what are you prescribe
C/o pain abdomen with swelling mid abdomen History Laparotomy Vitals Bp 130/80mm/hg Diagnosis Incisional hernia with cholelithiasis Management Surgical
Herneal repair by mess ING Laparoscopic cholecystectomy Avoid fatty fried food Maintain adequate diet prescribe by diet ecien Adv to maintain weight Avoid staring IncreSe intraabdmi all pressure
A laparoscopic cholecystectomy is the first priority during the laparoscopic surgery a mesh can be placed in the epigastric hernia,in the same sitting as the defect is small Tab UDCA 300 mg B.D for 2 months for fatty liver Change in lifestyle with dietary fat and oil restrictions along with exercise
Herneal repair by mess ING Laparoscopic cholecystectomy Avoid fatty fried food Maintain adequate diet prescribe by diet ecien Adv to maintain weight Avoid staring IncreSe intraabdmi all pressure
Laparoscopic cholecystectomy with open incisional hernia repair with retrorectus meshplasty. Prefer different surgical team for hernia repair and avoid the repair in case of difficult cholecystectomy or any major bile leak.
Cases that would interest you
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lady patient with routine examination done USG abdomen., Now she worried due to hernia mention in a report, she has no pain earlier or no history . pls Rx And Dx
Dr. Sandeep Mishra1 Like10 Answers - Login to View the image
A male aged 56 years who is k/c/o HBV related CLD with P. HTN and Ascites p/w complaints of swelling at Umbilicus since 2 months increasing gradually.... he has recently developed pain abdomen around the umbilical region... comment on her CT Abdomen images and discuss the characteristic findings
Dr. Hardik Ahuja1 Like10 Answers - Login to View the image
A 66 years old man c/o grade 2 fatty liver and cholelithiasis (7.4mm)and small umbilical hernia. K. C. O. DM for 25years and under insulin 40 units in the morning and 30 units at night. No BP. No pain or other symptoms. Respected doctors please suggest treatment.
Dr. K.suresh Kuzhikandathil2 Likes8 Answers - Login to View the image
60 yrs F lack of appetite indigestion since 8 yrs Pls Dx n Rx
Dr. Ram Golde1 Like6 Answers - Login to View the image
30yr F h/o hematemesis ,hematochezia, now came with c/o gen.weakness ,abo.distention her Hb-3.0,RBC-1.94,WBC-2500,plt-76000. Usg of abd-fatty liver ,splenomegaly,mod.ascites 16mm gall stone.. XRC-normall wht is d/d ? wht :tretment can?plz reply
Dr. Vijay Waje0 Like28 Answers
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