Monday, 5 February 2018

Fistula in Ano: Stop Worrying and Get Treatments

A narrow tunnel having its internal opening in the anal canal and it opens externally in the skin near the anus is an Anal Fistula. Fistula in Ano is a chronic problem caused due to granulation of tissues in the perianal skin.

fistula in ano

Causes Of Anal Fistula
Typically the majority of anal fistula is caused by a previous anorectal abscess. Usually, it so happens that after a surgical procedure or spontaneous drainage in the perianal skin, a granulation tissue is left behind, this may cause a tract formation. Anal fistula occurs in almost 40% of the cases in the patient who undergo abscess drainage.
Fistula may also develop as an after effect to traumas such as Crohn's disease, anal fissures, cancers, and tuberculosis.

fistula in ano
  • Pain, which is usually constant, throbbing and worse when sitting down
  • Skin irritation around the anus, including swelling, redness and tenderness
  • Discharge of pus or blood
  • Constipation or pain associated with bowel movements
  • Fever
Treatment and Management
  • Treatment should be focussed on breaking the vicious cycle that causes great discomfort to a patient as mentioned above.
  • Diet changes such as including both soluble and insoluble fibers in the form of fruits and vegetables to help soften stools.
  • The patient should increase fluid intake.
  • Doctor may prescribe Psyllium
  • Anal hygiene must be taken seriously
Surgery for Anal Fistula
Most anal fistulas do not heal on their own. In such cases surgery will be needed to treat the problem. Surgery for anal fistula is usually performed under a general anaesthetic which usually takes between a quarter of an hour and half an hour.

Punya hospital, laparoscopic center in Bangalore is a multi-specialty hospital in Bangalore providing excellent and greater care to patients suffering from Fistula in Ano at affordable cost. Our after procedure care is of the highest grade.
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Tuesday, 19 September 2017

Tubal Recanalization To Clear Blockage In Fallopian Tube

Tubal recanalization is a non-surgical procedure to clear the blockages in the fallopian tubes. The blockage of fallopian tubes can be determined by following symptom’s
  • Lower Abdominal Pain
  •  Pain during Periods 
  • Pain during Sex
  •  Pain during Urination
Unusual Vaginal DischargeRecanalization is a medical term which means reopening. The whole process does not need any incision or needle use. The steps in the process are 
  • Insert a speculum into the vagina to pass a tiny plastic tube into the uterus
  • Inject a liquid contrast agent with the help of plastic tube
  • Examine the whole activity using a monitor or a tiny camera 
  • Receive a hysteron-salpingogram (HSG) which is a picture of fallopian tubes and uterus 
  • Examine the blockage and thread a smaller plastic tube to clear the blockage.

The whole process is completed under the sterile conditions to avoid any kind of infection. The overall time needs to perform the procedure is around a half an hour. The accuracy of the process is around 90 percent and will restore the fallopian tubes normal functions. The rate of success depends on factors such as maternal age, reproductive history, causes of infertility, and other lifestyle factors. 

  • Pelvic inflammatory disease (PID)
  •  Endometriosis 
  • Tubal ligation removal
  •  Uterine fibroids 
  • Ectopic pregnancy 
  • Genital tuberculosis 
  • Problems from lower abdominal surgery such as cesarean section 
Risks in tubal recanalization treatment
  • Re-growth of scar tissue and adhesion
  • Pelvic infection due to opening of abdomen 
  • Ectopic pregnancy 

Punya Hospitals, Bangalore has provided best treatment facilities for tubal recanalization treatment. The hospital has used modern techniques and equipment for the tubal recanalization treatment. The hospital has a team of experienced and qualified doctors to perform the treatment process and have a high success ratio.
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Wednesday, 2 August 2017

