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MINIMAL ACCESS (KEYHOLE) SURGERY IN GYNAECOLOGICAL PROBLEMS

Minimal access surgery is a newer treatment modality in which surgeries for gynaecological problems are performed by almost invisible, micro cuts on the abdomen. This is of two types, laparoscopic surgery and hysteroscopic surgery.

 Laparoscopic surgery is performed using 2 or 3 small cuts on the abdomen, followed by inserting microsurgical instruments to perform surgery. Even major operations like removal of uterus, removal of fibroids, removal of ovarian cysts and many other surgeries can be easily performed by this route. This has almost completely replaced the older “Conventional” surgery, which used a large cut on the abdomen to see and operate on the internal organs.

There are a number of obvious advantages of laparoscopic over older conventional surgery:

  1. Image result for laparoscopic surgeryAs the scars are very small compared to open surgery, pain after surgery is much lesser
  2. Smaller scars mean better cosmetic results.
  3. Laparoscopy offers the surgeon a magnified view of the organs, up to 20 times or more. This obviously means more precise surgery
  4. Significantly less blood loss during surgery
  5. Early discharge from hospital (1 or 2 days). Typically, any patient undergoing open surgery will have to wait in the hospital for at least 4 to 5 days.
  6. Early return to normal activity and work (4 to 5 days). In conventional surgery, rest at home is recommended for about 15 days.

 

 

 

Hysteroscopic Surgery is performed using a telescope to look within the uterus, through the vagina. The inner lining of the uterus, called the endometrium is checked. This is precisely the area from where menstrual bleeding takes place. This is also the area where the pregnancy takes roots and grows. Hence, plenty of defects can be identified in patients of abnormal menstrual bleeding, infertility and abortions, which can be completely missed even by sonography or CT scan/ MRI. These defects include fibroids, polyps, uterine synechiae and abnormalities of uterine shape. This is a zero scar procedure, and patients are sent home within 4 to 6 hours of surgery.

Hysteroscopy is the gold standard test for patients suffering from Irregular/ heavy/ scanty menstrual bleeding, Infertility, repeated abortions & bleeding in older age and after menopause.

Dr Sanket Pisat  MS, DNB , FICOG

Consultant Gynaec Minimal Access Surgeon (Laparoscopy / Hysteroscopy) 

 

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Stroke : For Patients & Families | Dr. Tarun Preet Kaur | Holy Spirit Hospital .

Stroke, which leads to the death of more than 128,000 people each year, is the leading cause of long-term disability. Rapid diagnosis and prompt treatment are critical to help save a life or minimize long-term disability. A stroke or brain attack is like a heart attack. A heart attack occurs when blood flow to the heart is interrupted, and the heart is deprived of oxygen. Similarly, a brain attack occurs when blood flow to the brain is interrupted, and the brain is deprived of oxygen. Quickly restoring blood flow to the affected area of the brain is vital in minimizing the long-term effects of a stroke and reducing complications.     
 

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You can Save a Life | CPR | Holy Spirit Hospital

Cardiopulmonary resuscitation (CPR) is given when someone's breathing or pulse stops. If both have stopped, then sudden death has occurred. Some of the causes of sudden death include poisoning, drowning, choking, suffocation, electrocution, or smoke inhalation. But, the most common cause of sudden death is from heart attack. Despite the fact that CPR is proven to save lives — patient recovery rates are better when bystanders initiate resuscitation and there’s a greater likelihood of survival with less damage to heart muscles and the brain — studies suggest that less than one-third of people experiencing cardiac arrest outside of a medical center receive the help they need. If you or someone you know has any of the above warning signs, act immediately. Call your local emergency number. If needed, give CPR if you are trained, or ask someone who is.

