General Surgery division at Medeor Hospital, Dubai handles a whole range of minor and major general and laparoscopic surgeries including hernia surgery, haemorrhoid surgery, thyroid gallbladder surgery, breast surgery, bariatric (weight loss) surgery, gastrointestinal surgery particularly of the gastrointestinal tract.

Haemorrhoid (Piles) Clinic


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    Symptoms

  • Bleeding; Itch; Pain; lump or Swelling at anus (medical)
Hemorrhoids also called piles, are swollen veins in your anus and lower rectum. It can develop inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids).Fortunately, effective options are available to treat hemorrhoids. And it is advisable meet the expert to discuss on the treatment on options. Although hemorrhoids can be unpleasant and painful, they are easily treated and very preventable. The condition most of us call hemorrhoids (or piles) develops when those veins become swollen and distended, like varicose veins in the legs. Hemorrhoids can usually be diagnosed from a simple medical history and physical exam. External hemorrhoids are generally apparent, especially if a blood clot has formed. Your clinician may perform a digital rectal exam to check for blood in the stool.

    Causes of Haemorrhoid (Piles)

    Hemorrhoids can develop from increased pressure in the lower rectum due to:

  • Straining during bowel movements.
  • Sitting for long periods of time on the toilet.
  • Having chronic diarrhoea or constipation.
  • Being obese.
  • Being pregnant.
  • Having anal intercourse.
  • Eating a low-fiber diet.
  • Regular heavy lifting.

    Treatment for Haemorrhoid (Piles)

  • Lifestyle modification like high fibre diet; plenty of liquids orally, controlling weight
  • Medicines: Laxatives, Venous decongestant,
  • LASER Hemorrhoidopexy: latest treatment of haemorrhoid with LASER which is day care procedure and almost painless
  • Stapler Hemorrhoidopexy: Treatment of Haemorrhoids with stapler which cut and staple haemorrhoids.
  • Transanal Hemorrhoidal Dearterialization (THD): Latest treatment which involve ligation of blood vessels feeding the haemorrhoids.

Hernia Clinic


A hernia occurs when part of an internal organ or body part protrudes into an area where it should not. The most common hernias occur in the abdominal area. A small portion of the intestine, or a piece of fat, pokes through a weak area in the muscular wall of the abdomen. This causes an abnormal bulge under the skin of the abdomen, usually near the groin or navel. 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).
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Types of hernias include:

  • In an inguinal hernia, the intestine or the bladder protrudes through the abdominal wall or into the inguinal canal in the groin and this type of hernia is mostly commonly seen in men.
  • In an incisional hernia, the intestine pushes through the abdominal wall at the site of previous abdominal surgery and this type of hernia is most commonly seen 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 and this type of hernia is most commonly seen 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 new-borns, it also commonly afflicts obese women or those who have had many children.

    Reasons and Causes

    It can be anything that causes an increase in pressure in the abdomen including:

  • Lifting heavy objects without stabilizing the abdominal muscles
  • Persistent coughing or sneezing
  • Poor nutrition
  • Smoking
  • Due to weakened muscles present since birth With aging and repeated strains on the abdominal and groin areas
  • Obesity, Pregnancy, Frequent coughing -that can strain the lower abdomen
  • Straining on the toilet due to constipation/ bowel movement
  • Any condition which increases the pressure of the abdominal cavity like chronic cough, constipation, difficulty in urination

    Symptoms

  • Swelling or bulge in the groin
  • Pain while lifting.
  • Increase in the bulge size over time.
  • A dull aching sensation.
  • Abdominal pain which is dull in starting of hernia and sharp, severe with complications.
  • Obstruction of bowel inside the hernia leads to nausea, vomiting, severe abdominal pain and inability to pass flatus or stool
  • Strangulation of hernia: bowel inside the hernia get twisted and obstructed which leads to severe pain, nausea, vomiting, failure to pass gas or stool along with fever, red, tender swelling

    Treatment:

  • Open surgery for Hernia
  • Single- port Scarless laparoscopic surgery

Thyroid Clinic


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Causes of Thyroid

  • Iodine deficiency
  • Autoimmune diseases, in which the immune system attacks the thyroid, leading either to hyperthyroidism or hypothyroidism
  • Inflammation (which may or may not cause pain) Caused by a virus or bacteria.

When you are diagnosed with a thyroid condition you will be surprised that such a small gland can have such an intense impact on your health and well-being. But the thyroid gland plays a massive role in your health. The gland is constantly producing hormones that influences your metabolism. When disease causes your thyroid gland to slow down the production of thyroid hormone, or produce too much of it, you'll know something isn't right. It is advisable to know the symptoms in advance and have a watch on your health.


