of Apollo Hospitals Dhaka gave a presentation on “Apollo Hospitals Dhaka: New Opportunity for Medical Services” in a meeting of Rotary Club Dhaka, held recently at Hotel Pan Pacific Sonargaon. Dr. Hansen apprised the audience of medical facilities available at Apollo Hospitals Dhaka which has paved the way for Bangladeshis to receive world class treatment. He pointed out that in addition to the excellent infrastructure of AHD, medical equipments and technologies at the hospital are of international standard and are upgraded. The success stories of AHD assisted in obtaining various world class recognitions including JCI. He further explained the future plan of starting Oncology Center, Robotic Surgery, In Vitro Fertilization, Wellness Center and Apollo Child Scan in Bangladesh. Finally Dr. Hansen urged upon all to join AHD’s endeavor in Redefining Patient Care in Bangladesh and be a part of history.
The presentation was followed by a question and answer session with the audience. Rotarians appreciated the availability of world class treatment at Apollo Hospitals Dhaka.
The presentation was attended by 58 distinguished Rotarians of different professions.
Mr. Giashuddin Ahmed, GM-Media coordinated the program.
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Apollo Hospitals Dhaka has done the 1st
Laser Surgery in ENT in Bangladesh
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Apollo Hospitals Dhaka has done the 1st laser surgery in ENT on 21/10/07. Apollo Hospitals Dhaka is the 1st centre for such facility in Bangladesh. Our E N T dept is the only centre in the country to have the (latest) CO2 laser machine & expert ENT surgeon to do such surgeries.
The patient had a growth on the right base tongue and excision biopsy was done by laser with minimal bleeding and no morbidity.
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A team of doctors and nurses with medical and food relief supply went to Manikgang to conduct a medical relief camp on Friday 10th August, 2007. The team provided necessary treatment to the people there.
They
also distributed dry food and medicine as
per the doctor’s advice among the flood
victims.
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Apollo Hospitals Dhaka started the service of
Renal Transplantation surgery. Read
the success story of first live related renal
transplantation ( First time in Bangladesh)
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Apollo hospitals Dhaka introduces its new "Osseointegration"
service of Dental Implant, this implant is the
adjustment of Titanium with the bone. Titanium,
a light, strong, lustrous, corrosion-resistant
silver-color metal which forms a structural and
functional connection between the living bone
and the implant. Replace your missing teeth and
it's stronger then ever before. Apollo Dental
Clinic offers you this special service in
Bangladesh.
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Apollo Hospitals Dhaka Neurosciences Institute introduces the Apollo Stroke Center
on 28-02-06.
On this occasion, a press briefing and press conference was arranged in the auditorium of the Apollo Hospitals Dhaka. The program was inaugurated by Mr. Khondoker
Moniruddin, Managing Director, Apollo Hospitals Dhaka. Mr. Richard Larison, Chief Executive Officer, Mr. Praful B. Pawar, Director Medical Services, Dr. Alim Akhtar
Bhuiyan, Consultant, Adult Neurology and Chief Co-Coordinator, Apollo Stroke Centre and other officials of the hospital were present.
Reporters from almost all the newspapers numbering about 75 and representatives of all the TV channels (including STV and Bangla Vision) of Bangladesh were present and covered the program.
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The phototherapy center of Apollo Hospitals
Dhaka is open now. We are equipped with latest PUVA, narrowband UVB therapy chamber. We also have hand and foot unit PUVA and narrowband
UVB.
Phototherapy is very useful for condition like psorisis, vitiligo, other chronic dermatitis and generalized pruritus secondary to renal cause etc.
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Apollo Hospitals Dhaka has opened its another Information Center at Sylhet on
27-01-06.
Mr. Richard Larison, CEO, Apollo Hospitals Dhaka formally opened the center when Dr. P B Pawar, Director
Medical Services, 5 consultants, and other officials of Apollo Hospitals Dhaka were present. The program was covered by print media and 2 electronic media (Channel-1 and Channel-i). About 18 members of print media were present.
Then in the evening at 7 PM a presentation event took place in a local hotel where about 160 local doctors of Sylhet, large number of print media members, some disguinshed members of civil society, CEO, DMS, consultants and other officials of Apollo Hospitals Dhaka
attended. It was a successful event. Dr. Pawar gave an excellent presentation on the hospital. Mr. Richard and other consultants of the hospital spoke on the occasion.
Then in the question answer session the local doctors and others participated, asked questions on various facilities and questions related to some departments.
Consultants of Apollo Hospitals Dhaka and DMS gave satisfactory reply which has impressed the doctors and others present. Audience present were impressed at the befitting reply of the consultants.
