All Anal diseases (āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇āϰ āĻŦāĻŋāĻ­āĻŋāĻ¨ā§āύ āϏāĻŽāĻ¸ā§āϝāĻž)

Anal Fistula (āĻĢāĻŋāĻ¸ā§āϟ⧁āϞāĻž)

Occasionally painful opening/tract (single or multiple) around the anus with occasional discharge of pus mixed with blood through this opening.

āĻŽāĻžāĻā§‡ āĻŽāĻ§ā§āϝ⧇ āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇āϰ āϚāĻžāϰāĻĒāĻžāĻļ⧇ āĻŦā§āϝāĻĨāĻžāϜāύāĻ• āύāĻžāϞ⧀ (āĻāĻ•āĻ• āĻŦāĻž āĻāĻ•āĻžāϧāĻŋāĻ•) āĻāĻŦāĻ‚ āĻŽāĻžāĻā§‡āĻŽāĻ§ā§āϝ⧇ āĻāχ āύāĻžāϞ⧀ āĻĻāĻŋāϝāĻŧ⧇ āϰāĻ•ā§āϤ⧇āϰ āϏāĻžāĻĨ⧇ āĻŽāĻŋāĻļā§āϰāĻŋāϤ āĻĒ⧁āρāϜ āύāĻŋāĻ°ā§āĻ—āϤ āĻšāϝāĻŧāĨ¤Â 

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Anal Fissure (āĻāύāĻžāϞ āĻĢāĻŋāĻļāĻžāϰ)

Very painful slit like ulcer in the anus, occasionally bleeds and associated with hard stool. Appropriate medical treatment is successful in many occasions but sometimes operation (LASER/LIS) is needed.

āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇ āφāϞāϏāĻžāϰ⧇āϰ āĻŽāϤ⧋ āĻ…āĻ¤ā§āϝāĻ¨ā§āϤ
āĻŦ⧇āĻĻāύāĻžāĻĻāĻžāϝāĻŧāĻ• āĻĢāĻžāϟāϞ, āĻŽāĻžāĻā§‡ āĻŽāĻžāĻā§‡ āϰāĻ•ā§āϤāĻĒāĻžāϤ āĻšāϝāĻŧ āĻāĻŦāĻ‚ āĻļāĻ•ā§āϤ āĻŽāϞ⧇āϰ āϏāĻžāĻĨ⧇ āϝ⧁āĻ•ā§āϤāĨ¤ āωāĻĒāϝ⧁āĻ•ā§āϤ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻž āĻ…āύ⧇āĻ• āĻ•ā§āώ⧇āĻ¤ā§āϰ⧇āχ āϏāĻĢāϞ āĻšāϝāĻŧ āϤāĻŦ⧇ āĻ•āĻ–āύāĻ“ āĻ•āĻ–āύāĻ“ āĻ…āĻ¸ā§āĻ¤ā§āϰ⧋āĻĒāϚāĻžāϰ⧇āϰ (āϞ⧇āϜāĻžāϰ/āĻāϞāφāχāĻāϏ) āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϝāĻŧāĨ¤

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Hemorrhoid (āĻĒāĻžāχāϞāĻ¸ā§)

Soft masses coming out through the anus at straining during defecation, occasionally bleeds. It is painless condition but can be painful when it becomes complicated.

āĻŽāϞāĻ¤ā§āϝāĻžāϗ⧇āϰ āϏāĻŽāϝāĻŧ āϚāĻžāĻĒ āĻĻāĻŋāϞ⧇ āĻŽāϞāĻĻā§āĻŦāĻžāϰ āĻĻāĻŋāϝāĻŧ⧇ āύāϰāĻŽ āϗ⧁āϟāĻŋ āĻŦ⧇āϰāĻŋāϝāĻŧ⧇ āφāϏ⧇, āĻŽāĻžāĻā§‡ āĻŽāĻžāĻā§‡ āϰāĻ•ā§āϤāĻĒāĻžāϤ āĻšāϝāĻŧāĨ¤ āĻāϟāĻŋ āĻŦā§āϝāĻĨāĻžāĻšā§€āύ āĻ…āĻŦāĻ¸ā§āĻĨāĻž āĻ•āĻŋāĻ¨ā§āϤ⧁ āϜāϟāĻŋāϞ āĻšāϝāĻŧ⧇ āϗ⧇āϞ⧇ āĻŦ⧇āĻĻāύāĻžāĻĻāĻžāϝāĻŧāĻ• āĻšāϤ⧇ āĻĒāĻžāϰ⧇āĨ¤

