# Dr. Naresh Veeranki - General, Laparoscopic & Laser Surgeon, Vijayawada > Dr. Naresh Veeranki (MBBS, MS, F.MAS) is a general, laparoscopic and laser surgeon consulting at Veeranki General, Surgical & Psychiatric Care, Ground Floor, 59-14-2, Service Lane, Gayatri Nagar, Vijayawada, Andhra Pradesh 520008, India. He treats piles, anal fissure, anal fistula, pilonidal sinus, hernias, gallstones, appendicitis, lumps, cysts and wounds, using keyhole (laparoscopic) and laser surgery where suitable. 9+ years in surgery, 6,000+ operations, 10,000+ patients. Appointments: +91 83338 26666 (call or WhatsApp). Source: https://drnareshveeranki.com | Last updated: 2026-09-30 Medical information is general and does not replace an examination. ## Piles (haemorrhoids) treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/piles-treatment.html Bleeding during motions, a swelling that comes out, itching or discomfort. Piles are very common and very treatable, and most people never need an operation. ### Quick facts - Procedure time: 20 to 45 minutes, if a procedure is needed - Anaesthesia: None for banding; spinal or short general for surgery - Hospital stay: Day-care or 1 night - Back to desk work: Usually within a week - Discomfort: Mild to moderate soreness for a few days - Scars: Usually none visible - Long-term result: Long-lasting with fibre, fluids and no straining - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Bright red blood on the toilet paper, or dripping into the pan after passing stool - A soft swelling at the anus that comes out on straining and may go back in - Itching, wetness or mucus around the back passage - A feeling that the bowel hasn't emptied fully - Sudden severe pain with a hard, bluish lump (a clotted pile) ### Treatment options (simplest first) - Diet and medicines: 25 to 30 g of fibre a day, 2 to 3 litres of water, stool softeners, warm sitz baths, and creams or tablets to settle swelling. Enough for most early piles. - Rubber band ligation: A small band is placed on the pile in the clinic. It cuts off the blood supply, and the pile shrinks and falls off within a week. Most people need no anaesthesia. - Laser haemorrhoidoplasty: Laser energy shrinks the pile from inside, without cuts. Less pain and a quicker return to routine for suitable grade 2 and 3 piles. - Haemorrhoidectomy or stapler surgery: For large grade 3 and 4 piles. The most durable result, with a somewhat longer recovery. ### Recovery - First 2 to 3 days: Some soreness, especially with the first motions. Painkillers, stool softeners and sitz baths make a big difference. - First week: Most people return to desk work. Mild spotting of blood with motions is common. - 2 to 4 weeks: Healing completes. Keep to a high-fibre diet and avoid long spells on the toilet. ### When to seek urgent care - Heavy bleeding, clots, or feeling faint or dizzy - Fever or chills with increasing pain or swelling - Unable to pass urine for more than 8 hours after a procedure ### FAQs Q: Is the bleeding a sign of cancer? A: Most bleeding from the back passage is caused by piles or a fissure. But bowel cancer can cause similar bleeding, particularly after 40, or with weight loss, a change in bowel habit or a family history. That's why the doctor examines you properly instead of assuming it's piles, and advises a colonoscopy when there's a reason to. Q: Will I definitely need surgery? A: No. Early piles (grade 1 and 2) usually settle with more fibre and water, not straining, and a short course of medicines. Banding or laser is considered when symptoms keep returning; surgery is mainly for large piles that stay outside. Q: Is the examination painful or embarrassing? A: It's brief: a gentle finger examination and a quick look with a small lubricated instrument called a proctoscope. You stay covered throughout and a chaperone can be present. It rarely hurts unless there's also a fissure, in which case extra care is taken. Q: Will it come back after treatment? A: Piles can return if constipation and straining continue. Treatment removes or shrinks the current piles; fibre, fluids and not sitting on the toilet for long keep new ones away. Q: Can I eat spicy food? A: Spice doesn't cause piles, but it can worsen burning during a flare for some people. Constipation is the bigger problem, so focus on fibre and water. Q: Will treatment affect my control of motions? A: Properly performed piles treatment should not affect continence. The doctor checks your sphincter function before any procedure. Q: Is piles treatment covered by insurance? A: Most health insurance policies cover surgical treatment of piles, including laser, though some have waiting periods. The clinic team can share an estimate and help with the paperwork. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laser piles surgery in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laser-piles-surgery.html Laser treatment shrinks piles from inside without cutting, so most people have less pain and are back at work within days. Here's who it suits, and who it doesn't. ### Quick facts - Procedure time: 20 to 40 minutes - Anaesthesia: Spinal or short general - Hospital stay: Day-care or 1 night - Back to desk work: 2 to 4 days - Discomfort: Mild soreness - Scars: No open wound or visible scar - Long-term result: Durable for suitable grade 2 and 3 piles - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - You have grade 2 or 3 piles that keep bleeding despite medicines - Your piles come out on straining but go back in - You want to keep time off work to a minimum - Banding has been tried and hasn't worked ### Treatment options (simplest first) - Laser haemorrhoidoplasty (LHP): A thin laser fibre enters the pile through a tiny opening. The pile shrinks over the following weeks. - Laser with vessel ligation: For some piles, the feeding blood vessels are also tied off to reduce bleeding and recurrence. - Conventional surgery when laser isn't right: Grade 4 piles, large skin tags or combined problems may be better treated by excision, sometimes together with laser. ### Recovery - Day 1: Walk around and eat normally. Take your first motion with a softener; some discomfort is expected. - Days 2 to 5: Swelling reduces. Most people return to desk work. Sitz baths twice a day. - 2 to 6 weeks: The pile keeps shrinking. A follow-up visit checks the result. ### When to seek urgent care - Heavy bleeding, clots, or feeling faint or dizzy - Fever or chills with increasing pain or swelling - Unable to pass urine for more than 8 hours after a procedure ### FAQs Q: Is laser really painless? A: Not completely, but most people describe mild soreness rather than the sharp pain of conventional surgery, because there are no open wounds. Regular painkillers for a few days are usually enough. Q: Is laser better than traditional surgery? A: For suitable piles, laser gives a faster, more comfortable recovery. For very large piles that stay outside, conventional or stapler surgery may give a more reliable result. You'll be told honestly which fits your grade. Q: Can piles come back after laser? A: Recurrence is possible with any treatment, and a little more likely with laser for larger piles. Keeping stools soft and avoiding straining lowers the chance considerably. Q: How much does it cost? A: It depends on the hospital, room type and laser fibre used. You'll get an estimate after examination; most insurers cover laser piles surgery. Q: Will there be stitches? A: Usually no stitches and no open wound, which is one of the reasons recovery is easier. Q: How soon can I drive or travel? A: Short drives are usually fine after 2 to 3 days, once you can sit comfortably and aren't on strong painkillers. Long journeys after about a week. Q: Do I need to stay in hospital? A: Many people go home the same evening; some stay one night depending on the anaesthesia and timing. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Anal fissure treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/anal-fissure-treatment.html A sharp, cutting pain while passing stool that lingers for hours afterwards is the hallmark of a fissure, a small tear in the lining of the anus. Most heal without surgery when treated early. ### Quick facts - Procedure time: 15 to 30 minutes, if surgery is needed - Anaesthesia: Spinal or short general - Hospital stay: Day-care - Back to desk work: 2 to 5 days after surgery - Discomfort: Often less than the fissure pain within days - Scars: Tiny internal cut, not visible - Long-term result: High healing rates; soft stools prevent new tears - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Sharp, glass-like pain during motions - Burning or throbbing that lasts minutes to hours afterwards - A streak of bright red blood on the stool or paper - Fear of going to the toilet, leading to more constipation - A small skin tag at the edge of the anus, in long-standing fissures ### Treatment options (simplest first) - Softeners, diet and sitz baths: Enough for most new (acute) fissures within a few weeks. - Muscle-relaxing ointments: Diltiazem or glyceryl trinitrate ointment relaxes the sphincter so the tear can heal. Used for 6 to 8 weeks. - Botox injection: Temporarily relaxes the muscle for chronic fissures, for people who want to avoid surgery. - Sphincterotomy or laser: For chronic fissures that haven't healed with medicines. High healing rates; laser can also treat the fissure bed and skin tag. ### Recovery - First few days: Many people find the pain is already less than before surgery within a day or two. - 1 to 2 weeks: Back to normal activity. Continue softeners. - 4 to 6 weeks: The tear heals fully in most people. ### When to seek urgent care - A hot, painful swelling near the anus with fever (a possible abscess) - Heavy bleeding or clots - Pain getting worse instead of better after surgery ### FAQs Q: Why is such a small tear so painful? A: The anal lining has many nerve endings, and the tear triggers spasm of the sphincter muscle. The spasm reduces blood flow and stops the tear healing, which is why treatment focuses on relaxing that muscle. Q: Is this the same as piles? A: No, though they're often confused. Piles usually bleed without much pain; fissures cause marked pain. The treatments differ, so getting the diagnosis right matters. Q: Will surgery make me lose control of motions? A: The operation divides a small, measured part of the inner muscle. A few people notice minor leakage of wind, usually temporary. Your risk is assessed carefully first, especially for women who have had vaginal deliveries. Q: I'm scared to go to the toilet. What can I do now? A: Take a stool softener daily, drink plenty of water, sit in warm water after motions, and use the prescribed ointment regularly. Don't hold stool back; it gets harder and makes the tear worse. Q: How long should I try medicines before surgery? A: Usually 6 to 8 weeks. If the fissure hasn't healed by then, or keeps coming back, surgery is worth discussing. Q: Can a fissure turn into cancer? A: No. But a fissure that doesn't heal, or one in an unusual position, is examined more carefully to rule out other conditions. Q: Can a fissure come back? A: Yes, if constipation returns. After healing, fibre and good fluid intake help prevent new tears. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laser fissure surgery in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laser-fissure-surgery.html For a fissure that hasn't healed after weeks of ointments, laser offers a precise, low-pain way to relax the sphincter and clean the tear so it can finally heal. ### Quick facts - Procedure time: 15 to 30 minutes - Anaesthesia: Spinal or short general - Hospital stay: Day-care - Back to desk work: 2 to 3 days - Discomfort: Mild soreness - Scars: None visible - Long-term result: High healing rates; recurrence uncommon - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Your fissure has lasted more than 6 to 8 weeks - Pain keeps returning despite ointments and softeners - A skin tag or small polyp has formed at the fissure - You want minimal time off work ### Treatment options (simplest first) - Laser fissurectomy: Removes unhealthy tissue at the base of the tear so fresh healing can start. - Controlled sphincter release: Relaxes the tight inner muscle, the main reason fissures don't heal. - Skin tag and polyp removal: Done at the same time, to prevent itching and hygiene problems later. ### Recovery - Day 1: Home the same day. Mild soreness; first motion with a softener. - Week 1: Back to desk work in a few days. Sitz baths after motions. - 3 to 6 weeks: Full healing. A follow-up visit confirms the tear has closed. ### When to seek urgent care - Heavy bleeding, clots, or feeling faint or dizzy - Fever or chills with increasing pain or swelling - Unable to pass urine for more than 8 hours after a procedure ### FAQs Q: How is laser different from regular fissure surgery? A: Laser seals small nerve endings and blood vessels as it works, so there's typically less bleeding and pain. It can treat the fissure bed, skin tag and, where needed, a controlled sphincter release in one sitting. Q: Is there a risk of incontinence? A: The risk is low when the muscle release is precise and measured. Muscle tone is checked first and the procedure adapted, particularly for women after childbirth and older patients. Q: Will the pain be worse after surgery? A: Most patients say the soreness after the procedure is milder than the fissure pain they had before. Q: Is it covered by insurance? A: Most policies cover laser fissure surgery as a day-care procedure. The clinic can confirm with your insurer. Q: Do I need to fast? A: Yes, usually for 6 hours before, because of the anaesthesia. Q: Will I need dressings? A: Usually just a small pad. Sitz baths keep the area clean. Q: What if the fissure comes back? A: This is uncommon after laser, especially if stools stay soft. If it happens, it's usually managed with medicines. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Anal fistula treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/anal-fistula-treatment.html A small opening near the anus that keeps leaking pus or blood, often after a boil that burst, is usually a fistula. It won't heal on its own, but modern sphincter-saving techniques treat it without harming bowel control. ### Quick facts - Procedure time: 30 to 60 minutes - Anaesthesia: Spinal or general - Hospital stay: Day-care to 1 night - Back to desk work: 3 to 7 days - Discomfort: Mild to moderate, with some discharge while healing - Scars: Small wound near the anus - Long-term result: Simple fistulas have high cure rates - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Recurring discharge of pus, blood or fluid that stains underwear - A small opening or pimple-like spot near the anus - Pain and swelling that builds up and eases when it drains - A past anal abscess that was drained or burst - Irritated skin around the anus ### Treatment options (simplest first) - Fistulotomy: Laying open a simple, low fistula. High success when very little muscle is involved. - Laser fistula closure (FiLaC): A laser fibre seals the tunnel from inside, preserving the sphincter muscle. - Seton: A soft thread through the tunnel drains infection and gradually treats complex fistulas. - Fistulectomy or advancement flap: Removes the tract or closes the inner opening, for selected complex cases. ### Recovery - First week: Mild discharge and soreness. Sitz baths and dressings as advised. - 2 to 4 weeks: Discharge steadily reduces as the tract heals. - 6 to 12 weeks: Complete healing for most people; longer for complex fistulas, with regular reviews. ### When to seek urgent care - Heavy bleeding, clots, or feeling faint or dizzy - Fever or chills with increasing pain or swelling - Unable to pass urine for more than 8 hours after a procedure ### FAQs Q: Why does it keep coming back after antibiotics? A: A fistula is a tunnel between the inside of the anal canal and the skin. Antibiotics settle the infection for a while, but the tunnel remains, so discharge returns. Closing or removing the tunnel is the only permanent fix. Q: Will surgery affect my control of motions? A: This is the most important concern, and the reason planning matters. Simple, low fistulas can be laid open safely. Complex fistulas that pass through more muscle are treated with sphincter-saving methods such as laser closure or a seton. Q: Do I need an MRI? A: For recurrent or complex fistulas, an MRI maps the tunnel and any branches so none is missed. For simple fistulas, examination alone may be enough. Q: How many surgeries will I need? A: Simple fistulas are usually treated in one procedure. Complex ones sometimes need a staged approach, starting with a seton. You'll know the plan in advance. Q: Is a fistula dangerous if left untreated? A: It can cause repeated abscesses and, over years, more branches that make treatment harder. Treating it early is simpler. Q: Can I work with a seton in place? A: Yes. Most people carry on with normal work and activity. Q: Can Crohn's disease cause fistulas? A: Yes. If you also have abdominal symptoms, weight loss or several fistulas, tests for Crohn's disease may be suggested, as it needs a different approach. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Pilonidal sinus treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/pilonidal-sinus-treatment.html A painful swelling or leaking hole in the cleft between the buttocks, often in young adults who sit for long hours or have thick body hair. Here's what can be done so it doesn't keep coming back. ### Quick facts - Procedure time: 30 to 60 minutes - Anaesthesia: Local, spinal or general - Hospital stay: Day-care to 1 night - Back to desk work: 1 to 3 weeks, by technique - Discomfort: Moderate; avoid long sitting early on - Scars: Tiny with laser; a line off the midline with flap repair - Long-term result: Lowest recurrence with flap repair and hair removal - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A tender lump at the top of the buttock cleft - One or more small pits or holes, sometimes with hair in them - Discharge of pus or blood, sometimes foul-smelling - Pain when sitting that eases after it drains - Repeated abscesses in the same place ### Treatment options (simplest first) - Abscess drainage: For an acute, painful swelling. Gives quick relief; definitive surgery is planned later. - Laser sinus closure (SiLaC): Treats the tract through a small opening. Less pain and a faster return to routine for suitable sinuses. - Excision with flap closure: Removes the sinus and moves healthy tissue to flatten the cleft. Lowest recurrence for large or repeated disease. ### Recovery - First week: Avoid sitting for long; lie on your side or front. Wound checks as advised. - 2 to 3 weeks: Stitches out after flap surgery; most return to study or work. - After healing: Keep up hair removal in the area for at least a year. ### When to seek urgent care - Fever or chills - Redness spreading from the wound - The wound opening up or leaking pus ### FAQs Q: Why does it keep coming back? A: Loose hairs get drawn into the skin of the cleft and set up a chronic infection. Draining an abscess relieves the pain but leaves the sinus behind. Proper treatment removes the tract and, ideally, flattens the cleft. Q: Will I have an open wound for months? A: Not necessarily. Older methods left the wound open to heal slowly. Flap techniques close the wound away from the midline, and laser treats the tract through a tiny opening. Both heal much faster. Q: How long will I be off college or work? A: With laser or flap surgery, many people return to desk work in 1 to 2 weeks. Open healing takes longer. The method is matched to your sinus and your schedule. Q: Can I stop it coming back? A: Regular hair removal in the area, keeping it clean and dry, and taking breaks from long sitting all lower the chance of recurrence. Q: Is laser hair removal really needed? A: It's one of the most effective ways to prevent recurrence, and is often recommended once the wound has healed. Q: Can I go to the gym? A: Walking straight away. Avoid squats, cycling and heavy lifting until fully healed, usually 3 to 4 weeks. Q: Is it caused by poor hygiene? A: Not as such. It's mainly about hair, friction and the depth of the cleft, though keeping the area clean and dry helps. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Inguinal (groin) hernia in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/inguinal-hernia.html A bulge in the groin that gets bigger when you stand or cough and disappears when you lie down. Inguinal hernias don't heal on their own, but repair is routine and most people are back to normal within two weeks. ### Quick facts - Procedure time: 45 to 90 minutes - Anaesthesia: General or spinal - Hospital stay: Usually 1 night - Back to desk work: 5 to 7 days - Discomfort: Moderate for a few days - Scars: 3 small keyhole scars or one groin scar - Long-term result: Recurrence uncommon after mesh repair - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A swelling in the groin or scrotum that comes and goes - A dragging, heavy feeling in the groin by the end of the day - Discomfort when lifting, coughing or bending - Swelling on one or both sides ### Treatment options (simplest first) - Watchful waiting: For small, painless hernias in selected patients, with clear advice on warning signs. - Keyhole repair (TEP or TAPP): Mesh placed from inside through 3 small cuts. Less pain and a quicker return; both sides treated at once. - Open mesh repair: Through one 5 to 7 cm cut in the groin. Reliable, and can be done under spinal or local anaesthesia. ### Recovery - Day 1: Walk the same evening and eat normally. Home within 24 hours for most. - Week 1: Desk work and short drives once comfortable. No lifting over 5 kg. - Weeks 2 to 6: Gradual return to exercise; heavy lifting after about 4 to 6 weeks. ### When to seek urgent care - The bulge becomes hard and painful and won't go back in - Vomiting, a swollen belly, or not passing wind or stool - Red or dark skin over the swelling ### FAQs Q: Do I need surgery now, or can I wait? A: A small hernia with no symptoms can sometimes be watched, especially in older people with other health problems. But hernias tend to enlarge, and most people eventually benefit from repair. Planned repair is simpler and safer than emergency surgery. Q: Is the mesh safe? A: Hernia mesh has been used for decades and is the standard of care because it greatly lowers the chance of the hernia returning. Most worrying news reports concern vaginal mesh, a different product and use. Q: Keyhole or open surgery? A: Keyhole repair suits hernias on both sides and hernias that have come back, and usually means less pain afterwards. Open repair under spinal anaesthesia may suit some older patients better. Both work well. Q: Will it affect fertility or sexual function? A: Hernia repair doesn't affect sexual function. The spermatic cord and its structures are carefully protected during surgery. Q: Can a hernia belt help? A: A truss may ease symptoms for a while, but it doesn't treat the hernia and can make later surgery harder. It's mainly for people who aren't fit for surgery. Q: Can the hernia come back after surgery? A: After mesh repair it's uncommon, a few in every hundred. Following the lifting advice while you heal helps. Q: Will I have a scar? A: Keyhole repair leaves 3 small scars of 5 to 10 mm. Open repair leaves one scar low in the groin that usually fades well. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Umbilical hernia in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/umbilical-hernia.html A swelling at or near the belly button, often noticed after pregnancy or weight gain. Small ones can be harmless for a while, but they can trap fat or bowel, so it's worth having it checked. ### Quick facts - Procedure time: 30 to 60 minutes - Anaesthesia: General or spinal - Hospital stay: Day-care to 1 night - Back to desk work: About 1 week - Discomfort: Mild to moderate - Scars: Small cut at the edge of the navel - Long-term result: Mesh lowers recurrence for larger gaps - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A soft bulge in or around the navel - A swelling more obvious when you cough or strain - An ache or pulling at the belly button - A navel that has changed shape or started to stick out ### Treatment options (simplest first) - Stitch repair: For small gaps, closed with strong stitches. - Open mesh repair: A small cut near the navel, with mesh to reinforce the weak area. - Keyhole mesh repair: For larger hernias, or when there are other hernias or separated abdominal muscles. ### Recovery - First days: Mild soreness. An abdominal binder may be advised. - 1 to 2 weeks: Back to light work and household tasks. - 4 to 6 weeks: Return to heavy lifting and exercise. ### When to seek urgent care - The bulge becomes hard and painful and won't go back in - Vomiting, a swollen belly, or not passing wind or stool - Red or dark skin over the swelling ### FAQs Q: Is it dangerous? A: Most aren't immediately dangerous, but the neck of an umbilical hernia is often narrow, so it's more likely to trap fat or bowel than a groin hernia. Pain that doesn't settle needs urgent review. Q: I'm planning another pregnancy. Should I wait? A: Often, yes. For small hernias without symptoms, repair may be planned after your family is complete, since pregnancy can stretch the repair. The balance of risks will be discussed with you. Q: Will my belly button look different? A: The aim is to keep a natural-looking navel. Small hernias can be repaired through a tiny cut hidden at its edge. Q: Is mesh needed? A: Very small gaps can be stitched. For gaps larger than about 1 to 2 cm, mesh lowers the chance of recurrence. Q: Do umbilical hernias in children need surgery? A: Many close by themselves by age 4 or 5. Surgery is considered if it's large or persists. Q: Can losing weight fix it? A: Weight loss reduces strain and makes surgery safer, but it won't close the gap. Q: When can I lift my child? A: Light lifting after a week or two; avoid heavy lifting for 4 to 6 weeks. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Incisional hernia in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/incisional-hernia.html A bulge through the scar of a previous operation, such as a caesarean, an open appendix or other abdominal surgery. It happens when the deep layer of the scar weakens, and it can be repaired well with careful planning. ### Quick facts - Procedure time: 1 to 3 hours, depending on size - Anaesthesia: General - Hospital stay: 1 to 3 nights - Back to desk work: About 2 weeks - Discomfort: Moderate; an abdominal binder helps - Scars: Through the old scar, or small keyhole cuts - Long-term result: Good with mesh and preparation before surgery - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A swelling along or near an old surgical scar - A bulge that grows when standing or coughing - Discomfort or pulling at the scar - Difficulty bending or lifting - Thin or discoloured skin over a large bulge ### Treatment options (simplest first) - Preparing for surgery: Losing weight, stopping smoking and controlling sugar, so the repair lasts. - Keyhole mesh repair: For small to medium gaps. Less pain and fewer wound problems. - Open repair with mesh: For large hernias. May include muscle release and removal of loose skin. ### Recovery - First days: Walking from day one, with an abdominal binder for