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MEDICAL SECOND OPINION for Gall bladder stones , Hernia , Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc.

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Online Medical Second Opinion for Gall bladder stones ,Hernia (Inguinal, Umbilical, Incisional), Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

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If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number –9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

You can pay consultation fees 700 Rs , by using the paytm scanner or directly on number 9999019149

If you are from outside India –

You can visit the website specialising in giving second opinion in any surgery related problems —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 15 $ only.

If you are from Outside India -you can pay the consultation fees of 15 $ by credit card (via WWW.SURGERYSECONDOPINION.COM or by using G-PAY by scanning the QR Code —>

–A unit of SHYAMAERA HEALTH CARE PVT LTD
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1. Seek Qualified Advice

A consultation is not worth much unless it is given by someone with the knowledge of and expertise in treating your condition. Always seek consultation from a surgeon who is a qualified surgical specialist. A good way to judge a surgeon’s expertise is by having a look at his /her qualifications and the hospitals where they are associated and their testimonials and feedbacks which are easily available on the internet..

2. The Decision Is Yours

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Remember, the final decision will be yours. It’s a decision that should be made with all the facts, so don’t hesitate to discuss with your surgeon any questions or concerns you may have. Feel free to ask all your doubts and concerns. Taking a well informed decision before embarking on a surgical journey is almost like completing 50 % of the work before actually starting the work.

Its important to know that according to a study done at John Hopkins, 33% of the patients have a change of diagnosis and surgery after a second opinion re evaluation patients symptoms.

The process for taking a second opinion –

Medical second opinion in India is gaining tremendous popularity -. Before any surgery people are preferring to take a 2nd opinion, “Every patient has a right to a 2nd opinion,” says Joseph Fins, chief of medical ethics at New York-Presbyterian and Weill Cornell Medicine, “and it would worry me if a physician was opposed.” Asking for a 2nd opinion doesn’t necessarily mean you’re questioning a doctor’s recommendation. For many, it’s seeking the peace of mind that comes with leaving no stone unturned.Recently all renowned centres in India have realised the importance of offering a medical second opinion.

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As for asking your present doctor for a referral, Fins warns of “an inherent bias effect,” meaning your doctor may suggest someone who is “comparably predisposed in the same practice group, in the same institution.” Such a physician is also likely to follow the same treatment guidelines, which means you may get a pro forma confirmation of your original diagnosis.

MEDICAL SECOND OPINION IN INDIA

There’s almost no excuse for not getting a 2nd opinion today, especially with the prevalence of electronic health records, easy uploading of data and access to video conferencing. All of these technological advances are reducing “the geographic barriers to care,” Cleveland Clinic’s Schaffer told me.

Data show that most people—70% in fact—don’t feel the need to seek a 2nd doctor’s opinion. That says high confidence in our doctors. However, a 2017 Mayo Clinic study showed that 88% of people who went for a 2nd opinion received a different or refined diagnosis from their first one. 

For any condition, effective treatment relies first on an accurate diagnosis. That’s why getting a medical 2nd opinion can be critical when weighing your options and making sure you’re finding the best care possible. Take note of these factors and advice on how to get a 2nd opinion.

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2nd opinions help you make informed decisions.

2nd opinions help you in making sure that the proposed surgery is the only right thing to do. Although medical training is somewhat standard, doctors may see things differently. They can have different philosophies or approaches to diagnosis and treatment. As a result, 2nd opinions can give you a new perspective. On the other hand, when two doctors share the same view point, a 2nd opinion can reinforce information and help you feel more confident about your decisions. Both ways –only you stand to gain.

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Reasons for seeking a second opinion-

1.Doubts about what your doctor is telling you.

2. When you receive a serious diagnosis

3.Have a complex problem

4. You are considering major surgery,

5 or have multiple treatment options.

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Does your Insurance cover it ?

If you’re thinking about a 2nd opinion, it’s smart to contact your health insurance company first. Find out if your coverage includes second opinions. In some cases, insurance companies may even require a second opinion before starting treatment. It’s also important to know if there are any limitations. For example, some companies require you to pick from a certain group of doctors. Or you may need a referral.Anyway – even if your insurance doesn’t cover second opinion, it makes sense before subjecting yourselves to a surgery –you are not sure of ! 

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Prepare for your appointment.

Once you’ve scheduled a 2nd opinion, make sure you get the most out of it. This takes some preparation. The other doctor needs all relevant medical records and test results. You’ll need to give written permission to your current doctor to release these records. Call the 2nd opinion doctor’s office several days prior to your appointment to confirm that they have received your records. You can also request a set of records for yourself so you have them readily available. Then, make a list of your questions or concerns to take with you. And consider bringing a trusted friend or family member.

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It’s your decision to make.

A 2nd opinion is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

So what should you do when you want a 2nd opinion?

•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number 9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 15 $ only.

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Dr Nitin Jha

FACS-USA (Fellow of American College of Surgeons) MBBS, MS, FAIS, FIAGES, FALSMHCD (Harvard)

Senior Consultant, Dept of Laparoscopic and Bariatric surgery, Fortis Hospital, DELHI-NCR , INDIA

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In these difficult times of Covid- getting an online video consultation, has lot of advantages. You can have a chance of solving the surgical problem temporarily till the time its safe to venture outside in hospitals or clinic. Consult online surgeon and be safe .Ask any general surgeon as to how to manage things for the time being.

Online consultation in general surgery is available here. We can do an online video consultation or phone consultation to solve our problems till situation improves.

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Covid has ravaged the whole world .No country is untouched by it. Almost everywhere the hospitals are full with covid patients. Almost all hospitals have discontinued the admissions and surgeries except for emergency cases. Hence in these difficult times , the patients of NON-COVID problems are at a great loss and are the silent sufferers.

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Dr Nitin Jha is available for online video consultation.

You can pay the consultation fees by Google -Pay or Paytm or UPI on 9999019149

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If you are in India, you can also connect on WhatsApp chat on 9999019149

Pay the consultation fees of 700 Rs by scanning the adjacent Q R CODE

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If you are calling from outside India , we can connect through another website www.surgerysecondopinion.com (A UNIT OF SHYAMAERA HEALTHCARE PVT LTD) and WhatsApp chat on 9319575361.

Pay the consultation fees of 15 $ by credit card through the website or use the adjacent Q R CODE

( Surgery Second Opinion is a unit of Shyamaera Healthcare Pvt Ltd )

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Online Medical Second Opinion for Gall bladder stones ,Hernia (Inguinal, Umbilical, Incisional), Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

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He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

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Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

Online Video consultation General Surgeon

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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It’s your decision to make.

A 2nd opinion or a video online consultation is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

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So what should you do when you want a 2nd opinion?

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•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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Online consultation for Hernia pain- General Surgeon- in times of Covid

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Dr Nitin Jha

FACS-USA (Fellow of American College of Surgeons) MBBS, MS, FAIS, FIAGES, FALSMHCD (Harvard)

Senior Consultant, Dept of Laparoscopic and Bariatric surgery, Fortis Hospital, DELHI-NCR , INDIA

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In these difficult times of Covid- getting an online video consultation, has lot of advantages. You can have a chance of solving the surgical problem temporarily till the time its safe to venture outside in hospitals or clinic. Consult online surgeon and be safe .Ask any general surgeon as to how to manage things for the time being.

Online consultation in general surgery is available here. We can do an online video consultation or phone consultation to solve our problems till situation improves.

