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Breast Cancer Screening and Management

Screening is looking for signs of disease, such as breast cancer, before a person has symptoms. The goal of screening tests is to find cancer at an early stage when it can be treated and may be cured. Sometimes a screening test finds cancer that is very small or very slow growing. These cancers are unlikely to cause death or illness during the person's lifetime. Scientists are trying to better understand which people are more likely to get certain types of cancer. For example, they look at the person's age, their family history, and certain exposures during their lifetime. This information helps doctors recommend who should be screened for cancer, which screening tests should be used, and how often the tests should be done. It is important to remember that your doctor does not necessarily think you have cancer if he or she suggests a screening test. Screening tests are done when you have no cancer symptoms. Women who have a strong family history or a personal history of cancer or other risk factors may also be offered genetic testing. If a screening test result is abnormal, you may need to have more tests done to find out if you have cancer. These are called diagnostic tests, rather than screening tests.

Incisional Hernia

Approximately one third of patients will develop an incisional hernia after abdominal surgery. An incisional hernia occurs at or in close proximity to a surgical incision through which intestine, organ or other tissue protrudes. Incisional hernias result from a weakening of the abdominal muscle due to a surgical incision. An incisional hernia can occur for a number of specific reasons; individuals who participate in excessive or premature physical activity after surgery, gain considerable weight, become pregnant or increase abdominal pressure in any other way before the incision is fully healed are especially at risk for an incisional hernia. Incisional hernias are most likely to occur within three to six months post-surgery but can happen at any time.

Fundoplication (Hiatus Hernia)

What is a hiatal hernia? A hiatal hernia occurs when the top of your stomach pushes up through an opening in your diaphragm into your chest. Your diaphragm is the muscle barrier that separates your abdominal cavity from your chest cavity. A hernia is when any organ or tissue pushes through a weakness in the tissue barrier that normally contains it. Hernias are common, and hiatal hernias are among the most common types. Hiatal hernias push through a preexisting weakness in your diaphragm — the opening where your esophagus passes through to connect to your stomach. Healthcare providers call this opening the esophageal hiatus, which is where the term, hiatal hernia, or hiatus hernia, comes from. Stress and strain can widen this opening over time. This condition usually develops slowly over many years

Gall Bladder Surgery

Several conditions can cause problems in your gallbladder. The most common condition is gallstones. Gallstones are typically harmless but can sometimes lead to disease states. Gallbladder diseases include: Gallstones: Gallstones are pebble-like objects made of bile material that develop in the gallbladder or bile ducts. They can be as tiny as grains of sand to as large as golf balls. They’re usually harmless but can cause pain, nausea or inflammation. Cholecystitis: Cholecystitis is inflammation of your gallbladder. It can occur when a gallstone blocks bile from exiting your gallbladder. Cholecystitis causes fever and pain and usually requires surgery. Gallstone pancreatitis: Gallstone pancreatitis is inflammation of your pancreas. It occurs when a gallstone travels down the common bile duct and blocks the pancreatic duct at a common point just before draining into the small intestine. Gallbladder cancer: Gallbladder cancer is rare. You might feel pain in the right upper quadrant of the abdomen. But, it is far more likely for this pain to occur due to another condition.

Laparoscopic Surgery

Laparoscopic surgery, also known as minimally invasive surgery, is a surgical technique that uses small incisions and specialized instruments to perform surgical procedures. It is applicable for a wide range of diseases and conditions, and its primary benefits include reduced trauma, shorter hospital stays, faster recovery, and less post-operative pain compared to traditional open surgery. During laparoscopic surgery, the surgeon makes small incisions (usually around 0.5 to 1.5 centimeters) in the abdomen and inserts a thin, flexible tube called a laparoscope. The laparoscope has a light source and a camera, allowing the surgeon to visualize the internal organs on a monitor. Carbon dioxide gas is then used to inflate the abdomen, creating a space for the surgeon to work. Various surgical instruments, such as graspers, scissors, and electrocautery devices, are inserted through additional small incisions to perform the necessary surgical tasks. The surgeon manipulates the instruments from outside the body while watching the monitor, guiding them to complete the procedure.

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