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Category : All ; Cycle : June 2010
Medical Articles
Jun13
New inguinal hernia repair without mesh-Dr. Desarda repair
“Complete cure from groin hernia is now possible with Dr.Desarda's repair technique.......”
Mesh is a foreign body. Therefore, its use in hernia repairs is known to cause all sorts of complications like pain, recurrence, infection etc. We have developed an innovative new technique of inguinal hernia repair without mesh. It uses your own body muscle for repair and gives virtually complete cure from inguinal hernia problem. An undetached strip of the external oblique aponeurosis is stitched on the weak area between the muscle arch and the inguinal ligament to form a new, strong and physiologically dynamic posterior wall that gives protection and prevents re-herniation. Normally patient goes home in a day after surgery and can drive car and go to office in 3-4 days time. This "Dr.Desarda's hernia repair" is now followed in many countries all over the world. We are surprised to see the enquiries from many patients in the developed countries asking for this repair in their country. This is because this operation does not use any foreign body like mesh for repair and therefore there are no complications that are seen in mesh repairs. A visit to Topix or other hernia forums show thousands of posts showing sufferings of many patients due to mesh repairs. But still why surgeons from developed countries are interested in mesh repairs is a big question for us. Please visit our website for more details: http://herniasurgery.tripod.com or http://www.desarda.com Our cell number: +91 9373322178


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Jun13
AGING GRACEFULLY AND VICTORIOUSLY
AGING

GRACEFULLY
AND
VICTORIOUSLY


Dr.
Shriniwas Kashalikar

The purpose of anti-aging efforts is aging gracefully and victoriously; and not prevention of the aging altogether!

However, aging is usually associated with dwindling of efficiency of all the body systems and organs, debility, dependence, disease, despondence, despair, decreased income, and dejection; which are frightening! This to some extent; is because; all this scenario of aging; appears almost unavoidable and insurmountable; especially to a many of us; bordering the 40s, 50s and 60s, who have “failed” to accomplish their dreams and aspirations (in their own eyes).

The guides in print and electronic media on fitness, home remedies, diet, exercise, yogasanas, entertainment, hobbies and charitable activities are in plenty. The guidance in all these is valuable and helps many individuals.

Thus many individuals try to improve health, avoid disease, preserve independence, develop fitness, enhance performance, stamina, flexibility, power, speed, coordination, physical form, looks etc. and also engage in philanthropy. They practice NAMASMARAN, i.e. remembering the name of God, take regular bath, eat green leafy vegetables and sprouted beans and other nutritionally rich foods, drink cow milk with halad [turmeric] and sunth [dried ginger], do not grumble, practice pranayama and some exercises/yogasanas!

But having said this in appreciation; it has to be conceded; that there are not adequate efforts (which are required urgently); for a holistic perspective, policy and implementation; for individual and universal blossoming; a part of which is graceful and victorious aging!

What are the reasons for this?

It is obviously because the holistic perspective, policy making and its implementation have not become the convictions of a huge majority of us; the people in the world!

But why has this been the case? Why majority of us tend to think in a sectarian and fragmented manner, especially when they are not criminals, vicious or bad as such?

It is because the holistic perspective is not being studied, understood, assimilated, promoted and propagated adequately!

Why is this so?

This is because the holistic perspective is not recognized as the necessity for the basics needs of billions; even though apparently it is not essential for satisfaction of basal needs of life!

What is the reason for such unawareness about even the need of understanding and propagation of holistic perspective and such dearth of motivation amongst apparently intelligent, kind hearted and well meaning people?

Is this reason hidden in our ego, our passionate involvement in our subjective self identity, our strong and selective sentiments about our own bodily, emotional, intellectual and other considerations?

Does our ego prevent us from zealously sharing the objective wisdom?

Do we tend to remain self content or unhappy in our individual and subjective “achievements” or “failures” respectively?

Are we unable to see the benevolence of objective wisdom, because of undue apprehension and judgmental attitude; about the shortcomings or drawbacks of the person who propounds holistic perspective?

Are we are unable to rise above our relationship/s and prejudices?

Do we; more often than not; ridicule and oppose such efforts of sharing objective or holistic wisdom; actively or passively and overtly or covertly; and knowingly or unknowingly boost the sectarian and retrogressive forces? Do we infect others also; with our cynicism?

Strange it may appear; but is it not a fact that frequently our ego is associated with; not merely our material success in terms of popularity, power or prosperity; but our egalitarianism, righteousness and even our practice of NAMASMARAN and other things referred to above?

