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Scar and Keloid Reduction : Treatments

Keloids are skin-covered outgrowths that occur at sites of injury. They are warm, itchy, pink and at times painful.

 1. Are they common?

It is estimated that 15 to 20% of the population are keloid prone, however not all keloids are due to piercing and not all pierced areas develop keloids.

2. Why does a keloid form?

When a deep injury such as piercing occurs, Collagen and elastinfibres in the dermis break and part. In the process of healing, new fibres are formed and deposited by cells called fibrocytes in the dermis. Normal healing stops when adequate fibres are produced. In the keloid prone, the chemical signals that regulate fibrocytes may be defective and the deposition of new fibre does not stop when it must. This results in the accumulation of a large heap of fibres covered by epidermis. This growth is visible to us as a keloid.

3. What can one do when a keloid does occur?

The most important thing is to not sit on the problem and attempt to wish away the keloid. Consult your doctor. Medicines can be injected to melt the keloid Keloids can be frozen and then a medicine can be injected Laser can be used to remove the keloid at once, and the results are good in experienced hands. The doctor decides on the technique depending on the size, site, number of keloids and age of the keloid, age and general health of the patient.

4. Is keloid surgery a permanent cure?

Surgery does not influence the keloid-forming tendency, which is genetic. Please note that genetic means controlled by genes and not necessarily hereditary. After a keloid is removed, the operated area is at risk of becoming a keloid again. The doctor will ask you to follow up for a few visits and inject a fibrocyte inhibiting substance, or prescribe a local application to do the same. Keloid surgery can offer a flat symptom free area of shiny skin, but cannot restore it to the original appearance of surrounding normal skin with its pores, hairs and lines.

5. Hyaluronic acid mesotherpay

As the skin ages, there is a gradual reduction in the amount of hyaluronic acid. The drop in HA starts at around the age of 18-20 years, and can be contributing factor in later years to a loss of skin elasticity and formation of lines and wrinkles. Hyaluronic acid has, for a number of years, been used to fill out deeper lines and wrinkles, or to enhance lips.

A relatively new technique using a specially prepared version of hyaluronic acid for mesotherapy linked to a specific injection technique allows an experienced practitioner to directly inject hyaluronic acid into larger areas of skin to help improve skin quality and hydration. It improves the condition of the dermis and stimulates the production of collagen, elastin and the body`s own hyaluronic acid.

It also enhances the body`s defense against free radicals, thereby improving cell function and contributing to a fresher and more youthful skin appearance.

Capsule Endoscopy: Treatments

capsule endoscopy

Capsule Endoscopy: – Evaluates small intestine which cannot be assessed by Gastoscope and Colonoscope.

Man has been fascinated since long to view the milieu interior of gastrointestinal tract. We have advanced video endoscopes, which can permit viewing of esophagus, stomach, and duodenum with a traditional gastroscope. Likewise the entire large intestine and part of terminal ileum can be scanned to a great detail by using colonoscope. Detection and treatment of various upper GI and lower GI lesions including tumors, ulcers and bleeding lesions has been simplified with endoscopic methods.

However, the small intestine is difficult to study by endoscopic methods due to the enormous length (14 feet) and anatomic feature (loosely supported and looped structure on the mesentery). Push enteroscopy can examine part of jejunum and a double balloon technique can examine almost the entire small bowel. However endoscopic examination with these techniques is very cumbersome (can take up to 4 hrs), with inadequate information and is not patient friendly. These difficulties with traditional flexible instruments propelled the development of a technological marvel; an endoscope that could make its way through the 14 feet of small bowel. A pill sized camera with sufficient battery life to image the entire small intestine- Capsule endoscopy.

This unique video capsule is 11×26 mm n size and weighs less than 4 grams. The device captures two images per second and has a battery half-life of 8 hours.

After a overnight fasting, patient swallows the capsule which travels through the GI trace by means of peristalsis. Images are transmitted by digital radio frequency communication channel to an external data recorder unit. The data recorder is tied around patient like a Holter monitor. Patient can continue normal activities during the entire procedure, which can be done as a ambulatory procedure. The data recorder is then connected to a dedicated computer for analysis. The non-invasive nature of capsule endoscopy makes it an attractive option over traditional endoscopy, as it requires little preparation, with no need for sedation. The procedure does not cause any discomfort to the patient and provides a more physiologic view of small intestine
Capsule endoscopy has been found to be superior to CT scan or MRI, for detection of small bowel lesions like tumors, ulcerations secondary to NSAIDs, vascular malformations, diverticulae etc. In patients with bleeding from small intestine, capsule endoscopy has been shown to be as accurate as intraoperative enteroscopy and superior to angiogram and tagged RBC nuclear scan. Capsule endoscopy has been shown to change patient management in up to 75% of cases with GI hemorrhage from small bowel. Now the last frontier in luminal endoscopy (visualization of small bowel) has also been conquered with this mega invention.

 

 

Spine and its related treatments

The spine also called the back bone is designed to give us stability, smooth movement as well as providing a corridor of protection for the delicate spinal cord. It is made up of bony segments called vertebra and fibrous tissue called inter vertebral discs. The vertebra and discs form a column from your head to the pelvis giving symmetry and support to the body. The spine can be divided into 4 parts. The uppermost is the cervical region, consisting of 7 small vertebrae that form the neck. As we move down the body, the next 12 vertebra make up the thoracic region or mid back from which the ribs are hinged. The 5 lumbar vertebrae are the largest of the mobile vertebra and supports 2/3 of the body’s weight. The lowest region of the spine is the sacrum and coccyx. The sacrum is a triangular plate made up of five fused vertebral segments while the four coccyxes terminate the bony spine.

Treatments and procedures:

1.Deformity Correction:
Scoliosis and Kyphosis surgery to straighten a bent spine
2.Minimally Invasive Spine Surgery:
Pain Relief in case of slip disc, through Key Hole Surgery
3.Spinal Reconstruction:
Restoring Normalcy to spine with artificial materialincase of spinal tumours, spinal fractures and spinal
infections
4.Movement Preserving Spine Surgery:
Artificial Disc Replacement and Preserving Spine Flexibility in case of degenerative spinal disorders
5.Spinal Tumor Surgery:
Removal of Tumor and Prevention of Paralysis
6. Spinal Fracture:
Early surgery to prevent Spinal Cord Damage
7. Revision Spine Surgery:
Complex Spine Surgeries on patients with failed previous spine surgery
8. Geriatric Spine Surgery:
Ensuring better quality of life through spine surgery using minimally invasive spine surgery techniques

Services & Facilities:

.Intra-Operative SSEP and MEP Neuro Monitoring
.Advanced Spine Instrumentation for Minimally Invasive Spine Surgery
.Physiotherapy with Rehabilitation following spine surgery
.CathLab facility for Interventional Neuro-Spinal Radiological Procedures

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