Welcome to Jeevanshree Multi Speciality

Opening Hours : Monday to Saturday - 8am to 9pm
  Contact : +91 251 243 6365

All posts by rahulmahadar

Laparoscopic cholecystectomy

The surgery which removes the gallbladder is known as the cholecystectomy.
The gallbladder is removed by a 5 to 8 inch long cut, in the abdomen.
During an open cholecystectomy, the incision is made just below the ribs on right side and goes just below the waist.

A less invasive type to remove gallbladder is known as laparoscopic cholecystectomy.

Laparoscope (an instrument which was used to view inside of the body) is used in this surgery to remove gallbladder. It was done through many small incisions rather than one large incision, generally 4 incisions, each one centimetre or less in the length.

With laparoscopic cholecystectomy, you can return to the work sooner, have less pain after the surgery was done, and have shorter hospital stay & very shorter recovery time.

Surgery to remove gallbladder with a laparoscope won’t require the muscles of your abdomen be cut, as they were in open surgery. The incision was much smaller, which makes recovery go very fast.
With laparoscopic cholecystectomy, probably you will only have to stay in the hospital for day or two.

Laparoscopic cholecystectomy | gallbladder | Dr. Rahul Mahadar | Jeevanshree Hospital | Laparoscopic surgeon | bariatric surgeon | in Kalwa | Mumbra | Diva | Kopar | Dombivali | Kalyan | Badlapur | Thakurli

Read More

Hiatal Hernia

Esophagus passes through an opening in the diaphragm (i.e. hiatus) on its way to connect to the stomach. Hiatal hernias occur when the muscle tissue surrounding hiatus becomes weak, causing the bulging of the upper part of the stomach through the diaphragm into the chest cavity. It is generally caused due to obesity, pregnancy, aging, or thinning of the phrenoesophageal membrane.

Symptoms of Hiatal Hernia

A small hiatal hernia generally does not cause any symptom and need no treatment. But an enlarged hernia can cause following symptoms:

Heartburn - 30 - 60 minutes after eating

Regurgitation of stomach contents that gets worsened with lying flat

Excessive belching

Aspiration (reflux of stomach contents into the airway)

Recurrent Asthma attack’s

Pain or burning in chest

Difficult or painful swallowing

Vomiting blood or passing black stools

Diagnosis of Hiatal Hernia

It is often diagnosed while diagnosing the reason of heartburn or chest or upper abdominal pain by performing following evaluations:

Physical examination

Esophagram (barium swallow)

Upper endoscopy

Esophageal manometry

pH metry & Impedence ( if required)

Laparoscopic Cruroplasty and Nissen fundoplication for Hiatal Hernia

Laparoscopic Cruroplasty and Nissen fundoplication is the procedure of choice for repair of a symptomatic as well as asymptomatic hiatal hernia.The laparoscopic Cruroplasty and Nissen fundoplication is performed through five quarter-inch incisions. Laparoscope and other instruments are inserted through these incisions. The hernia is reduced from the chest into the abdomen. This may require separation of abdominal organs from the lung and middle chest structures. This is followed by repair of hiatus to its appropriate size and construction of a new lower esophageal valve. Prosthetic material is used in cases of large hernias with poor tissue to prevent recurrence. The procedure takes about two to four hours depending on the size and contents of the hernia.

Advantages of Laparoscopic Cruroplasty and Nissen fundoplication for Hiatal Hernia Repair

Faster recovery

overnight hospitalization

Sooner return to work

Very less pain during and after the procedure

Smaller incisions without any cut on abdominal muscles

Negligible risks and complications

Less chances of wound infection

High success rate with more than ninety-percent of symptom free patients after ten years of the procedure

Read More

Inguinal Hernia

An inguinal hernia is a weakness occurs in the wall of abdominal cavity which is very large enough to allow escape of the soft body tissue or internal organ, particularly a part of the intestine.
It generally appears as a lump & for some of the people it can also cause the pain and discomfort, limit daily activities & the ability to do the work. If the bowel strangulates or it becomes obstructed it will be very critical.
A hernia will be repaired usually by usage of a synthetic mesh either with the open surgery or by increasingly using less invasive laparoscopic methods.
The most common type of laparoscopic techniques for inguinal hernia repair were transabdominal preperitoneal (TAPP) repair & totally extraperitoneal (TEP) repair.
In TAPP the surgeon will goes into the peritoneal cavity & places a mesh by a peritoneal incision over the possible hernia sites. In case of TEP, it is different in that the peritoneal cavity won’t enter and mesh is used to seal and cover the hernia from outside the peritoneum (a thin membrane which covers the organs in the abdomen). This method is considered to be more difficult when compared with TAPP but it may have some fewer complications