Online consultation for pain in abdomen

Covid has ravaged the whole world .No country is untouched by it. Almost everywhere the hospitals are full with covid patients. Almost all hospitals have discontinued the admissions and surgeries except for emergency cases. Hence in these difficult times , the patients of NON-COVID problems are at a great loss and are the silent sufferers.

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Dr Nitin Jha is available for online video consultation.

You can pay the consultation fees by Google -Pay or Paytm or UPI on 9999019149

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If you are in India, you can also connect on WhatsApp chat on 9999019149

Pay the consultation fees of 700 Rs by scanning the adjacent Q R CODE

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If you are calling from outside India , we can connect through another website www.surgerysecondopinion.com (A UNIT OF SHYAMAERA HEALTHCARE PVT LTD) and WhatsApp chat on 9319575361.

Pay the consultation fees of 15 $ by credit card through the website or use the adjacent Q R CODE

( Surgery Second Opinion is a unit of Shyamaera Healthcare Pvt Ltd )

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He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

Online Video consultation General Surgeon

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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It’s your decision to make.

A 2nd opinion or a video online consultation is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

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•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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Online consultation for Pain in Abdomen (Stomach)- General Surgeon- in times of Covid

Online consultation for pain in abdomen (stomach) – general surgeon –

Dr Nitin Jha

FACS-USA (Fellow of American College of Surgeons) MBBS, MS, FAIS, FIAGES, FALSMHCD (Harvard)

Senior Consultant, Dept of Laparoscopic and Bariatric surgery, Fortis Hospital, DELHI-NCR , INDIA

In these difficult times of Covid- getting an online video consultation, has lot of advantages. You can have a chance of solving the surgical problem temporarily till the time its safe to venture outside in hospitals or clinic. Consult online surgeon and be safe .Ask any general surgeon as to how to manage things for the time being.

Online consultation in general surgery is available here. We can do an online video consultation or phone consultation to solve our problems till situation improves.

Online consultation for pain in abdomen

Covid has ravaged the whole world .No country is untouched by it. Almost everywhere the hospitals are full with covid patients. Almost all hospitals have discontinued the admissions and surgeries except for emergency cases. Hence in these difficult times , the patients of NON-COVID problems are at a great loss and are the silent sufferers.

Dr Nitin Jha is available for online video consultation.

You can pay the consultation fees by Google -Pay or Paytm or UPI on 9999019149

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If you are in India, you can also connect on WhatsApp chat on 9999019149

Pay the consultation fees of 700 Rs by scanning the adjacent Q R CODE

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If you are calling from outside India , we can connect through another website www.surgerysecondopinion.com (A UNIT OF SHYAMAERA HEALTHCARE PVT LTD) and WhatsApp chat on 9319575361.

Pay the consultation fees of 15 $ by credit card through the website or use the adjacent Q R CODE

( Surgery Second Opinion is a unit of Shyamaera Healthcare Pvt Ltd )

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Online Medical Second Opinion for Gall bladder stones ,Hernia (Inguinal, Umbilical, Incisional), Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

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He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

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But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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It’s your decision to make.

A 2nd opinion or a video online consultation is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

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So what should you do when you want a 2nd opinion?

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•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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Online Video consultation- General Surgeon- in times of Covid

Online video consultation general surgeon –

Dr Nitin Jha

FACS-USA (Fellow of American College of Surgeons) MBBS, MS, FAIS, FIAGES, FALSMHCD (Harvard)

Senior Consultant, Dept of Laparoscopic and Bariatric surgery, Fortis Hospital, DELHI-NCR , INDIA

In these difficult times of Covid- getting an online video consultation, has lot of advantages. You can have a chance of solving the surgical problem temporarily till the time its safe to venture outside in hospitals or clinic. Consult online surgeon and be safe .Ask any general surgeon as to how to manage things for the time being.

Online consultation in general surgery is available here. We can do an online video consultation or phone consultation to solve our problems till situation improves.

Online Video consultation General Surgeon

Covid has ravaged the whole world .No country is untouched by it. Almost everywhere the hospitals are full with covid patients. Almost all hospitals have discontinued the admissions and surgeries except for emergency cases. Hence in these difficult times , the patients of NON-COVID problems are at a great loss and are the silent sufferers.

Dr Nitin Jha is available for online video consultation.

You can pay the consultation fees by Google -Pay or Paytm or UPI on 9999019149

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If you are in India, you can also connect on WhatsApp chat on 9999019149

Pay the consultation fees of 700 Rs by scanning the adjacent Q R CODE

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If you are calling from outside India , we can connect through another website www.surgerysecondopinion.com (A UNIT OF SHYAMAERA HEALTHCARE PVT LTD) and WhatsApp chat on 9319575361.

Pay the consultation fees of 15 $ by credit card through the website or use the adjacent Q R CODE

( Surgery Second Opinion is a unit of Shyamaera Healthcare Pvt Ltd )

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Online Medical Second Opinion for Gall bladder stones ,Hernia (Inguinal, Umbilical, Incisional), Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

Online Video consultation General Surgeon

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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It’s your decision to make.

A 2nd opinion or a video online consultation is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

So what should you do when you want a 2nd opinion?

•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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INTUSSUSCEPTION surgery in Noida

Intussusception surgery in noida – treatment is available by laparoscopy .It is one of the causes of intestinal obstruction in all age groups

Abdominal pain is one of the most common reasons patients are seen in emergency departments around the world. Causes range from heart diseases to abdominal issues one of which is intestinal obstruction . Intestinal intussusception in adults accounts for 1% to 5% of the cases of intestinal obstruction. In adults it is most often associated with neoplasms, post-surgical scars and Meckel’s diverticulum, but in about 20% of these cases the cause is unknown.

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Intestinal intussusception is an uncommon condition in adults which causes 1% to 5% of intestinal obstructions. Although it is frequently associated with neoplastic pathologies or structural abnormalities of the gastrointestinal tract, up to 10% of cases are idiopathic. In most cases the diagnosis is made after surgery, but with the development of imaging techniques, a diagnosis is possible prior to intervention.

Management of intestinal intussusception depends on the patient’s age group. Reduction of intestinal intussusception in children is most often accomplished with nonsurgical pneumatic or hydrostatic enemas using, but for adults the treatment of choice is surgical resection by laparotomy or laparoscopy. This is because of the frequent discovery of triggering structural anomalies and the high incidence of malignancies .

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Nevertheless, surgical options for primary reduction and resection of the intestinal segment remain controversial. Many authors recommend primary resection when it is possible but suggest that you should not carry out reduction when there are signs of intestinal ischemia or inflammation . The theoretical risks of manipulating the intussuscepted segment include seeding and tumor spread, and perforation and bacteremia. For these reasons resection requires appropriate oncologic edges especially in cases in which the underlying etiology of the segment is known and there is high probability of  malignancy .

Diagnosis

If your child is in abdominal pain, call your doctor for an appointment as soon as possible. If your child cannot be seen soon, go to the Emergency Department to be evaluated.

A physician will obtain your child’s medical history and perform a physical examination to determine if he has intussusception.

