Bariatric surgery involves making surgical changes to your digestive system in order to facilitate in metabolism which in turn helps in reducing your weight. It is also known as weight loss surgery.
This surgery is considered to be mentally, physically and emotionally challenging. The doctors at Surgery Second Opinion (SSO) understands the girth of it and has enough resources to support you in your surgical journey. Generally the patient is already under pressure due to its obesity and the difficulty it has been causing in doing daily activities.
Bariatric surgery second opinion in Delhi India is in place for patients who develops doubts, uncertainty or undesired result from their surgeon can get in touch with SSO with their medical history. The doctors here will examine your case and give second opinion from a third perspective. This second opinion facilitates in making further decision, gather overall information about your condition, gives you better result than before, gets you out of discomfort caused by the previous treatment plan etc.
Bariatric surgery are helpful in treating other co morbidity conditions like type diabetes, sleep apnea, high cholesterol and high blood pressure among many other diseases.
Why it is recommended by doctors?
To reduce the heavy weight which isn’t budging even after a healthy diet and physical exercises. Also to reduce the discomfort caused by obese related conditions
heart attack or cardiovascular disease,
high blood pressure,
joint pains
infertility issues
and several other conditions
Who qualifies for the surgery?
A person with Body Mass Index (BMI) 40 or above 40 which counts in extreme obesity.
if you are suffering from severe conditions like type 2 diabetes, high blood pressure, high cholesterol or severe sleep apnea along with obesity.
These are just some options. If you fit above criteria you will still be put through a screening to see if you can handle the surgery. The doctor will explain you every procedure related to surgery, the costs involved and the level of commitment it will require.
Second opinion in Sleeve gastrectomy – a type of bariatric surgery
This surgery is performed to reduce the stomach size to 20%, rest of the part is removed. Hence, stomach remained is in shaped of a banana or a sleeve from which this procedure draws its name.
Procedure
The stomach is reduced by surgically removing a large chunk of it.
Surgical stapler is used to attach the remaining stomach.
The procedure permanently reduces the size of the stomach. This procedure is irreversible.
How it works
The new stomach occupies less food, you feel full and the calories intake drops making an impact on metabolism. Soon the body adapts to it and maintain healthy blood sugar control.
Pros
simple surgery, short surgery time, fast recovery.
can undertake surgeries with other serious medical conditions
helps in overcoming severe obesity.
effective in weight loss and eliminates other comorbidity related to obesity.
Cons
Non reversible nature of surgery
risks are involved, no weight loss in some cases
less effective than bypass surgeries
Bariatric surgery second opinion in Delhi India
Bariatric surgery: A lifelong journey
The immediate phase after the journey is stated as “Honeymoon” period because the patients enjoy freedom of eating anything with minimum exercise. But this honeymoon period is generally 6 months to 18 months long. Patients need to maintain a lifelong healthy lifestyle in order to be in shape and fit.
There are number of practices that needs to be followed by the patient before and after the surgery to turn the surgery into a successful weight loss journey. These practices are designed by the surgeon based on the patients physical capabilities, medical history, mental strength and many other factor contribute in it. Therefore, the patient needs to be in touch with surgeons seeking recommendation regarding diets and exercises.
Surgery Second Opinion is an online platform which can be accessed by anybody from anywhere in the world even during a pandemic or a lock-down. The doctors will study you case which needs to be uploaded on our website by the patient and give you a comprehensive treatment plan. Surgery second opinion in India is not a new concept. We all take second opinion everyday for trivial matters. It is just the process has been made online and it is at a very nascent stage right now.
is important as any surgery involves certain specific sets of risks associated with it. Surgery Second Opinion provides second opinion for patient who have gone through surgery and are looking for some expert who can answer their queries and clear their doubts regarding the surgery. The doctors at surgery second opinion are skilled, experience and possess expertise in the their respective field.
You can visit our website’s department page to see the list of doctors who have joined us for this noble cause. They will tell you about the things to care of before surgery, the cost of surgery in your city, what to do in case of any implication after the surgery the routine to follow for speedy and healthy recovery.
What is Laparoscopic surgery?
Laparoscopy is a surgical procedure with minimal incision to examine the organs of our digestive system.
The surgery is done using a long thin tube like instrument called laparoscope which has a high definition camera and light at the tip. It is inserted into the body via small incision and the camera sends a real time image at the monitor.
It is low-risk, minimum invasive technique that allows patient to recover quickly as compared to the open surgery.
Benefits
The beauty of laparoscopic surgery is that a patient can go home within 24 hours after the surgery. However, there are some surgeries that may take longer than a day but marginally less than an open surgery. Let us have a look at some of the benefits of this surgery.
Small scars generally 1/2 inch long.
Saves lot of time and shorter hospital stay.
Less pain, fast recovery, since the incision is small risk of infection is also minimised.
Less damage to other internal organs.
Allows the doctor to perform two procedure at the same time. for example removal of appendix and ovarian cyst can be performed simultaneously.
Risks and Complications
Most common risks associated with laparoscopy are internal bleeding, infection and damage to the blood vessels or organs like stomach, bladder or ureters.
After the completion of surgery, it is sensible to observed your body closely and in case of any discomfort immediately contact your surgeon.
Look for these signs before contacting your surgeon
Chills and fever
Pain in the surgical area with the increasing intensity.
