Welcome to The Multi-Speciality Abhishek Day Care Hospital

Abhishek Day Care

Dr. M.M.Begani, a well known surgeon of Mumbai, came up with this idea of setting up a Day Care Centre for patients who needed “Ambulatory Surgery” or non- emergency surgery thus saving these patients from hospitalization , unnecessary expenses and trouble for procedures which does not require them.

Fissure In Ano

Fissure In Ano  is crack in the skin-lined part of Anal canal.Usually seen in young or middle aged adults & common in both sexes.

Causes: 

  1. Constipation, Injury to Anus during passage of large hard stools. It is seen in Proctocolitis, Crohns Disease very rarely.patients presented in acute stage as severe anal pain associated with defecation In chronic cases which is characterized by hypertrophied anal papilla internally and sentinel tag externally. Patient may also complain of itching, discharge from ulcer.
  2. Repeated passage of Diarrhoea, tuberculosis.

Treatment: 

  1. Intake of High fibre diet,green leafy veg, fruits, salads will help to prevent this complaint.
  2. Stool softener should be given to avoid constipation.
  3. Application of Lubricant & Local Analgesics ointments, sitting in hot water gives relief from the symptoms.

If above treatment fails to give relief then one should consider for following modality of treatment.

Surgical :

  • Chemical sphincterotomy: Using glycerine trinitrate 0.2% Diltiazem 2% apply twice daily.
  • Sphincterotomy:
  1. Open : Incision of the overlying anoderm & direct exposure of sphincter (muscular part
  2. Closed:Fissurectomy with division of the sphincter with repair.

Above mentioned surgery can be easily done as day care surgery in Abhishek Day Care Centre, patient will be discharged on the same day. After surgery patient is advised to take pain killers, stool softners, antibiotics, ointment, sitz bath ( sitting in luke warm water).

Achievements

Founder President of NCTTC

Founder President of NCTTC

Founder President IADS

Founder President IADS - Day Care Surgery In India

Past President of NJDF

Dr. Manmal Manikchand Begani Past President of NJDF