Imaging studies are also done to examine the abdominal organ and aid in making an accurate diagnosis of your child. These tests may include:

  • Abdominal X-ray: This diagnostic test may show the intestinal obstruction. A radiologist may see an increased density of the telescoped bowel or other sights indicative of bowel obstruction.
  • Ultrasound: This radiologic test of choice uses sound waves to create pictures of the inside of the body. On ultrasound, a target-like sign can be seen that is indicative of intussusception.
  • Air or contrast enema: This procedure can be diagnostic, and in some cases serve as the treatment for intussusception. Air or a contrast fluid is given into the rectum as an enema. An X-ray of the abdomen shows narrow areas, blockages and other issues. On some occasions, the pressure exerted on the intestine while inserting air or contrast will help the intestine to unfold, correcting the intussusception.

When intussusception occurs in the small intestine, 57% of the tumors are benign and 30% are malignant. The most frequent malignancy is metastasis of melanoma, so primary reduction of the  compromised segment can be attempted in these cases. Nevertheless,  when the location is in the large intestine the most common cause is malignant neoplasia, adenocarcinomas are most common, followed by leiomyosarcomas and reticulum cell sarcomas. In these cases, surgical resection of the segment for the pathological study is recommended . Laparoscopic management of this condition is limited by several factors including the surgeon’s experience, the clinical condition of the patient and the degree and type of compromise of the intussuscepted intestinal segment.

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Gastroscopy Treatment

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Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

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BEST LAPAROSCOPIC SURGEON FORTIS NOIDA

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About – DR NITIN JHA

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Dr Nitin Jha is a well known Senior Consultant Laparoscopic surgeon in Fortis Noida.

Dr Nitin Jha is one of the renowned Laparoscopic surgeon in Noida & Delhi -NCR with extensive experience . One of his latest achievements is being conferred with the Fellowship by American College of Surgeons at Boston, USA .He has also completed MHCD (Managing Health Care Delivery) from HBS-Harvard Business School.,Boston, USA.

Dr Nitin Jha

MBBS, MS, FAIS, FIAGES, FACS (USA), FALSMHCD (Harvard)

Department of Lap and Bariatric surgery, Fortis Hospital, Noida

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He is presently working as a SENIOR CONSULTANT laparoscopic surgeon in the Dept. of  Laparoscopic ,G.I, and Bariatric surgery at —FORTIS GROUP OF HOSPITALS in Noida, Delhi-NCR, India.

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Poster presentation at SAGES Conference, Boston, USA
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One of his patient from Turkmenistan

Dr Nitin Jha’s work in the SILS Gall bladder surgery was selected for presentation at the SAGES Meet at Boston, USA in 2016. The main difference in his way of doing Single incision Lap surgeries is in use of only standard routine ports and instruments instead of Special SILS ports and Roticulating instruments which are costly.

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At FACS Convocation ceremony , American College of Surgeons,USA

Main field of work involves doing the laparoscopic surgeries by SINGLE INCISION TECHNIQUE—ie. ONLY ONE CUT instead of 3 or 4 cuts involved in routine laparoscopic surgeries ….specially for the Gall bladder , appendix, and hernia surgeries.

His area of work involves all sorts of Basic as well as Advanced Laparoscopic surgeries including G.I., Colorectal and Bariatric surgeries and General Surgeries.

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He also provides consultation at his clinic in sec 76 , Noida.

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His video of the SILS Gall bladder surgery has been also selected for display at one of the worlds prestigious lap surgery training centre website —IRCAD, France and has been uploaded on their website —www.websurg.com

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His presentation presented on SILS Appendectomy at EAES Conference at Frankfurt,GERMANY  in June 2017 was well appreciated

He has received FELLOWSHIP—— FACS (Fellow of American College of Surgeons) at the International conference of ACS at Boston in 2018 October.

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Dr Nitin Jha
PROBABLY THE LARGEST GALL BLADDER STONE REMOVED BY LAPAROSCOPY
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QUALIFICATIONS-

M.B.B.S – B.J. Medical College (University of Pune).

M.S. (Masters in surgery – General Surgery)  – University of Nagpur (IGGMC).

FIAGES (Fellowship in Minimally Invasive Surgery)

FAIS

FACS (Fellow of American College of Surgeons)

FALS (Fellow of Advanced Laparoscopic Surgery)

MHCD (Harvard Business School)

—————————————–

HIS PHILOSOPHY in his own words …..

 All surgical procedures, however routine, have risks. I regard the primary role of a surgeon is to manage that risk.

“Not all surgical conditions require an operation. In fact, I consider a competent surgeon is one who knows when NOT to operate”.

“Surgical procedures may be necessary in some asymptomatic patients for preventative measures”.

“Treatment options ought to begin with the least invasive options first”.

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I consider a good surgeon is one who has the following attributes –

  • A good listener
  • A good communicator, who involves all the stakeholders in the decision-making process
  • A competent operator
  • One who knows their limitations and will refer patients onto other medical professionals when necessary
  • Has sound knowledge and keeps abreast with latest surgical developments and skills

The main question I contemplate whenever I see a patient is –
What is the risk of operating versus the risk of not operating on this patient ?

Surgery should only occur if
Risk of NOT operating > Risk of operating. 

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Dr Nitin Jha has been practicing as a Laparoscopic surgeon in Noida and Delhi since last 15 years and has operated on one of our previous Indian cricket team member also.

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Laparoscopic Surgery

GastroIntestinal Surgery

Colorectal Surgery

Bariatric surgery

Trauma Surgery

Laparoscopic Abdominal Surgery By “Only One Small Cut”

Laparoscopic Abdominal Surgery By “Only One Small Cut ” In Navel

Gall Bladder (Biliary) Stone Treatment

Fistula Surgery

Thyroid Surgery Endoscopic Surgery

Varicocele Surgery

Piles Surgery

Gastroscopy Treatment

Gynecomastia Treatment / Abdominal surgery

Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

Minor Surgery

Diabetic Foot Treatment/Surgery

Hernia Repair Surgery

Laparoscopic Hernial Repair

Laparoscopic Hiatus Hernia Repair

Hemorrhoids Treatment

Hepato-Biliary-Pancreatic

Laparoscopic Cholecystectomy

Laparoscopic Appendicectomy

Cancer Surgery

Splenectomy

Anal Fissure Treatment (Non-Surgical)

Anal Fissure Surgery

Fistula Treatment

Piles Treatment (Non Surgical) Minimally Invasive Surgery

Circumcision

SILS

Morgagni hernia treatment

Varicose Veins Treatment

Hydrocele Treatment (Surgical)

Appendicitis Treatment

Sebaceous cyst excision

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He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

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If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number –9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 10 $ only.

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1. Seek Qualified Advice

A consultation is not worth much unless it is given by someone with the knowledge of and expertise in treating your condition. Always seek consultation from a surgeon who is a qualified surgical specialist. A good way to judge a surgeon’s expertise is by having a look at his /her qualifications and the hospitals where they are associated and their testimonials and feedbacks which are easily available on the internet..

2. The Decision Is Yours

Second Opinion for hernia

Remember, the final decision will be yours. It’s a decision that should be made with all the facts, so don’t hesitate to discuss with your surgeon any questions or concerns you may have. Feel free to ask all your doubts and concerns. Taking a well informed decision before embarking on a surgical journey is almost like completing 50 % of the work before actually starting the work.

Its important to know that according to a study done at John Hopkins, 33% of the patients have a change of diagnosis and surgery after a second opinion re evaluation patients symptoms.