DIabetology-Endocrinology: The Study of Hormones

A medical branch that deals with the study of hormones is known as Diabetology-endocrinology. Hormones are the secretions from the glands that secrete at different target sites in the body. These secretions are secreting from ductless glands and poured directly into the blood, hence, known as endocrine glands. These hormones are playing an important role in the management of many body processes. Pancreas secretes insulin that controls the blood sugar level. The study of blood sugar, insulin, and diabetes is comes under Diabetology.
Diabetology is one of the major branches of endocrinology. 
Diabetology and endocrinology provides the best available patient care by integrating the modern therapeutic advances for the management and prevention of diabetes. This area of clinical science includes diagnosis, treatment, and follows up of patients. Apart from regulating medication dosage and timing, the department is equipped with excellent facilities to avoid potential consequences of diabetes such as nephropathy, retinopathy, peripheral neuropathy, heart attack and strokes and other related diseases.
Diabetology and endocrinology is deal with
  • Diabetic renal disease
  • Diabetic eye disease
  • Obesity management
  • Diabetic neuropathy
  • Ischaemic heart attack
  • Stroke
  • Gestational diabetes
  • Glucose Assessment & Control 
  • Diabetes with Hypertension
  • Diabetic Foot
  • Diabetic Retinopathy
Assessment and treatment of thyroid, pituitary, adrenal, parathyroid disorders
The endocrinologist or diabetologist understand the various functions of the hormones in the body. The doctors understand the sign of developing low or high level of hormones and recommended tests according to the situation. On the basis of outcome, then they recommended treatment method and medication. It is good to do more exercise and follow a control diet for reducing the disease symptoms.
Punya Hospitals, Bangalore has endocrinologists, diabetologists and endocrine surgeons with many years of experience to handle endocrine problems. The hospital also has facilities to detect rare endocrine problems through diagnostic imaging.


Tuesday, 13 June 2017

Treat Endometriosis.. Have Pain Free Periods..

Endometriosis is a painful disorder of the uterus. In this disorder, a tissue, endometrium which normally present inside the uterus starts growing outside the uterus. Endometriosis includes female ovaries, fallopian tubes and the tissues lining in the pelvis. In rare cases, endometrial tissue may grow beyond the pelvic organs.

The endometrial tissue grows, thickens, breaks down and bleeds with every menstrual cycle. This displaced tissue has not have any path to exit from the body and eventually trapped in the body. Over the time, surrounding tissues can become irritated and develop scar tissues and adhesions. This is abnormal bands of fibrous tissue that can cause pelvis organs and tissues to bind with each other. Endometriosis causes severe pain especially during the period time.

Causes for Endometriosis

  • Retrograde menstruation
  • Transformation of peritoneal cells
  • Embryonic cell transformation
  • Endometrial cells transport
  • Surgical scar implantation
  • Immune system disorder


  • Painful periods
  • Pain while intercourse
  • Pain in bowel movements or urination
  • Infertility
  • Excessive bleeding
  • Constipation

Risk Factors

  • Not able to give birth
  • Start periods at an early age
  • Short menstrual cycles
  • Having menopause at an older age
  • Low body mass index
  • High levels of estrogen
  • Uterine abnormalities
  • Complication in fertilization and implantation
  • Chances of ovarian cancer

Treatment tests includes

  • Pelvic exam
  • Ultrasound
  • Laparoscopy or surgery
  • Medications
Punya Hospitals provides best infertility treatment in Bangalore. The hospital has one of the best laparoscopic gynecologists in Bangalore. The hospital also has a team of best doctors to treat infertility in both male and female.

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Tuesday, 25 April 2017

Laparoscopic Inguinal Hernia Repair

Laparoscopic inguinal hernia repair is like other laparoscopic technique. A small incision (cut) is inserted just below the navel area to operate hernia. In this process, the abdomen portion is inflated with the air to see abdominal organs clearly by surgeon. A laparoscope is a thin, light weight scope that is inserted through the small incision. The other small instruments are also inserted through other incisions to repair hernia in the lower abdomen. A mesh is then placed to protect the abdomen wall.

Laparoscopic inguinal hernia repair has three techniques to perform the procedure. They are totally extraperitoneal (TEP) repair, Transabdominal preperitoneal (TAPP) repair and Intraperitoneal onlay mesh (IPOM) repair.
A laparoscopic technique repairs the recurrent hernia very easily and faster. It is also possible to found all possible and existing hernia at the time of operation and operate them in one go. Laparoscopic repair of inguinal hernia reduces postoperative pain, recovers faster, and eliminate the need of narcotics. But it also has increased cost, and has prolonged operation time. It also has higher rates of complications and recurrence, if the surgeon has low experience to operate the repair.
There are some risk associated with the surgery such as developing of blood clots, severe urinary problems, scar tissue formation, injury to the testicle, infection from the mesh or stitches, and recurrence of the hernia. Laparoscopic repair of inguinal hernia is much expensive than open surgery as it costs much more due to laparoscopic technology and have longer operation time.
Punya Hospital, Bangalore has a best Laparoscopic inguinal hernia repair setup. The hospital team provides best laparoscopic treatment and care to the patients. The hospital also follows all the clinical and ethical standards during the surgery. The hospital has a positive work environment for its doctors, employees and patients.
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Monday, 6 March 2017

Managing Weight With Bariatric Surgery

Obesity is becoming a major source of concern in today’s world. The lifestyle and environmental changes contribute to its growth among the people. With diets and exercises unable to manage the enormity of the situation bariatric surgery is gaining popularity in Bangalore.

