Minimum Access Surgery
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"Dr. Hemal Bhagat has been known to us since year 2005. We find Dr. Hemal Bhagat a professional in his field. Besides that he is very kind, caring, sympathetic and a humorous person.

He is excellent in his work and we strongly recommend Dr. Bhagat to anyone who seeks medical attention and would like to recover soon"

Jaishri and Dalip Benawra

It is a therapeutic as well as a weight loss procedure, performed surgically and it has 3 types: Gastric Banding, Gastric Bypass and Gastric Sleeve. Many people simply cannot loose weight or maintain it with proper diet and exercise. Bariatric Surgery helps people who have diffuculty losing weight by traditional methods.
Gall Bladder Stones, also known as Gallstones, are a few small, pebble-like substances that develop in the gallbladder of a person. The Gallbladder is a pear-shaped organ of the body, located below the liver and is attached to the under-surface of the liver on its right side. It stores the bile secreted by the liver. Bile is a waste product that contains water, cholesterol, fats, bile salts, proteins, and bilirubin. The gall bladder stones usually form when the bile stored in the Gallbladder hardens into pieces of stone-like material. Bile hardens mainly when it contains too much cholesterol, bile salts, or bilirubin. Gallstones could form without any complaint hence are called Silent Stones but when gallstones cause inflammatory conditions it is known as cholecystitis. Though most gall bladder stones develop due to an accumulation of cholesterol, some of them may contain calcium salts and bile pigments. Women are more affected by this disease in comparison to men. Complications of gall bladder stones are jaundice and pancreatitis.

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Appendicitis is a condition characterized by inflammation of the appendix. It is a medical emergency. All cases require removal of the inflamed appendix, either by laparotomy or laparoscopy. Untreated, mortality is high, mainly because of peritonitis and shock.

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In Latin the word Hernia means "a rupture". When tissue protrudes through a structure, or a part of an organ through the muscle tissue or the membrane, that is a hernia. There are three parts to a hernia - the orifice, the hernia sac, and the hernia's contents. The most common place for hernias to occur in humans is the abdomen. A part of the abdominal wall is weak and allows a localized hole to develop - this hole is also known as a defect. Tissue, or abdominal organs may stick out through this hole. A hernia that involves the spinal discs commonly causes sciatica (pain in the lower back, the pain can radiate down one or both legs). The treatment of hernia can be done laparoscopicaly but if the produced tissues or organs get stuck at the hernia openings then it becomes a complicated hernia which requires immediate attention. Complicated hernia ideally can not be done laparoscopical.

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Approximately 6% of lumps spontaneously regress and, therefore, do not require excision. However, more than 90% of superficial lumps will persist or slowly enlarge and should be electively excised for cosmetic reasons, to prevent infection. Some lumps could be premalignant hence removal becomes mandatory and then sent for examination.

The patient is asked to clench his teeth so that the masseter muscle is palpable. The parotid is best felt behind the masseter muscle and in front of the ear. Parotid enlargement is associated with alcoholic binges.

A goitre is an enlarged thyroid gland. A goitre can mean that all the thyroid gland is swollen or enlarged, or one or more swellings or lumps develop in a part or parts of the thyroid.The thyroid gland is in the lower part of the front of the neck. It lies just in front of the trachea (windpipe). It has a right and left lobe which are connected together by a narrower band of thyroid tissue. (It is roughly the shape of a butterfly.) You cannot usually see or feel a normal thyroid gland. If the thyroid enlarges it causes a swelling in the neck which you can see - a goitre.

An abscess is a pus-filled hollow space that can appear on the skin or inside the body.  A breast abscess is a pus-filled hollow space around breast area. Most abscesses form just under the skin, and are the result of a bacterial infection. The infection causes the immune system to activate white blood cells and chemicals to fight the bacteria. Breast abscesses can affect women who are between 18-50 years of age, but they are very uncommon in women who are not producing milk.