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Chronic Constipation (āϕ⧋āĻˇā§āĻ āĻ•āĻžāĻ āĻŋāĻ¨ā§āϝ)

Hard or lumpy stool or infrequent stool movement (2 times a weak) or excessive straining or sense of incomplete stool requires consultancy by the colorectal surgeon. Medical treatment is the mainstay. Surgery is seldom required. It is very difficult for a patient to select a skilled colorectal surgeon for surgery. A generous colorectal surgeon is the resort.

āĻļāĻ•ā§āϤ āĻŦāĻž āĻĒāĻŋāĻŖā§āĻĄāĻžāĻ•ā§ƒāϤāĻŋāϰ āĻŽāϞ āĻ…āĻĨāĻŦāĻž āĻŽāϞ āϖ⧁āĻŦ āĻ•āĻŽ āύāĻĄāĻŧāĻžāϚāĻĄāĻŧāĻž (āĻĻ⧁āχ āϗ⧁āĻŖ āĻĻ⧁āĻ°ā§āĻŦāϞ) āĻ…āĻĨāĻŦāĻž āĻ…āϤāĻŋāϰāĻŋāĻ•ā§āϤ āϚāĻžāĻĒ āĻŦāĻž āĻ…āϏāĻŽā§āĻĒā§‚āĻ°ā§āĻŖ āĻŽāϞāĻ¤ā§āϝāĻžāϗ⧇āϰ āĻ…āύ⧁āĻ­ā§‚āϤāĻŋāϰ āϜāĻ¨ā§āϝ āϕ⧋āϞ⧋āϰ⧇āĻ•ā§āϟāĻžāϞ āϏāĻžāĻ°ā§āϜāύ⧇āϰ āĻĒāϰāĻžāĻŽāĻ°ā§āĻļ āĻĒā§āϰāϝāĻŧā§‹āϜāύāĨ¤ āϚāĻŋāĻ•āĻŋā§ŽāϏāĻžāχ āĻĒā§āϰāϧāĻžāύ āĻ…āĻŦāϞāĻŽā§āĻŦāύāĨ¤ āĻ…āĻ¸ā§āĻ¤ā§āϰ⧋āĻĒāϚāĻžāϰ⧇āϰ āϖ⧁āĻŦ āĻ•āĻŽāχ āĻĒā§āϰāϝāĻŧā§‹āϜāύ āĻšāϝāĻŧāĨ¤ āĻ…āĻ¸ā§āĻ¤ā§āϰ⧋āĻĒāϚāĻžāϰ⧇āϰ āϜāĻ¨ā§āϝ āϰ⧋āĻ—ā§€āϰ āĻāĻ•āϜāύ āĻĻāĻ•ā§āώ āĻ•āϞ⧋āϰ⧇āĻ•ā§āϟāĻžāϞ āϏāĻžāĻ°ā§āϜāύ āύāĻŋāĻ°ā§āĻŦāĻžāϚāύ āĻ•āϰāĻž āϖ⧁āĻŦāχ āĻ•āĻ āĻŋāύāĨ¤ āĻāĻ•āϜāύ āωāĻĻāĻžāϰ āϕ⧋āϞ⧋āϰ⧇āĻ•ā§āϟāĻžāϞ āϏāĻžāĻ°ā§āϜāύāχ āĻšāϞ āĻāĻ•āĻŽāĻžāĻ¤ā§āϰ āĻ…āĻŦāϞāĻŽā§āĻŦāύāĨ¤

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Anal stenosis (āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇āϰ āĻ›āĻŋāĻĻā§āϰ āϏāϰ⧁/ āĻŦāĻ¨ā§āϧ āĻšā§Ÿā§‡ āϝāĻžāĻ“ā§ŸāĻž)

Narrowed/Closed anal canal. Inappropriate operation in the canal may cause anal
stenosis. It may be due to the anal cancer also. Verry difficult to pass stool. Surgery is the only remedy. Colorectal surgeons are the best to perform this type of operations.

