Vishal Soni

Robotic Hiatus Hernia Surgery

Robotic /

Understanding Hiatus Hernia and Why It Requires Timely Treatment A hiatus hernia occurs when a portion of the stomach pushes upward through the diaphragm into the chest cavity. This condition can lead to persistent symptoms such as acid reflux, heartburn, chest discomfort, and difficulty swallowing. While mild cases may respond to lifestyle changes and medication, many patients eventually require surgical repair to prevent complications and improve quality of life.In recent years, surgical innovation has significantly improved how hernia repairs are performed. Robotic-assisted procedures are now offering patients a more precise and minimally invasive treatment option. Many patients seeking advanced care in India prefer consulting experienced specialists such as Dr. Vishal Soni, widely recognized as the best hernia surgeon in India for managing complex gastrointestinal and hernia conditions. Common Symptoms and Causes of Hiatus HerniaA hiatus hernia often develops gradually and may remain unnoticed in its early stages. However, as the condition progresses, patients may begin experiencing noticeable digestive discomfort.Common symptoms include:● Frequent heartburn: Persistent acid reflux that worsens after meals or when lying down.● Chest discomfort: A burning sensation in the chest caused by stomach acid entering the esophagus.● Difficulty swallowing: A feeling that food is stuck while passing through the esophagus.● Bloating and regurgitation: Acid or food coming back into the mouth.Factors such as obesity, aging, chronic coughing, heavy lifting, or increased pressure within the abdomen can contribute to the development of a hiatus hernia. When Surgery Becomes the Recommended OptionSurgery is typically recommended when symptoms become severe or do not improve with medications and lifestyle adjustments. Long-term reflux can lead to complications such as esophageal inflammation or damage, making surgical repair necessary. Robotic hiatus hernia surgery has emerged as an advanced option for patients requiring surgical treatment. The robotic platform allows surgeons to perform delicate procedures with enhanced vision, precision, and control. This approach can help reduce surgical trauma while ensuring accurate repair of the hernia. What is Robotic Hiatus Hernia Surgery?Robotic hiatus hernia surgery is a minimally invasive procedure performed using a robotic-assisted surgical system controlled by the surgeon. Through small incisions, specialized instruments and a high-definition camera are inserted to repair the hernia and restore the stomach to its normal position.Unlike traditional open surgery, the robotic technique allows surgeons to perform complex movements with improved stability and precision. The robotic system translates the surgeon’s hand movements into extremely accurate actions, helping to repair delicate structures around the diaphragm and esophagus. How Robotic Technology Improves Surgical PrecisionThe use of robotic technology offers several advantages during hernia repair procedures. Surgeons benefit from magnified 3D visualization and flexible instruments that mimic natural wrist movements, allowing for greater control in confined surgical spaces.This advanced technology can help achieve more precise suturing, improved tissue handling, and a safer repair of the hernia defect. Key Benefits of Robotic-Assisted Hernia RepairPatients undergoing robotic-assisted surgery often experience several benefits compared to conventional approaches.● Smaller incisions: Minimally invasive technique results in less visible scarring.● Reduced pain after surgery: Smaller incisions and gentle tissue handling help minimize discomfort.● Faster recovery: Many patients return to normal activities sooner.● Lower risk of complications: Enhanced precision supports better surgical outcomes. Why Expertise Matters in Hernia SurgerySuccessful hernia repair depends not only on advanced technology but also on the experience and expertise of the surgeon performing the procedure. Choosing a specialist who regularly treats complex gastrointestinal conditions plays a crucial role in achieving safe and lasting results. Advanced Hernia Care by Dr. Vishal SoniDr. Vishal Soni is an experienced robotic and minimally invasive gastrointestinal surgeon known for managing complex hernia conditions with modern surgical techniques. His approach focuses on accurate diagnosis, patient-centered treatment planning, and the use of advanced technology to deliver optimal surgical outcomes. Choosing the Right Hernia Specialist for Safe OutcomesWhen selecting a surgeon for hiatus hernia treatment, patients should consider experience in minimally invasive and robotic procedures, access to advanced surgical facilities, and a proven track record in managing complex cases. Expert care ensures that patients receive the most suitable treatment option tailored to their individual condition. Recovery and Long-Term Results After Robotic Hiatus Hernia SurgeryRecovery after robotic hiatus hernia surgery is generally smoother compared to traditional open procedures. Since the surgery is performed through small incisions, patients typically experience less pain and a shorter hospital stay. What Patients Can Expect After the ProcedureMost patients can begin light activities within a few days after surgery, although complete recovery may take a few weeks. Doctors usually recommend temporary dietary adjustments and gradual return to normal routines.With proper surgical repair and post-operative care, many patients experience long-term relief from reflux symptoms and improved digestive comfort. Robotic surgical techniques continue to transform the field of gastrointestinal surgery, offering patients a safer and more precise approach to treating hiatus hernia.

