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    26February 2020

    ACL INJURY: THINGS TO KNOW ABOUT

    Most of the time a person suffers from intense pain in knee while playing any sports or doing heavy work.  Generally, people injure their knees is by hurting ACL (anterior cruciate ligament) present in the knee. ACL is the band of connective tissue that joins and binds bones together in the knee. It maintains the stability of the knee. You may tear or stretch ACL when you suddenly change your position or with sudden turning, running or jumping. It makes it difficult to put pressure on the knee.

     

    How Does It Happen?

    Sportsmen and Athletes very commonly injure their ACL with sudden break and sharp change in directions. Playing soccer, football, tennis, basketball or volleyball, or doing gymnastics are having more chances of twisting knees by mistake when opposing. Persons’ speed and way of turning knee both affect the ACL tear.

    How does it feel?

    Many notice sound from knee when they get their ACL injured.

    • PAIN- pain depends on the grade of injury. The total tear gives you intense pain.
    • SWELLING- it happens in the first 24 hours after injury. It may get reduced with raising, resting, and ice compress.
    • TROUBLE WALKING- you will not feel a stable knee joint and unable to put pressure on the knee.
    • REDUCED RANGE OF MOTION- unable to bend and flex one joint.
    • LOOSE KNEE JOINT- you may feel losen joint.

    How to Make a Diagnosis?

    • Physical signs and symptom with your history makes a temporary diagnosis. The doctor will ask you to move your leg in a certain way which you will not be able to do if ACL injury present.
    • X-ray. Just to differentiate it with fracture
    • Arthroscopy. This generally means to “visualize inside the joint.” The orthopedic surgeon gives a small incision on your skin. He inserts a pencil-sized tool (rigid endoscope) with a light and lens (arthroscope) inside the joint. Visualizing it directly on a monitor. The doctor can rule out the type of injury and may correct it if needed.

     

    How ACL injury treated?

    The extent of the injury may affect the type of treatment. Following option are available,

    • FIRST AID– minor injury gets resolved by cold compress, the elevation of the leg, resting the joint, bandaging and use of a crutch.
    • MEDICATION- Analgesics and anti-inflammatory can reduce swelling and pain. If pain is intense doctor may give steroid injection in joint.
    • KNEE BRACES- gives extra support to the knee joints.
    • PHYSIOTHERAPY- It is helpful in returning back to the normal activity of the knee joint.
    • SURGERY- If ACL is torn pathetically, and you feel losen know. A surgeon may advise your surgery. Mostly arthroscopy surgery is in trend for these injuries. The surgeon will give a small incision to visualize joint through arthroscope placed in that cut. Getting images on the monitor gives a clear-cut idea of injury that happened to the joint. Arthroscopy surgeries mainly involve removing the damaged ACL and replace it with tissues that grow in ligament afterward.

    Get your knee to stabilize with ACL reconstructive surgery by arthroscope. Consult your doctor and visit us at http://diasurge.com.

     

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    14February 2020

    Frequent rhinitis: matter of concern.

    Are you chronically suffering from blocked nose, headache, and heaviness of head? Shaking your head may worsen it. It may be due to the polyps of the nasal wall. But these symptoms occur in many other diseases. An only proper diagnosis makes it clear. Its diagnosis and treatment can be made by endoscopy.

    What these nasal polyps are?

    Nasal polyps are a small, painless, soft and non-cancerous outgrowth of nasal wall mucosa that occurs in the sinuses and nose. Chronic sinusitis can exist in the nasal polyp. It is not clear why it is found in some people while others don’t develop polyps.

    How does general health get affected by nasal polyp?

    Small nasal polyps may not show any symptoms, especially a smaller one. But, larger ones can clog the sinus drainage and results in frequently infected sinuses. Chronic headache with cold and cough like symptoms. It may cause fever after sinus infection.

    If they involve olfactory cells, it may cause reduces the sense of smell. Which affects daily life.

    What are the symptoms present in nasal poly?

    • Nose block.
    • Heaviness of head.
    • Running nose.
    • Frequent rhinitis.
    • Headache.
    • Shortness of breath.
    • Epistaxis.

     

     

    How nasal polyp gets diagnosed?

    Polyp’s symptoms can overlap with much other illness many may be diagnosis get overshadowed.

    1) Symptomatic diagnosis- on the basis of symptoms doctors can diagnose that it may be due to nasal polyp.

    2) radioimaging- PNS x-ray

    3) rhinoscopy (nasal endoscopy)- an endoscopy is the confirmatory examination. With the help of endoscopes, the doctor can visualize and locate the place of origin of the polyp. Thus, useful in treating it well.

     

    How one can get rid of it?

    1) You can opt for oral medicine also to make the size of polyp small or vanish. Anti-inflammatory, analgesics, antiallergic.

    2) Polypectomy- surgical removal of a polyp. It is done by endoscopy.