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The process for taking a second opinion –

Medical second opinion in India is gaining tremendous popularity -. Before any surgery people are preferring to take a 2nd opinion, “Every patient has a right to a 2nd opinion,” says Joseph Fins, chief of medical ethics at New York-Presbyterian and Weill Cornell Medicine, “and it would worry me if a physician was opposed.” Asking for a 2nd opinion doesn’t necessarily mean you’re questioning a doctor’s recommendation. For many, it’s seeking the peace of mind that comes with leaving no stone unturned.Recently all renowned centres in India have realised the importance of offering a medical second opinion.

Surgery Second Opinion

As for asking your present doctor for a referral, Fins warns of “an inherent bias effect,” meaning your doctor may suggest someone who is “comparably predisposed in the same practice group, in the same institution.” Such a physician is also likely to follow the same treatment guidelines, which means you may get a pro forma confirmation of your original diagnosis.

MEDICAL SECOND OPINION IN INDIA

There’s almost no excuse for not getting a 2nd opinion today, especially with the prevalence of electronic health records, easy uploading of data and access to video conferencing. All of these technological advances are reducing “the geographic barriers to care,” Cleveland Clinic’s Schaffer told me.

Data show that most people—70% in fact—don’t feel the need to seek a 2nd doctor’s opinion. That says high confidence in our doctors. However, a 2017 Mayo Clinic study showed that 88% of people who went for a 2nd opinion received a different or refined diagnosis from their first one. 

For any condition, effective treatment relies first on an accurate diagnosis. That’s why getting a medical 2nd opinion can be critical when weighing your options and making sure you’re finding the best care possible. Take note of these factors and advice on how to get a 2nd opinion.

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2nd opinions help you make informed decisions.

2nd opinions help you in making sure that the proposed surgery is the only right thing to do. Although medical training is somewhat standard, doctors may see things differently. They can have different philosophies or approaches to diagnosis and treatment. As a result, 2nd opinions can give you a new perspective. On the other hand, when two doctors share the same view point, a 2nd opinion can reinforce information and help you feel more confident about your decisions. Both ways –only you stand to gain.

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Reasons for seeking a second opinion-

1.Doubts about what your doctor is telling you.

2. When you receive a serious diagnosis

3.Have a complex problem

4. You are considering major surgery,

5 or have multiple treatment options.

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Does your Insurance cover it ?

If you’re thinking about a 2nd opinion, it’s smart to contact your health insurance company first. Find out if your coverage includes second opinions. In some cases, insurance companies may even require a second opinion before starting treatment. It’s also important to know if there are any limitations. For example, some companies require you to pick from a certain group of doctors. Or you may need a referral.Anyway – even if your insurance doesn’t cover second opinion, it makes sense before subjecting yourselves to a surgery –you are not sure of ! 

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Prepare for your appointment.

Once you’ve scheduled a 2nd opinion, make sure you get the most out of it. This takes some preparation. The other doctor needs all relevant medical records and test results. You’ll need to give written permission to your current doctor to release these records. Call the 2nd opinion doctor’s office several days prior to your appointment to confirm that they have received your records. You can also request a set of records for yourself so you have them readily available. Then, make a list of your questions or concerns to take with you. And consider bringing a trusted friend or family member.

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It’s your decision to make.

A 2nd opinion is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

So what should you do when you want a 2nd opinion?

•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number 9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 10 $ only.

MEDICAL SECOND OPINION for Appendicitis

Medical Second Opinion for hernia appendicitis Bariatric Gall bladder stones Reflux

Online Medical Second Opinion for Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

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If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number –9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 12 $ only.

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1. Seek Qualified Advice

A consultation is not worth much unless it is given by someone with the knowledge of and expertise in treating your condition. Always seek consultation from a surgeon who is a qualified surgical specialist. A good way to judge a surgeon’s expertise is by having a look at his /her qualifications and the hospitals where they are associated and their testimonials and feedbacks which are easily available on the internet..

2. The Decision Is Yours

medical second opinion for appendicitis

Remember, the final decision will be yours. It’s a decision that should be made with all the facts, so don’t hesitate to discuss with your surgeon any questions or concerns you may have. Feel free to ask all your doubts and concerns. Taking a well informed decision before embarking on a surgical journey is almost like completing 50 % of the work before actually starting the work.

Its important to know that according to a study done at John Hopkins, 33% of the patients have a change of diagnosis and surgery after a second opinion re evaluation patients symptoms.

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The process for taking a second opinion –

Medical second opinion in India is gaining tremendous popularity -. Before any surgery people are preferring to take a 2nd opinion, “Every patient has a right to a 2nd opinion,” says Joseph Fins, chief of medical ethics at New York-Presbyterian and Weill Cornell Medicine, “and it would worry me if a physician was opposed.” Asking for a 2nd opinion doesn’t necessarily mean you’re questioning a doctor’s recommendation. For many, it’s seeking the peace of mind that comes with leaving no stone unturned.Recently all renowned centres in India have realised the importance of offering a medical second opinion.

Surgery Second Opinion

As for asking your present doctor for a referral, Fins warns of “an inherent bias effect,” meaning your doctor may suggest someone who is “comparably predisposed in the same practice group, in the same institution.” Such a physician is also likely to follow the same treatment guidelines, which means you may get a pro forma confirmation of your original diagnosis.

MEDICAL SECOND OPINION IN INDIA

There’s almost no excuse for not getting a 2nd opinion today, especially with the prevalence of electronic health records, easy uploading of data and access to video conferencing. All of these technological advances are reducing “the geographic barriers to care,” Cleveland Clinic’s Schaffer told me.

Data show that most people—70% in fact—don’t feel the need to seek a 2nd doctor’s opinion. That says high confidence in our doctors. However, a 2017 Mayo Clinic study showed that 88% of people who went for a 2nd opinion received a different or refined diagnosis from their first one. 

For any condition, effective treatment relies first on an accurate diagnosis. That’s why getting a medical 2nd opinion can be critical when weighing your options and making sure you’re finding the best care possible. Take note of these factors and advice on how to get a 2nd opinion.

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2nd opinions help you make informed decisions.

2nd opinions help you in making sure that the proposed surgery is the only right thing to do. Although medical training is somewhat standard, doctors may see things differently. They can have different philosophies or approaches to diagnosis and treatment. As a result, 2nd opinions can give you a new perspective. On the other hand, when two doctors share the same view point, a 2nd opinion can reinforce information and help you feel more confident about your decisions. Both ways –only you stand to gain.

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Reasons for seeking a second opinion-

1.Doubts about what your doctor is telling you.

2. When you receive a serious diagnosis

3.Have a complex problem

4. You are considering major surgery,

5 or have multiple treatment options.

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Does your Insurance cover it ?

If you’re thinking about a 2nd opinion, it’s smart to contact your health insurance company first. Find out if your coverage includes second opinions. In some cases, insurance companies may even require a second opinion before starting treatment. It’s also important to know if there are any limitations. For example, some companies require you to pick from a certain group of doctors. Or you may need a referral.Anyway – even if your insurance doesn’t cover second opinion, it makes sense before subjecting yourselves to a surgery –you are not sure of ! 

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Prepare for your appointment.

Once you’ve scheduled a 2nd opinion, make sure you get the most out of it. This takes some preparation. The other doctor needs all relevant medical records and test results. You’ll need to give written permission to your current doctor to release these records. Call the 2nd opinion doctor’s office several days prior to your appointment to confirm that they have received your records. You can also request a set of records for yourself so you have them readily available. Then, make a list of your questions or concerns to take with you. And consider bringing a trusted friend or family member.