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Robotic Cholecystectomy for Acute Cholecystitis: Safer and More Precise Gallbladder Removal

Robotic /

Understanding Acute Cholecystitis and Its Symptoms Acute cholecystitis is a sudden inflammation of the gallbladder, most commonly caused by gallstones blocking the cystic duct. When bile cannot flow normally, the gallbladder becomes inflamed, leading to severe abdominal pain, fever, nausea, and digestive discomfort. This condition often requires prompt medical attention, as untreated inflammation may lead to serious complications such as infection or gallbladder rupture.In many cases, surgical removal of the gallbladder known as cholecystectomy is the most effective treatment. With advancements in minimally invasive techniques, robotic cholecystectomy has emerged as a modern approach that allows surgeons to perform the procedure with greater precision and control. The technology offers enhanced visualization and improved instrument movement, which can help reduce surgical trauma and support faster recovery.Patients seeking advanced surgical care often consult experienced specialists such as Dr. Vishal Soni, a well-known Robotic GI Surgeon in Ahmedabad recognized for managing complex gastrointestinal conditions with modern techniques. By combining clinical expertise with innovative surgical technology, he focuses on delivering safe and effective treatment for patients dealing with gallbladder disease. What Causes Acute Cholecystitis?Acute cholecystitis usually develops when gallstones obstruct the cystic duct, preventing bile from leaving the gallbladder. This blockage leads to increased pressure, irritation, and inflammation of the gallbladder wall. Over time, the trapped bile can cause infection and significant discomfort.Other contributing factors may include bile duct problems, infections, or reduced blood supply to the gallbladder. Individuals with a history of gallstones, obesity, or certain digestive disorders may have a higher risk of developing this condition. Common Signs and Symptoms of Gallbladder InflammationThe symptoms of acute cholecystitis often appear suddenly and can worsen over time if not treated promptly.Typical symptoms include:● Severe pain in the upper right abdomen, often spreading to the back or shoulder● Nausea and vomiting, especially after eating fatty foods● Fever and chills, indicating possible infection● Abdominal tenderness or bloating, particularly after mealsRecognizing these symptoms early can help patients seek timely medical care and prevent complications. When Surgery Becomes Necessary for Acute CholecystitisWhile medications and supportive care may help manage mild cases temporarily, surgery is usually recommended to remove the inflamed gallbladder and prevent recurring attacks. Early surgical treatment often leads to better outcomes and reduces the risk of complications. Risks of Delaying Gallbladder TreatmentDelaying surgery for acute cholecystitis can increase the likelihood of complications such as gallbladder infection, abscess formation, or bile leakage. In severe cases, prolonged inflammation may damage surrounding organs or lead to life-threatening infections. Why Early Surgical Intervention is Often RecommendedRemoving the gallbladder during the early stage of inflammation helps eliminate the root cause of the problem. Early intervention can also reduce hospital stays, prevent recurrent pain episodes, and allow patients to return to normal activities sooner. What is Robotic Cholecystectomy?Robotic cholecystectomy is a minimally invasive surgical procedure performed using advanced robotic-assisted technology. During the surgery, the surgeon controls specialized instruments through a robotic platform that translates precise hand movements into highly controlled actions.This approach allows for better visualization of delicate structures around the gallbladder, helping surgeons perform accurate dissection and removal while protecting nearby tissues. How Robotic-Assisted Gallbladder Surgery WorksSmall incisions are made in the abdomen through which a camera and surgical instruments are inserted. The robotic system provides a magnified three-dimensional view of the surgical area, allowing the surgeon to operate with improved accuracy. Advantages of Robotic Technology in Gallbladder RemovalThe use of robotic technology offers several advantages for both surgeons and patients:● Greater precision during surgery● Smaller incisions and minimal scarring● Reduced post-operative discomfort● Faster recovery and shorter hospital stays Benefits of Robotic Cholecystectomy for PatientsMinimally invasive surgical techniques have transformed gallbladder treatment by focusing on faster healing and improved patient comfort.Key benefits include:● Less post-surgical pain compared to traditional open surgery● Shorter recovery period, allowing patients to resume daily activities sooner● Lower risk of infection or complications● Improved surgical accuracy due to enhanced visualizationThese advantages help ensure better overall patient outcomes. Expert Gallbladder Surgery in AhmedabadSuccessful treatment of gallbladder disease depends on timely diagnosis, advanced surgical technology, and the experience of the surgeon performing the procedure. Advanced GI Surgical Care by Dr. Vishal SoniDr. Vishal Soni is known for his expertise in minimally invasive gastrointestinal procedures and his commitment to patient-focused care. By adopting modern surgical techniques and maintaining high clinical standards, he aims to provide effective treatment options for patients dealing with gallbladder disorders and other complex digestive conditions.For individuals suffering from acute cholecystitis, advanced minimally invasive procedures offer a safe and reliable path toward long-term relief and improved digestive health.

