Dr.Mallipudi BV Prasad

My Work

Most of my work is related to operations on abdomen. Here is a sample of things that I do You can see the laparoscopic (keyhole) surgery videos and photos of open surgery by clicking on the appropriate links below. If you do not like watching the operation or the clinical photos, please do not follow the links. My main areas of interest are Colo-rectal Surgery and complex hernia surgery. I was trained in the UK and do surgeries for various types of cancers (Radical Resections) in the abdomen.
  • Laparoscopic cholecystectomy
  • Laparoscopic appendicectomy
  • Laparoscopic splenectomy
  • Excision of choledochal cyst
  • Excision of pancreatic cyst
  • Colectomy
  • Gastrectomy
  • Small intestinal resection and anastomosis
  • Mesh repair of incisional hernia

Laparoscopic cholecystectomy

Removing the diseased gallbladder containing stones through keyhole surgery. Usually takes about 45 minutes to do and requires staying in hospital from 1 – 2 days for gallbladders without much inflammation or adhesions.

My Suggestions

General Advice:

  • Eat more of fresh fruits and vegetables.
  • Eat at regular intervals.
  • Drink plenty of liquids (Avoid carbonated drinks – Colas and Sodas)
  • Eat less of spices, chillies and oil.
  • Avoid Smoking and Alcohol
  • Plan your day and work schedule to avoid unnecessary stress.
  • Take regular exercise.

Gallbladder Stones

Fairly common condition these days. Stones are formed due to a combination of infection, high cholesterol, high bile pigments in bile or non-functioning gallbladder. They can be single (solitary) or multiple. Generally, a single large stone is less dangerous than multiple small stones, as small stones have a tendency to slip down into the bite duct and cause obstructive jaundice, Cholangitis or Pancreatitis. If causing symptoms (pain, fever etc.), it is best to remove the gallbladder, which is done laparoscopically (keyhole surgery). Surgery (Laparoscopic Cholecystectomy) is fairly safe. Needs hospitalization for 1-2 days and normal activity can be resumed in 7-10 days. Medicines to dissolve and blasting the stones are not generally advocated. If not causing symptoms (Asymptomatic gall stones), they may sometimes be left alone – especially the solitary large stones. The decision to operate or not is based on different parameters and is best taken in consultation with a specialist.

Hernia

Inguinal hernia is a very common condition. The abdominal contents (intestines or omentum) drop down into the groin or scrotum due to a weak spot in the abdominal wall musculature. The dropped intestine can sometimes get trapped in the hernia sac and become irreducible. This may sometimes lead to strangulation, requiring emergency operation and sometimes removal (resection and anastomosis) of the affected intestines. Best treated by surgery as soon as possible, unless there are associated high risk medical problems. This can be done as day care Surgery or with overnight hospitalization. The repair is best done with a synthetic mesh (fish net like material). The advantage of placing a mesh is that the repair is tension free. So, the pain is much less compared to repairing the weak spot without a mesh. It also reduces the chance of recurrence to less than 1%, compared to 4-16% recurrence rate of the repair without mesh. Most people will be able to resume normal activity in 2-3 days and return to work in 10-15 days depending on the nature of their work.

Requests

Please please do not use your mobile phone while you are in the consulting room. It is understandable that the relatives and friends of patients are anxious and wish to know about the condition of the patient. However, it doesn’t serve any purpose if people come at different times and enquire about the same patient again and again. It disrupts my work and tests my patience. It most certainly doesn’t help in improving the quality of care that I give to my patients. So please come all at once at an appointed time to discuss the situation of your patient. Modern healthcare costs money. Most of the money goes towards the infrastructure, facilities and consumables (Medicines, Syringes, Catheters etc.). It is best to take a Mediclaim policy to insure yourself and family.
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