Obesity is condition of excessive weight gain when the Body Mass Index (BMI) exceeds 30. Along with disrupting a lot of basic life function, obesity leads to major diseases like fertility dysfunction, heart diseases and so on. Medical treatments for obesity ranges from medications and diet to surgical procedures like the popular bariatric surgery.
Laparoscopic Gastric Banding
A popular laparoscopic procedure, it involves the banding of stomach to reduce its volume thereby reducing the amount of food that can be consumed. Performed by surgeons, by administering general anaesthesia, a silicon band is used for the binding procedure. This treatment method ensures about 50% weight loss within a year of the surgery. A follow up of diet and exercise is needed to ensure its everlasting effect.
This is yet another laparoscopic procedure aimed at reducing the utilization of consumed food. To be more precise, this procedure limits the calories absorbed by by-passing a portion of the stomach as well as the small intestine. The by-passing is done by binding a portion of stomach. In the case of intestine, the length is reduced by cutting it and connecting the cut part to the reduced stomach. This ensures limited absorption of food. The patients are administered calcium and vitamins externally to avoid deficiencies.
Punya Hospitals India Private Ltd, Bangalore with the expertise of an efficient panel of consultants provide world class treatment in obesity, infertility, gynaecology, orthopaedic, paediatric and other relevant field of medicine. They are renowned for the best treatment of obesity in Bangalore. Advanced technology, affordable cost and responsive services have helped them in acquiring a vast clientele.

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Wednesday, 28 December 2016

Does A Lump in Your Stomach Troubles You ?

An Epigastric Hernia occurs when a weakness in the abdominal muscle allows the tissues of the abdomen to protrude through the muscle. It is developed between the sternum (chest bone) and the umbilicus (belly button). If it is left untreated, that might lead to serious complications.

Causes of Epigastric Hernia

Sometimes a child is born with an epigastric hernia. Epigastric hernia in adults is caused due to abdominal pressure. It can happen to women during pregnancy. Other factors, which lead to the development of epigastric hernias are heavy work, straining, coughing, sports, obesity etc 

When a fat is pinched in the abdominal wall, a severe sharp pain will be realized other symptoms are
  • Nausea and vomiting indicates the severity of such condition
  • High fever due to the blood flow in the herniated part
  • Skin discoloration
  • Abdominal bulge
  • Blood clots
  • Scarring
  • Bleeding
  • Infection
  • Lump development
  • Injuries in the abdominal structures
A hernia may be left without surgery but the patient has to sustain the pain and discomfort on a continuous basis. The best solution for hernia is surgery which will relieve the patient from crucial pain.

Surgical Procedure by the Laparoscopic method:
The surgery is better performed by a laparoscopic method for a large hernia with a peritoneal sac. Four small incisions are made in the abdomen. Through one incision, a cannula is inserted into the vein to reach the surgical site. A Laparoscope is pushed into this cannula. The laparoscopic instrument contains a camera with a light source attached at the end of the flexible tube. The surgery and the involved organs are registered as videos. The videos are transmitted to the monitor that is kept in front of the surgeon where he can view a huge image of the surgical procedure. With the help of videos and controlling the surgical instruments remotely, the procedure is carried out successfully. The protruding intestine and other parts of the body are placed in its original position and covered with a synthetic mesh to avoid falling and the mesh is stapled to its new position. The inserted instruments are removed carefully from the incisions and the open incisions are sutured.
Less pain, no heavy bleeding, no blood transfusion, and high-end safety are experienced through such procedure. This procedure is not suitable for those who have already gone through abdominal surgeries, who are obese, and patients with high blood pressure.
Punya Hospitals is headed by Dr. Punyavathi and Dr. Nagaraj for the past one decade along with an experienced medical crew. The doctors and other staffs are highly committed and offer the best and quality health service. It is a renowned hospital for all treatments and surgeries, especially for Epigastric Hernia in Bangalore.

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