It has been ascertained that the local doctors are now convinced that for tertiary care they should now refer patients to Apollo Hospitals Dhaka. Local papers of Sylhet dated 27-01-06 published the news of this opening.
Consultants of Apollo Hospitals Dhaka attended were:-
1) Dr. Sayed Syeed Ahmed, Consultant, Neuro Surgeon
2) Dr. Alim Akhter Bhuiyan, Consultant, Neurologist
3) Dr. Ajoy Abrol, Consultant, Plastic and Cosmetic
Surgeon
Sylhet
Information Center
Office timing-Information Center
Saturday to Thursday (10 am to 7 pm)
(Break 1.30 pm to 2.30 pm)
Friday closed.
Phone no: 0177 760899 or, 0605-4116111
Address:
Apollo Hospitals Information Center.
Sahib Shopping Complex (1st Floor)
East Zindabazar, Sylhet Town
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By the grace of Almighty Allah we have opened our 3rd Info Center at Rangpur on 09-12-05 i.e., after Dhanmondi and Chittagong. The function of this center will be like Dhanmondi i.e., mainly information dissemination and appointment. Mr. Richard Larison CEO has opened it. Large number of journalist were present besides electronic media.
Then there were one scientific session in Rangpur Parjatan Motel where CEO, our senior consultants of AHD, local 140 doctors, large number of journalist and electronic media were present. Our Director Mr. Tipu Munshi has also kindly graced occasion. In the opinion all present it was a successful event. Let us now wait for some time to have out put of it.
Rangpur Information Center
Office timing-Information Center
Saturday to Thursday (10 am to 7 pm)
(Break 1.30 pm to 2.30 pm)
Friday closed.
Telephone: 0644-5290016 (Onetel), Mobile: 0176-080232
Address:
Rangpur Complex (1st floor), Medical Moor, Dhap Jail Road, Dhap, Rangpur – 5400
Contact Person: Hasan Daud Chowdhury, Area Manager, Rangpur
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Apollo Hospitals Dhaka 2nd Information Center has been opened on 02-12-05 at Chittagong by Mr. Richard Larison, CEO, Apollo Hospitals Dhaka. It was an excellent opening ceremony where senior management and some staff of AHD were present. Beside journalists from print media and some local people were also present. The center is excellently located and very good place for this purpose. Our officer Mr. Mahmud will work there for the time being.
Chittagong Information Center
Office timing-Information Center
Saturday to Thursday (10 am to 7 pm)
(Break 1.30 pm to 2.30 pm)
Friday closed. Phone # 060 744 85861 or, 0171 072 522
Address:
Apollo Hospitals Dhaka Information Center at Chittagong
945, O R Nizam Road, Chittagong.
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Apollo Hospitals Dhaka first Information Center has been opened to day (25-11-05) by Mr. Richard Larison, CEO, Apollo Hospitals Dhaka. It was an excellent opening ceremony where senior management and some staff of AHD and STS Group were present. Besides, journalists from print media and some local people were also present.
Next we are going to open such Information Center at Chittagong on 02-12-05 and Rangpur on 09-12-05. Sylthet and Bogra such info center would be also opened soon. After wards more centers would also be opened.
Apollo Information center is a place, where Apollo people are waiting to provide the guide line to its honorable clients (Patients and the attendant) regarding the hospitals and the services the information center will deliver the answer like- what to do? How to do? Which way to do?
ALL PATIENTS AND THEIR ATTENDANT CAN GET FOLLOWING INFORMATION:
1. Consultant information unit wise
2. Department information (Cardiology, Neurology, Urology, Orthopedic, Gynecology, Pediatric etc)
3. Tariff (OPD, IPD, MHC, & DIAGNOSTIC, OT, SURGERY, BED, Angiogram, Angioplasty, CABG etc)
4. Appointment with the consultant & investigation
5. Consultant schedule
6. Emergency service information.
7. Ambulance support
8. Patients counseling
9. Our specialty (Infection control, Waste management, Sterilize system, Latest technology etc)
10. Admission procedure
11. Special package rate
12. Vaccination
13. Hours of operation, Evening clinic
14. Direction about Hospital and transportation system to reach Apollo Hospitals Dhaka Etc.
Dhanmondi Information Center
Office timing-Information Center
Saturday to Thursday (10 am to 7 pm)
(Break 1.30 pm to 2.30 pm)
Friday closed. Phone # 0173 041286
Address:
Apollo Hospitals Dhaka Information Center
Capital Market, 1st Floor, House # 22, Road # 8, Room # 32, Dhanmondi,
Dhaka, Bangladesh.
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The Nuclear medicine Services of Apollo Hospitals Dhaka
began from 22nd November 2005. Dr MOHAMMED FAZLUL KABIR MB BS, NM Fellow (IAEA, USA), CMO, Director & Professor, Institute of Nuclear Medicine & Ultrasound, BSMMU campus (IPGM&R), Shahbag, Dhaka,
is part time consultant in nuclear medicine. He will be available Saturday to Thursday from
6 pm to 9 pm.
