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General Surgery

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New Al Shefa Polyclinic Department of General Surgery is all set to address your various general surgical problems which are among the commonest in the general population in all age groups.

Problems such as Anorectal diseases, Breast lumps, Soft tissue swellings, Pilonidal diseases and Hernias, in particular, can be solved quite easily once they are attended to in time. Whereas delaying attention to them may at times create serious complications.

HEMORRHOIDS

Also called piles, they are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control. They become a disease when swollen or inflamed. Internal hemorrhoids often result in painless,

“But not anymore”

At our New Al Shefa Day Surgery Center we offer the world’s latest technique to make your piles go away fast and easy with no pain what-so-ever.

“DGHAL/RAR”

Doppler Guided Hemorrhoidal Arterial Ligation/Recto Anal Repair

This procedure is performed without general anesthesia and on out-patient basis.

ANAL FISSURE

An anal fissure, fissure in Ano or rectal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper and undergarments, or sometimes in the toilet. If acute they may cause pain after defecation, but with chronic fissures, pain intensity is often less. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location. Fissure depth may be superficial or sometimes down to underlying sphincter muscle.

Surgical therapies for this problem are sphincterotomy and fissuerectomy which are performed by our General Surgery department. These are quick procedures with enormous relief that comes immediately after surgery. Procedure can be done on out-patient basis.

GYNECOMASTIA

Gynecomastia is an endocrine disorder in which there is a non-cancerous increase in the size of male breast tissue. Psychological distress may occur.

Causes of gynecomastia are diverse and may include Klinefelter syndrome, certain cancers, endocrine disorders, metabolic dysfunction, various medications, or may occur due to a natural decline in testosterone production. Disturbances in the endocrine system that lead to an increase in the ratio of estrogens/androgens are thought to be responsible for the development of gynecomastia.

Surgical approaches to the treatment of gynecomastia performed at New Al Shefa Clinic include subcutaneous mastectomy and Assisted Liposuction.

HERNIA

An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal.

Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and a bulging area may occur that becomes larger when bearing down. If not operated in-time the main concern is strangulation, where the blood supply to part of the intestine is blocked which amounts to a surgical emergency.

At our hernia clinic, we assess, investigate and redeem you of your hernia problem irrespective of your age or disease stage. Treatments of hernias are mainly surgical which can be performed by open or laparoscopic methods depending on the case.

SOFT TISSUE LESIONS

Various soft tissue swellings and masses exist which are quite common. Skin, subcutaneous tissue and muscle are the usual sites of such lesions. They can be unsightly and troublesome at the same time.

Different types of these are lipoma, sebaceous cyst, granuloma, skin tags, common mole, wart, and corn. Minimally invasive surgery is the quickest and easiest way of dealing with these lesions and are done on out-patient basis at our Surgical Facility at JLT.

PILONIDAL SINUS AND ABSCESS

These are types of skin infection which typically occurs between the cheeks of buttocks and often at the upper end. Symptoms may include pain, swelling, and redness, There may also be drainage of fluid. It rarely results in a fever.

Risk factors include obesity family history prolonged sitting, greater amount of hair and not enough exercise. The underlying mechanism is believed to involve a mechanical process.  The lesions may contain hair and skin debris.

Treatment is surgical which can be in the form of an excision or done by incision and drainage when an abscess has already occurred. The area may prevent recurrence.

About 3 per 10000 people are affected a year. It occurs more often in males than females. Often it occurs in young adulthood.

INGROWING TOENAIL

An ingrowing nail (also known as onychocryptosis) is a common form of nail disease. It is an often painful condition in which the nail grows so that it cuts into one or both sides of the paronychium or nail.

Surgical treatment for an ingrown nail is carried out by the Specialist General Surgeon at New Al Shefa Clinic. This is one of our commonest minor procedures and is the removal of the offending part of the nail plate known as a wedge resection and also treatment of the sides of the nail with chemicals or excision known as a matrixcestomy.

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