Any deformity near the surgical area like change in color, shape or size or bleeding.
feeling of discomfort or vomiting
difficulty in breathing
dizziness or vertigo
There are some other risk that could arise due to uncontrollable factors, in some cases immediate surgery helps. This includes
complications due to body reacting negatively to the anesthesia
discomfort arising from damaged organ while surgery
blood clots
When laparoscopy is used?
In treating and diagnosing number of conditions arising mainly in the abdomen, laparoscopy surgery is used. Hence, gastrointestinal surgeons and urologist use this surgery more often.
It is helpful in diagnosis of cancers like liver, cancer in organs located in the abdomen like gall bladder, pancreas, stomach, intestines etc. It is also useful in removing organs like appendix, gall bladder, womb, ovaries etc. Visit the following link if you want to more about when laparoscopy is used.
How it is performed?
It is performed under the influence of general anesthesia. Hence, you’ll have no recollection of the surgery. You can often recover from it on the same day itself.
Before the process
Depending upon the type of surgery you’ll be instructed to avoid any intake of food or water before few hours of the surgery.
You’ll be asked about your medication history and will be instructed to stop its consumption for few days before the surgery. Because some medicines could cause complication during the surgery.
In case of smokers, the patient will be advised to stop smoking before the surgery as it could delay the healing process after the surgery. It could also lead to complication or infection.
Most of the patients are discharged on the same day or the next day of the surgery. It is advised to arrange a driver to drive you back home as driving will stay out of bounds for the next 24 hours after the surgery.
The Surgery
A small incision is made in the abdomen by the surgeon. Incisions are 1 to 1.5 cm in size.
A tube called laparoscope is inserted through the incision. Then the abdomen is inflated with the help of some gases. This is done to provide a wide and clear view of the organs inside our abdomen. The view is rendered out on a screen by the laparoscope for the surgeon.
In case of removal of appendix or other small organs, other smaller in size surgical instruments are inserted to carry out the removal.
After the completion of the surgery the gases are extracted out of the abdomen followed by stitches and grouping.
Recovery
After the surgery, you may feel disoriented, sick or vomit due to the effects from anesthesia. These symptoms are common in various people and they pass very quickly.
You’ll be kept under observation by the nurse until all your vitals are normal.
Before the discharge you’ll be instructed about things, like how to keep your stitch clean, when to visit surgeon again or list of activities to be refrained during the recovery period.
In case of discomfort or pain due to the surgical wound you are advised to take painkillers to get some relief.
Cramps and body pain are some common conditions that arises due to the minimum amount of gases present in the abdomen.
With each passing day the body will react to the wound and use lot of energy for healing purpose. Hence a protein rich diet and complete sleep will help.
The time for recovery differs on individual, the condition of the patient for which the surgery was performed, overall health and many other vitals.
But 5 days are more than enough for you to recover and get back to your normal day to day activities.
Depending upon the reason for surgery the recovery time fluctuates. Like for removal of appendix 2-3 weeks are enough for recovery. But for removal of kidney or ovaries due to cancerous cell then the it gets extended up to as long as 11 weeks.
When to seek medical assistance after the surgery
To be on the safe side it advised to be under observation of someone after the surgery. If you experience symptoms like
High fever
experience chills
severe vomiting
high intensity pain
changes like swelling, bleeding near the surgical site
abnormal discharge or bleeding from vagina
swelling of arms or legs
You must contact the hospital where the surgery was performed or any other emergency service available.
Robotic Laparoscopy surgery
With the help of the advanced in the medical equipment robots have entered the field.
During a robotic laparoscopic surgery the surgeon has a console under his control. The console controls the robotic surgical arms which does the surgery on console’s command which is controlled by the surgeon.
The robotics arms too have a more powerful camera and surgical equipment. The powerful camera provides a more magnified 3D vision and a larger range for the surgical arm inside the body.
The arms also brings precision and helps the surgeon in carrying out complex surgical procedures. Gradually the use of robotic surgery is increasing in the countries like America, United Kingdom and India.
The precision also makes sure lower chance of complications than regular laparoscopy or open surgery.
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Following are the different types of plastic surgeries:
Facelift
In scientific term it is known as Rhytidectomy, where facial fats are removed, facial skin and muscles are stretched or tightened to give the desired look. Surgeon will extract the skin exposing the muscle and fat to be operated. Excess fat will be removed and the skin will be placed back to its place. A person whose skin is sagging but has elasticity left is the best fit for the surgery.
Short Term Side Effects of Surgery
Short term numbness of the skin is generally observed in patients. Also, the patient may feel pain and discomfort after the surgery. The surgery usually lasts for several hours and can even take longer to be completed when other procedures are performed. Forehead lift or eyelid lift are some procedure which is done under the facelift.
This surgery is opted by people who are dissatisfied with their large or wide ears. The scientific term for this procedure is Otoplasty. The ears are brought closer to the skull or reduce the size. Other defects that are rectified by this surgery are shell ears where the folds in the ear are absent, building of new ear for those who lost in injury or by-birth, ear lobe correction, increasing the size of ear. Ear pinning is more common between children up to age 15, followed by adults.
Short Term Side Effects of Surgery
Short term thumping or pulsating sensation in the ear, also pain. The surgery usually lasts for several long hours.
Hair fall and hair loss are terrifying for many people. It does not causes any discomfort to the patient but the level of psychological damage is collosal. Every 6 out of 7 men, and 1 out of 5 women suffers hair fall. Despite this fact, it is one of the most ignored conditions by the people. In the last decade, the popularity of this treatment has significantly increased among the general population. Heredity, lifestyle or hormonal changes can be attributed as the cause of hair fall in men and women.