support. - 2 to 4 weeks: Back to desk work, still avoiding lifting. - 6 to 12 weeks: Gradual return to heavy work and exercise, depending on the size of the repair. ### When to seek urgent care - The bulge becomes hard and painful and won't go back in - Vomiting, a swollen belly, or not passing wind or stool - Red or dark skin over the swelling ### FAQs Q: Why did my scar give way? A: Scars can weaken after a wound infection, weight gain, smoking, diabetes, a long-term cough, or simply the way tissues heal. It isn't something you did wrong. Q: Is it a big operation? A: That depends on the size of the gap. Small incisional hernias are fairly straightforward. Large or multiple gaps need a CT scan, more planning and sometimes muscle-release techniques. Q: Will it come back? A: Incisional hernias recur more often than groin hernias, which is why mesh is almost always used, and why stopping smoking and controlling sugar and weight before surgery really matter. Q: Can it be done by keyhole? A: Many can, with the mesh placed from inside through small cuts. Very large hernias, or those with a lot of loose skin, may be better repaired open. Q: Should I wear a binder? A: A binder supports the area after surgery and eases discomfort. You'll be told how long to wear it. Q: I have diabetes. Can I have surgery? A: Yes, once your sugar is well controlled, which also lowers the risk of wound infection. Q: Can it be combined with removing loose skin? A: In selected patients, yes. Ask about it at your consultation. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laparoscopic (keyhole) hernia repair in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laparoscopic-hernia-repair.html Keyhole hernia repair uses three small cuts instead of one larger incision. That usually means less pain, smaller scars and a quicker return to work. Here's who benefits most. ### Quick facts - Procedure time: 45 to 90 minutes - Anaesthesia: General - Hospital stay: Usually 1 night - Back to desk work: 3 to 7 days - Discomfort: Mild to moderate - Scars: 3 cuts of 5 to 10 mm - Long-term result: Recurrence uncommon - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Hernias on both sides of the groin, repaired together - A hernia that has come back after open repair - People who need to return to physical work quickly - Umbilical and incisional hernias of moderate size ### Treatment options (simplest first) - TEP repair: Mesh placed between the muscle and the abdominal lining, without entering the abdomen. - TAPP repair: Mesh placed through the abdomen, useful for recurrent or complex groin hernias. - IPOM or eTEP for belly-wall hernias: For umbilical and incisional hernias, mesh placed inside the abdomen or within the muscle layers. ### Recovery - Day 1: Walking and eating the same day. A shoulder-tip ache from the gas is common and settles. - Week 1: Back to desk work and driving once pain-free. - Weeks 2 to 4: Return to the gym and most physical work; heavy lifting by about 4 weeks. ### When to seek urgent care - The bulge becomes hard and painful and won't go back in - Vomiting, a swollen belly, or not passing wind or stool - Red or dark skin over the swelling ### FAQs Q: Is keyhole surgery safer than open? A: Both are safe in experienced hands. Keyhole repair usually means less pain, fewer wound problems and faster return to activity. It needs general anaesthesia, which the anaesthetist assesses for you. Q: Where will the scars be? A: Usually one small cut at the navel and two tiny cuts lower down, each 5 to 10 mm. Q: What do TEP and TAPP mean? A: They're two keyhole methods. TEP places the mesh without entering the abdominal cavity; TAPP goes through it. The choice depends on your hernia and any previous surgery. Q: Is it more expensive? A: Keyhole repair can cost somewhat more because of equipment, but less time off work often balances that. Insurance usually covers both. Q: Is the mesh fixed with tacks? A: Sometimes with tacks or glue, sometimes not at all, depending on the hernia's size and type. Q: Will I feel the mesh? A: Most people don't feel it once healed. Q: Can I have it after prostate surgery? A: Previous lower abdominal surgery can make keyhole repair harder, so open repair may be preferred. You'll be advised individually. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Recurrent hernia repair in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/recurrent-hernia.html If a hernia has come back after surgery, you're probably worried about going through it all again. A careful re-repair, often using a different approach from the first, gives a good chance of a lasting result. ### Quick facts - Procedure time: 1 to 2 hours - Anaesthesia: General or spinal - Hospital stay: 1 to 2 nights - Back to desk work: 1 to 2 weeks - Discomfort: Moderate - Scars: Through fresh tissue, keyhole or open - Long-term result: Good with the right approach - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A bulge at the site of a previous hernia repair - Pain or discomfort at the old repair - A swelling that appears on coughing or lifting - A new hernia close to the old scar ### Treatment options (simplest first) - Keyhole repair after open surgery: Approaches from behind, avoiding the old scar tissue. - Open repair after keyhole surgery: Approaches from the front, through fresh tissue. - Complex abdominal wall repair: For recurrent incisional hernias; may involve muscle release and a larger mesh. ### Recovery - Day 1: Walk the same evening. Home in 1 to 2 days. - 1 to 2 weeks: Back to desk work. Avoid lifting over 5 kg. - 6 weeks and beyond: Gradual return to heavy lifting, following advice closely this time. ### When to seek urgent care - The bulge becomes hard and painful and won't go back in - Vomiting, a swollen belly, or not passing wind or stool - Red or dark skin over the swelling ### FAQs Q: Why did my hernia come back? A: Common reasons are a mesh that was too small or moved, a wound infection, lifting too soon, a long-term cough, constipation or weight gain. Understanding why helps plan the next repair. Q: Is the second surgery harder? A: It can be, because of scar tissue. The usual approach is to operate through fresh tissue: keyhole if the first repair was open, and open if it was keyhole. Q: Will it happen again? A: The risk is a little higher after a re-repair, but with the right approach and good preparation, most people have a lasting result. Q: Should I bring my old reports? A: Yes, please. The operation notes or discharge summary tell the doctor exactly what was done, which helps choose the best approach. Q: Should I wait until it gets bigger? A: No. Smaller recurrences are easier to repair. Q: Can I get a second opinion on my previous surgery? A: Of course. A second-opinion consultation reviews your records and explains what likely happened. Q: What can I do before surgery to help? A: Treat any cough or constipation, stop smoking, and bring your weight and sugar under control. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Gallstone treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/gallstone-treatment.html Pain under the right ribs or in the upper belly after a meal, sometimes spreading to the back or shoulder, is often caused by gallstones. Medicines can't reliably dissolve them, but a simple keyhole operation cures the problem for good. ### Quick facts - Procedure time: 45 to 90 minutes - Anaesthesia: General - Hospital stay: 1 to 2 nights - Back to desk work: Usually within a week - Discomfort: Mild to moderate; shoulder ache for 1 to 3 days - Scars: 3 or 4 small cuts - Long-term result: Permanent cure; stones can't return without a gallbladder - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Pain in the upper right or middle belly, often after oily or heavy food - Pain lasting from 30 minutes to several hours, sometimes with vomiting - Pain spreading to the back or right shoulder - Bloating, burping or indigestion (less specific) - Yellow eyes or dark urine, which can mean a stone has moved into the bile duct ### Treatment options (simplest first) - Watchful waiting: For stones that cause no symptoms, with clear advice on warning signs. - Keyhole gallbladder removal: The standard treatment for gallstones that cause symptoms, through 3 or 4 small cuts. - Endoscopy (ERCP) plus surgery: If a stone has slipped into the bile duct, it's removed with an endoscope before or around the time of surgery. ### Recovery - Day 1: Light diet and walking. Home in 1 to 2 days. - Week 1: Back to desk work; build back to a normal diet. - 2 to 4 weeks: Normal activity, including exercise. ### When to seek urgent care - Yellowing of the eyes or skin, or dark urine - High fever with shivering - Severe pain lasting more than 6 hours ### FAQs Q: Can medicines or home remedies dissolve gallstones? A: Unfortunately, no reliable medicine or home remedy removes gallstones. Dissolving tablets work rarely and slowly, and stones usually return when they're stopped. Once stones cause symptoms, removing the gallbladder is the only lasting cure. Q: Stones were found on a scan but I have no pain. Do I need surgery? A: Usually not. Silent gallstones found by chance can often be left alone. Surgery may be advised if you have diabetes, very large stones, a polyp, or live far from medical care. Q: Can I live normally without a gallbladder? A: Yes. The liver keeps making bile, which flows straight into the intestine. A few people notice looser stools for some weeks after surgery. Q: What happens if I keep putting it off? A: Repeated attacks can lead to gallbladder infection, stones slipping into the bile duct and causing jaundice, or pancreatitis. All are more serious and harder to treat than a planned operation. Q: Do I need a special diet? A: Before surgery, avoiding heavy, oily meals reduces attacks. After surgery, most people return to a normal diet within a few weeks. Q: What if I'm pregnant? A: Gallstone attacks in pregnancy are managed carefully. If surgery is needed, the middle three months are usually the safest time. Q: How long will I be off work? A: About a week for desk jobs and around two weeks for physical work. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laparoscopic gallbladder surgery in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laparoscopic-gallbladder-surgery.html Keyhole removal of the gallbladder (laparoscopic cholecystectomy) is one of the most common operations in the world. Here's exactly what to expect, from the day before to the weeks after. ### Quick facts - Procedure time: 45 to 90 minutes - Anaesthesia: General - Hospital stay: 1 to 2 nights - Back to desk work: Usually within a week - Discomfort: Mild to moderate; shoulder ache for 1 to 3 days - Scars: 3 or 4 small cuts - Long-term result: Permanent cure - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Gallstones that have caused pain attacks - Gallbladder infection (cholecystitis) - Stones that have caused jaundice or pancreatitis - Gallbladder polyps about 1 cm or larger ### Treatment options (simplest first) - Planned surgery: Booked at a convenient time after an attack has settled. - Early surgery during an attack: For gallbladder infection, operating within about 72 hours avoids repeated admissions. - Open surgery: Rarely needed; used if keyhole surgery isn't safe for you. ### Recovery - Day 1: Light meals from the evening of surgery. Walking encouraged. - Week 1: Home, back to desk work; a normal diet, going easy on oily food at first. - 2 to 4 weeks: Back to exercise and all normal activity. ### When to seek urgent care - Yellowing of the eyes or skin, or dark urine - High fever with shivering - Severe pain lasting more than 6 hours ### FAQs Q: Will I have big scars? A: No. Usually one cut of about 1 cm at the navel and 2 or 3 cuts of 5 mm in the upper abdomen. Q: What are the risks? A: It's a safe operation. Risks include bleeding, infection, bile leak and, rarely, injury to the bile duct. Careful technique, identifying the anatomy before cutting anything, keeps these risks low. Occasionally the surgery is changed to open for safety. Q: Will my digestion be affected? A: Most people digest food normally. A few have looser stools or bloating for some weeks, which usually settles. Q: Why do people get shoulder pain afterwards? A: The gas used to create space inside can irritate a nerve that refers pain to the shoulder. It settles in 1 to 3 days, and walking helps. Q: When can I shower? A: Usually after 48 hours, with waterproof dressings. Q: When can I eat normally? A: Light meals the same evening and a normal diet within a week. Q: Is the gallbladder tested afterwards? A: Yes. It's sent to the laboratory to make sure there's nothing unexpected. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Acute cholecystitis (gallbladder infection) in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/acute-cholecystitis.html Constant pain in the upper right belly lasting many hours, with fever or vomiting, may mean your gallbladder is inflamed. This needs prompt treatment, and early surgery is often the safest option. ### Quick facts - Procedure time: 60 to 120 minutes when inflamed - Anaesthesia: General - Hospital stay: 2 to 4 days - Back to desk work: 1 to 2 weeks - Discomfort: Moderate - Scars: 3 or 4 small cuts - Long-term result: Permanent cure once the gallbladder is removed - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Continuous pain under the right ribs lasting more than 6 hours - Fever or chills - Nausea and vomiting - Tenderness when the upper right belly is pressed, or on deep breathing - Loss of appetite and feeling generally unwell ### Treatment options (simplest first) - Hospital treatment: Fluids through a drip, antibiotics and pain relief to settle the