Rectal Prolapse ( āĻŽāϞāĻĻā§āĻŦāĻžāϰ āĻŦāĻžāχāϰ⧇ āĻŦ⧇āĻ°Â āĻšā§Ÿā§‡Â āφāϏāĻž )

Coming out of the entire rectum and anal canal on straining at stool. It may be associated with other
urogenital problems like Uterine prolapse (Coming out of uterus) and Cystocele (Coming out of urinary bladder) etc. It is severely life limiting situation which deteriorates quality of life significantly. Recently new laparoscopic operations like Laparoscopic VMR, POPS+/- STARR are proved very effective.

Anal Caner ( āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇ āĻ•ā§āϝāĻ¨ā§āϏāĻžāϰ )

Tumor or ulcer at anal canal, painful and bleeds. Frequently mistaken as piles resulting advanced cancer.
Early consultation with colorectal surgeon can save life. Many times, early and appropriate treatment
cures the disease forever.

Anorectal Abscess ( āĻŽāϞāĻĻā§āĻŦāĻžāϰ⧇āϰ āĻĒāĻžāĻļ⧇ āĻĢā§‹ā§œāĻž )

Very painful condition (infection) around the anus resulting accumulation of pus. Urgent surgery is the
wise decision. Delay of surgery results serious complication like complex fistula. Early surgery can
prevent complications.

Colon Cancer ( āϕ⧋āϞāύ āĻ•ā§āϝāĻžāĻ¨ā§āϏāĻžāϰ )

Second most common cancer worldwide. It is curable at early stage. Surgery is the
mainstay of treatment. People over the age of 40 is at risk of colorectal cancer. Early detection of this cancer depends on awareness. Any change of stool habit or stool mixed with blood demands urgent
consultancy by colorectal surgeon.

Pilonidal Sinus

A pilonidal sinus is a small hole or tunnel in the skin at the top of the buttocks, where they divide (the cleft). It does not always cause symptoms and only needs to be treated if it becomes infected.

Pelvic organ prolapse

Pelvic organ prolapse (POP) occurs when the tissue and muscles of the pelvic floor no longer support the pelvic organs resulting in the drop (prolapse) of the pelvic organs from their normal position.

Cystocele ( āĻŽā§‚āĻ¤ā§āϰāĻĨāϞāĻŋ āϜāϰāĻžā§Ÿā§Â āĻĒāĻĨā§‡Â āĻŦ⧇āϰāĻŋā§Ÿā§‡Â āφāϏāĻž )

cystocele is a condition in which the supportive ligaments and muscles around your bladder and vaginal wall that hold up your bladder stretch or weaken. This allows your bladder to sag into your vagina. It’s a type of pelvic organ prolapse.

Rectocele ( āĻŽāϞāĻĻā§āĻŦāĻžāϰ āϜāϰāĻžā§Ÿā§āϰ āĻĒāĻĨ⧇ āĻŦ⧇āϰāĻŋā§Ÿā§‡ āφāϏāĻž )

A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of tissue that separates the rectum from the vagina weakens or tears. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina.

Uterine prolapse ( āϜāϰāĻžā§Ÿā§āϰ āĻŽā§āĻ– āĻŦ⧇āϰāĻŋā§Ÿā§‡ āφāϏāĻž )

Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken until they no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina. Uterine prolapse most often affects people after menopause who’ve had one or more vaginal deliveries.

Laparoscopic services ( āĻ˛ā§āϝāĻžāĻĒāĻžāϰ⧋āĻ¸ā§āĻ•āĻĒāĻŋāĻ• āϏ⧇āĻŦāĻžÂ āϏāĻŽā§‚āĻš )

Gallbladder Stone ( āĻĒāĻŋāĻ¤ā§āϤāĻĨāϞāĻŋāϰ āĻĒāĻžāĻĨāϰ )

Gallstones are thought to develop because of an imbalance in the chemical make-up of bile inside the gallbladder. In most cases the levels of cholesterol in bile become too high and the excess cholesterol forms into stones. Gallstones are very common.

Appendicitis ( āĻāĻĒ⧇āĻ¨ā§āĻĄāĻŋāϏāĻžāχāϟāĻŋāϏ )

Appendicitis may be caused by various infections such as virus, bacteria, or parasites, in your digestive tract. Or it may happen when the tube that joins your large intestine and appendix is blocked or trapped by stool. Sometimes tumors can cause appendicitis. The appendix then becomes sore and swollen.