However, there are plethora of hair replacement techniques, although, these techniques are ineffective for person suffering from total baldness. Grafting and flapping are two most common technique that is used in which the hair is taken from the site where hair is still healthy. Scalp reduction and tissue expansion are some other techniques used by the surgeons. It may take several months (almost 2 years) to get the natural looking hair.
Short Term Side Effects of Surgery
Uneven growth of hair because of more hair at the treated area than the other. Scars, bleeding or itching due to the scalp reduction technique. In some cases the graft does not respond at all in such cases surgery is repeated. Short term numbness of the skin is generally observed in patients. Also, the patient may feel pain and discomfort after the surgery. The surgery usually lasts for several hours and can even take longer to be completed when other procedures are performed.
Nasal surgery is performed to eliminate the obstructing in airflow or any other discomfort due to the nasal structure. Nasal septum, enlarged turbinates, narrowing of nasal opening are some of the conditions that are treated by these surgeries. Usually the doctors examine the nose and try to eliminate the obstruction through sprays, injection or oral medication. Generally, allergies causes the obstruction in passage of air via nose, hence doctors try to resolve allergies first, if the problem persists then surgery comes in picture. Surgeries include Septoplasty where the nasal septum is surgically straightened to open up the nostrils, Rhinoplasty where the structure of the nose is changed to eliminate the abnormalities in the structure and turbinate reduction to enhance the inflow of air.
Short Term Side Effects of Surgery
Swollen face, eyes, aching nose, mild headache and somethimes bleeding are normal short term side effects of the surgery. Doctor will advise a time period during which you have to restrict your physical activity to minimal. Recovery may take several weeks. In open surgical techniques scars may be located at the nose, although not noticeable.
Cleft lip is an abnormal feature of lip right from the birth. It is common among Asian and 1 in 600 births are affected by this irregularity.
It occurs when the fetus fails to join the upper lips together leaving an opening sometimes extending up to the nose trills during its developing stage inside the womb. It is common among boys. Also, point to be noted that people with cleft lip are otherwise healthy and no other irregularity or disability persists.
It may be stressful for the parents to adjust to the very noticeable cleft lip. There are different kind of cleft lip as shown in pictures above.
Causes of this condition are unclear. Some part of causes are attributed to the genes inherited from parents and the rest is still not completely understood by the scientists. Due to the involvement of genes, the chances of recurrence of cleft lip increases. Hence genetic consultation from the doctor is
Short Term Side Effects of Surgery
Short term difficulty in taking food, depending upon the age of the patient you can give them liquid diet. Breast milk is allowed for the infant. Care must be taken to protect the stitches after the surgery.
In some cases the skull of the baby tends to take up an odd shape while growing up. This can put pressure on the brain and such conditions are known as craniostenosis. Initially the brain is covered by a thin fibrous material called sutures.
Sutures allows the brain to grow in size and then hardens at a later stage sticking the skull bones together. In most of the cases the brain develops properly but the shape of the skull gets distorted. There are very rare cases where brain gets subjected to pressure due to shape irregularity restricting growth of the brain. Abnormal shape of skull at the time of birth or some weeks later is the only early symptom. The causes of this condition are not known but it is attributed to genetics. If you observe abnormal shape of your baby’s skull then it is not always a case of craniosynostosis. Suggest your doctor or surgery second opinion to get a clear picture.
Short Term Side Effects of Surgery
You can avoid any complication by completing the surgery as early as possible. Doctor may suggest to wait and see if the shape returns to normal naturally. But would eventually end with a surgery if the correction doesn’t takes place. Fever, Headache, irritability near the stitches are some side effects. Doctors will provide you complete guidance on how to take care of the child after the surgery and the parents must consult doctor promptly in case of above side effects.
We at surgery second opinion understand that these surgeries for correction or reconstruction are vital for patient’s self confidence and mental health. Therefore, SSO has a team of experts who are known for their experience and efficient results. We perform breast reconstruction for women who are suffering or recovering from breast cancer. We make sure to give you results which seems natural and healthy eliminating all chances of complication. Mastectomy, lumpectomy, restoration, implants and flaps surgery are some of the types of surgeries which has a great track record at SSO.
Short Term Side Effects of Surgery
The surgeon at the SSO takes help of their vast experience and practice to minimise the risk and swiftly deal with the side effect if any occurs. Bleeding, longer healing time, stiffness are some side effects but it could differ depending upon the person. Risk are involved are involved in all kinds of surgery. Therefore, patients take time to understand the mental strength of the patient.
Click here for more information on more cosmetic surgeries.
Second opinion in India is very prominent. It is so common that people take second opinion or advice from layman to make important decisions in life. People everywhere are looking for advice, second opinion or some kind of validation, this is human nature. But due to such high demand for second opinion, unauthorized entity pose as expert and give illegitimate opinion causing discomfort to the public.
Therefore, SSO has accumulated a pool of experts, experienced and skillful surgeons from all departments to provided legitimate second opinion to the patients. In recent times, the general public has been losing faith in doctors due to cases like misdiagnosis, mistreatment or cases of illegitimate practices by doctors.
The effort of SSO is to restore the faith back in patients. Hence, they have come up with an online mechanism which needs previous medical history of the patients. Depending upon the related specialty it will be provided further to the respective surgeon. The surgeon will then go through the case and form a second opinion which will be shared with the patient within 24 hours.