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It’s your decision to make.

A 2nd opinion is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

So what should you do when you want a 2nd opinion?

•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number 9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 10 $ only.

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MEDICAL SECOND OPINION for Gall bladder stones

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Online Medical Second Opinion for Gall bladder stones ,Hernia (Inguinal, Umbilical, Incisional), Appendicitis , GERD/Reflux/Hiatal Hernia , Bariatric Surgery, Colorectal diseases, Piles, Fissure, Fistulas, etc. can be availed with Dr Nitin Jha while you are sitting comfortably in your home ,even from remote areas , from anywhere in the world.

He is a well respected Laparoscopic surgeon in Delhi -NCR (India) and has been in surgical practice since last 21 years. Over a period of time, he has worked hard to build a Steller reputation for honest and ethical practice. Click here to view the feedbacks of other patients

Before you say yes to an operation, you should discuss the following questions with your operating surgeon:

  • Indications for the operation?
  • Risks?
  • How is the operation expected to improve my health or quality of life?
  • Are there likely to be any side effects from the operation?
  • Alternative forms of treatment ?
  • Likely fallout if I don’t have the operation?

Taking an additional opinion has always been a part of good medical practice, and a competent surgeon should not be insulted if you decide to get further second opinion before undergoing a surgical procedure. If you do want a second opinion, here are some things to remember: 

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If, after discussing these questions with your surgeon, you feel confident that a surgical procedure is the best treatment for your condition, you probably don’t need a second opinion.

But if you are not so sure — you have doubts about whether the operation should be performed, or if the doctor recommending the operation is not a qualified surgeon, you may want to seek a second opinion consultation.

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number –9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 12 $ only.

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1. Seek Qualified Advice

A consultation is not worth much unless it is given by someone with the knowledge of and expertise in treating your condition. Always seek consultation from a surgeon who is a qualified surgical specialist. A good way to judge a surgeon’s expertise is by having a look at his /her qualifications and the hospitals where they are associated and their testimonials and feedbacks which are easily available on the internet..

2. The Decision Is Yours

MEDICAL SECOND OPINION for Gall bladder stones

Remember, the final decision will be yours. It’s a decision that should be made with all the facts, so don’t hesitate to discuss with your surgeon any questions or concerns you may have. Feel free to ask all your doubts and concerns. Taking a well informed decision before embarking on a surgical journey is almost like completing 50 % of the work before actually starting the work.

Its important to know that according to a study done at John Hopkins, 33% of the patients have a change of diagnosis and surgery after a second opinion re evaluation patients symptoms.

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The process for taking a second opinion –

Medical second opinion in India is gaining tremendous popularity -. Before any surgery people are preferring to take a 2nd opinion, “Every patient has a right to a 2nd opinion,” says Joseph Fins, chief of medical ethics at New York-Presbyterian and Weill Cornell Medicine, “and it would worry me if a physician was opposed.” Asking for a 2nd opinion doesn’t necessarily mean you’re questioning a doctor’s recommendation. For many, it’s seeking the peace of mind that comes with leaving no stone unturned.Recently all renowned centres in India have realised the importance of offering a medical second opinion.

Surgery Second Opinion

As for asking your present doctor for a referral, Fins warns of “an inherent bias effect,” meaning your doctor may suggest someone who is “comparably predisposed in the same practice group, in the same institution.” Such a physician is also likely to follow the same treatment guidelines, which means you may get a pro forma confirmation of your original diagnosis.

MEDICAL SECOND OPINION IN INDIA

There’s almost no excuse for not getting a 2nd opinion today, especially with the prevalence of electronic health records, easy uploading of data and access to video conferencing. All of these technological advances are reducing “the geographic barriers to care,” Cleveland Clinic’s Schaffer told me.

Data show that most people—70% in fact—don’t feel the need to seek a 2nd doctor’s opinion. That says high confidence in our doctors. However, a 2017 Mayo Clinic study showed that 88% of people who went for a 2nd opinion received a different or refined diagnosis from their first one. 

For any condition, effective treatment relies first on an accurate diagnosis. That’s why getting a medical 2nd opinion can be critical when weighing your options and making sure you’re finding the best care possible. Take note of these factors and advice on how to get a 2nd opinion.

Medical Second Opinion for Gall bladder stones,Medical Second Opinion for Gall bladder stones,Medical Second Opinion for Gall bladder stones,Medical Second Opinion for Gall bladder stones,Medical Second Opinion for Gall bladder stones,Medical Second Opinion for Gall bladder stones,v,Medical Second Opinion for Gall bladder stones

2nd opinions help you make informed decisions.

2nd opinions help you in making sure that the proposed surgery is the only right thing to do. Although medical training is somewhat standard, doctors may see things differently. They can have different philosophies or approaches to diagnosis and treatment. As a result, 2nd opinions can give you a new perspective. On the other hand, when two doctors share the same view point, a 2nd opinion can reinforce information and help you feel more confident about your decisions. Both ways –only you stand to gain.

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Reasons for seeking a second opinion-

1.Doubts about what your doctor is telling you.

2. When you receive a serious diagnosis

3.Have a complex problem

4. You are considering major surgery,

5 or have multiple treatment options.

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Does your Insurance cover it ?

If you’re thinking about a 2nd opinion, it’s smart to contact your health insurance company first. Find out if your coverage includes second opinions. In some cases, insurance companies may even require a second opinion before starting treatment. It’s also important to know if there are any limitations. For example, some companies require you to pick from a certain group of doctors. Or you may need a referral.Anyway – even if your insurance doesn’t cover second opinion, it makes sense before subjecting yourselves to a surgery –you are not sure of ! 

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Prepare for your appointment.

Once you’ve scheduled a 2nd opinion, make sure you get the most out of it. This takes some preparation. The other doctor needs all relevant medical records and test results. You’ll need to give written permission to your current doctor to release these records. Call the 2nd opinion doctor’s office several days prior to your appointment to confirm that they have received your records. You can also request a set of records for yourself so you have them readily available. Then, make a list of your questions or concerns to take with you. And consider bringing a trusted friend or family member.

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It’s your decision to make.

A 2nd opinion is not automatically better than the first. When they agree, it can give you confidence in your course of action. When they differ, you must weigh the risks and the merits of each. You’ll need to decide which one best suits your goals and addresses issues most important to you. If you still feel unsure, you could seek a third opinion. 

It’s smart to ask the 2nd doctor to send his or her written opinion to your first doctor. Then, you can discuss it together. But the final decision is yours to make.

So what should you do when you want a 2nd opinion?

•Don’t be talked out of seeking another opinion by your current doctor or anyone else; this is your decision.

•Be upfront but respectful with your doctor. You are partners in this, and having your doctor on your side makes it easier to transfer your medical records and coordinate care.

•Don’t shop for a specialist who will tell you what you want to hear. You need the unvarnished truth.

•Provide the second doctor with all relevant information in your medical record. Fins warns about the “discontinuity of care if all the facts don’t follow you.”

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The process for taking a second opinion –

If you are from India –

You can send all the relevant blood tests or other reports on WhatsApp and pay the SECOND OPINION fees of Rs 700 by Paytm or Google pay or UPI on number 9999019149. After evaluation , You will receive a copy of the second opinion and you can ask follow-up questions or further clarifications also on WhatsApp.