    Polypectomy Surgery:-

    The general technique to remove nasal polyps is named as Functional Endoscopic Sinus Surgery (FESS). The surgeon put a narrow tube with a small camera into the nostrils and reach the sinus cavities. After that with an instrument inserted in an endoscope, a polyp is detached from the wall. With the polyp, the surgeon may clear adjacent areas to maintain proper air entry and drainage of the sinuses. Endoscopy surgery is generally done on an outpatient basis.

    Care about endoscopic polypectomy:-

    After surgery doctor prescribed some antiinflammatory drugs (steroidal drugs). It is to take care that surgical removal of the nasal polyps doesn’t decrease the inflammation completely so to continue the drugs given to you. Thus, improving your sense of smell by reducing inflammation of olfactory sinuses.

    Don’t suffer more, get your nasal issues diagnosed with rhinoscopy( nasal endoscopy), which is an easy and hassle-free diagnostic procedure to cure your worry. For more information and advice consult at our website http://diasurge.com

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    3February 2020

    Why nose bleeds?

    Blood in discharge from the nose! Is there any want to worry? Commonly, bleeding nostril is called epistaxis. It is very commonplace medical findings among people and not a disease condition. But it’s miles worrisome symptom. It is the most commonplace emergency in Otorhinolaryngology.

    Sometimes we may also are lucky in finding the motive or the factor of bleeding however it is not constantly easy. One of the feasible reasons is the negative visualization of the curve areas of the nostril, that is situated within the deep inside the nose. But the fantastic news is there! Endoscopes. Endoscopes are actually boon to medical doctors and patients, for the reason that it not simplest helps in a very good visualization, but also presents a direct technique of remedy to the area.

    WHAT CAUSES NOSE TO BLEED?

    • Deviated nasal septum
    • Ulcers
    • Congested polyps
    • Enlarged adenoids
    • Angiofibroma

     

     

     

    HOW DIAGNOSIS MADE BY ENDOSCOPY?

    • It is carried out on OPD (out-patient department) basis. No admission to health facility required.
    • These inflexible nasal endoscopies normally done beneath neighborhood anaesthesia or sometimes mild sedation is used.
    • After anaesthesia Endoscope is inserted with the assist of some lubricant gel. Mostly lignocaine gel.
    • Visualizing the vicinity of bleeding. The first step consists of seeing the nasal vestibule, the nasopharynx, and the inferior nasal meatus.
    • Then examining the sphenoethmoidal recess and the superior nasal meatus.
    • Followed by means of checking middle nasal meatus.
    • It has to be stated that the priority is given to control the bleeding if there is excessive bleeding and not to visualize the cause of bleeding. When the bleeding arrested endoscopy is performed.

     

    CAN IT BE TREATED WITH ENDOSCOPE?

    • The answer is yes! A nasal rigid Endoscope can deal with epistaxis with the assist of endoscopic equipment.
    • Endoscope is also beneficial inside the treatment of epistaxis. The ways by means of which epistaxis get handled consists of,
    • Endoscopic nasal packing with gelfoam (blood absorbing agent which gives stress to the bleeder to make forestall bleeding).
    • Clotting of bleeders through the usage of endoscopic cautery, it uses electrical energy to clot bleeder( endoscopic cautery or diathermy ).
    • Endoscopic polypectomy (surgical treatment to cast off nasal polyps with the aid of endoscopic visualization of the polyp attachment to nasal wall).
    • Endoscopic ligation (tie up the bleeders).
    • Cryotherapy (low-temperature agent use to stop bleeding with the aid of shrinking the bleeders).

     

    WHY ENDOSCOPY FOR EPISTAXIS?

    • Easy, now not strain fully. Done under anaesthesia.
    • No admission to clinic required. OPD basis procedure. Surgery and treatment may additionally want sooner or later admission.
    • Visualization with endoscopes.
    • Easily available at many healthcare centers.

    You just want to be freed from worry and visit your doctor for treatment.
    We are right here to assist and give statistics in your queries regarding endoscopes and it is a range, features, types and many more. Just approach us at http://diasurge.com/.

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    17January 2020

    DOES LAUGHING OR COUGHING HURTS IN YOUR LOWER ABDOMEN? READ BELOW TO KNOW.

    Do you feel pain; bulging and stress in the lower abdomen worsen it? Sometimes, area around the bulge can be sensitive. You may also feel periodic twinges or a pulling sensation. It may be due to a medical condition known as HERNIA. HERNIA involve a protruding internal organ or a body part being pushed through muscle or tissue. There are many types of hernia depending on the site of origin like inguinal, femoral, umbilical, incisional hernia.

     

    ARE ALL HERNIAS PAINFUL?

     

    Yes, hernias are painful and cause discomfort in the site when,

    • Forcefully laughing
    • Heavy lifting
    • Coughing
    • Bending over

    Other symptoms may include,

    • Heartburn
    • Recurrent vomiting
    • Stomach pressure
    • Burning sensation

    HOW TO DIAGNOSE IT

    * Usually diagnosis is made by physical examination.
    * Ultrasound of abdominal wall
    * Endoscopy – to rule out any other disease.