Tests are done for the following -
Skeletal
Gastroenterology
Genitourinary
Central Nervous System (CNS)
Endocrinology
You may contact +880 2 9891661-2 Ext 1295/1296 for further details between 11 am to 9 pm.
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1.
Why do I need this procedure?
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2.
What are the benefits of this procedure?
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3. How is it done?
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4.
Is the kidney damaged by this?
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5.
What are the possible complications?
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6.How successful is it?
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7. How long does it take?
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8.
How long will I be in hospital?
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9.
Are there any alternatives to surgery?
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10.
Is there any thing I need to do before or after the operation?
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11. After the operation
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12.Are there any things I shouldn't do?
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13.What can I expect afterwards?
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14.
Where can I get more information?
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Why do I need this procedure?
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This procedure is done to remove large kidney stones with a keyhole approach
Not all kidney stones need treatment
Stones causing obstruction, pain or that have the potential to grow and damage the kidney should be operated upon.
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What are the benefits of this procedure?
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With PCNL large stones can be removed in a single operation in most cases.
Most patients recover and return to activity quickly.
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How is it done?
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After a general anaesthetic is given a tube is placed inside the kidney by looking in the bladder with a telescope
This tube is used to fill the kidney with a special dye seen on
Xray. This provides a clear "road map" picture to do the kidney puncture.
You are then placed on your abdomen and the kidney is located with Xray.
A needle puncture is made into the kidney and a wire inserted through this.
The wire is used as a guide to allow a tract to be dilated to about 1cm across
A cut of 1.5cm is needed on the skin for this
Once inside the kidney a telescope (nephroscope) is inserted and the stone visualised
The stone is broken up into fragments as required
The fragments are removed
A tube is left in the kidney to allow easy drainage of urine.
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Is the kidney damaged by this?
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As this is invasive surgery some damage is inevitable.
When the kidney has healed a tiny scar of a millimeter or so across can be seen where the puncture was made.
Tears can also occur to the lining of the kidney. These will heal after the operation with the nephrostomy tube in place.
In the long term these are insignificant changes.
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What are the possible complications?
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Specific complications and their frequency are listed below. This does not include every possible complication but covers the more common or serious. Complications may also arise from anaesthesia and should be discussed with your anaesthetist.
Generally speaking the risks of PCNL increase with the size of the stone, as operating times increase. Breaking up a large stone into removable fragments also increases the chance of some damage occurring to the kidney.
Bleeding - some bleeding is normal. Heavy bleeding is uncommon (1%)
Early bleeding
is treated during the operation. If very severe a conversion to open surgery may be needed to stop the bleeding if all other measures fail. This is very very rare.
Late bleeding - (0.5 - 2%) This occurs if a communication develops between an artery and vein near the puncture site. It is treated with occlusion of the connection via a catheter through the groin or by putting coil in that connection.
Infection
Infection of the urine is not uncommon before the operation. Some stones have bacteria trapped inside them which are released during the operation.
Antibiotics are given routinely. This reduces the risk of infection.
Severe infection occurs in around 0.25%.
Rare complications
Bowel injury - an abnormally positioned bowel can be damaged during needle puncture. About 2% of people have this anomaly, but bowel injury is much less common
Absorption of large fluid volumes
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How successful is it?
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PCNL is the most effective means of treating large stones or stones in the lower pole of the kidney
A successful PCNL removes all the stone.
The success of the operation is related to the stone size and stone position.
Lower pole stones - 95%
Staghorn stones - 90%
Other techniques may be preferable for different stone types and positions. Choice include ESWL and Ureteroscopic laser stone ablation. Two or three combined techniques are required for treatment of large stones ( Staghorn stones). This is called sandwich technique.
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How long does it take?
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60 - 90 minutes. This does not include the time for the anaesthetist to put you to sleep or for you to wake up. Typically you are away from the ward for 2-3 hours.
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How long will I be in hospital?
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Hospital stay is generally 2 - 3 days
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Are there any alternatives to surgery?
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This should be discussed with your urologist prior to operation.
About 5% of stones are dissolvable without surgery
Not all stones need to be removed. Please discuss this with your urologist.
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Is there any thing I need to do before or after the operation?
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Before coming into hospital:
Stop smoking - seven days smoke free reduces the risks of pneumonia and clots in the legs
Get some gentle exercise - the fitter you are the faster you will recover
Eat lots of fruit and vegetables - to improve your resistance to infections and to heal faster. Also stops you getting constipated.