Read More

10 Habits that Damage Your Digestive Health

Digestive system is the most important system of the human body. Human health is mainly depending on the function of digestive system. Every person should treat digestive system in a proper way. The main job of digestive system is to break down food into nutrients so that body can get sufficient amount of energy for work. Digestive system is responsible for the essential functioning of the body hence special care must be taken to stay fit and fine. Keeping this in mind the below is the list of 10 common habits than can actually damage digestive system.

1)    Overuse of Medication:

In this world, almost every person has taken medicine at some point in her/his life. Medicines are necessary to cure the diseases. But the overdose of medicine is very harmful to human body. Overuse of medication includes aspirin and non-steroidal or non-inflammatory drugs like ibuprofen. Generally people tend to cure illness without consultation of doctors. This can be fatal. Many medicines develop stomach ulcers as well as affects functions of digestive system. Stomach ulcers are also known as gastric ulcers which are very painful sores in stomach lining. Although a bacterial infection caused by Helicobacter pylori is the most common cause of gastric ulcers but the overusing of medications is equally responsible for the cause of ulcers. Many medicines can cause side or adverse effect on human body. Hence it is advisable to take medicines as per the prescription of doctor only.

  • The wrong time for meals:

This is the common habit of most of the people. Today due to hectic lifestyle, many people eat food late at night. The human digestive system works efficiently when we eat food at right time. Do not keep stomach empty for a long period of time except the hours of sleep. Eating at irregular time increases acidity and affects the functioning of digestive system. Eating junk food late at night is also harmful to body. The higher acidity level causes heart burn. The digestive system cannot work properly due to improper eating time. Every person should eat food or snack at least 2 to 3 hours before going to bed so that digestive system can get sufficient time to process the food. The breakfast should not be skipped. If person is suffering from heartburn then he/she should sleep in an elevated position. Hence it is necessary to eat food at right time to avoid further complications of digestive system.

  • Eating too much at one go:

Many people eat too much food at one go. It affects the function of digestive system. It can be harmful to human health. People should eat food in small quantities throughout the day so that it will be easier for the digestive system to break down the food for nutrients. If person eats food in large quantity at one time then there is a high possibility to rupture the stomach lining. Eating too much food at same time increases acidity level and bloating. Hence every person should eat small meals regularly after a certain time period to stay healthy.

  • Too little fiber content in daily food:

The fibrous foods always help digestive system to break down the foods into nutrients easily. A little fiber content in food is harmful to digestive system. The human body needs about 25 gm of fiber per day to keep digestive system functioning with full efficiency. Fibrous food helps to regulate bowel movements and prevent constipation as well as acidity. Hence every person should increase the intake of fibrous foods such as orange, lemon, apple, sweet potato, nuts, carrots, spinach, green beans, beetroot, soya beans, broccoli, bananas, cauliflower and legumes. The fibrous food increases the efficiency of digestive system. Hence every person should include fiber foods in diet. Regular consumption of fibrous food is essential for the proper functioning of digestive system.

  • Eating too quickly:

Today Due to hectic lifestyle many people are eating food quickly. They do not get sufficient time for eat food. Eating food too quickly can causes trouble to digestive system. When person eats quickly, he/she does not chew food properly. In this way un-chewed food starts collecting in stomach and swallows air. The unnecessary air causes acidity and heartburn. After eating food very quickly, stomach does not get sufficient time to expand and it can cause pain and discomfort. Regularly eating food too quickly can bloat person and finally damages digestive health. Hence every person should eat food at right pace to stay fit and fine.