If you are from outside India –

You can visit the website specializing in giving second opinion in surgery —WWW.SURGERYSECONDOPINION.COM. You can click here to directly upload all the relevant reports and make payment via credit card — 10 $ only.

BEST LAPAROSCOPIC SURGEON NEAR ME

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About – DR NITIN JHA

best Laparoscopic surgeon near me

Dr Nitin Jha is a well known Senior Consultant Laparoscopic surgeon in Noida.

Dr Nitin Jha is one of the renowned Laparoscopic surgeon in Noida & Delhi -NCR with extensive experience . One of his latest achievements is being conferred with the Fellowship by American College of Surgeons at Boston, USA .He has also completed MHCD (Managing Health Care Delivery) from HBS-Harvard Business School.,Boston, USA.

Dr Nitin Jha

MBBS, MS, FAIS, FIAGES, FACS (USA), FALSMHCD (Harvard)

Department of Lap and Bariatric surgery, Fortis Hospital, Noida

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He is presently working as a SENIOR CONSULTANT laparoscopic surgeon in the Dept. of  Laparoscopic ,G.I, and Bariatric surgery at —FORTIS GROUP OF HOSPITALS in Noida, Delhi-NCR, India.

Best laparoscopic surgeon NEAR ME
Poster presentation at SAGES Conference, Boston, USA
international patients dr nitin jha reviews reputation
One of his patient from Turkmenistan

Dr Nitin Jha’s work in the SILS Gall bladder surgery was selected for presentation at the SAGES Meet at Boston, USA in 2016. The main difference in his way of doing Single incision Lap surgeries is in use of only standard routine ports and instruments instead of Special SILS ports and Roticulating instruments which are costly.

patient review / appreciation
thank you dear Aaaradhya

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Good Laparoscopic surgeon in Noida & Delhi
At FACS Convocation ceremony , American College of Surgeons,USA

Main field of work involves doing the laparoscopic surgeries by SINGLE INCISION TECHNIQUE—ie. ONLY ONE CUT instead of 3 or 4 cuts involved in routine laparoscopic surgeries ….specially for the Gall bladder , appendix, and hernia surgeries.

His area of work involves all sorts of Basic as well as Advanced Laparoscopic surgeries including G.I., Colorectal and Bariatric surgeries and General Surgeries.

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He also provides consultation at his clinic in sec 76 , Noida.

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His video of the SILS Gall bladder surgery has been also selected for display at one of the worlds prestigious lap surgery training centre website —IRCAD, France and has been uploaded on their website —www.websurg.com

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His presentation presented on SILS Appendectomy at EAES Conference at Frankfurt,GERMANY  in June 2017 was well appreciated

He has received FELLOWSHIP—— FACS (Fellow of American College of Surgeons) at the International conference of ACS at Boston in 2018 October.

LAPAROSCOPIC SURGEON IN NOIDA
AMERICAN COLLEGE OF SURGEONS – FACS
BEST LAPAROSCOPIC SURGEON IN DELHI NOIDA
Good Laparoscopic surgeon in Noida & Delhi
Dr Nitin Jha
PROBABLY THE LARGEST GALL BLADDER STONE REMOVED BY LAPAROSCOPY
largest gall bladder stone ?
very small contracted gall bladder
very small contracted gall bladderdue to chronic infection, this gall bladder has shrunk to such a small size

QUALIFICATIONS-

M.B.B.S – B.J. Medical College (University of Pune).

M.S. (Masters in surgery – General Surgery)  – University of Nagpur (IGGMC).

FIAGES (Fellowship in Minimally Invasive Surgery)

FAIS

FACS (Fellow of American College of Surgeons)

FALS (Fellow of Advanced Laparoscopic Surgery)

MHCD (Harvard Business School)

—————————————–

HIS PHILOSOPHY in his own words …..

 All surgical procedures, however routine, have risks. I regard the primary role of a surgeon is to manage that risk.

“Not all surgical conditions require an operation. In fact, I consider a competent surgeon is one who knows when NOT to operate”.

“Surgical procedures may be necessary in some asymptomatic patients for preventative measures”.

“Treatment options ought to begin with the least invasive options first”.

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I consider a good surgeon is one who has the following attributes –

  • A good listener
  • A good communicator, who involves all the stakeholders in the decision-making process
  • A competent operator
  • One who knows their limitations and will refer patients onto other medical professionals when necessary
  • Has sound knowledge and keeps abreast with latest surgical developments and skills

The main question I contemplate whenever I see a patient is –
What is the risk of operating versus the risk of not operating on this patient ?

Surgery should only occur if
Risk of NOT operating > Risk of operating. 

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Dr Nitin Jha has been practicing as a Laparoscopic surgeon in Noida and Delhi since last 15 years and has operated on one of our previous Indian cricket team member also.

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Laparoscopic Surgery

GastroIntestinal Surgery

Colorectal Surgery

Bariatric surgery

Trauma Surgery

Laparoscopic Abdominal Surgery By “Only One Small Cut”

Laparoscopic Abdominal Surgery By “Only One Small Cut ” In Navel

Gall Bladder (Biliary) Stone Treatment

Fistula Surgery

Thyroid Surgery Endoscopic Surgery

Varicocele Surgery

Piles Surgery

Gastroscopy Treatment

Gynecomastia Treatment / Abdominal surgery

Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

Minor Surgery

Diabetic Foot Treatment/Surgery

Hernia Repair Surgery

Laparoscopic Hernial Repair

Laparoscopic Hiatus Hernia Repair

Hemorrhoids Treatment

Hepato-Biliary-Pancreatic

Laparoscopic Cholecystectomy

Laparoscopic Appendicectomy

Cancer Surgery

Splenectomy

Anal Fissure Treatment (Non-Surgical)

Anal Fissure Surgery

Fistula Treatment

Piles Treatment (Non Surgical) Minimally Invasive Surgery

Circumcision

SILS

Morgagni hernia treatment

Varicose Veins Treatment

Hydrocele Treatment (Surgical)

Appendicitis Treatment

Sebaceous cyst excision

Cosmetic Surgery

Laparoscopic Sleeve Resection

Incisional Hernia

keloid/scar treatment

Laser Fistula Treatment

Laser Piles Treatment

Laser Fissure Surgery

Breast Cancer Management

Laparoscopic Surgery

Inguinal Hernia Laparoscopic Surgery

general surgeon

Laproscopic Appendicectomy

Bariatric (Gastric Bypass) Surgery

Achalasia Cardia Surgery

Superficial bile channel

superficial biliary channel

Interesting case …. superficial small biliary channel connecting to the gall bladder …in the bed area.

These channels need to be ligated carefully otherwise they can be a cause for post operative bile leakage….. which will be very difficult to identify on post operative tests like MRCP.

This difficulty can lead to unnecessary intervention in the form of post operative ERCP or re-exploration

Liver Hemangioma

Incidental finding of a large hemangioma during surgery for other reasons…

VENTRAL / UMBILICAL / INCISIONAL HERNIA LAPAROSCOPIC SURGERY

VENTRAL / UMBILICAL INCISIONAL HERNIA treatment in noida – It is also treated by laparoscopic surgery. It also can be done by single incision -SILS.

UMBILICAL / INCISIONAL HERNIA – noida

 VENTRAL / UMBILICAL / INCISIONAL HERNIA treatment in noida

A hernia happens when the muscles inside a person’s abdomen (belly) weaken in one spot, allowing a loop of intestine or abdominal tissue to push through the muscle layer.