SSO is surgery specific. Hence, you can say that SSO provides surgery second opinion in India. Second opinion in India especially via online medium is prospering day by day. Although there are many hospitals that provide second opinion in India. But SSO is specific for surgery related second opinion by surgeons working in premiere medical institutions.
Plastic surgery second opinion in Delhi is necessity and very helpful. As in India it is Delhi who stands at the top in conducting the highest number of cosmetic surgeries. Delhi also has many hospitals ranging from government hospitals like AIIMS to private hospitals like FORTIS, MAX Healthcare, etc. India stands 4th in the world in the number of plastic surgeries. People from other countries are trusting Indian surgeons and are looking towards India as a great option for undergoing the surgery.
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Following are the techniques used to perform cosmetic and reconstructive surgeries:
Endoscopic Surgery
It is a type of surgery in which the doctor uses endoscope to perform the surgery. Endoscope is medical equipment which has a camera and a light at its head. It is inserted via small incision, the images captured by the camera are projected to a screen and with the help of it the surgeon maneuvers the endoscope. Actual surgery is performed by other equipment which is inserted from different incision.
Flap Surgery
Flap surgery is taking a live and healthy tissue from one location of the body to the other. These could include areas which have lost skin, got detached from the bone, have lost fat or lost muscle movement. Depending upon the type of flap and the component of the body that needs to be repaired there are different methods of flap surgery.
Local flap is a method where the surgeon takes the tissue from the nearest area (also called donor site) to the wound to cover the wound.
Regional Flap is the same method as the local flap the only difference is that the donor site is little further from the wound.
Bone flap in this the surgeon uses special tools to remove part of the bone. After the surgery the bone flap is restored back with the help of titanium screws and plates.
Musculocutaneous flap surgery, surgeon replaces the surgical site with a large chunk of muscle or tissue from the donor site.
Microvascular free flap uses microsurgery to cut the blood vessels and then join it back together.
Laser surgery
One of the most in demand kind of surgery, as the name suggest uses Laser as a medium to operate. There are many kind of lasers used depending upon the area and the purpose of the surgery. The advantages of laser surgeries are no scar, no bleeding and time efficient.
Skin graft
As the name suggest it includes taking a portion of skin from donor site to restore the damaged site. It provides an overall normal look to the skin. It also have some different types of grafting method which are as follows
Split thickness graft which takes the skin just from the surface to treat wounds like burnt skin. The donor site is chosen on the basis of size and severity of the wound.
Full thickness graft is graft where the skin is extracted by cutting deep. It is used to treat big, deep wounds.
Composite graft includes extraction of all the layers beneath the skin.
Tissue expansion
Tissue expansion is a technique used by surgeon to grow additional skin, bone or tissues. The doctor injects a liquid beneath the site where the correction is required.
Preparation for surgery
Inquire about benefits, risk involved and other needs of the surgery.
Seek every information like the procedure, type of anesthesia or recovery time.
Provide correct information about your previous or ongoing illness, medication or allergies
Adhere to the instruction provided like no alcohol consumption for a recommended time period before/after the procedure
Follow instruction like bathing or shaving, that are essential before operation.
Understand the order of medication properly and follow it.
No make up, jewllary or contact lenses allowed inside operation theatre.
Arrange insurance for the surgery as most procedures does not comes under insurance policy.
Make prior arrangements for your ride home after your surgery.
Surgery Second Opinion has some of the experienced and established in the field of plastic surgeries you can book your second opinion for surgery from here. or contact us on Whatsapp number 9319575361.
There are many different types of breast cancer. They are determined by the particular cells that are affected in different parts of the breasts. The doctors needs to determine two things before any specific diagnosis of the disease that is –
whether the disease has spread beyond breasts or not.
The tissue where it all began first.
Broadly breast cancers are divided into two, namely:
Non Invasive
Invasive
Non-invasive breast cancer
Non-invasive breast cancers occurs in milk duct or lobules (milk-producing glands) in the breast. They are contained at one place and do not spread out other parts. They are also known as carcinoma in situ.
Ductal carcinoma in situ (DCIS)
DCIS is a cancer that starts in milk duct and does not grow into rest of the breast tissue. Hence, it is not deadly but has a risk of developing into a invasive cancer at later stage.
Lobular carcinoma in situ (LCIS)
LCIS is a cancer that grows in lobules (milk-producing ducts) and does not spread to other breast tissues. Hence, it is not deadly but possess danger of developing invasive cancer in future.
This type of cancer spreads outside the duct or lobules of the breast affecting surrounding tissues.
Invasive ductal carcinoma (IDC)
IDC is the most common type of breast cancer constituting almost 80% of all the cases. The meaning is simple that the cancer which started from the milk ducts has spread out and affected the surrounding breast tissue. It has the potential to spread to lymph nodes and later to the other parts of the body. Therefore, early detection is of prime importance.
Invasive lobular carcinoma (ILC)
It is the second most common breast cancer after IDC. ILC means that the cancer which originated from the lobules of the breast spread past surrounding breast tissues. Over time it can spread to lymph nodes and to other parts of the body.
It is a rare type of breast cancer and it accounts for only 1% of all the recorded cases. It starts affecting the nipple, you will notice some changes on the skin of nipple or areola (the dark circle around the nipple) . Changes include skin being scaly, red, itchy and irritated. The cells which initiates these changes are known as Paget’s cell. Individual having this disease may also have either DCIS or LCIS breast cancer.
