Dr Vimal Vibhakar

25/10/2024

Dry gangrene occurs when the blood flow to tissue is cut off. The area becomes dry, shrinks, and turns black. Wet gangrene occurs if bacteria invade this tissue. This makes the area swell, drain fluid, and smell bad.

Surgical Debridement is done to remove the infected tissue and stop the infection from spreading.
Surgery may be done to repair any damaged or diseased blood vessels to restore blood flow to the infected area.
Amputation. ...Skin grafting

22/01/2022

26/10/2021

Trichobezoars are accumulations of hair casts in the stomach associated with trichophagia. The typical patient is an adolescent female who presents with alopecia and an upper abdominal mass which on moving can cause intermittent gastric outlet obstruction..

The clinical presentation includes abdominal pain, loss of appetite, weight-loss, vomiting, loose stools,jaundice, anemia and hypoalbuminemia.

Complications of bezoars include ulcers, perforation of the bowel, obstruction and intussusception. Diagnosis can be established by CT scan.

Treatment is surgical, as endoscopic removal is usually unsuccessful.

03/04/2021

Single large gall stone.2.6 cm... Gallstones >5 cm are uncommon, with higher risk of complications. Gallbladder should be removed even if asymptomatic. Large gallstones >3 cm have increased risk for gallbladder cancer, biliary enteric fistula and ileus.

28/03/2021

Chronic Non Healing Ulcer: (Dibetic foot): Managed with VAC.The size has reduced to less than 5% of the original..... Vacuum-assisted closure (VAC) is a method of decreasing air pressure around a wound to assist the healing. During the procedure,a foam bandage is applied over an open wound, and a vacuum pump creates negative pressure around the wound.

26/12/2020

Laparoscopic Cholecystectomy 10-5-5 mm. Christmas celebrations 😊

25/12/2020

Pilonidal sinus disease occurs from the inflammation of hair follicles in the cleft of the buttocks.
Most cases are associated with those who sit for prolonged periods.
Pllonidal abscesses require incision and drainage, whereas chronic disease needs to be treated with removal of the actual pilonidal sinus tract. Operated a case with VAAPS( video assisted ablation of pilonidal sinus).

05/10/2020

Superficial Parotidectomy with Preservation of Facial nerve.

03/10/2020

Should you drink milk before bed and how it helps you to keep you healthy?

It turns out that drinking a glass of milk at night is very healthy. It helps you complete your daily protein needs, and research shows a glass of milk highly recommended at night before sleep. Milk contains a rich source of calcium, sodium, proteins, multiple vitamins, amino acid, fibers, and anti-oxidants. Milk always considered a magical potion for good health and an essential part of our meal.
Drinking milk at night offers you better sleep; it also helps you to burn calories. If you are suffering from cold or flu tries to avoid drink cold milk; However, it is good to have a chilled glass of milk because it generates melatonin hormone, which helps to regulate your sleep cycle. Milk nutrient helps make your bone dense and strong. It is helpful to boost muscle growth and support a healthy weight.

Milk helps to release serotonin hormone, which keeps your mind calm. Glass milk eliminates your hunger for a few hours. The most important benefit of having warm milk before sleep helps in better digestion. Vitamin B12 helps to keep healthy red blood cells and nerve tissue. According to research, regular drinking milk helps to reduce the risk of dying by 15 to 20 percent from coronary heart disease or stroke. Milk also helps to improve immunity due to certain nutrients. Timings may be different for consuming milk, but it should not be limited only by night. For a very long time, mornings were considered as the best time to drink milk as it charges your body; notwithstanding, another view recommends that milk is difficult to digest in the morning. Nutritionists and health specialists consistently suggest avoiding milk with meals, as it is hard to process. It is best to drink separately. The suitable temperature to drink milk is lukewarm, as it is most beneficial for digestion related purposes.

25/09/2020

Operated successfully a 49 years/ Female, complicated case of large Multi Nodular Goiter with Retrosternal extension.

11/09/2020

Q: How often should my child take a break from the screen time and how long should breaks be for?

A: The National Institute of Health recommends that children under the age of 2 should have no screen time. For those over 2 years of age, screen time should be kept at around 1-2 hours a day.

When it comes to applying this rule to online learning, we recommend 20 minutes of class assignments followed by 10 minutes of physical activity for younger children. Older children and teens may be able to focus on assignments for longer stretches. Remember to help them take breaks between subjects. It is important for parents to understand that off-screen time can be the practice of the work being learned while on screen.

When thinking about your child’s screen time, it’s not all equal. An app that works as an educational tool is not the same as a video game. Building in breaks is important, and adding in physical activity and movement throughout the day is helpful, but each family might want to work that into their daily routines in their own way. Routines and schedules are really important right now, and it will also help kids and families better understand when it is a good time to be on screens, working, and when it is play, relax and chill time.