Vericocele ( āϭ⧇āϰāĻŋāϕ⧋āϏāĻŋāϞ )

A varicocele (VAR-ih-koe-seel) is an enlargement of the veins within the loose bag of skin that holds the testicles (scrotum). These veins transport oxygen-depleted blood from the testicles. A varicocele occurs when blood pools in the veins rather than circulating efficiently out of the scrotum.

Ovarian cyst ( āĻ“āĻ­āĻžāϰāĻŋāĻ°Â āϏāĻŋāĻ¸ā§āϟ )

An ovarian cyst is a fluid-filled sac that develops on an ovary. They’re very common and do not usually cause any symptoms. Most ovarian cysts occur naturally and go away in a few months without needing any treatment.

Laparoscopic Ventral Mesh Rectopexy

Rectal prolapse (RP) is a disabling condition and can range from internal rectal prolapse (IRP) or rectal intussusception to full-thickness external rectal prolapse (ERP).

Laparoscopic APR

Laparoscopic abdominoperineal resection is a surgery to treat cancer low in the rectum or in the anus, close to the sphincter muscles. This surgery, which removes the anus, rectum, and sigmoid colon, is a less invasive technique that calls for five or six small incisions rather that one large incision.

Laparoscopic POPS Operation

Pelvic organ prolapse suspension (POPS) is a recent surgical procedure for one-stage treatment of multiorgan female pelvic prolapse. This study evaluates the preliminary results of laparoscopic POPS in 54 women with a mean age of 55.2 and a BMI of 28.3. Patients underwent at the same time stapled transanal rectal resection (STARR) to correct the residual rectal prolapse.

Others Major Operation ( āĻ…āĻ¨ā§āϝāĻžāĻ¨ā§āϝ āϏāĻžāĻ°ā§āϜāĻŋāĻ•ā§āϝāĻžāϞ āϏ⧇āĻŦāĻž āϏāĻŽā§‚āĻš )

Inguinal Hernia

An inguinal hernia usually happens when fatty tissue or a part of your bowel, such as the intestine, pokes through into your groin at the top of your inner thigh. It pushes through a weak spot in the surrounding muscle wall (the abdominal wall) into an area called the inguinal canal.

Umbilical Hernia

An inguinal hernia usually happens when fatty tissue or a part of your bowel, such as the intestine, pokes through into your groin at the top of your inner thigh. It pushes through a weak spot in the surrounding muscle wall (the abdominal wall) into an area called the inguinal canal.

Hydrocele

A varicocele (VAR-ih-koe-seel) is an enlargement of the veins within the loose bag of skin that holds the testicles (scrotum). These veins transport oxygen-depleted blood from the testicles. A varicocele occurs when blood pools in the veins rather than circulating efficiently out of the scrotum.

CBD Stone ( āĻĒāĻŋāĻ¤ā§āϤāύāĻžāϞ⧀āϰ āĻĒāĻžāĻĨāϰ )

Choledocholithiasis, also known as common bile duct stones, refers to an obstruction of the biliary tract caused by gallstones in the common bile duct. The common bile duct is the tube that carries bile from the liver to the small intestine, and it is formed by the union of the common hepatic duct and the cystic duct.

Stomach Cancer ( āĻĒāĻžāĻ•āĻ¸ā§āĻĨāϞāĻŋāϰ āĻ•ā§āϝāĻžāĻ¨ā§āϏāĻžāϰ )

Stomach cancer develops when cells in any part of the stomach grow and divide abnormally. Tumours can begin anywhere in the stomach but most begin in the glandular tissue on the stomach’s inner surface. This type of cancer is an adenocarcinoma of the stomach (gastric cancer).

Breast tumour or cancer ( āĻ¸ā§āϤāύ āϟāĻŋāωāĻŽāĻžāĻ°Â āĻ…āĻĨāĻŦāĻžÂ āĻ•ā§āϝāĻžāĻ¨ā§āϏāĻžāϰ )

Signs and symptoms of breast cancer may include: A breast lump or thickening that feels different from the surrounding tissue. Change in the size, shape or appearance of a breast. Changes to the skin over the breast, such as dimpling.

Counseling Process

01

Get Serial

02

Overview & Treatment

03

Counciling

04

Get well!

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