Inflammatory Breast Cancer (IBC)
IBC starts with swelling and reddening of breasts, no lumps here. It is a rare type of cancer, almost 1% of cases all over the globe. IBC spreads rapidly with symptoms worsening within days or even hours. Prompt treatment and the right advance diagnosis, however, is key in controlling the disease. Like the other kinds of breast cancer IBC also affects men.
Phyllodes tumors of the breast
Phyllodes means “leaf-like” and is a rare disease (less than 1% affected). The culprit cancerous cell grows in a leaf-like pattern. These cells are known as Phylloides. They rarely spread out of the breast but tend to grow at a fast pace. The phyllodes cells are found as benign, malignant and on border-line. Surgery is used to terminate the growth of the cells. The cells can occur at any age and a very rare in case of men.
Metastatic breast cancer
It is known as the stage IV cancer which means that the cancerous cells have escaped the breasts and have affected other organs like liver, lungs or brain. Getting diagnosed with this disease may send shivers down the spine but fortunately advanced medical technology are here to save the deal. Chemotherapy, surgery, radiation, hormonal and targeted therapy are some examples of the diagnosis that are advised by the oncologists. To know more about metastatic breast cancer click here.
SSO is Surgery Second Opinion an online platform which provides surgery related second opinion. SSO has garnered a pool of doctors who are currently serving in premiere medical institutions. You can call them second opinion doctors.
The second opinion doctors at the SSO are experienced, skillful, experts in their respective field. These doctors have joined this second opinion campaign to restore the public’s trust in the doctors. The trust which was declining among the general public due to number of recent cases of misdiagnosis or mistreatment.
The online structure, which is elaborated in the next segment, of SSO is considered to be blessing during the times of Covid 19 pandemic. A patient can get online medical consultation sitting from the comfort of his home. Depending upon the specialty a second opinion doctor will be assigned. The patient can ask a doctor all his doubts and queries. Online chat with doctor is also option provided by the SSO.
You can visit the SSO’s website to register and create your account. Next, you need to fill out a questionnaire form asking general personal details and medical history. You can upload scans, blood reports, MRI reports, diagnosis slip etc for second opinion doctor to examine. After a nominal payment of fees a doctor will be assigned to you.
After a through examination the second opinion doctor will form a comprehensive second opinion. This second opinion will be send to you withing 24 hours.
The giant private hospitals have a branch for second opinion. But these are run on motive to convert the opinion seekers into patients of that giant organization. Whereas SSO only provides second opinion. The second opinion doctor assigned to you could be from any part of the country. Hence, the doctor cannot lure you to become their respective patient. SSO jobs ends once it has delivered say for example online breast cancer second opinion and the patient is satisfied by it.
Online medical consultation
Covid 19 pandemic has propelled the population around the globe to seek online medical consultation. People prefer an online chat with doctor over physically visiting hospital to meet the doctor. SSO is a step further in that direction. You will find a contact number on SSO’s website. A patient can easily contact the doctor using that Whatsapp number. One can easily ask a doctor about their conditions. Online medical consultation has allowed us to save a lot of resources as well as time.
List of second opinion doctor giving online breast cancer second opinion
This is the list of some doctor’s who are expert in giving online breast cancer second opinion
Dr R SUCHITRA
MBBS, M.S. Obs. and Gyenec.
Consultant Gynaec-Oncology, Fortis Banglore
Dr Neerja Gupta
MS - General Surgery, MBBS General Surgeon
General Surgeon and Breast Surgeon,
Max Super Specialty Hospital, Patparganj, Delhi
Dr. Sidharth Sahni
MBBS, MS , MRCS Oncologist
Oncologist
Apollo Hospitals Delhi
Dr. DEEPA TAYAL
MBBS, DNB - General Surgery
Sr. Consultant Breast Surgeon at Fortis La Femme
Dr. Kanchan Kaur
Associate Director (M.R.C.S., M.S., M.B.B.S)
Breast Services Dept. and Cancer Institute of Medanta – The Medicity.
Symptoms of breast cancer
Different people may experience different symptom. Some individuals do not show any symptom at all. However, some common symptoms of breast cancer are as follows.
A formation of lump in the breast.
Thickening, swelling in parts of breast.
Change in shape, size or appearance of the breast.
Changes in skin like dimpling or irritation on skin.
Redness or flaky skin near nipple or on breasts.
Inverted nipple or sensation of pain in nipple.
Unusual nipple discharge like blood.
Disclaimer : These symptoms can occur in conditions that may not be cancerous.
Plenty of conditions causes lumps in the breast, cancer is one of them. Fibrocystic breast condition and cysts are such common conditions. The former conditions is not at all cancerous whereas the latter condition are rarely cancerous. Fibrocystic breasts make breast tender and sore and cysts are small sacs filled with some fluid that can develop inside the breasts.
Are changes in breasts normal?
Changes in breasts are absolutely normal. Every women have their own distinct description of their breasts. The changes in shapes, sizes and appearance can be induced by periods, pregnancy, breastfeeding, age, change in weight, menopause or intake of certain medications.
However, regular visit to doctors is vital for early detection of breast cancer.
If you face any of the above mentioned symptoms or feel any discomfort then do see your doctor right away.
