General Surgery

PENOPLASTY (PENIS ENLARGEMENT)

Estimates on average penis size vary. Many people believe that a typical penis is 6 inches (in) long, but this is false and misleading, potentially triggering anxiety in those who worry about having a small penis.

Penis enlargement is achieved by increasing penile length and/or by increasing penile volume. Penis lengthening is a surgical procedure in which its suspensory apparatus (ligamentolysis) is released via small incision above the root of the penis. Penis volume is increased by own fat transfer techniques- (lipotransfer, lipo grafting, fat grafting, lipofilling) which are surgical procedures by which fat is harvested (usually from the area of the lower abdomen and inner thighs) into syringes, then filtered (purified) and injected into the penis subcutis by thin cannulas. As part of the inserted fat is always absorbed; a satisfactory result often requires treatment repetition. Penile lengthening and “own fat” penile volume increases are, as a standard, combined into one surgical procedure.

The approach is to cut the suspensory ligament, thus allowing the forward movement of the corpora with a gain of 1.5-4 cm in length. This improvement is most visible on the flaccid penis.

While lengthening is desirable, sometimes it only fixes part of the problem. By both lengthening and enlarging the penis at the same time, a better proportion can be achieved. To enlarge the penis, the patient’s own fat is harvested (from the abdomen, flanks or upper thighs) or gel like a filler, that is injected along the penis shaft through tiny incisions at the base of the penis.

BASIC INFORMATION

The procedure is performed under anesthesia.
The combined procedure can be completed in 1.5 hours.
Surgical stitches are absorbable and do not need to be removed.
We recommend rest for 4 days; with full physical load after 4 weeks.
Post-surgery swelling and bruising may persist for 3-4 weeks
We recommend an elastic penis bandage is worn for 1 week.
We recommend sexual abstinence for 6 weeks post surgery.

ABDOMINAL HERNIAS

What is an abdominal Hernia?

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in a surrounding muscle or connective tissue called fascia. The most common types of hernia are inguinal (inner groin), incisional (resulting from an incision), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).

In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin. About 96% of all groin hernias are inguinal, and most occur in men because of a natural weakness in this area.

In an incisional hernia, the intestine pushes through the abdominal wall at the site of previous abdominal surgery. This type is most common in elderly or overweight people who are inactive after abdominal surgery.

A femoral hernia occurs when the intestine enters the canal carrying the femoral artery into the upper thigh. Femoral hernias are most common in women, especially those who are pregnant or obese.

In an umbilical hernia, part of the small intestine passes through the abdominal wall near the navel. Common in newborns, it also commonly afflicts obese women or those who have had many children.

A hiatal hernia happens when the upper stomach squeezes through the hiatus, an opening in the diaphragm through which the esophagus passes.

What are the signs and symptoms of an abdominal hernia?

Most people can feel a bulge where an inguinal hernia develops in the groin. There may be a burning or sharp pain sensation in the area because of inflammation of the inguinal nerve or a full feeling in the groin ith activity. I a hernia occurs because of an event like lifting a heavy weight, a sharp or tearing pain may be felt. However, many people do not have any complaint other than a feeling of fullness in the area of the inguinal canal.

Complications occurwhen a piece of intestine or omentum becomes trapped (incarcerated) in the hernia sac. A piece of bowel mayenter the hernia and become stuck. If the bowel swlls, it can cause a surgical emergency as it loses its blood supply and becomes strangulated. In this situation, there can be significant pain and nausea and vomiting, signaling the possible development of a bowel obstruction. Fever may be associated with strangulated, dead bowel.

What types of surgery repai an abdominal hernia?

Surgery to repair a hernia may use a laparoscope or an open procedure called a herniorrhaphy, where the surgeon directly repairs the hernia through an incision in the abdominal wall. The type of operation depends upon the clinical situation and the urgency of surgery. The decision as to which operation to perform depends upon the patient’s clinical situation.

Other abdominal wall hernias can similarly be repaired to strengthen the defect in the abdominal wall and decrease the complication risk of bowel incarceration and strangulation.

LIPOMA (FATTY TISSUE)

What is a lipoma?

A lipoma is a growth of fatty tissue that slowly develops under your skin. People of any age can develop a lipoma, but children rarely develop them. A lipoma can form on any part of the body, but they typically appear on the: neck, shoulders, forearms, arms, thighs or foot.

They’re classified as benign growths, or tumors, of fatty tissue. This means a lipoma isn’t cancerous and is rarely harmful.

What are the symptoms of a lipoma?

There are many types of skin tumors, but a lipoma usually has distinct characteristics. If you suspect that you have a lipoma it will generally:

Be soft to the touch, move easily if prodded with your finger, be just under the skin, be colorless and grow slowly.

The cause of lipomas is largely unknown, although there may be a genetic cause in individuals with multiple lipomas. Your risk of developing this type of skin lump increases if you have a family history of lipomas. This condition is most prevalent in adults between the ages of 40 and 60, according to the Mayo Clinic.

How is a lipoma diagnosed?

Dr. can often diagnose a lipoma by performing a physical exam. It feels soft and isn’t painful. Also, since it’s made up of fatty tissues, the lipoma moves easily when touched

How is a lipoma treated?

A lipoma that’s left alone usually doesn’t cause any problems. However, a surgeon can treat the lump if it bothers you. They will make the best treatment recommendation based on a variety of factors including: the size of the lipoma, the number of skin tumors you have, yourpersonal history of skin cancer, your family history of skin cancer, whether the lipoma is painful.

Surgery

The most common way to treat a lipoma is to remove it through surgery. This is especially helpful if you have a large skin tumor that’s still growing. Lipomas can sometimes grow back even after they’re surgically removed. This procedure is typically done under local anesthesia through a procedure known as an excision.