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Majority of patients these days prefer PCNL ( Minimal Invasive Telescopic removal of kidney stones broken with lithoclast, removed through a button hole incision ). This patient with a big stone in the pelvis of the kidney wanted it open only so I did an open pyelolithotomy for this patient after a long time as I use to do it in routine in the past. Except for the long incision and scar as compared to PCNL the recovery time was the same and patient went home third day happily walking and eating.
Cystoscopy (sis-TOS-kuh-pee) is a procedure that allows your doctor to examine the lining of your bladder and the tube that carries urine out of your body (urethra). A hollow tube (cystoscope) equipped with a lens is inserted into your urethra and slowly advanced into your bladder.
The Stevens Laser Bra works to create a more permanent breast lift for women with sagging breasts, and can be combined with other surgery at Marina Plastic Surgery in Los Angeles, including breast augmentation or reduction, to create a long-lasting, natural transformation of the breast area.
This patient presented to the ER for umbilical pain and had a history of umbilical hernia. He was concerned about the possibility of incarceration of the hernia.
In this video we explain how the clinical exam helps to differentiate a simple painful hernia from an incarcerated one.
***Thanks to the patient for sharing his history and exam with YouTube world***
A vaginoplasty is a surgical procedure that tightens the vagina. This is done by removing excess vaginal lining and tightening the surrounding soft tissues and muscles. During delivery of a baby the vagina and surrounding tissues and muscles become stretched. After delivery the vagina may return to a more “normal” size, but it often fails to return to its’ pre pregnancy diameter. Generally, the more vaginal deliveries, the worse the condition gets. Many women will complain of decreased sensation and sexual satisfaction during intercourse. Commonly this is due to a lack of friction. Often their partner may notice a change although he may say nothing. Kegel exercises are often recommended but rarely succeed in restoring vaginal tightness.
Video shows how fast patient recovers after inguinal hernia repair without mesh by Dr.Desarda technique. Patient normally can drive car and go to office within 3-4 days.No recurrence, no pain.
A STORY OF MR. DAVID FROM USA LOS ANGELES IS WORTH LISTENING:
Mr. David said that he did not wish to insert a foreign body like mesh in his body for hernia repair. He had heard from his friends and well wishers and also read and learnt from the internet about complications of a foreign body or mesh and the chances of recurrences after mesh repair. He made an immense research on the internet for any available technique of hernia repair that does not use mesh. He found to his amazement that there are only two centers all over the world which specialize in pure tissue repair of hernia. One is ‘Shouldice center’ in Canada and another is ‘Desarda Center’ in India. This is how he came to know about ‘Desarda’s Repair’ while searching on internet and liked it because it is without mesh or any foreign body and virtually free from recurrences thereafter.
David Williamson, a 37 years patient from Los Angeles, USA came to Pune to Dr. Desarda for getting operated for his groin hernia. Mr. David flew from USA and reached Mumbai and then Pune at 4AM in the morning on 7.10.2007. He was operated at 11 AM in Poona Hospital on the same day and was allowed to move out of bed and go to bathroom within 4-5 hours after surgery. He was permitted to move freely all around as and when he wanted. There were no restrictions. He was freely moving all around the ward on second day. He came down the staircase on third day with his hand bag luggage, took auto-rickshaw and went on his own to ATM centre to withdraw the money. On 4th day he went to Rajneesh Oschio Ashram and spent whole day there to attend there various course activities. A local patient is discharged from the hospital on the same day or next day morning and he is advised to attend all his routine work without any restrictions thereafter.
The story of Mr. Ted and Mr. Ron who also came to India for their hernia surgery is also similar to this story. If American surgeons had adopted this technique in their practice, many patients like David who wish to have no foreign body inserted for hernia repair could get easily operated there and could avoid this long distance journey and other hassles of going to some other country for such operation.
“Complete cure from groin hernia is now possible with Dr.Desarda's repair technique.......”
Mesh is a foreign body. Therefore, its use in hernia repairs is known to cause all sorts of complications like pain, recurrence, infection etc. We have developed an innovative new technique of inguinal hernia repair without mesh. It uses your own body muscle for repair and gives virtually complete cure from inguinal hernia problem. An undetached strip of the external oblique aponeurosis is stitched on the weak area between the muscle arch and the inguinal ligament to form a new, strong and physiologically dynamic posterior wall that gives protection and prevents re-herniation. Normally patient goes home in a day after surgery and can drive car and go to office in 3-4 days time. This "Dr.Desarda's hernia repair" is now followed in many countries all over the world. We are surprised to see the enquiries from many patients in the developed countries asking for this repair in their country. This is because this operation does not use any foreign body like mesh for repair and therefore there are no complications that are seen in mesh repairs. A visit to Topix or other hernia forums show thousands of posts showing sufferings of many patients due to mesh repairs. But still why surgeons from developed countries are interested in mesh repairs is a big question for us.
Please visit our website for more details: http://herniasurgery.tripod.com Our cell number: +91 9373322178