  • Drinking too much alcohol:

Alcohol is very harmful to human body whether drink in small or large quantity. It damages the digestive system. Alcohol delays the speed of absorbing nutrients of the body and kills the helpful bacteria which are present in digestive system. Alcohol also develops ulcers in stomach and prevents them from healing. Continuous drinking of alcohol damages the liver permanently. It can also cause stomach cancer. Hence every person should avoid drinking alcohol.

  • Habit of chewing gums:

Gum chewing gives freshness to person but it can damage the function of digestive system. This habit leads to swallowing too much air which can increase bloating in person. The artificial sweeteners found in chewing gums make person uneasy. People should avoid chewing gums to keep digestive system efficient.

  • Not going when you need to go:

Human digestive system’s health is totally depends upon cleanliness. Whenever person feels the nature’s call he/she must visit the toilet. Keeping the dump in store seriously affects body system. Make a habit of passing stools early in the morning. If people do not have a regular pattern, do not postpone going to the toilet whenever the need arises. In case anyone suffering from constipation, necessary measures should be arranged without wasting time. Urination should not be stopped as it affects kidneys.

  • Cleansing bowels regularly:

The intestines are an important of your digestive system and people should keep them healthy for a healthy life. To cleanse your bowels regularly is a part of the normal process of digestion but overdoing it causes more damage than provide nay benefit. Laxatives that contain herbal extracts like senna or chemical preparations containing phenolphthalein are used by people but these compositions will make your bowels work overtime and may cause diarrhea. A bout of diarrhea results in a dehydrated human body and losing many of the good microorganisms that perform important functions in your digestive system. Also, instead of helping, laxatives can actually cause constipation by interfering with peristalsis.

  • Postponing a Colonoscopy:

Colonoscopy means endoscopic examination of large bowel and distal part of small bowel with the help of camera. Colonoscopy is a protection for digestive system. It should be done when doctor prescribes to a patient. People should not postpone a colonoscopy in any case. Neglecting colonoscopy can harmful to the digestive system. A timely colonoscopy can save person’s life from deadly diseases.

Read More

Achalasia Cardia

Achalasia cardia is very uncommon disorder which will cause patient very difficulty in swallowing food & drink. It doesnt simply fall by the food-pipe into the stomach. In achalasia cardia, two main problems were seen very commonly, first is inability of pumping action of the wall of food-pipe, second also loss of the ability of valve to relax in response to the approach of food; resulting in the ingested food & drink get collected in food-pipe and shows the symptoms of the blockage behind breastbone. The main cause of the achalasia is degeneration of nerve cells in esophagus (the food pipe) for which the exact reason is still not known.

  • Laparoscopic procedure for the Achalasia Cardia is most effective method for the treatment in which muscle of the sphincter, under direct vision is cut. 

  • This procedure is known as hellers cardiomyotomy and is performed completely by trained laparoscopic surgeon with a key-hole surgery. 

  • This method requires 5 tiny-hole incisions each less than half inch on the abdominal & done under the general anaesthesia.

  • The procedure is ususally combined with the antireflux procedure also. The duration of the surgery was 60-90 minutes and requires overnight stay or 2 days stay in the hospital.

Read More

Hiatal Hernia

Esophagus passes through an opening in the diaphragm (i.e. hiatus) on its way to connect to the stomach. Hiatal hernias occur when the muscle tissue surrounding hiatus becomes weak, causing the bulging of the upper part of the stomach through the diaphragm into the chest cavity. It is generally caused due to obesity, pregnancy, aging, or thinning of the phrenoesophageal membrane.

A small hiatal hernia generally does not cause any symptom and need no treatment. But an enlarged hernia can cause following symptoms:

♦ Heartburn - 30 - 60 minutes after eating

♦ Regurgitation of stomach contents that gets worsened with lying flat 

♦ Excessive belching

♦ Aspiration (reflux of stomach contents into the airway)

♦ Recurrent Asthma attack’s 

♦ Pain or burning in chest

♦ Difficult or painful swallowing

♦ Vomiting blood or passing black stools

Diagnosis of Hiatal Hernia

It is often diagnosed while diagnosing the reason of heartburn or chest or upper abdominal pain by performing following evaluations:

♦ Physical examination

♦ Esophagram (barium swallow)

♦ Upper endoscopy

♦ Esophageal manometry

♦ pH metry & Impedence ( if required) 

