DRPANKAJVARMA http://www.aviralurologyandlaproscopy.com


LAP Overian CystactomyOvarian Cyst Removal—Laparoscopic SurgeryDefinitionOvarian cyst removal is surgery to remove a cyst or cysts from one or both of your ovaries. A laparoscopic surgery uses small incisions and specialized tools. It may offer faster recovery times than open surgery.Ovarian CystReasons for ProcedureAn ovarian cyst may need to be removed if it is:Suspected of being cancerous —the chances are lower if you are youngLarge—more than 2.5 inches in diameterSolid—rather than containing just fluidCausing painPossible ComplicationsComplications are rare, but no procedure is completely free of risk. If you are planning to have an ovarian cyst removed, your doctor will review a list of possible complications, which may include:InfectionBleedingCyst returns after it is removedNeed for removal of one or both ovariesInfertilityBlood clotsDamage to other organsBefore your procedure, talk to your doctor about ways to manage factors that may increase your risk of complications such as:SmokingDrinkingChronic disease such as diabetes or obesityThe use of certain prescription medicationsThe following may also increase your risk of complications:PregnancyPrior abdominal surgeryWhat to ExpectPrior to ProcedureYour doctor may do the following:Physical examReview of medicationsBlood testsUrine testCT scan —a type of x-ray that uses a computer to make pictures of organsUltrasound —a test that uses sound waves to examine the abdomenElectrocardiogram (ECG, EKG)—a test that records the heart’s activity by measuring electrical currents through the heart muscleTalk to your doctor about what action should be taken if cancer is found during surgery. One option is to remove the ovary.Leading up to the surgery:Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure.Arrange for a ride to and from the hospital. Also, arrange for someone to help you at home.Do not eat or drink for at least eight hours before the surgery.AnesthesiaGeneral anesthesia —blocks pain and keeps you asleep through the surgery; given through an IV in your hand or armLocal anesthesia—just the area that is being operated on is numbed; given as an injection and may also be given with a sedativeDescription of the ProcedureA small incision will be made just below the navel. Next, a laparoscope will be inserted. This is a thin tube with a camera on the end. To allow the doctor to better view the organs, carbon dioxide gas will be pumped into the abdomen. The laparoscope will be used to locate the cyst. When it is found, one or two more incisions will be made. Surgical instruments will be inserted to remove the cyst. Tissue may be removed for testing. If cancer is found, both ovaries may need to be removed. After the cyst is removed, the instruments will be removed. The incision area will be closed with stitches or staples.In some cases, the doctor may switch to an open surgery. A larger incision will be made in the abdomen to do the surgery.

Nephrectomy is the surgical removal of a Kidney . and Laparoscopic removal of Kidney is call Laparoscopic Nephrectomy .ProcedureThe surgery is performed with the patient under general Anesthesia . A kidney can be removed through an open incision or Laproscopically . For the open procedure, the surgeon makes an incision in the side of the abdomen to reach the kidney. Depending on circumstances, the incision can also be made midline . The uterus and blood vessels are disconnected, and the kidney is then removed. The laparoscopic approach utilizes three or four small (5–10 mm) cuts in the abdominal and flank area. The kidney is completely detached inside the body and then placed in a bag. One of the incisions is then expanded to remove the kidney for cancer operations. If the kidney is being removed for other causes, it can be morcellated and removed through the small incisions. Recently, this procedure is performed through a single incision in the patient’s belly-button.

Urinary StoneHardened mineral deposits formed in the kidney are called urinary or kidney stones (calculi). These originate as microscopic particles and over the course of time develop into stones. Medically this condition is known as nephrolithiasis or renal stone disease. The kidneys filter waste products from the blood and add them to the urine. When waste materials in the urine do not dissolve completely and the kidney is unable to evacuate them, crystals and kidney stones are likely to form. Some stones may pass out of the kidney or get lodged in the ureter (tube that carries urine from the kidney to the bladder) and cause severe pain that starts from the low back and radiates to the side or groin. A lodged stone can block the flow of urine and build a backpressure in the affected ureter and kidney. Increased pressure results in stretching and spasm causing severe pain.Sign & Symptoms of Kidney Stone (Urinary Stone)Small and smooth kidney stones may remain in the kidney or pass without causing pain (called “silent” stones). Stones that lodge in the ureter (tube that carries urine from the kidneys to the bladder) cause spasm in the urinary system and produce pain. This pain is unrelated to the size of the stone.Other symptoms of kidney stones may include the following:Blood in the urineIncreased frequency of urinationNausea and vomitingBladder neck incisionPain and burning during urinationFever, chills, loss of appetiteUrinary tract infectionDiagnosis of Kidney StoneLaboratory TestsComplete Blood CountKidney Function TestUrine Routine & MicroscopyUltrasoundWhole Abdomen with Kidney, Ureter & Bladder (KUB)Intravenous Pyelogram (IVP)X-Ray KUBAdvance Technique for Kidney Stone Treatement –MINI PCNL

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Dr.Pankaj Varma is a leading Urologist from Indore, Madhya Pradesh specializing in Urology ,Endourology, Laser & Kidney Transplant. He is known for his expertise in treating all major Urological diseases like Prostate, Kidney Stone, Cancers of Urological system and Andrological (Male Fertility) Disorders

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