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Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian)

Bariatric /

Post-Bariatric Surgery Diet Plan Outline (Indian Vegetarian) Phase 1 : Clear Liquid Diet (Days 1–3 post-op) Goal : Hydration, prevent nausea, promote healing Frequency : Sip 30–50 ml every 15–20 mins Allowed : Coconut water (unsweetened) Jeera or ajwain water (strained) Clear homemade vegetable broth (no solids) Rice kanji water Lemon water (without sugar) ORS / electrolyte solution Phase 2 : Full Liquid Diet (Days 4–14 post-op) Goal : Gradual introduction of calories and protein Portion : 100–150 ml per serving, 6–8 times/day Allowed : Protein shakes (plant-based or whey isolate) mixed in water or skim milk Skim milk or lactose-free milk (unsweetened) Moong dal or masoor dal soup (strained) Thin oats or dal porridge (blended smooth) Buttermilk (diluted, no masala) Soy or almond milk (unsweetened)Avoid : Sugar, caffeine, aerated drinks, spicy or acidic items Phase 3 : Pureed Diet (Weeks 3–4) Goal : Increase protein intake, begin texture transition Portion : ½ cup per meal, 5–6 meals/day Allowed : Soft khichdi (blended/moist, with dal and rice) Mashed paneer with turmeric & cumin Steamed and blended vegetables (carrot, lauki, spinach, pumpkin) Hung curd or low-fat curd (plain) Boiled mashed soya chunks Chia seed pudding (in soy/almond milk) Moong dal cheela (blended) or soft moong dhokla Eat slowly, chew/puree thoroughly, avoid fibrous veggies like methi, cabbage, corn Phase 4 : Soft Diet (Weeks 5–6) Goal : Introduce soft solids, continue high protein, low fat/sugar Portion : ¾ cup per meal, 5 small meals/day Allowed : Upma with moong dal and grated veggies Soft idli with minimal chutney Boiled eggs (if tolerated, optional for ovo-vegetarians) Low-fat paneer bhurji Tofu stir-fry (minimal oil) Stuffed lauki or tinda (well-cooked, mashed inside) Greek yogurt or homemade hung curd Protein laddoo (homemade: roasted moong dal, chia, peanut, jaggery) Limit fat, avoid raw salads, dry fruits, bakery foods Phase 5 : Stabilization / Regular Bariatric Diet (From Week 7 onward) Goal : Maintain weight loss, build lifelong habits Portion : 1 cup per meal, 3 meals + 2 snacks Daily targets : Protein: ≥ 60–80 g/day Fluids: ≥ 1.5–2 L/day (30 min away from meals) Supplements: Multivitamin, calcium, iron, B12 Meal Ideas : Breakfast : Vegetable dalia or besan cheela + curd Lunch : 1 small jowar roti + dal + sautéed vegetable + curd Snacks : Roasted chana, buttermilk, low-fat milk smoothie Dinner : Vegetable soup + quinoa khichdi with tofu Protein options : Soy nuggets, paneer, whey isolate, pulses, tofuLong-term avoid: Fried food, sugar, carbonated drinks, alcohol Supplement Guidelines (To be advised by surgeon/dietician as per labs) Multivitamin (daily chewable or capsule) Calcium + D3 (500–600 mg twice/day) Iron (45–60 mg elemental/day) Vitamin B12 (oral or injection monthly) Protein supplement: Until intake from diet is sufficient Lifestyle Tips Eat slowly, chew thoroughly (20–30 times per bite) Avoid drinking with meals (gap of 30 mins) Stay upright 30 mins after meals Focus on protein first, then vegetables, then carbs Maintain food and symptom diary during first 3 months

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Preparing for a Laparoscopic Surgery!