Is it because, we are unable to surmount the “clouds our ego” and enjoy the “sky of supreme bliss of universal unity”?

Is it because we are unable to realize that we do not “see” and even strive for the beauty beyond the ego?

Is it because we do not try to realize the universal and eternal value of holistic and objective wisdom born out of NAMASMARAN in providing us complete rejuvenation, revitalization, reorientation and realization of self; and its expression (for all ages and for all people); for individual and global blossoming; the part of which is aging gracefully and victoriously?


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Jun11
Dr. Colin Campbell on Nutrition
Dr. Colin Campbell's ground breaking observations in his book " The China Study" is a must read for health professionals & Doctors.

Some snippets from this fantastic book -

Many of the common notions you have been told about food, health and disease are wrong:

• Synthetic chemicals in the environment and in your food, as problematic as they may be, are not the main cause of cancer. Animal Protein is closely correlated with Liver Cancer.
. Dietary protein proved to be so powerful in its effect that we could tum on and tum off cancer growth simply by changing the level consumed. So stop eating those Burgers, KFC and Big Macs.
• The genes that you inherit from your parents are not the most important factors in determining whether you fall prey to any of the ten leading causes of death.
• The hope that genetic research will eventually lead to drug cures for diseases ignores more powerful solutions that can be employed today. i.e. Plant based Nutrition.
• Obsessively controlling your intake of anyone nutrient, such as carbohydrates, fat, cholesterol or omega-3 fats, will not result in long-term health.
• Popping Vitamins and nutrient supplements do not give you long-term protection against disease. Plant based nutrition will do the job.
• Drugs and surgery don't cure the diseases. Drugs & Surgery kills more people after Cancer and Cardiac diseases. ( JAMA)
• Your doctor probably does not know what you need to do to be the healthiest you can be. The Doctor is not to be blamed because Medical Schools teach Nutrition for only a week or a month in a semester.

Some of the findings, published in the most reputable scientific journals, show that:

• Dietary change can enable diabetic patients to go off their medication.
• Heart disease can be reversed with diet alone.
• Breast cancer is related to levels of female hormones in the blood, which are determined by the food we eat.
• Consuming dairy foods can increase the risk of prostate cancer.
• Antioxidants, found in fruits and vegetables, are linked to better mental performance in old age.
• Kidney stones can be prevented by a healthy diet.
• Type 1 diabetes, one of the most devastating diseases that can befall a child, is convincingly linked to infant feeding practices.

The EGG & Milk lobby in India should learn from the deep research findings presented in this book. We should advocate a Nutritious Plant based Diet with balanced mix of Veggie/Fruit/Fibre/Carb diet. The beauty is that Dr. Colins learned about the 'Protein Cancer' connection from an Indian lab study!

Read this book - it is an eye opener.


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Jun10
TEXTING WHILE DRIVING will claim more Lives than any deadly disease!
NEJM Perspective: 'It's Time for Us to Ask Patients About Driving and Distraction'

A perspective in the New England Journal of Medicine stresses the necessity of counseling patients about the dangers of texting and talking on cell phones while driving. The author concludes that by not educating patients about the risks, physicians "place in harm's way those we hope to heal."

The author shares her strategy: After asking patients about their habits, she tells them that "driving while distracted is roughly equivalent to driving drunk." She then asks whether they could limit their cell phone use in the car, and offers alternatives, including pulling over to make calls.

She says that "although no direct correlation can be made, we know that counseling patients about dangerous behaviors can have powerful consequences." As evidence, she points to the U.S. Preventive Services Task Force, which says that talking to a patient for just 3 minutes about the dangers of smoking increases the odds that the patient will quit.


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Jun10
Diclofenac 'Exerts the Same Risk' for Cardiovascular Events as Rofecoxib
Diclofenac (e.g., Voltaren), the widely used nonsteroidal anti-inflammatory agent, "exerts the same risk for cardiovascular adverse events as rofecoxib," according to a Danish study published in Circulation: Cardiovascular Quality and Outcomes. (Rofecoxib [Vioxx] was removed from the market in 2004.)

Using national databases, investigators identified a cohort of over 1 million healthy individuals aged 10 and older. Over a 9-year period, the investigators tracked the subjects' use of NSAID therapy within 30 days of a major cardiovascular event.

Use of the nonselective NSAID diclofenac was associated with an almost twofold increased risk for cardiovascular death (odds ratio, 1.91); in comparison, the odds ratio with rofecoxib was 1.66. There was a dose-dependent increase in risk. Both ibuprofen and naproxen showed increased stroke risk, although naproxen had the safest overall risk profile.