There are many different types of benign breast lump. The most common are cysts (sacs of fluid that build up in the breast tissue) and fibroadenomas (solid growths made up of fibrous and glandular tissue). Most breast lumps aren't cancerous but see your GP if you find a lump in your breast, or have symptoms including a change in the size, shape or feel of your breasts (after you have gone through puberty), dimpling, puckering or redness of your skin, lumpiness or thickening of your breast, a change in the appearance of your nipple, bloodstained discharge from your nipple, swelling or a lump in your armpit.
Bruise is a hemorrhage under the skin caused by contusion. Wound: cuts and grazes are injuries to or through the skin, that cause bleeding (i.e. a laceration). Burns are injuries caused by excess heat, chemical exposure, or sometimes cold (frostbite). Fractures are injuries to bones. Joint dislocation is a displacement of a bone from its normal joint, such as a dislocated shoulder or finger. Concussion is mild traumatic brain injury caused by a blow, without any penetration into the skull or brain. Sprain is an injury which occurs to ligaments caused by a sudden over stretching; a strain injures muscles. Shock is a serious medical condition where the tissues cannot obtain sufficient oxygen and nutrients. Amputation is the removal of a body extremity by trauma or surgery. Serious bodily injury is any injury or injuries to the body that substantially risks death of the victim.
This is one of the complications of gall bladder stone. This happens due to stones slipping out of the gall bladder into the Common bile duct (CBD) causing jaundice and pancreatitis.
Kidney stones are one of the most painful and common disorders of the urinary tract. Kidney stones are small, solid crystals that develop when salts or minerals in urine become solid inside the kidneys or uterus. The solid masses may be too small as a grain of sand or as large as a lemon. Tiny crystals leave the body while urinating without any pain or harm. However, they can build up inside the kidney. These large kidney stones when move out of the kidney and progress through the tubes that carry urine from kidney to bladder may cause severe pain. While passing if it gets stuck to ureter; it will cause infections that will lead to permanent kidney damage. They may be smooth, staghorn or jagged to make the situation even worst or better.

The prostate is a male reproductive gland that produces the fluid that carries sperm during ejaculation. It surrounds the urethra, the tube through which urine passes out of the body. An enlarged prostate means the gland has grown bigger. Prostate enlargement happens to almost all men as they get older. As the gland grows, it can press on the urethra and cause urination and bladder problems. Prostate cancer is one of the most commen cancer in males every one should screen themselfs after the age of 40 - 45.


A hydrocoele is a collection of fluid around the testicle (testis), in the tunica vaginalis (the space surrounding the testis). Hydrocoeles only occur in males. Typically presents as a painless swelling of the scrotum. Most hydrocoeles are congenital (ie. present at birth) - these are usually seen in boys aged 1-2 years of age. Most congenital hydrocoeles resolve by the end of the first year of life. Persistent congenital hydrocoele is readily corrected surgically. Secondary hydrocoeles can affect males of any age, but usually occur in men older than 40 years. May affect one side of the scrotum or both sides.


Varicocele is a disease of the testis - namely the pampiniform plexus of veins (the network of veins that drain blood from the testes). Recall the testes are the male gonads responsible for sex hormone and sperm production. The condition occurs due to an incompetence of the valves within the veins of the spermatic cord. This causes the veins to expand, resulting in a localised venous lump (or varicocele) near the testis. It is much more common on the left and thought to be caused due to the anatomical relationship of the veins. This is one of the causes for infertility.


It is a condition in which the foreskin of the penis (prepuce) can not be pushed behind causing difficulty in urinating and not allowing to maintain local hygeine which could lead to recurrent infection specially in diabetics and can lead to penile cancer.


Piles are round swellings on the inside of the anal canal - the short, muscular tube that connects your rectum (back passage) with your anus - in areas known as the anal cushions. Piles usually cause protusions from the anal canal and may also cause bleeding at the rectum leading to chronic blood loss.


A fissure is a division, cut or tearing at the anal canal which is usually caused by constipation leading to severe pain and occasionally bleeding while passing stools.

