Dr Ashish Sachan is one of the best laparoscopic surgeons in Delhi for surgery of appendix. Surgical removal of appendix is known as appendicectomy. Laparoscopic removal of appendix is a safe and effective method for appendicitis.

Symptoms of appendicitis are: Severe pain in right lower abdomen, fever, decrease in appetite and vomiting

Advantages of Laparoscopic appendicetomy surgery:

Smaller incision, Faster recovery of patient , Less pain and better cosmetic appearance.

For information regarding appendicectomy surgery, contact Dr Ashish Sachan @ +91-7428617074

Hernia is a bulge in the inguinal region or abdominal wall. This bulge occurs due to weakness in the abdominal wall or inguinal canal. Inguinal hernia is a bulge in groin and is more common in men. The only effective treatment for hernia is surgery. Laparoscopic surgery is the best method for inguinal hernia surgery.

Many patients develop weakness of the abdominal wall due to previous surgery, common after emergency surgery, infected cases or obese individuals. These weaknesses later on can lead to incisional hernias. Laparoscopic surgery is an effective method for treatment of incisional hernias. Previously open surgeries were done which lead to bigger incisions, bigger scars and more pain, but laparscopic surgey can now be performed with better outcomes.

For further information, contact Dr Ashish Sachan@ +91-7428617074

Piles/ Hemorrhoids are cushions present in anal canal. They contain blood vessels and engorgement of these blood vessels occurs due to chronic constipation and straining at stools which leads to bleeding. Grade 1 hemorrhoids can be managed medically, but for grade 2, 3 and 4 best treatment is hemorrhoidectomy. In open hemorrhoidectomy, there is more pain and bleeding. Best treatment option for surgical removal of piles is stapler hemorrhoidectomy.

In Stapler hemorrhoidectomy, a stapler is introduced in the anal canal (under ansesthesia), and all excess anal tissue (hemorrhoidal tissue) is removed. Advantages of stapler hemorrhoidectomy are early recovery, less pain and less bleeding.

For further information, contact Dr Ashish Sachan @ +91-7428617074

Anal fistula is a very common problem. Patient develops a pus discharging opening adjacent to anal opening. Anal fistula commonly starts with perianal abscess, in which a pus filled cavity develops adjacent to anal canal, which either bursts on its own or drained surgically. After drainage of the pus and gradual healing a well defined pus discharging tract remains known as anal fistula

For low lying fistula with a short tract, opening of fistula tract and removing all the debris (Fistulotomy) can be performed. But for high fistulas or fistulas involving the sphincter complex, fistulotomy is risky and is associated with sphincter damage. In these cases, VAAFT is the best method. VAAFT is also the best method for treatment in cases with recurrent, complex fistulas and high fistulas.

In VAAFT method, a scope is introduced in the fistula and the tract is removed under vision. Also, any branching of the fistula or additional tract can be seen under vision and can be removed.

For further information or query, contact Dr Ashish Sachan@ +91-7428617074

Choledocholithiasis is a condition in which there is a stone in common bile duct, which is either passed from gall bladder or formed inside CBD. In majority of cases, the stone form in gall baldder and pass in CBD. Patients wth CBD stone develop pain abdomen, jaundice and fever.

For stones less than 7mm, ERCP (endoscopic removal of stones) is preferred. For size more than 10 mm, surgical removal of stone is preferred. Patients with a CBD stone, should undergo removal of gall bladder (Cholecystectomy) in the same setting as there is a risk of formation gall bladder stones and stones passing in the CBD.

Dr Ashish Sachan has performed multiple simultaneous removal of gall bladder and CBD stone removal in a single sitting. We are performing CBD exploration laparoscopically since many years. Advantages of laparoscopic CBD exploration are less scar, early recovery, less pain and better cosmesis.

For further information, Contact Dr Ashish Sachan@+91-7428617074

Achalasia cardia is a rare disorder in which patient faces a difficulty in swallowing food. This difficulty occurs in swallowing both liquid and solid food, which leads to heaviness in chest, chest pain , regurgitation and vomiting.

Barium swallow and manometry shows a narrowing at lower esophageal sphincter and stasis of food above the sphincter level inside the chest. This narrowing occurs due to increase in pressure at LES. Surgery is the treatment of choice for achalasia cardia. Pneumatic dilatation done endoscopically almost always fail and again leads to similar symptoms.

Surgery of choice for achalasia cardia is Laparoscopic Heller's myotomy, in which the muscle fibres of LES are divided which removed the narrowing and subsequently leads to normal passage of food.

For further information, contact Dr Ashish Sachan@ +91-7428617074

Hiatus hernia is a condition in which there is a herniation of part of stomach or lower esophageal sphincter inside the chest (form the esophageal hiatus). This leads to ineffective control of passage of acid inside the chest thus causing severe acidity, burning sensation in chest, nausea , vomiting and GERD. For early hiatus hernias, medical management can be done, especially for old age patients.

For young patients having hiatus hernia, patient having severe symptoms and patients who are taking antacids for long term should undergo laparoscopic hiatus hernia surgery (Laparoscopic Fundoplication). In fundoplication, stomach is mobilised back in chest and is wrapped loosely around the lower esophageal sphincter, thus avoiding the stomach and LES going back in chest and creating a single way valve across LES.

For further information or query, contact Dr Ashish Sachan@ +91-7428617074

Patients with pancreatitis develop damage of pancreas and later on develops pseudocysts. Pesudocysts are fluid collections with a well defined wall. It ocures in between stomach and pancreas in upper abdomen. In general, majority of pseudocysts are small and heal on its own. Patients with large pseudocysts (more than 5 cms) develop abdominal pain, nausea , vomiting, heaviness in abdomen and in advanced cases pseudocyst compressed the stomach and duodenum which leads to jaundice and multiple vomitings.

For large pseudocysts, surgical treatment is the treatment of choice. For cysts which are in close contact with stomach, a connection can be made in between stomach and cyst (cystogastrostomy), which helps in drainage of cyst contents in stomach. Dr Ashish Sachan has performed multiple laparoscopic cystogastrostomy surgeries.

For further information, contact Dr Ashish Sachan@ +91-7428617074

Various types of cystic collections develop in Liver. Most common types are simple cyst and Hydatid cysts. Majority of liver cysts are asymptomatic and no treatment is required for them. But for hydatid cysts, large symptomatic liver cysts - surgical treatment is the preferred choice. Laproscopic surgery is the treatment of choice for liver cysts.

For further information, contact Dr Ashish Sachan@ +91-7428617074

In cases, in which the spleen is damaged like splenic abscess, splenic tumors, portal hypertension, splenic trauma or injury - Splenectomy is performed. Removal of spleen can be best achieved by laparoscopy using minimal access techniques. Dr Ashish Sachan is an expert in performing laparoscopic splenectomy. Benefits of laparoscopic splenectomy are : early recovery, less pain, better cosmesis and smaller incision.

For further information contact Dr Ashish Sachan @ +91-742861707

Rectal prolapse is a condition in which the rectum of the patient is lax and it comes out of anal canal. In these cases, generally the rectum comes out after passing motions and patient pushes the rectum inside. It is an uncommon disease but causes significant discomfort to the patient. Rectal prolaspe can be reduced laparoscopically and redundant rectum can be fixed inside the abdomen, thus stopping the rectum form prolapsing. The patient can be discharged one or two days after surgery.

For further information, contact Dr Ashish Sachan@ +91-7428617074