Acknowledging the limitations of their observational study, the authors conclude that their findings expose "a major public health issue." They caution physicians to carefully assess cardiovascular risks before starting NSAID treatment.


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Jun10
Antiaging Medicine is not about being immortal, It is a way of life.
"INDIA holds World's Largest Young and Productive Population "

World Society of Antiaging Medicine, Antiaging Medicine and Research, and World Anti-aging Network bring INDOMEDICON 2010, The Antiaging Aesthetic and Regenerative Conference cum Certification Course to India. This event will be held on 19th and 20th June 2010 @ Hotel Imperial palace Royal Palm, Mumbai.

The main goal of this event is to connect like minded Physicians who believe in the concept of health promotion and life span wellness medicine, not just medicine based on relief of symptoms. Integrative medicine is the new approach of Antiaging medicine and Age management medicine where we are fighting with premature aging and age related diseases and disorders to prevent diseases and disorders out of the scope of geriatrics and improve the quality of life even before its starts to decline.

It is very important for the Indian subcontinent as right now India holds the World’s largest and strongest youth population which has to be maintained for next 50 years minimum before baby boomer population hits the nation.

I personally invite you to join hands with us to promote the fastest growing specialty of Anti-aging, Aesthetic, Regenerative and Life Span Medicine movement for the future of our nation.
Let’s work together to keep our nation young, productive and healthy forever
Dr. Anoop Chaturvedi
International Scientific Advisor: World Society of Anti-aging Medicine
President: Antiaging Medicine and Research, India www.indomedicon.com
Founder: World Antiaging Network www.worldantiagingnetwork.com


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Jun10
Bioidentical Hormone Replacement Therapy
Press Release Mumbai

“Our Hormones do not decline because we age, but we age because our hormones decline.”

ANTI-AGING & AESTHETIC MEDICINE CONFERENCE WITH SPECIAL FOCUS ON BIO-IDENTICAL HORMONE REPLACEMENT THERAPY IN MUMBAI

New research findings increasingly support the belief that extending the lifespan of the human cell would translate into healthier organs, glowing skin and a sharper mind. Anti-Aging medicine is gradually taking centre stage the world over as the wonder cure for a variety of diseases including cancer, obesity, diabetes and heart diseases, among others. It is also believed by researchers that Anti-Aging medicines can not only help to enhance the immune system, increase sexual energy, improve skin tone & texture, increase energy levels and make one look and feel younger, but also extend life.

To keep the Indian doctors updated with the latest practices and procedures in anti-aging medicine, IndoMedicon 2010 will hold a two day conference and certification course on Anti-Aging, Aesthetic & Regenerative Medicine in Mumbai on June 19th & 20th, 2010. The conference will be addressed by Belgium based Dr. Thierry Hertoghe and the US based Dr. Anoop Chaturvedi, the two leading exponents of Anti-Aging medicine in the world.

The conference cum certification course will cover such diverse topics as Scientific overviews, How to incorporate Antiaging in the current practice of a doctor, Status of detoxification programs in current Antiaging and Aesthetic practice, Hormonal Imbalances: Cause for premature aging, Nutraceuticals for Antiaging and Aesthetics among other topics.

“A lot remains to be learned about this process, but the promise is more than enticing,” says Dr. Deepak Chaturvedi, President, INDOMEDICON 2010. But, he adds, anti-aging medicine at its current level also can help treat a variety of illness including obesity, menopause, andropause, memory lapses, wrinkles, sagging skin, loss of focus, fatigue, decreased libido, loss of muscle tone and endurance, age spots, and other conditions commonly associated with aging.

Explaining the concept of anti-aging, he says, “Aging, while inevitable, is a modifiable process. And, contrary to popular perception, anti-aging is not a war against aging but a science that, through proper implementation, delays and prevents the process of aging and one that treats age related disorders. It is about maintaining optimum functional levels and quality of life to modulate the aging process.”

“In medical terms, Anti-aging or Regenerative Medicine is the study of body’s endogenous mechanism of self repair and optimization of reparative system with exogenous interventions and technology. It is a specialty and a field of scientific research, which is aimed at early detection, prevention, treatment and reversal of age related decline in the quality of life,” concludes Dr. Chaturvedi.