A fistula in Ano is a small opening around the anal orifice. It usually presents white discharging pus or blood stained material soiling the inner garments.
An abscess is a hollowed-out space with pus. It is surrounded by irritated tissue and is caused by an infection. The infection is a result of the inhalation of bacteria that is commonly found inside a person's mouth or throat. People with weak immune systems may develop an abscess of the lung. Fungi or organisms that cause tuberculosis may also result in the formation of a lung abscess. The abscess can also be caused by a serious infection called Staphylococcus aureus (MRSA).

An ulcer is a sore, which means it's an open, painful wound. Peptic ulcers are ulcers that form in the stomach or the upper part of the small intestine, called the duodenum Peptic ulcers are actually very common.

Veins are blood vessels that return deoxygenated blood from the outer parts of the body back to the heart and lungs. When veins become abnormally thick, full of twists and turns, or enlarged, they are called varicose veins. Generally, the veins in the legs and thighs have a tendency to become varicosed. Varicose veins can form anywhere in the body, but they are most often located in the legs.Varicose veins tend to be inherited and become more prominent as the person ages.Veins in the leg are either superficial or deep.
Tuberculosis can involve any part of the gastrointestinal tract and is the sixth most frequent site of extrapulmonary involvement. Both the incidence and severity of abdominal tuberculosis are expected to increase with increasing incidence of HIV infection. Tuberculosis bacteria reach the gastrointestinal tract via haematogenous spread, ingestion of infected sputum, or direct spread from infected contiguous lymph nodes and fallopian tubes. The gross pathology is characterized by transverse ulcers, fibrosis, thickening and stricturing of the bowel wall which can leed to intestinal obstruction, enlarged and matted mesenteric lymph nodes, omental thickening, and peritoneal tubercles.
A ganglion is a sac-like swelling or cyst formed from the tissue that lines a joint or tendon. The tissue, called synovium, normally functions to produce lubricating fluid for these areas. A ganglion is a cyst formed by the synovium that is filled with a thick jelly-like fluid. While ganglia can follow local trauma to the tendon or joint, they usually form for unknown reasons. Occasionally, ganglia are early signs of arthritis that will become more obvious in the future.
A thoracoscopy uses an endoscope to visually examine the pleura, lungs, and mediastinum and to obtain tissue for testing purposes. An endoscope is an illuminated optic instrument that is inserted through an incision.
Mouth cancer has the same meaning as oral cancer - it is cancer that occurs in any part of the mouth; on the tongue's surface, in the lips, inside the cheek, in the gums, in the roof and floor of the mouth, in the tonsils, and also the salivary glands. Mouth cancer is a type of head and neck cancer, and is often treated similarly to other head and neck cancers.
Your body is made up of many types of cells. In normal course, cells grow, divide, and produce more cells to keep your body healthy. However, at times, this process goes wrong and cells become abnormal, forming more cells in an uncontrolled manner. These extra cells form a mass of tissue, called a growth or a ‘tumour’. A tumour which keeps on growing uncontrollably is called a malignant / cancerous tumour. Cancer of oesophagus occurs when a malignant tumour forms in the tissue of your oesophagus. Oesophageal cancer is more likely to occur as people get older. Smoking or using tobacco is one of the major risk factors. Chronic or heavy use of alcohol is an important factor and people who use both alcohol and tobacco have a high risk of developing oesophageal cancer.
Stomach cancer is a disease in which the cells forming the inner lining of the stomach become abnormal and start to divide uncontrollably, forming a massor a tumor. The stomach is a J-shaped organ that lies in the abdomen, on theleft side. The esophagus (or the food pipe) carries the food from the mouth to the stomach. The stomach produces many digestive juices and acids that mixwith the food and aid in the process of digestion. The stomach is divided into five sections. Cancer can develop in any of the five sections of the stomach.

Colon cancer is a common type of malignancy (cancer) in which there is uncontrolled growth of the cells that line the inside of the colon or rectum. Colon cancer is also called colorectal cancer. The colon, also known as the large intestine, is the last part of the digestive tract.

Anal cancer is a type of cancer which arises from the anus, the distal orifice of the gastrointestinal tract. It is a distinct entity from the more common colorectal cancer. The etiology, risk factors, clinical progression, staging, and treatment are all different. Anal cancer is typically a squamous cell carcinoma that arises near the squamocolumnar junction.
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