    Symptoms of overactive thyroid (Hyperthyroidism)

  • Nervousness, anxiety and irritability
  • Mood Swings, Difficulty sleeping
  • Persistent tiredness and weakness
  • Sensitivity to heat
  • Swelling in your neck from an enlarged thyroid gland
  • Irregular heart rate

    Symptoms of an underactive thyroid (Hypothyroidism)

  • Tiredness
  • Being sensitive to cold
  • Weight gain
  • Depression
  • Constipation
  • Slow movements and thoughts
  • Muscle aches, cramps and weakness

If you’re not showing any signs or symptoms of a thyroid disorder, doesn’t mean it’s not there. Thyroid nodules, are not always as easy to identify as hyperthyroidism and hypothyroidism. Sometimes, patients notice or feel a bump on their neck, or sometimes their doctor detects a lump during a physical exam. Thyroid nodules are often found incidentally during neck imaging for other conditions and are picked up in CT scans or MRIs. Catching a thyroid nodule early on can help decrease your chances of developing an overactive thyroid. Additionally, it can also help you to detect and treat more serious conditions early on including thyroid cancer.

Breast Clinic


Breast tumours does not discriminate. It affects mothers, daughters, working women, celebrities — and even some men. For women, the lifetime risk of developing breast cancer is about 1 in 8; for men it is 1 in 1,000. Breast cancer is the uncontrolled growth of abnormal cells in one of several areas of the breast, including the ducts that carry milk to the nipple, small sacs that produce milk (lobules), and nonglandular tissue. Sometimes breast cancer stays in the tissue in which it began. But it can also move into other nearby tissue or lymph nodes.
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    Symptoms to lookout for

  • New lump in the breast or underarm (armpit).
  • Thickening or swelling of part of the breast.
  • Irritation or dimpling of breast skin.
  • Redness or flaky skin in the nipple area or the breast.
  • Pulling in of the nipple or pain in the nipple area.
  • Nipple discharge other than breast milk, including blood.

Treatment for Breast lumps

Having several risk factors doesn't mean a woman will inevitably develop breast cancer. Likewise, having few risk factors doesn't offer 100% protection against it. It is advisable to do breast ultrasound if you are below the age of 35 and a mammogram if you are above the age of 35. Treatments for breast cancer include removal of the affected breast (mastectomy), removal of the tumour and small amount of surrounding tissue (lumpectomy). Also we have Burjeel Cancer Institute, a unit of VPS Healthcare dedicated to the treatment of cancer through radiation therapy, chemotherapy, and hormone therapy.

Pancreatic Diseases


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Pancreatic disease and other related disorders are on its rise due to poor lifestyle choices and other conditions like abdominal surgery, alcoholism, cystic fibrosis, gallstones, high calcium levels in the blood, high triglyceride levels in the blood, certain infections, injury in the abdomen, obesity and pancreatic cancer Inflammation of pancreas, activating the digestive enzymes that attacks the pancreas resulting in pancreatic bleeding Pancreatic cysts Tumour of the pancreas that can be benign (noncancerous) or, in more serious cases, malignant (cancerous).

    Symptoms of Pancreatitis

  • Upper abdominal pain
  • Abdominal pain that radiates to your back
  • Abdominal pain that feels worse after eating
  • Fever
  • Rapid pulse
  • Nausea
  • Vomiting
  • Tenderness when touching the abdomen

    Risk Factors:

  • Excessive alcohol consumption.
  • Cigarette smoking.
  • Obesity.

Expert Team


Dr. J. S Rajkumar

Specialist General & Laparoscopic Surgeon
Dip. NB (General Surgery), FRCS (Edinburgh), FRCS (England), FRCS (Glasgow), FRCS (Ireland)

Dr. Ritu Khare

Specialist General Surgeon
MBBS, MS (General Surgery), MRCS, FICS, Fellow American College of Surgeons (FACS)

Dr. Pinkesh Laxmikant Thakkar

Specialist General & Laparoscopic Surgeon
MBBS, MS General Surgery (India)

Dr Eswar Moparty

Specialist Gastroenterologist
MBBS, MD, DM (Gastroenterology)

Ms. Juliot Vinolia Rajarathinam

Clinical Dietitian and Consultant Nutritionist
M. Phil, M.Sc., Clinical Nutrition and Advanced Dietetics, Doctoral student Counseling Psychology

Dr. Ihab El Tayeb

Consultant Endocrinologist
Doctorate degree of endocrinology (Al Azhar university Egypt) Diploma of obesity management of south wales university UK Scope certified for obesity management World Federation of Obesity

Dr. Reena Thomas

Clinical Psychologist
M. Phil in Clinical Psychology (Spec. Neuropsychology) - Kasturba Medical College, Manipal M. Phil in Psychology (Spec. Clinical Psychology) - University of Kerala