For more information visit www.antiagingindia.com or click here:


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Jun10
Surgical problems in children
With widespread availability and use of internet by both doctors and parents,it is really not possible to know how authentic the information available is?
source of information available on net is really amazing which is really helpful for. Its life information at finger tips and click of a mouse.
But this information may not always be authentic or upto date especially if it concerns a clinical case. Hardly there are websites in which u can post your clinical scenario with all investigations and get a second opinion. Even if they are available, these sites charge a heavy amount of fees.
Here is an attempt by us, any patient who requires any second opinion can write to us,I assure u a speedy response from my side( pediatric surgery cases will be given priority) , if you have any other medical/surgical problems even then do write,you will be provided second opinion or suggestion from list of specialist in their respective fields.


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Jun10
MESH FOR VENTRAL HERNIA REPAIR
A hernia that appears at the site of a previous surgery is known as ventral or incisional hernia.Its very important to get the hernia repaired early on because it can widen and may be extremely difficult to repair when it gets complicated.In most cases these hernias are repaired with the use of a mesh.what is a mesh and how does it work?Its a sterile woven material made from synthetic plastic like material called polypropylene.It is soft and flexible to allow it to easily conform to the body movement.Mesh can be in the form of a patch and are available in various measurements and can be cut to size depending on the repair technique used.It goes under or over the defect or can be in the form of a plug that goes inside the hole and sutured in place. Mesh acts as a scaffolding for the new growth of patients own tissue and helps to ensure outstanding healing and recovery. It allows a flexible scar tissue so that the abdominal wall may move more naturally.Donated human allograft are also used for complicated hernia repairs. A GI consult is needed if u have an abnormal protrusion seen at the site of previous surgical site at rest or on straining.


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Jun09
For Your Piles Only
Hemorrhoids, or piles, is one of the most common and nagging disorders. By themselves, though hemorrhoids are rarely serious, they can be extremely troublesome. But in some instances, they may mask a more serious disorder, such as colon or rectal cancer.
Hemorrhoids are a dilated or enlarged vascular clusters which occur in and around the anus and the rectum. They may be external i.e outside the anus or internal and slip to the outside.
But, the latest in Biomedical engineering has replaced the conventional and cumbersome operative treatments by offering easy and effective methods for treatment of Piles without much discomfort, prolonged hospitalisation and anaesthesia.
Infrared Coagulation :
Among the best available non-invasive modalities for treatment of hemorrhods is the Infrared coagulator. It’s basic principle lies in coagulation of the hemorrhoidal vessels with the help of Infrared Rays. It is a State-of-the-art, user-friendly technology and takes only seconds to perform. There is less pain, fewer complications than a rubber band ligation.
DGU HAL :
1.A simple and easy procedure, it is optimized for adjunctive use in Hemorrhoidal Artery Ligation (H.A.L.).
2.It is a precise, rapid localization of hemorrhoidal arteries for ligation.
3.It is suitable for use during outpatient surgery for Goligher Degree I to IV, and prevents prolapse by anchoring the mucosa to the muscularis.
4.It is especially good for bleeding hemorrhoids.
5.There is minimal to no medication or anesthesia required and one can be back to work on same-day or next day.

Radiofrequncy Ablation :
The principle of Radiosurgery involves using radio waves at 5.0 to 6.0 mhz , delivered at low temperature through radiofrequency electrodes. This procedure can be done under local, regional or short general anesthesia. There is no postoperative stay required and the patient can resume work the next morning. It has an easy learning curve and can be performed as an outpatient procedure
PREVENTION :

Although there is no guaranteed way to prevent piles, it’s a good idea to avoid the causes.

1.A major cause of piles may be constipation, which is often simply treated with a high-fibre diet and water.
2.This diet may help to soften the stool, allowing it to pass through the back passage more easily.
3.Softer stool means reduced strain on the delicate tissue and blood vessels of the bowel.
4.Water is essential, and is especially important in helping to prevent constipation. It is recommended that adults drink 6-8 glasses, totalling 2 litres, of water per day. It may also be helpful to limit caffeinated drinks and alcohol.
5.Regular fibre in diet , A healthy diet may consist of 30 grams of fibre per day, which may include 5 servings of fresh fruits and vegetables.
6.Increase your amount of daily physical activity.
7.Lose weight.
8.Change bowel habits. Respond to the urge to defecate and stay relaxed to avoid straining.
9. Exercise the buttocks muscles.
10. Practice good personal hygiene. Keep the anal area clean and avoid using rough toilet paper.
11.Add stool softeners or laxatives to diet.[Consult your Doctor for prolonged use]


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