Laparoscopic /

Preparing for a Laparoscopic Surgery! Also known as ‘#Keyhole Surgery’, “Minimal Access Surgery”, “Minimally Invasive Surgery” or simply “#Laparoscopy“, Laparoscopic surgery requires small incisions (Typically less than 1 cm) and is performed with small slender instruments introduced into the abdomen through holes called as “ports”. Laparoscopic Cholecystectomy, Diagnostic Laparoscopy, Laparoscopic Hernia Repair etc are the commonest Laparoscopic Surgeries performed as a standard of care. Important points to be considered before any elective #Laparoscopic #Surgery 1. Blood thinning medicines like Aspirin, Clopidogrel, Heparin, Warfarin etc might have to be stopped prior to Surgery. The duration of stoppage of medicines is variable and is decided by the Surgeon & the Physician. 2. Laxatives would be given a day or two prior to surgery to cleanse the bowel, expect a mild diarrhea. 3. Light diet should be started from 3 days prior to the Surgery, progressively liquid diet should be switched over to and continued till about 8 hours to surgery. 4. Medicines for Diabetes, Blood Pressure, Thyroid Issues, Asthma etc would need alterations, as suggested by the Physician. 5. One should strictly avoid smoking prior to surgery, preferably 6 weeks prior to any planned Surgery, specially Hernia Surgery. 6. After admission, let the Doctor know if you haven’t passed a bowel movement. 7. If there is any fever, report it to the Doctor prior to the admission. 8. Its a common practice to defer elective surgery during Menstruation, however the final decision should be taken after Surgeons advice. 9. Bathing on the morning of surgery, removal of Nail paints, removal of all jewelry, Removal of Dentures should be done prior to Admission. 10. Abdominal & Private part Hair removal would be needed, usually done after admission in Hospital by Hair Clipper. If you have been advised Laparoscopic Surgery or for any query kindly consult in OPD @ Zydus Hospitals, Ahmedabad, Gujarat or alternatively schedule a Tele-Consultation Appointment from the Home Page.

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Don’t be a fool, to ignore Blood in Stool!

Myths and Facts /

Blood In Stool #BloodInStool should never be considered as normal. It may be seen in the form of small stain on stool or on tissue paper, in the commode after passage of stool, drops along with stool or an intermittent/continuous stream. In some cases, the stool may also appear to be tarry black or dark red color. It’s can be sign of a disease ranging from a small trivial #fissure or a #hemorrhoid to Colon #Cancer or #IBD (#Crohns Disease / #Ulcerative Colitis). Any of the following associated complaints should raise an alarm & such bleeding be taken very seriously, with a need for detailed investigations to rule out any life-threatening condition. 1. Large quantity of blood loss or frequent passage of blood – anything that you feel is abnormal. 2. Abdominal Pain 3. Fever 4. Weight loss & Lack of Appetite 5. Abdominal Distension 6. Alternate diarrhea & constipation / a change in “your routine” bowel habit. 7. Bleeding from any other sites 8. Jaundice A detailed discussion with your Surgeon should include mention of all medicines that one might be taking, habits, travel history & any other information one might feel relevant to share.Not every patient needs extensive tests, a detailed history & initial examination can give a certain idea about the problem. Your Surgeon may further advice relevant tests which may include a. Complete Clinical Examination including #Anoproctoscopy b. #Stool Examination c. Blood Tests: Complete Hemogram, Coagulation Profile, Liver Function Tests, CRP, Tumor Markers, etc d. #Sigmoidoscopy / #Colonoscopy e. Ultrasound / CT Scan of Abdomen Although vast majority of Blood in stool do turn out to be due to benign ano-rectal (#Fissure, #Hemorrhoids, #Fistulae) or Colonic causes (#Polyp, #Diverticulosis, #Colitis etc) conditions but it is best evaluated and then treated accordingly. Blood In Stool If you have any of the above symptoms, or have been diagnosed with any of the above conditions or have been advised Surgery, kindly get yourself evaluated by Dr Vishal Soni in OPD or visit our Emergency Services @ Zydus Hospitals, Ahmedabad, Gujarat.

