Psychiatry

Mental illness is a sickness just like diabetes or heart problem or any other disease that requires treatment. The department of Psychiatry at BBH consists of well qualified psychiatrists and a clinical psychologist. The psychiatrists are trained to manage all mental health problems occurring in children, adolescents, adults and the elderly. The clinical psychologist has vast experience in counseling and offers various forms of psychotherapies.

The out-patient department functions on all 6 working days of the week including an evening clinic on Wednesdays. The in-patient facility allows admission of patients who are in need of more supervised care.

We abide by the hospital’s motto and strive to provide quality health care to all our patients at a cost affordable to them.

The following facilities are provided by our department:

Assessment and management of:

All mental health issues

Childhood onset problems like developmental delay, autism, attention deficit hyperactive disorder, behavior problems, communication problems & academic difficulties

Alcohol and other substance-related addiction
Mood changes like depression & bipolar disorder
Anxiety disorders including Obsessive Compulsive Disorder
Psychotic disorders like schizophrenia
Sleep, eating and sexual related problems
Suicidal behaviors

Our psychological/ counseling services include:

IQ tests
Specific Learning Disability Tests
Academic or career guidance
Cognitive behavior therapy
Relaxation therapy
Family therapy
Marital or couple therapy
Personality assessment
Supportive psychotherapy
Care giver assessment and education

Specialty Clinics:

Comprehensive memory and behavior assessment clinic every Wednesday
Developmental Disorders clinic every Friday

Bariatric Surgery

Unwanted weight gain has become a life threatening aspect in the recent past. Losing weight and making drastic changes in lifestyle has now become a necessity for those who tend to gain extra kilos by the pass of every day. Bariatric surgery is a common treatment procedure used to solve health related issues that are associated with excessive weight gain. Critical conditions of such disorders are treated by surgical procedures that involve altering the whole digestive system. Our weight loss surgical procedures are tailored to satisfy the requirements of individual patients. A dedicated team of bariatric nutrition specialists, trained physiotherapist, psychologist, anesthetist, bariatric surgeons, cardiologist and physician who offer the best services and comprehensive care right from the evaluation process to the follow up stage. Being highly equipped with the advanced state of art devices for bariatric surgery, it provides prime concern to patient privacy and comfort when undergoing weight loss treatment in the hospital.

How does bariatric surgery become successful for weight loss?

The bariatric bypass techniques enhance the early sensation of fullness thereby reducing excessive food intake
Decreased absorption of food after critical gastric bypass surgeries
Conversion of extra fat to glucose for body requirement enhancing weight loss
Reduction in size of the abdomen by surgery reduces food intake

Bariatric Surgical procedures are:

Gastric Banding
Laparoscopic sleeve gastrectomy
Gastric bypass surgery
Duodenal switch surgery
Biliopancreatic diversions

Apart from the above mentioned surgical procedures, Manipal Hospital provides special medical management techniques and excellent patient support groups to render unconditional support and help to families and relatives of the patient. Type II diabetes, increased cholesterol, stress, hypertension and sleep disorders are caused due to morbid obesity. A combination of the right exercise regime and proper diet after bariatric surgery is what we recommend to achieve the desired level of weight loss.

We not only concentrate on losing weight when treating such patients. Gaining that extra will power and skill to keep away the aspects causing weight gain is an added task that we consider important. With quality treatment by our experienced professionals in the Bariatric space and excellence in patient care, Manipal Hospital is a place where you can approach and gain treatment for weight related issues and diseases. Approach us, get treated and walk home with confidence.

A hysterectomy is a surgical procedure to remove the uterus.

A hysterectomy is an operation for a woman that will only be recommended if other treatment options have been unsuccessful.
Causes for Hysterectomy

The most common reasons for having a hysterectomy include:

Heavy periods (menorrhagia), due to fibroids for example
Pelvic pain, due to endometriosis, unsuccessfully treated pelvic inflammatory disease (PID) or fibroids for example
Prolapse of the uterus
Cancer of the uterus, ovaries or cervix

Procedure

Vaginal hysterectomy illustration key

Removing uterus through vagina
Pelvic bone
Bladder
Fallopian tubes and ovaries

Performing a hysterectomy

The most common reasons for having a hysterectomy include:

There are three ways that a hysterectomy can be performed. They are:

Open Hysterectomy:
vaginal hysterectomy
abdominal hysterectomy
laparascopic hysterectomy

Open hysterectomy

During an open hysterectomy, the uterus and cervix are removed through an incision that is made.After the uterus and cervix have been removed, the incision will be sewn up. The operation usually takes about an hour to complete.After your uterus has been removed, the incision is stitched up.

The operation will take about an hour to perform and a general anaesthetic is used.An abdominal hysterectomy may be recommended if your uterus is enlarged by fibroids or pelvic tumours and it is not possible to remove it through your vagina.

Laparoscopic hysterectomy

Laparoscopic surgery is also known as keyhole surgery. Nowadays, a laparoscopic hysterectomy is the preferred treatment method for removing the organs and surrounding tissues of the reproductive system. A laparoscopic hysterectomy is less invasive than a vaginal or abdominal hysterectomy because the incisions that are made are much smaller. This means that the wounds will be smaller and the recovery time will be quicker.

During the procedure, a small tube containing a telescope (laparoscope) and a tiny video camera will be inserted through a small incision in your abdomen.Laparoscopic hysterectomies are usually carried out under general anaesthetic.
Preoperative care

If you need to have a hysterectomy, it’s important to be as fit and healthy as possible.Good health before your operation will help reduce your risk of developing complications and speed up your recovery.

As soon as you know that you are going to have a hysterectomy, take the following steps:

Stop smoking (if you smoke).
Eat a healthy, balanced diet.
Exercise regularly.
Lose weight (if you are overweight).

Some blood tests and a general health check is done a few days before the operation to ensure that you are fit for surgery
Postoperative care

You will be given painkillers to help reduce any pain and discomfort.

The day after your operation, you will be encouraged to take a short walk. After the catheter has been removed, you should be able to pass urine normally. Any stitches that need to be removed will be taken out five-to-seven days after your operation.As a laparoscopic hysterectomy is a less invasive operation, you will usually be in hospital for a shorter period of time, providing there are no complications.

It takes about six-to-eight weeks to fully recover after having a hysterectomy. During this time, you should rest as much as possible and not lift anything heavy, such as bags of shopping. Your abdominal muscles and the surrounding tissues need time to heal.
Complications of a hysterectomy
General anaesthetic

It is very rare for serious complications to occur after having a general anaesthetic (1 in 10,000 anaesthetics given).

Bleeding
Bladder or bowel damage
Infection
Thrombosis
Vaginal problems
Ovary failure
Early menopause

Side effects

After having a hysterectomy, you may experience some temporary side effects as outlined below.

Bowel and bladder disturbances
Vaginal discharge

Getting back to normal
Returning to work

How long it will take for you to return to work will depend on how you feel and what sort of work you do.
Driving

Don’t drive until you’re comfortable wearing a seatbelt and can safely perform an emergency stop.
Exercise and lifting

After having a hysterectomy, the hospital will give you information and advice about suitable forms of exercise while you recover.Don’t lift any heavy objects during your recovery period. If you have to lift light objects, make sure that your knees are bent and your back is straight.
Sex

After a hysterectomy, it’s generally recommended that you don’t have sex until any vaginal discharge has stopped and you feel comfortable and relaxed, or after a minimum of six weeks.
Contraception

You no longer need to use contraception to prevent pregnancy after having a hysterectomy. However, you will still need to use condoms to protect yourself against sexually transmitted infections (STIs).