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After the operation
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Drink plenty - this will make it easier and more comfortable to pass water
Avoid constipation - straining to open your bowels will increase the risk of bleeding
Get out of bed - lying in bed causes pneumonia and clots in the legs
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Are there any things I shouldn't do?
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No heavy lifting / straining for four weeks
Don't drive until you can comfortably do everything yourself around the house.
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What can I expect afterwards?
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You will have a nephrostomy tube in place which will probably be removed the next morning.
Blood in the urine for up to two weeks is normal ( slight reddish urine).
You will feel sore over the kidney. This improves quickly but doesn't go completely for several weeks.
An appointment is made to see you after the operation
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Where can I get more information?
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1.Dr Waheed Zaman
Consultant Urology and Renal Transplantation
Apollo Hospitals Dhaka
Basundhara R/A , Dhaka
Phone: 9891661-2, Ext-1101
Fax: +88-02-9896139
E- mail wzaman@yahoo.com
Web : www.apollodhaka.com
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2. Dr Azfaruddin Shaikh
Registrar Urology & Renal Transplantation
Apollo Hospitals Dhaka
Basundhara R/A , Dhaka
Phone: 9891661-2, Ext-1099
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Health Related Q & A
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I have been told that besides coronary artery disease, I have
hiatus hernia also. I don't have much idea about it. What is this hiatus
hernia and how it occurs? How to manage such case?
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Why incissional hernias tend to recur frequently even after repair with solid mess?
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How to manage umbilical hernia in an young child?
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Is old fashioned hernia surgery better than the new laperoscopic
surgery? Why?
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Is hiatal hernia an old name for GERD? How this can be contained with fundoplication surgery?
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Is Ehlers Danlos Syndrome a kind of hernia?
How it occurs?
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Is it true that children with diaphragmatic hernias also have heart disease?
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How can we avoid heart burn with behavioral strategies?
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How transtentorial herniation occur? What are the complications of transtentorial herniation?
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What are the effects of Tonsillar Herniation?
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I have been told that besides coronary artery disease, I have
hiatus hernia also. I don't have much idea about it. What is this hiatus
hernia and how it occurs? How to manage such case?
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Dr.
Vijay Abraham:
Definition
The diaphragm is a muscle that separates the chest from stomach organs.
The hiatal hernia is a type of diaphragmatic hernia that is less severe.
It is caused when an opening in the diaphragm lets organs around the stomach move into the chest area.
Cause
Hiatal hernias may be seen in infancy, but are more common in older children and
adults.
Risk factors include increasing age, obesity, smoking and weak tissues (from older age
or surgery).
It could be caused by gastroesophageal reflux (heartburn)
Treatment
Doctors may need to run tests.
Treatment aims to ease symptoms and prevent further damage.
Doctors may prescribe medication to treat heartburn.
If symptoms cannot be controlled, surgery may be needed.
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Why incissional hernias tend to recur frequently even after repair with solid mess?
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Dr.
Vijay Abraham:
Causes of recurrence are mainly results of faulty technique; infection at operated site.
Patients should choose their Surgeons and hospitals
carefully to avoid long term pain and complications.
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How to manage umbilical hernia in an young child?
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Dr.
Vijay Abraham:
It can be observed upto 2 years of age, but do first consult a surgeon for advise.
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Is old fashioned hernia surgery better than the new laperoscopic
surgery? Why?
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Dr.
Vijay Abraham:
Both have their advantages and disadvantages, a face to face consultation may answer a lot of actual queries.
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Is hiatal hernia an old name for GERD? How this can be contained with fundoplication surgery?
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Dr.
Vijay Abraham:
GERD can be a symptom of hiatal hernia & not otherway round.
Fundophicaion is one of the surgical treatments of
GERD.
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Is Ehlers Danlos Syndrome a kind of hernia?
How it occurs?
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Dr.
Vijay Abraham:
No it is a symptom disorder.
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Is it true that children with diaphragmatic hernias also have heart disease?
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Dr.
Vijay Abraham:
These two can co-exist but not in all cases.
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How can we avoid heart burn with behavioral strategies?
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Dr.
Vijay Abraham:
Prevention
Small lifestyle changes may help prevent hernias.
Eat small portions.
Immediately after a meal, do not lie down or bend over.
Lose weight if overweight.
Stop smoking.
Avoid placing strain on body.
Treat coughing and constipation.
Avoid lifting heavy objects.
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How transtentorial herniation occur? What are the complications of transtentorial herniation?
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Dr.
Vijay Abraham:
This is due to increase in Intra-cranial pressure in supra tertorial compartment (part of brain controlling higher
functions)
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What are the effects of Tonsillar Herniation?
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Dr.
Vijay Abraham:
Kindly consult a Neurosurgeon, this is not General Surgery case.
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