Surgery second opinion (SSO) has some of the best breast cancer surgeon in Delhi India. These surgeons provide cancer surgery second opinion for breast cancer. These opinions are cost effective and precise.
SSO will give you second opinion like what is the breast cancer surgery cost in India
Nobody knows what causes breast cancer. It is just the abnormal growth of some cells inside the breast which later becomes lump or mass or tumor due to accumulation at single spot. Cells which are normal and they grow rapidly dividing themselves extensively forming a tumor are called “Benign tumor” (meaning they are not cancerous and they do not spread to other body parts). On the other hand if some cell which is dividing at fast pace and is abnormal then it is called “Malignant tumor“(It is cancerous and spreads to other parts of the body).
Hence, second opinion for breast cancer surgery in India becomes an essential need. The people need to develop a habit of periodic medical check up with their respective surgeons. This practice will help them in detecting any discrepancy at a very nascent stage. This eventually helps the breast cancer surgeons and the patients in the treatment process.
Cancers are named after the body parts in which they originate. Breast cancer usually generates in cells at the milk producing ducts. It can also originate in some other cells or tissues within the breast and then spread to other parts.
As stated earlier there is no clarification on the subject of causes of breast cancer however there are some risk factors associated with it which increases the risk of acquiring breast cancer. Well, it is to be noted that there are cases where individual with no risk have also got cancer and those with high risk factors never.
Inherited breast cancer
According to doctors, 5 to 10% of breast cancer are caused due to gene mutation descending down from the previous generation of the family.
If you have a family background of breast cancer or any other cancer, then you are more susceptible and the medical expert will recommend a blood test to determine the specific mutations in genes.
Consult a genetic counselor providing him you family health history. Genetic counselor will help you determining the risks, rewards and limitations of the testing in order to assist you in decision making.
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Alcohol consumption: Women who drinks two to three drinks daily have 20% high risk of getting breast cancer than those who do not drink at all.
Body weight: Unhealthy diet and lifestyle with no excercise causes obese and it increases the risk factor.
Avoiding Breastfeeding: Not breastfeeding can also cause breast cancer in some women. RISK FACTORS BEYOND CONTROL
Being women: Although men do get breast cancer but being a women make you more susecptible to the disease.
Age: Age With increasing age the chances also increase.
Family background: Having a history of cancer in family
Breast cancer surgery second opinion in India
Second opinion for breast cancer surgery in India is a very new concept. Second Opinion is in itself a very new concept for India. Although, people here indulge in seeking second opinion in every aspect of their life, especially when somebody from the family falls sick.
India has the largest number of medical colleges in the world, which in turn produces highest number of doctors in a year (approx. 50,000). But the population is increasing at a rate of 0.93% i.e. 1.3 crore a year creating a scarcity of doctors. This has also led to illicit practice of pretending to be a doctor in the country due to the high demand for doctors. Country treats doctors as God and this makes the job easy of such fraudsters.
These practices leads to number of mistreatment, false diagnosis and consumption of harmful medicines by the patients. This is where Surgery Second Opinion comes into play. They created a pool of experienced and skillful doctors working in apex medical institutions in India to provide second opinion related to surgery. It is has made the process online where one can upload his/her medical query and the respective doctor will state his/her opinion within 24 hours.
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Second Opinion in Liver Transplant Surgery IS OF PARAMOUNT IMPORTANCE. It can be a difference between end stage liver failure and a second life. In todays scenario, live donor liver transplant is gaining popularity.
Who Needs a Liver transplant?
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Liver transplantation surgically replaces a failing or diseased liver with one that is normal and healthy. At this time, transplantation is the only cure for liver insufficiency or liver failure because no device or machine reliably performs all of the functions of the liver. Some diseases in children also warrants a liver transplant.People who require liver transplants typically have one of the following conditions.
ACUTE LIVER FAILURE
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Acute liver failure, also known as fulminant hepatic failure, occurs when a previously healthy liver suffers massive injury resulting in clinical signs and symptoms of liver insufficiency. Any number of things can lead to acute liver failure but the most common causes are acetaminophen overdose, viral infections, ingestion of a toxin such as poisonous mushrooms, or an idiosyncratic drug reaction.
The hallmark of this condition is the development of confusion (encephalopathy) within eight weeks after the onset of yellowing of the skin (jaundice). Confusion occurs because toxins typically metabolized by the liver accumulate. Unlike patients with chronic liver disease, who can survive weeks to months to years while awaiting liver transplantation, patients with acute liver failure may die within days if not transplanted.
CHRONIC LIVER FAILURE
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The liver has a remarkable ability to repair itself in response to injury. Nevertheless, repeated injury and repair, typically over many years and even decades, scars the liver permanently. The end stage of scarring is termed cirrhosis and corresponds to the point where the liver can no longer repair itself. Once a person has cirrhosis, he or she may begin to show signs of inadequate liver function. This is termed “decompensated liver disease.” Although medications can decrease the symptoms caused by the liver failure, liver transplantation represents the only permanent cure.
Viral Hepatitis
Alcoholic Liver Disease
Metabolic Liver Disease
Autoimmune Liver Disease
Genetic Liver Disease
Vascular Liver Disease
Hepatocellular Carcinoma
What happens during a liver transplant?
Liver transplant surgery requires a hospital stay. Procedures may vary depending on your condition and your provider’s practices.
Generally, a liver transplant follows this process:
You will be asked to remove your clothing and given a gown to wear.