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10 Point Checklist for Tele-Consultation & Tele-Medicine.

Myths and Facts /

Tele-Consultation & Tele-Medicine. The current #Covid19 pandemic has necessitated restriction in movements, preventing easy interactions between doctors & patients. However, availability of communication modalities & technological adoptions by the Healthcare professionals have opened doors to allow continued communications & #healthcare using #Tele-medicine. Tele-medicine is a 2-way interface using conventional (Tele-phone) and modern (Internet-based) channels including Audio, Image & Video. Although it won’t replace the physical interaction, but it does come close to the real-world experience. Important points to be remembered while getting a Tele-consultation 1. Connect with your regular/known doctor. 2. Not for Emergencies, call an ambulance for that. 3. Usual duration is 15mins, gracefully accept the time-bound interaction. 4. Keep a list of questions, concerns & queries ready, preferably written on a paper. 5. Ask clear & short questions. 6. Send previous reports well in advance. 7. Expect Blood tests, Radiological investigations, get them done at the network suggested by the doctor, as that would ease the flow of information. 8. Accept a follow up interaction to close the case. 9. If symptoms worsen/ don’t improve as planned, do see a Doctor in person. 10. Online consultations are a guide to further steps rather than a modality to reach definitive diagnosis in one go. For scheduling a Tele-Consultation kindly visit the Home Page.

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Dissolving Gallstone Myths – Part 1

Myths and Facts /

Gallstones 1. Is the cause of #Gallstones & kidney Stones same? No, although stones do occur in variety of organs & the causes are all different. Stones may occur in Gall bladder, Kidneys, Pancreas, Salivary Gland, Urinary bladder etc 2. Can Gallstones be prevented with Diet? There is no concrete evidence that Gallstones can be “prevented” by diet, as the occurrence of Gallstones include numerous other factors as well. 3. Is there difference between small multiple stones or single large stone disease? The stone-patterns seen are Small multiple stones (less than 10mm), Single large stone (greater than 10mm) & A combination of above. Small stones have greater propensity to cause blocked passages & resultant Infections, attributed to ability to slip ahead, whereas large stones have been associated with Gallbladder Cancer. 4. Can Gall stones cause #cancer? Yes, specially in stone size > 3cm. Of note is the fact that 80-90 % Cancer of Gall Bladder have Gall stones, with very high risk associated with #Porcelain Gall Bladder. 5. Which organs can get diseased/affected due to Gall Stones? Gall stones may affect the following organs Gall bladder (Acute #Cholecystitis, #Empyema, Carcinoma Gall bladder etc) Liver & Common Bile Duct (Obstructive #Jaundice etc) Pancreas (#Pancreatitis etc) Small intestines (Fistula & Obstruction) 6. How effective is #Ayurvedic Medicines & #Homoeopathy for Gallstones? There are NO scientific evidences proving any long term positive effects of Alternative Therapies. They should be used with extreme caution with strict monitoring & Ultrasound Follow-up. Laparoscopic Cholecystectomy remains THE ONLY standard of care & permanent solution for Gall stones. 7. How would removal of Gall bladder effect my digestive capacity? Removal of Gall bladder wont have any negative effect on digestion. On the contrary, relief from the symptoms arising due to gallstones might help in better ability to eat & digest. 8. Eating #Fatty food is banned after Cholecystectomy? Patients are asked to avoid Fatty food for about a week after Surgery, following which a normal diet can be resumed. Low fat should be continued as a healthy habit though. 9. Its difficult to gain weight after Cholecystectomy? Cholecystectomy has NO implications on weight trends. 10. Can Gallstones be removed with #Endoscopy? Endoscopic Retrograde Cholangio-Pancreatography – #ERCP is used when Gallstones drop into the Common Bile Duct from the Gall Bladder, for clearance of the biliary canal – the common bile duct in cases of Obstructive Jaundice & #Cholangitis or #BiliaryPancreatitis. But endoscopic removal of stones from gall bladder isn’t scientific, hence not practiced. 11. Can Gallstones be dissolved or broken, like kidney Stones? Shock wave #Lithotripsy is modality used to break stones into small pieces. It has been used in the past, unsuccessfully, with very high chances of complications, hence not recommended. 12. Is Open Surgery better or #Laparoscopic Surgery? Unless there are specific contra-indications, Laparoscopic Surgery has distinct advantages over Open Surgery. Laparoscopic Cholecystectomy is the Standard of care for Gall Stone Disease. If you have been detected with Gall Stones, suffer from any of the complications or have been advised Surgery kindly schedule an appointment with Dr Vishal Soni @ Zydus Hospitals, Ahmedabad, Gujarat.