What is a ventral hernia?

A ventral hernia is called an incisional hernia if it occurs at the site of a surgical scar. Up to one-third of all patients who have had open abdominal surgery will develop a ventral hernia at their incision. An umbilical hernia is a hernia that occurs at the navel or belly button. This can happen with or without a prior incision.

What are the signs of a ventral hernia?

In some cases, a ventral hernia causes no discomfort, and the first sign of the hernia is a bulge under the skin. A ventral hernia may cause pain when a person:

  • Lifts heavy objects
  • Coughs
  • Strains during a bowel movement, or when urinating
  • Stands or sits for a long time

If a loop of intestine gets tightly trapped in the tear in the muscle layer, the supply of blood to the intestines can become cut off. This is called strangulation, and can cause:

  • Severe abdominal pain
  • Nausea and vomiting

Strangulation is a medical emergency, and requires a doctor’s immediate attention.

What causes a ventral hernia?

Open abdominal surgery can weaken a person’s abdominal muscles at the place where the surgeon made an incision. Factors that might contribute to a ventral hernia include:

  • Heavy lifting
  • Continuous coughing
  • Straining when having a bowel movement or urinating
  • Severe vomiting
  • Being overweight
  • Pregnancy
  • An infection at the surgical incision
  • Diabetes
  • Steroid use

.

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For more explanation, Plz visit or call us.

How does my doctor tell if I have a ventral hernia?

Your doctor will want to examine the area where you might have a ventral hernia. As coughing will often make a hernia expand, your doctor may ask you to cough while he or she feels the area of the suspected hernia.

In some cases, a doctor will use a CT (computed tomography) scan to make images of the abdomen to help diagnose a ventral hernia.

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INTUSSUSCEPTION

Intussusception treatment is available by laparoscopy.It is one of the causes of intestinal obstruction in all age groups

Abdominal pain is one of the most common reasons patients are seen in emergency departments around the world. Causes range from heart diseases to abdominal issues one of which is intestinal obstruction . Intestinal intussusception in adults accounts for 1% to 5% of the cases of intestinal obstruction. In adults it is most often associated with neoplasms, post-surgical scars and Meckel’s diverticulum, but in about 20% of these cases the cause is unknown.

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Intestinal intussusception is an uncommon condition in adults which causes 1% to 5% of intestinal obstructions. Although it is frequently associated with neoplastic pathologies or structural abnormalities of the gastrointestinal tract, up to 10% of cases are idiopathic. In most cases the diagnosis is made after surgery, but with the development of imaging techniques, a diagnosis is possible prior to intervention.

Management of intestinal intussusception depends on the patient’s age group. Reduction of intestinal intussusception in children is most often accomplished with nonsurgical pneumatic or hydrostatic enemas using, but for adults the treatment of choice is surgical resection by laparotomy or laparoscopy. This is because of the frequent discovery of triggering structural anomalies and the high incidence of malignancies .

INTUSSUSCEPTION MANAGEMENT BY LAPAROSCOPY

Nevertheless, surgical options for primary reduction and resection of the intestinal segment remain controversial. Many authors recommend primary resection when it is possible but suggest that you should not carry out reduction when there are signs of intestinal ischemia or inflammation . The theoretical risks of manipulating the intussuscepted segment include seeding and tumor spread, and perforation and bacteremia. For these reasons resection requires appropriate oncologic edges especially in cases in which the underlying etiology of the segment is known and there is high probability of  malignancy .

When intussusception occurs in the small intestine, 57% of the tumors are benign and 30% are malignant. The most frequent malignancy is metastasis of melanoma, so primary reduction of the  compromised segment can be attempted in these cases. Nevertheless,  when the location is in the large intestine the most common cause is malignant neoplasia, adenocarcinomas are most common, followed by leiomyosarcomas and reticulum cell sarcomas. In these cases, surgical resection of the segment for the pathological study is recommended . Laparoscopic management of this condition is limited by several factors including the surgeon’s experience, the clinical condition of the patient and the degree and type of compromise of the intussuscepted intestinal segment.

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Laparoscopic Surgery

GastroIntestinal Surgery

Colorectal Surgery

Bariatric surgery

Trauma Surgery

Laparoscopic Abdominal Surgery By “Only One Small Cut”

Laparoscopic Abdominal Surgery By “Only One Small Cut ” In Navel

Gall Bladder (Biliary) Stone Treatment

Fistula Surgery

Thyroid Surgery Endoscopic Surgery

Varicocele Surgery

Piles Surgery

Gastroscopy Treatment

Gynecomastia Treatment / Abdominal surgery

Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

Varicose Veins Treatment

Hydrocele Treatment (Surgical)

Appendicitis Treatment

Sebaceous cyst excision

Cosmetic Surgery

Laparoscopic Sleeve Resection

Incisional Hernia

keloid/scar treatment

Laser Fistula Treatment

Laser Piles Treatment

Laser Fissure Surgery

Breast Cancer Management

Laparoscopic Surgery

Inguinal Hernia Laparoscopic Surgery

general surgeon

Laproscopic Appendicectomy

Bariatric (Gastric Bypass) Surgery

Achalasia Cardia Surgery

MECKEL’S DIVERTICULUM

MECKELS DIVERTICULUM SURGERY NOIDA-DELHI

Meckel’s diverticulum is rare and accounts for only 2% of the general population.MECKELS DIVERTICULUM SURGERY is available in NOIDA-DELHI.

MECKELS DIVERTICULUM SURGERY NOIDA-DELHI

An equal incidence is found in men and women. Meckel’s diverticulitis is one of the recognized complications of the condition and is clinically indistinguishable from appendicitis, except that the pain and tenderness typically localized at the periumbilical region. Diverticulitis may lead to perforation and peritonitis.

MECKEL’S DIVERTICULUM

A Meckel’s diverticulum is commonly discovered at operation. Resection of incidental Meckel’s found during laparotomy is controversial in children and adults. It is generally recommended that asymptomatic Meckel’s to be resected in children during laparotomy given an increased lifelong risk for complications . However, this approach remains debatable in adult patients. The argument was that the likelihood of Meckel’s diverticulum becoming symptomatic in an adult is 2% or less and that postoperative morbidity secondary to intestinal obstruction and infection from prophylactic resection confers no potential benefit in prevention of disease .

On the other hand, treatment for a symptomatic (bleeding, inflamed) Meckel’s diverticulum should be prompt and referred for surgical intervention in all patients (children and adults) to relieve symptoms. The standard surgical approach is to perform a segmental (wedge or v-shaped diverticulectomy) resection of the narrow-based diverticulum or to perform a limited small bowel resection followed by primary end-to-end anastomosis if an inflamed or ulcerated diverticulum is encountered. Although gastrointestinal bleeding from a Meckel’s diverticulum is a rare complication, when encountered, a segmental small bowel resection followed by end-to-end ileoileostomy rather than simple diverticulectomy is preferred . Proton-pump inhibitor therapy should also be initiated on these patients. Transverse closure of the ileum with hand-sewn technique or using linear stapler across the base of the diverticulum is the ideal method to minimize the risk of subsequent stenosis.