An IV (intravenous) line will be started in your arm or hand. Other tubes (catheters) will be put in your neck and wrist. Or they may be put under your collarbone or in the area between your belly and your thigh (the groin).These are used to check your heart and blood pressure, and to get blood samples.
You will be placed on your back on the operating table.
If there is too much hair at the surgical site, it may be clipped off.
A catheter will be put into your bladder to drain urine.
After you are sedated, the anesthesiologist will insert a tube into your lungs. This is so that your breathing can be helped with a machine (a ventilator). The anesthesiologist will keep checking your heart rate, blood pressure, breathing, and blood oxygen level during the surgery.
The skin over the surgical site will be cleaned with a sterile (antiseptic) solution.
The doctor will make a cut (incision) just under the ribs on both sides of your belly. The incision will extend straight up for a short distance over the breast bone.
The doctor will carefully separate the diseased liver from the nearby organs and structures.
The attached arteries and veins will be clamped to stop blood flow into the diseased liver.
Different surgery methods may be used to remove the diseased liver and implant the donor liver. The method used will depend on your specific case.
The diseased liver will be removed after it has been cut off from the blood vessels.
Your surgeon will check the donor liver before implanting it in your body.
The donor liver will be attached to your blood vessels. Blood flow to your new liver will be started. The surgeon will check for any bleeding where you have stitches.
The new liver will be attached to your bile ducts.
The incision will be closed with stitches or surgical staples.
A drain may be placed in the incision site to reduce swelling.
A sterile bandage or dressing will be applied.
The transplant evaluation process
If your provider thinks you may be a good candidate for a liver transplant, he or she will refer you to a transplant center for evaluation. Transplant centers are located in certain hospitals throughout the U.S.
You will have a variety of tests done by the transplant center team. They will decide whether to place your name on a national transplant waiting list. The transplant center team will include:
A transplant surgeon
A transplant provider specializing in treating the liver (a hepatologist)
Transplant nurses
A social worker
A psychiatrist or psychologist
Other team members such as a dietitian, or an anesthesiologist
The transplant evaluation process includes:
Psychological and social evaluation . Many different issues are assessed. They include stress, financial concerns, and whether you will have support from family or friends after your surgery.
Blood tests . These tests are done to help find a good donor match and assess your priority on the waiting list. They can also help improve the chances that your body won’t reject the donor liver.
Diagnostic tests . Tests may be done to check your liver and your general health. These tests may include X-rays, ultrasounds, a liver biopsy, heart and lung tests, colonoscopy, and dental exams. Women may also have a Pap test, gynecology exam, and a mammogram.
The transplant center team will review all of your information. Each transplant center has rules about who can have a liver transplant.
You may not be able to have a transplant if you:
Have a current or chronic infection that can’t be treated
Have metastatic cancer. This is cancer that has spread from its main location to 1 or more other parts of the body.
Have severe heart problems or other health problems
Have a serious condition besides liver disease that would not get better after a transplant
When is SECOND OPINION IN LIVER TRANSPLANT important ?
second opinion in LIVER TRANSPLANT in India is important when your doctor doesn’t have the required surgical super specialist knowledge for your condition.
second opinion in LIVER TRANSPLANT in India – is important when different surgeons have given you different recommendations and you are not able to take a call.
second opinion in LIVER TRANSPLANT in India – is important when you haven’t received a clear cut diagnosis or treatment recommendation.
second opinion in LIVER TRANSPLANT in Indiais importantwhen your doctor has recommended a major surgical procedure .
second opinion in LIVER TRANSPLANT in Indiais important when you feel you have incomplete information about your planned treatment.
second opinion in LIVER TRANSPLANT in India is important when the suggested treatment promises no significant improvement to your condition.
second opinion in LIVER TRANSPLANT in Indiais importantwhen you want to find out if there are other treatment options you can pursue.
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second opinion in ORTHO bone joint surgery deals with the ortho problems related to bone fractures, mal union, non union , deformities and also the joint replacements of knee or hip joints.
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second opinion in ORTHO bone joint surgery leads to 30 % change in diagnosis and treatment plan ! Did you know that ?
Want options for second opinion in ORTHO bone joint surgery ? Need a second opinion? Our experienced orthopedic specialists provide diagnosis and treatment options that can help free you from the pain of an injury or disorder that affects your joints, muscles, ligaments or tendons.Do you need reassurance to feel confident in your medical decision-making? Or are you interested in learning if there is a physician that can provide a different treatment option? A second opinion may be something for you to consider..
Sometimes, medical diagnoses are very clear. For example, you know you need a prescription medication to heal your strep throat. But other times, our medical decisions can be life altering and challenging to navigate. That is when the advice of an additional expert may be beneficial. What if there is a minimally invasive way to fix your spinal injury instead of an open surgery that requires a long recovery? What if there were options for your pain instead of taking a pain reliever every day?
Orthopedics Second Opinion
In addition to being trained to treat general orthopedic conditions, each provider also has specialized training in areas such as:
Elbow surgery
Foot and ankle surgery
Hand surgery
Knee surgery
Orthotics
Pediatric orthopedics
Shoulder surgery
Sports Medicine
Every patient is different and may require different treatment options.
Second opinions should certainly be considered if your quality of life will be affected. They should also be considered if you have any doubt in your mind about the proposed treatment plan, whether it be from research you have conducted, a friend telling you their story, or simply an intuitive feeling. Be an advocate for your health and take matters into your own hands if you are lacking confidence in your doctor’s diagnosis.