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Hernia Questions Answered!

FAQs, Hernia /

Hernia 1. Can my #Hernia kill me? Yes. A blunt & honest statement is that any untreated hernia can turn out to be a potentially lethal disease & can result in mortality. 2. Do all Hernia need #Surgery? Eventually, Yes. However small mid-line abdominal hernia, direct inguinal hernia can be observed till they start giving trouble. This needs to be evaluated & opined by a Surgeon keeping in mind risks & benefits involved. 3. Is #Mesh necessary or can I avoid it? Mesh is a Synthetic material that is used to reinforce the muscles and is central to any Hernia repair. However, there are Non-Mesh repairs ( #Desarada & #Shouldice Repair) but they have increased chances of failure & thus recurrence of Hernia. Its best to discuss this with your Surgeon. 4. Is #Laparoscopic Surgery always better than Open Surgery? If the Hernia is amenable to both approaches, Laparoscopic Meshplasty has a distinct advantage. However there are cases where Laparoscopic Meshplasty is not feasible (Large Hernia, Intra abdominal issues) or the patient is not fit for General Anaesthesia. Here, Open surgery can give great & safe results. 5. Can I get both Left & Right #Inguinal Hernia Operated Together? Yes, Infact if there is evidence of hernia occurring bilaterally, we recommend getting both sides operated together . This holds true more so in Laparoscopic Surgery Approach where the ports (entry points for instruments) remain common for both sides. 6. Is it advisable to get #Umbilical & Inguinal Hernia Operated together? Yes, Often patients have weakness of entire lower abdomen with resultant more than one Hernia. Its usual to use Mesh in Inguinal Region & a Suture Repair of Umbilical hernia, specially if its small. Else a Mesh at both or all 3 places may be used. 7. Can I undergo Laparoscopic #Cholecystectomy & Inguinal / Umbilical #Meshplasty? One “may” choose this option, with small caution. The bile/Gallstones in Gall bladder, if harbouring bacteria, can infect the mesh & cause severe complications. Its not unusual to plan both surgeries together, whereby the Gall bladder is attended first & depending on the situation the Surgeon may or may not proceed with Hernia Repair. 8. Is Laparoscopic #Fundoplication with Umbilical/Inguinal Meshplasty Safe? Again, the answer is Yes. But only if the Fundoplication goes smooth & unevetful. So the decision is best left to the operating surgeon. 9. Can I #exercise/swim after Hernia Surgery? The recommended schedule is that of gradual increment in intensity.   Routine walks in 2 days. Walking > 30 mins in about 7 days. Fast walking in 14 days. Swim in 4 weeks Cycling & Weights after 6 weeks. Heavy Intensity work-outs, contact sports etc after 3 months. 10. Can Hernia Recure? Rarely, Yes. The Mesh that’s place needs to be held by the body in place. This process of healing & fibrosis takes time & has its own course. Any interruptions or adverse events can hamper the same with resultant recurrence. The usual recurrence rates are about 1% or less.If you are suffering from Hernia, have any such symptoms or have been advised Surgery for Hernia, kindly consult Expert Laparoscopic Hernia Surgeon Dr Vishal Soni OPD @ Zydus Hospitals, Ahmedabad, Gujarat for an Opinion, alternatively schedule a Tele-Consultation from the Home Page.

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FAQs Answered: Peri Anal Fistula & Abscesses

