Hernia Surgery A hernia is usually treated with surgery. There are three main types of hernia surgery; open hernia repair, laparoscopic hernia repair and robotic hernia repair.

Pancreatic cysts are fluid-filled sacs that develop on or within the pancreas, a vital organ located behind the stomach responsible for producing hormones and digestive enzymes. These cysts are often detected incidentally during imaging tests conducted for other medical conditions. Pancreatic cysts are categorized into two main groups: ✔ Nonneoplastic cysts – Includes pseudocysts and serous cystadenomas, which are typically benign and rarely cause complications. ✔ Neoplastic cysts – Includes mucinous cystic neoplasms (MCN) and other cystic tumors, which may have malignant potential and require monitoring or intervention. While many pancreatic cysts remain harmless and asymptomatic, some may develop into cancer or cause discomfort. If you have been diagnosed with a pancreatic cyst, consult Dr. Ujwal Zambare, the Best Gastroenterologist & Pancreatic Disease Surgeon in Wakad, PCMC, Pune, for expert evaluation and personalized treatment. Causes The cause of most pancreatic cysts is unknown. Some cysts are associated with rare illnesses, including polycystic kidney disease or von Hippel-Lindau disease, a genetic disorder that can affect the pancreas and other organs. Pseudocysts often follow a bout of a painful condition in which digestive enzymes become prematurely active and irritate the pancreas (pancreatitis). Pseudocysts can also result from injury to the abdomen, such as from a car accident. Symptoms You may not have symptoms from pancreatic cysts, which are often found when imaging tests of the abdomen are done for another reason. Persistent abdominal pain, which may radiate to your back Nausea and vomiting Weight loss Feeling full soon after you start eating How Are Pancreatic Cysts and Pseudocysts Treated? Most pseudocysts resolve on their own without treatment, over time. However, when symptoms become persistent, complications emerge or a cyst become larger than 6 centimeters in size, it should be drained. Endoscopic drainage. Percutaneous catheter drainage, which uses hollow tube inserted into the body to remove fluid. Surgical drainage, either via open surgery or laparoscopic surgery (using a laparoscope, a surgical tool that only requires a small incision). Prevention The best way to avoid pseudocysts is to avoid pancreatitis, which is usually caused by gallstones or heavy alcohol use. If gallstones are triggering pancreatitis, you may need to have your gallbladder removed. If your pancreatitis is due to alcohol use, not drinking can reduce your risk. Request A Call Back: Dr. Ujwal Zambare at True Life Clinic & Wellness Center Wakad, provides expert care for pancreatic cysts, offering advanced diagnosis and personalized treatment options. Pancreatic cysts are fluid-filled sacs that form in or on the pancreas. While many are benign, some may become cancerous over time. If you experience symptoms like abdominal pain, nausea, or digestive issues, don’t wait—consult the best Gastroenterologist & Pancreatic Specialist in Wakad, PCMC, Pune for expert evaluation and care. 📞 For appointments and more information, call: 098159 94279.