The long-term outcomes with laparoscopy approaches (including laparoscopic diverticulectomy and laparoscopic-assisted transumbilical Meckel’s diverticulectomy) are still lacking . However, many studies have reported that the laparoscopic management of the complicated Meckel’s diverticulum is safe, cost effective and efficient, fewer complications and shorter recovery period compared with conventional laparotomy.

The learning point of this clinical vignette is that Meckel’s diverticulitis is often clinically indistinguishable from appendicitis especially in adult patients. Computed tomography (CT) has become an invaluable tool for the evaluation of abdominal pain. CT scanning is useful in demonstrating acutely inflamed diverticula, typically identified as a blind pouch off the distal small intestine and associated with bowel wall thickening and in detecting the presence of enterocolic and enterovesical fistulas.

For more details , plz visit us

Laparoscopic Surgery

GastroIntestinal Surgery

Colorectal Surgery

Bariatric surgery

Trauma Surgery

Laparoscopic Abdominal Surgery By “Only One Small Cut”

Laparoscopic Abdominal Surgery By “Only One Small Cut ” In Navel

Gall Bladder (Biliary) Stone Treatment

Fistula Surgery

Thyroid Surgery Endoscopic Surgery

Varicocele Surgery

Piles Surgery

Gastroscopy Treatment

Gynecomastia Treatment / Abdominal surgery

Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

Varicose Veins Treatment

Hydrocele Treatment (Surgical)

Appendicitis Treatment

Sebaceous cyst excision

Cosmetic Surgery

Laparoscopic Sleeve Resection

Incisional Hernia

keloid/scar treatment

Laser Fistula Treatment

Laser Piles Treatment

Laser Fissure Surgery

Breast Cancer Management

Laparoscopic Surgery

Inguinal Hernia Laparoscopic Surgery

general surgeon

Laproscopic Appendicectomy

Bariatric (Gastric Bypass) Surgery

Achalasia Cardia Surgery

A rare presentation of Gall bladder stone

Gallbladder stone rare variety –

gallbladder stone rare variety
gallbladder stone rare variety
stone suspended in thick mucus content of gall bladder MUCOCELE

Sometimes, due to very thick mucus as content of gall bladder, the stones appear as if suspended in air.

Gallstones are hardened deposits of digestive fluid that can form in your gallbladder. Your gallbladder is a small, pear-shaped organ on the right side of your abdomen, just beneath your liver. The gallbladder holds a digestive fluid called bile that’s released into the small intestine.

Gallstones range in size from as small as a grain of sand to as large as a lemon. Some people develop just one gallstone, while others develop many gallstones at the same time.

People who experience symptoms from their gallstones usually require gallbladder removal surgery. Gallstones that don’t cause any signs and symptoms typically don’t need treatment.

MUCOCELE of gall bladder is a sort of complicated gall bladder stone disease.

The variety of presentation of gall stone disease – from mild to severe…..

Asymptomatic

Dyspepsia

Cholecystitis

Mucocele gall bladder

Empyema Gall bladder

Choledocholithiasis – obstructive jaundice due to stone slipping into the bile duct

Gall stone pancreatitis

Cancer of Gall bladder

Complications of gallstones may include:

  • Inflammation of the gallbladder. A gallstone that becomes lodged in the neck of the gallbladder can cause inflammation of the gallbladder (cholecystitis). Cholecystitis can cause severe pain and fever.
  • Blockage of the common bile duct. Gallstones can block the tubes (ducts) through which bile flows from your gallbladder or liver to your small intestine. Severe pain, jaundice and bile duct infection can result.
  • Blockage of the pancreatic duct. The pancreatic duct is a tube that runs from the pancreas and connects to the common bile duct just before entering the duodenum. Pancreatic juices, which aid in digestion, flow through the pancreatic duct.A gallstone can cause a blockage in the pancreatic duct, which can lead to inflammation of the pancreas (pancreatitis). Pancreatitis causes intense, constant abdominal pain and usually requires hospitalization.
  • Gallbladder cancer. People with a history of gallstones have an increased risk of gallbladder cancer. But gallbladder cancer is very rare, so even though the risk of cancer is elevated, the likelihood of gallbladder cancer is still very small.

Laparoscopic Surgery

GastroIntestinal Surgery

Colorectal Surgery

Bariatric surgery

Trauma Surgery

Laparoscopic Abdominal Surgery By “Only One Small Cut”

Laparoscopic Abdominal Surgery By “Only One Small Cut ” In Navel

Gall Bladder (Biliary) Stone Treatment

Fistula Surgery

Thyroid Surgery Endoscopic Surgery

Varicocele Surgery

Piles Surgery

Gastroscopy Treatment

Gynecomastia Treatment / Abdominal surgery

Laparoscopic Sterilization

Post Surgery Physiotherapy/Rehabilitation

Incisional Hernia

Varicose Veins Treatment

Hydrocele Treatment (Surgical)

Appendicitis Treatment

Sebaceous cyst excision

Cosmetic Surgery

Laparoscopic Sleeve Resection

Incisional Hernia

keloid/scar treatment

Laser Fistula Treatment

Laser Piles Treatment

Laser Fissure Surgery

Breast Cancer Management

Laparoscopic Surgery

Inguinal Hernia Laparoscopic Surgery

general surgeon

Laproscopic Appendicectomy

Bariatric (Gastric Bypass) Surgery

Achalasia Cardia Surgery

Webinar on ‘HEAD SCRATCHERS’ in Hernia Surgery

Advantages of SILS method for Laparoscopic surgery

Gall bladder stone surgery in Delhi by single incision-SILS

Gallbladder stone surgery is available in Delhi as well as Noida.Laparoscopic cholecystectomy has undergone enormous changes after advent of SILS .There are numerous studies showing equal risks and better cosmetic outcomes with SILS .The main drawback with SILS is the high costs associated with special ports and the special instruments .Since last 2 years we have been doing modified SILS with one 10 mm standard trocar and one 5 mm standard trocar with  almost invisible scar.

Article in "WOMENS ERA" MAGAZINE APRIL ISSUE : SINGLE HOLE Laparoscopic  surgery
gallbladder stone surgery noida and delhi by single incision-SILS

Gallbladder stone surgery in noida and delhi by single incision – SILS is the latest method of doing laparoscopic surgery

gallbladder stone surgery noida and delhi by single incision-SILS

OUR INITIAL RESULT (2014): 

A number of methods have been described for port access to perform SILS, including multiple facial punctures through one skin incision, the use of additional trans abdominal sutures to stabilise the target organ. We describe our method of establishing single-port access for SILS that has reduced some of the technical challenges in the performing SILS cholecystectomies. Our method involves the use of existing instrumentation. The objective of this study is to evaluate the safety and feasibility of the SILS cholecystectomy with conventional instrumentation as an standard technique with low costs.

54 cases were completed by the above described modified SILS. One case had to be converted to standard 4 port technique due  to the confusing ductal anatomy . 40  females and 15 males underwent  surgery. Mean age was 36 years (range, 10-77). There was no mortality.  No bile duct injury or hemorrhage occurred. The median length of hospital stay was 1.1  days (1/2.2 days). The mean operative time was 45 min (30  to 95 mins). There was no case of any port site hernia. 1 patient  developed 10 mm port site infection which responded to dressing  and antibiotics.

CONCLUSION: We  have found this modified technique of SILS to be extremely useful  in giving  the benefits of SILS to the patient and at the same time keeping the cost to almost same as for any standard laparoscopic cholecystectomy without compromising the principles of safe surgery.

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