FAQs /

Peri-Anal Sepsis Fistula in Ano Can I avoid #Surgery & not get operated? Anal #Fistula once formed, persists for life, unless treated. In case of #Ischiorectal or a #Perianal #Abscess it would increase In size & ultimately rupture from the weakest portion in the wall. These are purely Surgical Illnesses needing some form of intervention for complete cure. Is #MRI Pelvis a must? It’s a standard advice to all our patients to undergo MRI of Pelvis. Although a thorough clinical examination can give plenty information. Having a cross-sectional study helps in better treatment planning, risk stratification & understanding. Hence recommended. Is #Sigmoidoscopy / #Colonoscopy a must? Not in all patients. However if there is a history of Abdominal Pain, Weight loss, Bleeding in Stool then its worthwhile getting the colon thoroughly checked. Is #Laser the best treatment? The inquiry & preference for LASER originate from an incorrect myth that it’s a pain free & side-effect less modality! Few points here, its not a new technique but an energy source and has been there around since decades. The use doesn’t guarantee pain-free state. There are few fistula where the use is recommended! Other techniques like #VAAFT, #LIFT etc which have emerged over last decade & been used successfully. We use the concept of PersonalSpaceSurgery to decide the best possible treatment & surgical approach for you. How bad can the pain be after surgery? It can range from mild to severe. There are plenty of factors that come into picture for the same. But in any situation we ensure that the pain is taken care of & the patient is comfortable. Can pain be prevented or minimized? Yes. With newer & advanced techniques, we can precisely predict which patients are likely to develop issues with pain & manage them proactively. Our #Algologist (Pain Specialist – Dr Milan Mehta) is internationally trained in managing these cases to ensure a pain-free recovery Will there be any incontinence? The techniques of surgery we rely on, ensure a fine balance between Sphincter Preservation & avoidance of recurrence. All our efforts are focused on ensuring continence & it remains central to the care offered. The above concerns are duly addressed in our Approach to the entire spectrum of Fistulous Disease with #PersonalSpaceSurgery. Is Personal Space Surgery a new Surgical Technique? #PSS is an aggregation of all our efforts in managing patients with various Peri-Anal Conditions, including Anal Fistula Disease. It includes Investigations, Treatment planning, Surgery & Post-Operative Care. It ensures best possible outcomes. How tough is wound care & can I do it at home?   The standard post-operative recovery involves stay in the hospital for a day or two where wound care is done under strict supervision. Meanwhile the patient & the family members actively participate in wound care & continue it at home, very comfortably. We have a team of trained & experienced Staff to help the patient at home with wound care. Its very rare for the patient to have to visit hospital for daily Wound Care. Does it recure? Very rarely. Cure from fistula has two components – Surgical & Patient healing. Patient healing can be influenced only in a limited fashion & all surgical techniques have a limitation too. Our recurrence rates match global standards & stand at less than 1%. Can I eat normally after Surgery?   Absolutely Yes. The Surgery is planned in such a way that the bodily functions & the wound would not interfere in daily food habits. Almost all our patients go back to normal full diet in less than a week after surgery. Schedule an OPD appointment to get yourself evaluated & to inquire regarding Personal Space Surgery @ Zydus Hospitals, Ahmedabad, Gujarat.

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Empathy: The Essential Superpower!

Myths and Facts /

Empathy The field of medicine deals with pain, suffering, losses & death at each stage. It won’t be an over statement to say that Empathy comes across as a very powerful emotion & a very strong virtue to be a #SuperDoctor. #Empathy is an experience of emotional resonance where the observer identifies and transiently experiences the subject’s emotional state. However, being empathetic not only means understanding patients’ experiences, concerns and perspectives, but also, being able to #communicate the same your patients. In simpler words its “I get how you feel” or that “We are with you!” It goes without saying that physicians cannot fully experience the suffering of each patient. However, the point is that empathy is more of an intellectual rather than emotional form of knowing. The implication of which is, it can be learnt! And in the process of being learning how to be empathic, Doctors end up actually being empathic. The function of empathy isn’t merely to label an emotional state, but to recognize what it feels like to experience something. That is why empathy is needed even when it is quite obvious what emotion label applies to a patient. Physicians who allow their patients to move them enrich their own experience of doctoring. As the goal of medicine is to alleviate suffering and not simply cure disease – empathy becomes a necessary clinical skill to treat the patient holistically!    Beyond the obvious benefits of a healthy Doctor-Patient Relationship, we see empathy playing a major determinant role with fringe benefits – Patients who are empathised with, tend to like their physicians & are more likely to be compliant with their treatment plan translating into better #health outcomes. – After acceptance of #insurance plan, bedside manner/empathy is the top factor adults consider while selecting a physician for themselves or a loved one. – Empathetic Surgeons are likely to not get litigation in face of adverse events. – Doctors who are more attuned to the psycho-social needs of their patients are less likely to experience #burnout – Empathy is used by Quacks to convince their patients of good intentions & thus as a trust building measure Lastly, the physician must perform a difficult internal balancing act: by becoming too emotionally involved with the patient, one may lose objectivity; by not becoming involved enough, one may be unable to relate as a human being.

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