Acute Pancreatitis Acute pancreatitis is a sudden inflammation of the pancreas, causing severe abdominal pain. While mild cases improve within a few days, severe cases can lead to serious complications. The most common causes include gallstones and excessive alcohol consumption. The pancreas, located behind the stomach, plays a crucial role in digestion by producing enzymes and regulates blood sugar through hormone production, including insulin. Prompt diagnosis and treatment are essential to prevent complications. For expert acute pancreatitis treatment in Wakad, Pune, consult Dr. Ujwal Zambare, the Best Gastroenterologist & Pancreas Specialist. Symptoms of Acute Pancreatitis Tummy (abdominal) pain, just below the ribs, is the usual main symptom. It usually builds up quickly (over a few hours) and may last for several days. The pain can become severe and is typically felt spreading through to the back. The pain may be sudden and intense, or it may begin as a mild pain that is aggravated by eating and slowly grows worse. However, it is occasionally possible to have acute pancreatitis without any pain. This is more common if you have diabetes or have kidney problems. Being sick (vomiting), a high temperature (fever) and generally feeling very unwell are common. Your abdomen may become swollen. If the pancreatitis becomes severe and other organs become involved (for example, your heart, lungs or kidneys) then various other symptoms may develop. You may become lacking in fluid in the body (dehydrated) and have low blood pressure. Complications of Acute Pancreatitis The main complications of acute pancreatitis are Pancreatic pseudocyst – A pancreatic pseudocyst is a collection of fluid containing pancreatic enzymes that forms in and around the pancreas. The pseudocyst goes away spontaneously in some people. In other people, the pseudocyst does not go away and can become infected. Necrotizing pancreatitis – may occur in severe acute pancreatitis. In necrotizing pancreatitis, parts of the pancreas may die and body fluid may escape into the abdominal cavity, which decreases blood volume and results in a large drop in blood pressure, possibly causing shock and organ failure. Severe acute pancreatitis can be life threatening. Infection of the pancreas – Infection of an inflamed pancreas is a risk, particularly in people who have necrotizing pancreatitis. Sometimes, a doctor suspects an infection when a person’s condition worsens and a fever develops, especially if this happens after the person’s first symptoms started to subside. Organ failure – can occur in acute pancreatitis because damage to the pancreas may permit activated enzymes and toxins such as cytokines to enter the bloodstream and cause low blood pressure and damage to other organs such as the lungs and kidneys. This damage can cause some people who have acute pancreatitis to develop failure of other organs, including the kidneys, lungs, or heart, and this failure can lead to death. Causes of Acute Pancreatitis The most common causes (more than 70% of cases) of acute pancreatitis are Gallstones – Gallstones cause about 40% of cases of acute pancreatitis. Gallstones are collections of solid material in the gallbladder . These stones sometimes pass into and block the duct that the gallbladder shares with the pancreas (called the common bile duct). Normally, the pancreas secretes pancreatic fluid through the pancreatic duct into the first part of the small intestine (duodenum). This pancreatic fluid contains digestive enzymes that help digest food. If a gallstone becomes stuck in the sphincter of Oddi (the opening where the pancreatic duct empties into the duodenum), pancreatic fluid stops flowing. Usually, the blockage is temporary and causes limited damage, which is soon repaired. But if the blockage remains, the enzymes collect in the pancreas and begin to digest the cells of the pancreas, causing severe inflammation. Alcohol use – Alcohol use causes about 30% of cases of acute pancreatitis. The risk of developing pancreatitis increases with increasing amounts of alcohol (4 to 7 drinks per day in men and 3 or more drinks per day in women). However, less than 10% of people who frequently consume alcohol develop acute pancreatitis, which suggests additional triggers or other factors are needed for pancreatitis to develop. How alcohol causes pancreatitis is not fully understood. One theory is that alcohol is converted into toxic chemicals in the pancreas that cause damage. Another theory is that alcohol may cause the small ductules in the pancreas that drain into the pancreatic duct to clog, eventually causing acute pancreatitis. Drugs such as angiotensin-converting enzyme (ACE) inhibitors, azathioprine, furosemide, 6-mercaptopurine, pentamidine, sulfa drugs, and valproate Estrogen use in women with high levels of lipids in the blood High levels of calcium in the blood Diagnosis of Acute Pancreatitis

Laparoscopic Hernia Surgery Laparoscopic hernia repair is performed with general anesthesia and requires use of a breathing tube. Three half-inch or smaller incisions are made in the lower part of the abdomen. In laparoscopic hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor.

This is a type of surgery to remove the appendix. Removal of the appendix cures appendicitis. If appendicitis is untreated, it may rupture or burst open and cause very serious illness or even death. Laparoscopic appendectomy removes the appendix using small incisions.

Laparoscopic splenectomy (LS) is the gold standard procedure to remove the spleen in elective patient (1), but remains a very delicate procedure due to fragility of parenchyma and capsule of the spleen and its close connections with stomach, pancreas and colon.

Laparoscopic cholecystectomy is minimally invasive surgery to remove the gallbladder. It helps people when gallstones cause inflammation, pain or infection. The surgery involves a few small incisions, and most people go home the same day and soon return to normal activities.