Laparoscopic Inguinal hernia surgery

Life turns a full circle in one year. I Demonstrated live Laparoscopic Inguinal hernia repair at Thane surgical society on this Saturday for a recurrent inguinal hernia. Thank you everyone for being with me in tough times. It’s really heartening to be back from where I started.

I completed my post-graduation in surgery way back in days when we had no Laparoscopic surgery equipment and the necessary training available at my teaching hospital. I landed in Pune coming from a tier 2 city purely for my passion for this speciality. Treating surgical problems by minimal access was the way to go. I spent a good 15 years mastering the art of keyhole surgery and at that very moment met with a freak accident last year in March. The accident of free fall in a lift from 4th floor to basement changed everything in my life. Being operated for a fracture of the thigh bone after this accident and being bed ridden for 3 months after a very active surgical career was tough. I went through a sea of emotions, received lots of support but we are always alone even if we are in a crowd. Ultimately it is me who had to get over all the bad past memories of this debilitating trauma.

And here I am back to be my best.

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Lifestyle to Adapt After Bariatric Surgery

Lifestyle to Adapt After Bariatric Surgery

Obesity is a disease that is difficult to treat and is associated with various other medical issues. Bariatric surgery offers weight loss. Patients are expected to adapt to a new lifestyle that involves exercise, healthy eating, alcohol, nutritional supplementation and smoking, and regular follow-ups with doctor.

It is important to drink more water and keep yourself hydrated after the surgery. Patients are advised to consume at least 2 liters of water or more each day to prevent kidney-related problems, constipation, nausea and fatigue. In addition to liquids, patients also need to focus on proper protein intake. Usually, patients are advised to consume 60 to 100 grams of protein per day, depending on patient body weight and surgical procedure. They must choose high protein foods first to prevent weakness and muscle loss and avoid foods rich in starch and sugar.

Obese people usually have various mineral and vitamin deficiencies. After surgery, patients will need to be on bariatric-specific mineral and vitamin supplements including calcium, vitamin D, multivitamins and iron, for life, dose depending on their blood reports. Patients who do not take vitamins every day for life can suffer severe complications.

All patients are advised and encouraged to do suggested exercises to maintain their weight loss in the long term. Recovery can be faster if patients start walking frequently, within just a few hours after surgery that can help patients recover faster. On average, all of the patients should perform 30 minutes of moderate exercise per day. Patients planning to go for bariatric surgery need to quit smoking for the rest of their life.

Patients should stop using all nicotine-containing products before undergoing surgery to prevent lung cancer and to improve the body’s ability to heal from surgery, as continues use of nicotine consumption puts patients at risk for blood clots, heart attack and pneumonia immediately after surgery. Use of Alcohol after bariatric surgery can have serious consequences as it gets absorbed more quickly into the bloodstream after surgery, and patients can have higher levels of alcohol in their system for a longer period.

Regular follow-up after surgery is very necessary as obesity is a chronic disease and patients may regain weight if the patient is not being careful and regularly monitored and counseled. In the first year after surgery patients should do regular follow-up quarterly, and annually thereafter for life.

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Online Certificate course in Advance Bariatric


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Hair Fall After Bariatric Surgery

There are lot of concern regarding hair fall after the bariatric surgery. Normal hair growth is dependent upon a healthy, balanced diet and hair fall is a sign of micronutrient deficiency. Hair fall usually begins after 2-3 months of undergoing surgery and is a temporary phenomenon which can be corrected by taking a proper diet with the required supplements.

Healthy hair growth needs proper intake of Vitamins A, B complex, C, E and biotin and micronutrients like iron, zinc and copper.

Other than these, a daily intake of protein of 1 g/kg body weight is essential for the maintenance and growth of all body tissues.

Hair fall is a sign of deficiency of one, or many of these essential nutrients. It is precipitated in people having a borderline nutritional status before surgery who fail to maintain the normal RDA of these nutrients postoperatively.

This can be corrected by a balanced diet containing fresh green vegetables, salads, yellow fruits, milk, eggs, etc and capsules with multivitamin supplements.

Rich sources of the required micronutrients are listed below-

  • Vitamin A – Sweet potatoes, Carrots, mangoes, lettuce, bell peppers, liver

 

  • Vitamin B complex – Legumes, whole grains, oats, oranges, milk, poultry
  • Vitamin C – Citrus fruits, Amla, Lemon, broccoli, sprouts
  • Biotin – Almonds, Nuts, whole grains, eggs
  • Iron– whole grains, green vegetables, nuts, cereals, red meat
  • Zinc– Whole grains, nuts, beans, red meat, seafood

 

  • Protein– Milk products, Egg white, poultry, Fish, Soyabean

 

The normal hair growth cycle takes around 3 months so these supplements are required for a minimum of this time frame. However, the diet modifications need to be continued and maintained life long to avoid having these problems in the future.

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