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Vascular and Endovascular Surgery | Dr. Aniruddha Bhuiyan

Cardiovascular and Endovascular Surgery at Holy Spirit Hospital

 


 

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Cleft & Maxillo Facial Surgery | Dr.ParitKumar Ladani | Holy Spirit Hospital

Oral & Maxillofacial Surgery Is The Specialty Of Dentistry That Deals With Addressing The Ailments Of Face And Mouth. It Encompasses The Diagnosis And Treatment Of Various Diseases, Deformities And Injuries Involving Cosmetic And Functional Aspects Of Face And Mouth. The Scope Of Oral & Maxillofacial Surgery Ranges From The Removal Of Third Molars (Wisdom Teeth) To The Treatment Of Infections, Dental Implants, Fracture Of Jaw Bones, Cleft Lip and Palate Surgery, TMJ Surgery, Ear Reconstruction Surgery, Cyst and Tumors of Jaw and Orthognathic Surgery Etc. Dr. Parit Ladani ( BDS,MDS(Maxillo-facial Surgery) Indian Board Certified Oral and Maxillofacial Surgeon. (IBOMSI) Fellowship in Cleft and Craniofacial Surgery (CCI, Zurich, Switzerland) Training in Cleft and Orthognathic Surgery (CGMH, Taiwan)

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Tips for a Healthy Skin | Dr. Roshni Upadhyaya | Dermatologist | Holy Spirit Hospital

Dr. Roshni Upadhyaya | Dermatologist | Holy Spirit Hospital

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Breast reconstruction following breast cancer treatment | Holy Spirit Hospital

Dr. Ritesh Gupta, Holy Spirit Hospital plastic surgeon, talks about breast reconstruction options following breast cancer treatment.

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Importance of Mental Health - Dr Jyoti Sangle

Good health doesn't just refer to physical wellness but our mental well being as well

Watch the below link on youtube

https://youtu.be/rebttZfebiM

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OCT (Optical Coherence Tomography) in Angioplasty – new Kid on the block

At the Holy Spirit Hospital, you are in the hands of some of the qualified, capable and
experienced professionals in the country. The Heart Centre has cutting edge
technology being put to use in all kinds of cardiac procedures, (complex angioplasties
/ pacemakers/ heart failure devices). The department of cardiac surgery is also a
centre par excellence, specializing in valve surgeries / redo-bypass surgeries.
Angioplasty is a procedure in which a catheter –guided balloon is used to open a
narrowed coronary artery. A stent is usually placed at the narrowed section during
angioplasty. One of the major technological advancements in this millennium has
been the advent of OCT during coronary angioplasty.
With OCT, using a specialized catheter inside the arteries of the heart, Interventional
Cardiologist can obtain images of the blood vessels that are about the same as if they
were looking at them under a microscope .
OCT uses near-infrared light to create images of the inside of the coronary arteries
and this technique delivers high-resolution images. OCT is used along with heart
catheterization procedures, including angioplasty, where OCT images can help
cardiologists see if a stent is holding an artery open and whether the stent is
positioned correctly against the artery wall.
At the Holy Spirit Heart Centre, the hospital has honoured the promise of providing
quality health care at nominal rates to the society, this making sure that such newer
technologies are within the reach of the common man.

 

Dr. Amit Sharma
Interventional Cardiologist

 

 

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Covid in Children

Watch the discussion on 'Covid in Children' by Dr.Suja Moorthy Consultant Pediatrician at Holy Spirit Hospital , Mumbai
.
 

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NUTRITION IN COVID -19

The world is currently experiencing the pandemic of Coronavirus (CoV). As we are now facing the second wave of Covid-19, it’s high time that we re-focus on our diet and also on our immunity. With so many people falling ill from the coronavirus, unhealthy diets are contributing to pre-existing conditions that put them more at risk. This small virus has made us introspect the way we eat & live.

Diet is crucial to maintain immunity and keep diseases at bay. Optimal nutrition helps to strengthen the immune system (both adaptive & innate immunity) & promote early recovery. It is prudent to include a variety of foods on a regular basis to get the utmost benefit.