Orthopedic Surgery 2nd Opinions
Our team can give you an independent and thorough second opinions of your diagnosis and orthopedic surgery or fracture management. We will provide you with the most up to date treatment options, review you MRIs, CT scans, assessments, etc. and thoroughly discuss our educated findings with you and all your surgical options.
A second opinion from our best in class orthopedic surgeons and sports medicine specialists can provide you the following benefits:
Determine if you have considered all possible treatment options and if there are any other nonsurgical or less invasive options.
If surgery is necessary, what type of surgery should be performed? You may not need a complex surgery that was initially recommended.
Are you a candidate for new minimally invasive procedure that would provide a better outcome and a more rapid recovery?
Do you qualify for a minimally invasive same-day surgical procedure, that would allow you to be home later that same afternoon, for a faster recovery and return to activity?
Could you benefit from a second opinion? And is it worth the time and expense to travel to an specialty orthopedic center?
When Should You Get a second opinion in orthopedics (bone and joint) surgery.? Unless your condition is life threatening and requires emergency care, it is never a bad idea to seek a second opinion. In many cases, seeking a second opinion is not only warranted, but necessary. These circumstances include anytime the following occurs:
Agents & Athletes confirm team Physician assessment.
Surgery is one of the treatment options suggested
Numerous possible treatment options are available
After consulting with your doctor or another orthopedic surgeon, you still have a number of unanswered questions
You are told by the doctor or another orthopedic surgeon that a specific type of treatment cannot be used to treat your condition
You are told by the doctor or orthopedic surgeon that nothing or nothing more can be done to treat your condition
Your condition returns after treatment
A cause for your symptoms is not found, but the symptoms continue
You feel that there is something wrong with the diagnosis or suggested treatment for your condition
Is It Too Late To Seek A second opinion in orthopedics (bone and joint) surgery.? What if you begin receiving treatment and then decide that you would like to get a second opinion? Is it too late? No. It is best to seek a second opinion soon after a condition or problem is diagnosed. However, it is never too late, even after treatment—with the exception of surgery—has begun.
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Would you like to request a second opinion in ORTHO bone joint surgery? Please complete the form below and we will contact you within one business day.
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There may be a number of benefits to getting a second opinion, including:
Having a better understanding of your knee, shoulder, sports injury, or condition
Getting your questions answered
Removing any doubts
Helping you to weigh the benefits and risks of the recommended treatment options
Helping you to make an informed, educated decision as to what treatment is best for you
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Second Opinion in Cardiac Surgery india – If you’ve been diagnosed with a heart condition, it is essential to consider every alternative. That’s why we offer the Heart Second Opinion Program – to provide you with immediate access to the most talented cardiologists and cardiac surgeons in the nation.
DO YOU NEED A HEART SECOND OPINION?
HEART SECOND OPINION
Our physicians will spend the time to help you understand your options and to customize a care plan specifically for you. A second opinion can ease your mind, possibly prevent an unnecessary procedure, or provide you with an alternative option to consider.
Second Opinion in Cardiac Surgery india
The Second Opinion in Cardiac Surgery india was created for patients diagnosed with any heart condition, or for patients who have been told they need a heart-related surgical procedure. By definition, you must first see a cardiologist or cardiac surgeon to receive a second opinion. If you don’t currently have a cardiologist, we can schedule an appointment for you with one of our top-rated heart specialists
Some patients have already had heart surgery and are now experiencing new symptoms. Others want to know if their medication regimen is the best for them. We also see patients who feel like they aren’t being taken seriously, or patients who want to explore every option and seek the latest advancements in surgical and medical treatment. These are all legitimate reasons to seek a second opinion.
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Some of the diagnoses or procedures we typically provide – Second Opinion in Cardiac Surgery india
Surgical Treatment of Atrial Fibrillation (CryoMAZE)
Transcatheter Valve Replacement (TAVR)
Ventricular Assist Devices (VADs)
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Contrary to what you might assume, most doctors aren’t offended when their patients get a second opinion and may even welcome another expert’s thoughts. In fact, your doctor might even have suggestions for whom you might consult. Friends or family members may also be able to recommend an expert they like and trust. If not, check nearby hospitals or medical centers, most of which have call centers that can refer you to an appropriate physician for your particular problem.
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Often, general cardiologists are in the best position to decide if you need more focused expertise from a subspecialist (see “Heart disease specialists”). But even if you’ve been referred to one of these experts, it’s reasonable to ask about possible drug therapies or to get a second opinion from another generalist.
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Because of the widespread use of electronic medical records, transferring information to a second doctor is fairly easy. But double-check that he or she receives and reviews all the data (including images) from every relevant test you’ve undergone.
second opinion in cardiac surgery in india is important when your doctor doesn’t have the required specialist knowledge for your condition.
second opinion in cardiac surgery in india is important when different surgeons have given you different recommendations and you are not able to make a decision.
second opinion in cardiac surgery in india is important when you haven’t received a clear diagnosis or therapy recommendation.
second opinion in cardiac surgery in india is importantwhen your doctor has recommended a major operation .
second opinion in cardiac surgery in india is important when you feel that you haven’t been given enough information about your planned treatment.
second opinion in cardiac surgery in india is important when the suggested treatment promises no significant improvement to your condition.
second opinion in cardiac surgery in india is importantwhen you want to find out if there are other treatment options you can pursue.
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