Laparoscopic Cruroplasty and Nissen fundoplication for Hiatal Hernia

Laparoscopic Cruroplasty and Nissen fundoplication is the procedure of choice for repair of a symptomatic as well as asymptomatic hiatal hernia.The laparoscopic Cruroplasty and Nissen fundoplication is performed through five quarter-inch incisions. Laparoscope and other instruments are inserted through these incisions. The hernia is reduced from the chest into the abdomen. This may require separation of abdominal organs from the lung and middle chest structures. This is followed by repair of hiatus to its appropriate size and construction of a new lower esophageal valve. Prosthetic material is used in cases of large hernias with poor tissue to prevent recurrence. The procedure takes about two to four hours depending on the size and contents of the hernia.

Advantages of Laparoscopic Cruroplasty and Nissen fundoplication for Hiatal Hernia Repair

♦ Faster recovery

♦ overnight hospitalization

♦ Sooner return to work

♦ Very less pain during and after the procedure

♦ Smaller incisions without any cut on abdominal muscles

♦ Negligible risks and complications

♦ Less chances of wound infection

♦ High success rate with more than ninety-percent of symptom free patients after ten years of the procedure.

 

Dr. Rahul Mahadar Best Laparoscopic Surgeon for Hiatal Hernia Surgery at Jeevanshree Hospital  Dombivli , Kalyan , Diva , Ambernath , Badlapur , Ulhasnagar.

Tags

Hernia Surgeon | Hernia Surgery |Best Hospital for Hernia Surgery | Cost of Hernia Surgery | Laparoscopy Hernia Surgery

Read More
acidic food

Alkaline vs Acidic Foods

Animal foods, which are concentrated sources of protein, are highly acid-forming foods. Eating large quantities of meat, fish, poultry, eggs and cheese might result in a surplus of amino acids, as well as the mineral sulfur, that form acidic compounds during normal metabolism. Refined carbohydrate foods such as pasta, packaged cereals and sugars are also highly acid-forming. Other acid-forming foods are: most legumes such as beans, lentils and peanuts; most grains such as wheat, rye, rice, oats and corn; some nuts such as cashews; alcohol; coffee; and tea.

Most fruits and just about all vegetables are alkaline-forming. A few exceptions are cranberries and blueberries, which are somewhat acid-forming. Ironically, acidic fruits such as lemons and limes are actually alkaline-forming once metabolized. Fruits and vegetables are good sources of minerals such as potassium, magnesium and calcium that participate in regulating the pH of body fluids and correct excess acidity. “Nutrition Journal” published a study in 2009 in which subjects increased the pH of their blood and urine by taking supplements containing these minerals. Food is preferable, however.

Read More

It's not that some people have willpower and some don't. it's that some people are ready to change and others are not.James Gordon

Laparoscopy Advantages

Laparoscopy Advantages

Laparoscopic surgery has become the preferred method for performing many general surgery procedures.  You may also hear laparoscopic surgery referred to as minimally invasive surgery, band aid surgery, or keyhole surgery.

All of these names refer to the reduced incision size of laparoscopic surgery compared to traditional open surgery.

A Laparoscope is a long flexible tube connected to a video camera. The surgeon inserts the tip of the laparoscope through a small incision in the abdominal wall. Using a video monitor, the surgeon can see through the laparoscope and can accurately guide it to the body organ that requires treatment.

Depending on the surgery to be performed, several other tiny incisions may be made as well. The surgeon inserts special instruments through these holes to hold, cut, suture or staple inside the body.  At the completion of the surgery, the incisions are sutured closed and easily covered with small band aids.

Benefits for Patients

The popularity of laparoscopic surgery is mainly because of the advantages that it offers to the patient.  Usually these procedures are more technically challenging for the surgeon so additional skill and training is required to perform them safely.

Dr.Rahul Mahadar is a  Surgical Specialist who has extensive training in advanced laparoscopy and performs the all surgical procedures using this technique.

Primary Benefits of Laparoscopic Surgery

  • Smaller surgical scars
  • Reduced blood loss during surgery
  • Less pain following surgery
  • Shorter hospital stay
  • Faster return to normal activity
  • Reduced risk of infection.
Read More