Vitamins (A, B, C, D, E) & Minerals such as (zinc, selenium, iron), Phytonutrients such as omega-3 fatty acids, amino acids (proteins) are very important in building immunity & should be incorporated on a daily basis in the diet. No single food is recommended over another & Moreover “Variety is the key”.

 

Here are some sources of the important key nutrients: -

  1. Proteins: - It plays an important role in immunity. Also crucial for healing & recovery.  Some sources include: - dals, pulses, lean meats, fish, eggs and poultry, milk & milk products, soya, unsalted nuts & seeds.
  2. Omega-3 fatty acids: - Possesses antioxidant properties & enhances the function of immune cells. Sources include: - fishes like mackerel (Bangda), salmon (Rawas), Bombay duck (Bombil), Surmai, rani fish. Other sources include walnuts, chia seeds, pumpkin seeds, watermelon seeds.
  3. Vitamin A: - has anti-oxidant properties. Sources: - All yellow, orange, red colored fruits & vegetables. Sweet potato, carrots, spinach, mango, papaya, egg yolk, milk & milk products.
  4. Vitamin D: - reduces pro-inflammatory cytokines & helps in immunity. Sunlight exposure between 11am-1pm. Sources include milk & milk products.
  5. Vitamin E: - acts as an antioxidant & free radical scavenger & helps in reducing inflammation in the body. Sources include: - Sunflower seeds, flaxseeds, almonds, pumpkin seeds.
  6. All B-Complex vitamins serve a major role in building immunity, help in repairing the wear & tear in the body.
  7. Vitamin C: - most vital nutrient in building good immunity. Stimulates antibody formation, supports cellular functions, antioxidant & anti-inflammatory properties. Sources include: - amla, guava, citrus fruits like (oranges, grapefruit), papaya, strawberries, raw mango, capsicum, lemon, green leafy vegetables, moringa leaves.
  8. Prebiotic & Probiotic foods: - 70% of our immune cells are in the gut. Probiotics are the “good bacteria” or beneficial “live micro-organisms” which help keep your gut heathy. Prebiotics serve as food for the good bacteria (probiotic). Both Prebiotics & Probiotics help in strengthening the immune system & increasing immune response. Probiotic sources:- fermented food products, curd. Prebiotic sources:- garlic, onion, banana, barley, oats, apples, flaxseeds, wheat bran
  9. Functional Foods like turmeric, ginger & garlic, spices like pepper, cinnamon, cloves etc. are beneficial as it has anti-inflammatory, anti-microbial, antioxidant properties. It should be incorporated in the right amounts in the daily diet to reap its benefits.

    Some useful dietary and lifestyle guidelines: -

  10. Make healthy eating a lifestyle. Follow a healthy diet & make the right choices from available sources.
  11. Ensure that you consume a variety of foods. Prefer locally grown foods & seasonal fresh produce as it is loaded with goodness of nutrients.
  12. Say no to packet, preserved, processed foods.
  13. Choose traditional recipes & methods of preparation.
  14. Hydrate yourself well. Try including coconut water, unsalted buttermilk, sattu, lemon juice, veg soups etc. to increase fluid intake.
  15. Staying active is the key to staying fit. Exercising for at-least 30 mins daily will give you an endorphin boost & make you feel good.
  16. Get a good night sleep of 7-8 hours daily.
  17. Lastly, get vaccinated at the earliest. It’s another weapon to build immunity against covid.
  18. Don’t panic & Avoid taking Stress as it can weaken the immune system.

Just stay safe, wear your mask properly & practice social distancing. Relax, this phase too shall pass.

 

FOR ANY DIET ADVICE, CONSULT A QUALIFIED DIETITIAN ONLY.

WRITTEN BY:-

Ms. Aamatulla Y Kapasi

(Registered Dietitian, Certified Diabetes Educator, PGCND)

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