     


    DO HERNIAS NEED TREATMENT?

    Hernia is not self-limiting, it keeps on increasing. Binder or supportive braces are also available. There is not any medical treatment rather surgical interventions are possible.

    WHAT IF LEFT UNTREATED?

     

    It will get worse if left untreated. Complication are following-

    • Pressure on surrounding tissues
    • Bowel obstruction
    • Strangulated hernia
    • Nausea and vomiting
    • Bulge turns dark in color
    • Inability to pass gas or absent bowel movements
    • Chest pain, stomach ulcers

     

    SURGERY! MADE YOU WORRY?

     

    Let’s know about laparoscopic surgery.

    Minimal invasive surgery (endoscopic surgery) is the solution for you. This surgery is done by metallic tube with camera and lenses. Surgery is done with very small incision on abdomen. Easily repairable.

    These surgeries are performed by specialized doctors. Minimally invasive surgery, also known as laparoscopy, involves a series of small incisions. A gas is used to inflate the affected area, which makes it easier for the surgeon to see the structures to be treated.

    Another tube with a small camera will then be inserted into one of the incisions, with the others serving as entry points for the surgeon’s tools. This procedure is typically performed with general anesthesia. Those eligible for minimally invasive surgery tend to experience less post-op discomfort, as well as less scarring. You may also be able to return to regular levels of activity sooner than those who have open surgery.

     

    Let’s contact your doctor about your condition. Get it checked and treated with new, advanced and latest technology. For more information about laparoscopic instrument, different types of endoscopy contact us on our website http://diasurge.com

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    8January 2020

    Gallbladder Stones and diagnosis by Endoscopes

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    Background:-

    CHOLELITHIASIS means stones in gallbladder. These days it is a common problem in general population. Gallstones can sometimes come out of the gallbladder and get trapped in common bile duct and obstruct the flow of bile from liver and gallbladder to small intestine (duodenum). Thus leads to severe pain and feeling of fullness in abdomen.

    Symptoms:-

    Following symptoms may occur in CHOLELITHIASIS.

    – Nausea and vomiting

    – Abdominal pain

    – Indigestion

    – Jaundice (yellowish sclera)

    – Pale stool

    – Anorexia

    Diagnosis:-

    – Ultrasound of whole abdomen, CT abdomen

    – ERCP (Endoscopic Retrogradecholangio Pancreatography)

    – Blood reports

    Treatment:-

    It’s treatment includes surgery after reducing pain with NSAIDs (Non-steroidal anti-inflammatory drugs) and antibiotics. Surgery involves removal of gallbladder with stones. Earlier it was done through a large incision on Abdomen (open cholecystectomy). Nowadays, with a help of endoscopic techniques, surgery (Laparoscopic cholecystectomy) become easy and safer. It requires 3 to 4 small holes to perform the procedure.

    Preparation before surgery:-

    – You should have your all investigations done as advised by your surgeon.

    – You have to be empty stomach for 6-8 hours.

    – Take a shower nicely with antiseptic soap on your surgery day.

    How it is performed?

    The surgery is performed by surgeon having specialisation in laparoscopic surgeries.

    It involves following steps,

    • Surgery is done under general anesthesia.
    • Sterilization of part (abdomen)
    • Surgeon make a keyhole in your abdomen just below umbilicus. Then, insert a trocar (hallow, tubular metallic instrument) to make a port and inflate you abdomen with carbon dioxide to visualize the internal organs clearly. In the same port, a rigid laparoscope (tubular metallic with lenses and light attached to camera) is inserted, with help of this internal organs can be seen on monitor.
    • Other ports are made guided by camera for the insertion of other surgical instruments like scissors, hook, clamp, suction etc.
    • With the help of surgical instruments gall bladder is removed along with stones.
    • Abdomen is deflated after the procedure to avoid abdominal distension.
    • Repairing of incisions and dressing done.
    • General anesthesia usually lasts less than 2 hours, so you get conscious in 2 hours.

    When to resume to normal diet?

    Within 6-8 hours you can start with you liquid diet followed by semi-solid diet. By next day you can start with normal diet provided meal have low fat and less spices in it.

    After surgery your body can no longer store bile as gall bladder is removed, this has little or no effect on digestion. Some may experience indigestion and heart burn for few days.

    Why Laparoscopic surgery is preferred?

    • It require small incisions.
    • Decreases duration of hospital stay.
    • Recovery is faster.
    • Decreases the complication rate.
    • No exposure of internal organ to outside environment.
    • Less use of instruments.
    • Less haemorrhage.

    To get more information regarding leading manufacturer of cost effective rigid endoscopes equipped with high resolution optical glass rod lenses, HD camera, co2 insufflators, cold LED light source, irrigation pump, suction, HD medical monitors. Please visit http//:www.diasurge.com[/vc_column_text][/vc_column][/vc_row]

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