inflammation. - Early keyhole gallbladder removal: The preferred treatment for most people, during the same admission. - Drainage, then delayed surgery: For people who come late or are too unwell for an operation straight away. ### Recovery - In hospital: 2 to 4 days, depending on the infection and surgery. - Weeks 1 to 2: Rest at home with a light diet. - 2 to 4 weeks: Back to normal activity. ### When to seek urgent care - Yellowing of the eyes or skin, or dark urine - High fever with shivering - Severe pain lasting more than 6 hours ### FAQs Q: Can antibiotics alone treat it? A: Antibiotics can settle an attack, but the gallstones remain, so attacks often return within weeks or months. That's why early surgery is usually recommended. Q: Is it safe to operate while it's inflamed? A: Yes. Operating within about the first 72 hours is usually safe and avoids repeated admissions. If you come later, the infection may be settled first, with surgery after about 6 weeks. Q: Is this an emergency? A: It needs same-day care. If you have severe pain with high fever, yellow eyes or confusion, go to the nearest emergency department immediately. Q: What if I'm too unwell for surgery? A: For frail patients, a tube can drain the gallbladder through the skin, with surgery considered once you've recovered. Q: Can I travel before surgery? A: It isn't advisable until a plan is in place, as attacks can recur. Q: Can it happen without gallstones? A: Rarely, in people who are very unwell for other reasons. Q: What should I eat after an attack? A: Small, low-fat meals until the gallbladder has been removed. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Gallbladder polyp evaluation in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/gallbladder-polyp-evaluation.html Found a 'polyp' on your ultrasound report? Most gallbladder polyps are harmless cholesterol deposits. Their size and a few other features tell us whether to simply watch them or remove the gallbladder. ### Quick facts - Procedure time: Scan 15 to 20 minutes; surgery 45 to 90 if needed - Anaesthesia: None for scans; general for surgery - Hospital stay: None, or 1 to 2 nights after surgery - Back to desk work: Same day after a scan - Discomfort: None for scans - Scars: None, or small keyhole cuts - Long-term result: Most polyps stay harmless; surgery is curative - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A polyp was reported on an ultrasound done for another reason - A previously seen polyp seems to have grown - You have pain as well as a polyp - You also have gallstones ### Treatment options (simplest first) - Surveillance ultrasound: Repeat scans at set intervals to confirm the polyp isn't growing. - Further imaging: A CT or endoscopic ultrasound if a polyp has worrying features. - Keyhole gallbladder removal: For polyps about 1 cm or more, growing polyps, or polyps with symptoms. ### Recovery - If being watched: A repeat ultrasound at the interval advised; no restrictions on daily life. - After surgery, week 1: Home in 1 to 2 days; back to desk work within a week. - After surgery, 2 to 4 weeks: Back to normal activity. The gallbladder report is reviewed with you. ### When to seek urgent care - Yellowing of the eyes or skin, or dark urine - High fever with shivering - Severe pain lasting more than 6 hours ### FAQs Q: Is a polyp cancer? A: Very rarely. Most are cholesterol polyps with no cancer risk. The risk rises with size, especially above 1 cm, and with age over 50, a single polyp or a broad base. Q: How often do I need a scan? A: Small polyps under 6 mm are usually rechecked at 6 months, then yearly for a few years. Polyps of 6 to 9 mm are watched more closely. Q: Should I just have it removed to be safe? A: For small polyps without risk features, surgery usually isn't necessary. For polyps near or above 1 cm, growing polyps, or those with gallstones and pain, removal makes sense. Q: Can just the polyp be removed? A: No. The whole gallbladder is removed, which is safe and doesn't affect normal digestion. Q: Can polyps disappear? A: Some apparent polyps do. Repeat scans confirm what's going on. Q: Is there a diet that shrinks polyps? A: No specific diet does, though a balanced, lower-fat diet is sensible. Q: What should I bring? A: All previous ultrasound reports and images, so any growth can be compared. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Appendicitis treatment in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/appendicitis-treatment.html Pain that starts around the navel and moves to the lower right belly, getting steadily worse over hours, is the classic sign of appendicitis. It needs same-day assessment. Here's what happens when you come in. ### Quick facts - Procedure time: 45 to 75 minutes - Anaesthesia: General - Hospital stay: 1 to 3 days - Back to desk work: About 1 week - Discomfort: Moderate for a few days - Scars: 3 small cuts - Long-term result: Permanent; the appendix can't come back - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Pain that begins around the navel, then moves to the lower right belly - Pain worse on walking, coughing or going over bumps - Loss of appetite, nausea or vomiting - A mild fever - In children and older people, symptoms can be vague, so trust your instinct ### Treatment options (simplest first) - Keyhole appendix removal: The standard treatment for most people, through 3 small cuts. - Antibiotics first: For selected, uncomplicated cases, with close monitoring. - Drainage, then later surgery: If an abscess has formed around the appendix, it's drained first and the appendix removed after it settles. ### Recovery - Day 1: Walking and sips of fluid, then light food. - Days 2 to 3: Home for most, after an uncomplicated operation. - 1 to 2 weeks: Back to school or desk work; exercise after 2 to 4 weeks. ### When to seek urgent care - Pain spreading across the whole abdomen, or a hard, rigid belly - High fever, repeated vomiting or fainting - Blood in vomit, or black, tarry stools ### FAQs Q: How do you know it's appendicitis? A: Through examination, blood tests and an ultrasound or CT scan. Kidney stones, gynaecological problems and stomach infections can all mimic it, so tests help avoid unnecessary surgery. Q: Can antibiotics treat it without surgery? A: For selected, uncomplicated cases, antibiotics alone can work, but about a third of people have another attack within a few years. Surgery remains the definitive treatment and is recommended for most. Q: What if the appendix bursts? A: A burst appendix spreads infection inside the abdomen. It's still treatable with surgery and antibiotics, but recovery takes longer, which is why it's best not to wait. Q: Can I take painkillers and wait at home? A: Please don't wait at home if the pain is getting worse. Painkillers can hide how the illness is progressing. Q: Do we need the appendix? A: No. Living without it has no known effect on health. Q: Is appendicitis different in pregnancy? A: The pain may be higher up. It needs urgent assessment and can be treated safely. Q: When can my child go back to school? A: Usually within a week after an uncomplicated keyhole operation. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laparoscopic appendectomy in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laparoscopic-appendectomy.html Keyhole removal of the appendix through three small cuts. It's the standard treatment for appendicitis, and most patients go home within a day or two. ### Quick facts - Procedure time: 45 to 75 minutes - Anaesthesia: General - Hospital stay: 1 to 2 nights - Back to desk work: About 1 week - Discomfort: Moderate for a few days - Scars: 3 small cuts - Long-term result: Permanent - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Acute appendicitis confirmed by examination and scans - Repeated attacks of right-sided pain from the appendix - After an appendix abscess has settled (planned, or 'interval', removal) - A swelling of the appendix seen on a scan ### Treatment options (simplest first) - Three small cuts: One at the navel for the camera and two small ones lower down for instruments. - Removing the appendix: Its base is sealed, and it's removed in a protective bag through the navel. - Cleaning if it has burst: The abdomen is washed out, and a small drain is sometimes left for a day or two. ### Recovery - Day 1: Light food and walking. Shoulder-tip ache from the gas is common. - Days 1 to 3: Home once eating and comfortable. - Weeks 1 to 4: Back to school or desk work in about a week; sport after 2 to 4 weeks. ### When to seek urgent care - Pain spreading across the whole abdomen, or a hard, rigid belly - High fever, repeated vomiting or fainting - Blood in vomit, or black, tarry stools ### FAQs Q: Why keyhole rather than open? A: Smaller cuts mean less pain, fewer wound infections and a faster return to activity. The camera also lets the surgeon check the rest of the abdomen to confirm the diagnosis. Q: Might it become open surgery? A: Occasionally, if the appendix is badly inflamed or burst, a small open cut is made for safety. That's a sound decision, not a complication. Q: Is it safe for children? A: Yes. It's routinely done in children, who usually recover very quickly. Q: What if something else is found? A: Rarely, the appendix looks normal and another cause is found. It will be treated if appropriate, or the next steps explained. Q: Will there be stitches to remove? A: Usually dissolvable stitches or skin glue are used. Q: When can I shower? A: After 48 hours, keeping the dressings dry or using waterproof ones. Q: Is the appendix tested afterwards? A: Yes, it's routinely sent to the laboratory. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Sudden or severe abdominal pain in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/acute-abdominal-pain.html Severe or unusual belly pain is frightening. Some causes need surgery, many don't. A careful surgical assessment finds the cause quickly and avoids both dangerous delay and unnecessary operations. ### Quick facts - Procedure time: Assessment 30 to 60 minutes - Anaesthesia: Depends on the cause - Hospital stay: From none to a few days - Back to desk work: Depends on the cause - Discomfort: Pain is treated promptly on arrival - Scars: Depends on treatment - Long-term result: Depends on the cause - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Pain that's severe or steadily worsening over a few hours - Pain with fever, repeated vomiting or a swollen, hard belly - Not passing stool or wind - Pain after an injury to the abdomen - Blood in vomit, or black, tarry stools ### Treatment options (simplest first) - Medicines and observation: For causes that settle without surgery, with clear warning signs to watch. - Keyhole diagnosis and treatment: When the cause is unclear, a camera look can diagnose and often treat it in one go. - Emergency surgery: For appendicitis, blocked bowel, perforation or a trapped hernia. ### Recovery - If no surgery is needed: You go home with a clear plan and a list of warning signs. - If surgery is needed: Typically 1 to 5 days in hospital, depending on the cause. - Follow-up: A review visit to check recovery and discuss any results. ### When to seek urgent care - Pain spreading across the whole abdomen, or a hard, rigid belly - High fever, repeated vomiting or fainting - Blood in vomit, or black, tarry stools ### FAQs Q: What could be causing my pain? A: Common surgical causes include appendicitis, gallbladder infection, bowel blockage, a perforated ulcer, a trapped hernia and kidney stones. Non-surgical causes include gastritis, stomach infections and gynaecological conditions. Q: Will I need an operation? A: Many patients don't. The first step is finding the cause. Surgery is advised only when it's the safest and most effective treatment. Q: Should I eat or drink before coming? A: If the pain is severe, avoid food until you've been assessed, in case you need a scan or an operation. Small sips of water are generally fine. Q: Can I take a painkiller? A: A simple painkiller is reasonable, but tell the doctor what you took and when. Strong painkillers can hide important signs. Q: My pain comes and goes. Is that less serious? A: Not necessarily. Gallstones, kidney stones and early bowel blockage can all cause pain that comes in waves. Q: Should my family come with me? A: It helps to have someone with you, especially if you may need to stay. Q: What should I bring? A: Previous reports, a list of your medicines and allergies, and your insurance details. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Surgical emergency consultation in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/surgical-emergency-consultation.html When something feels seriously wrong, whether it's severe pain, a hernia that won't go back, or an abscess that's spreading, you need a surgeon's opinion quickly. Call first, and you'll be guided to the right place. ### Quick facts - Procedure time: Seen promptly on arrival - Anaesthesia: Depends on treatment - Hospital stay: From none to a few days - Back to desk work: Depends on the cause - Discomfort: Pain is treated first - Scars: Depends on treatment - Long-term result: Depends on the cause - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Severe abdominal pain - A hernia that has become painful and hard and won't go back in - An abscess or boil that's enlarging, very painful or causing fever - Bleeding from the back passage with dizziness - A wound that's infected or has opened after surgery ### Treatment options (simplest first) - Treatment in the clinic: Drainage of abscesses, wound care or reducing a hernia where safe. - Hospital admission: For observation, fluids and antibiotics. - Emergency surgery: When it's the safest option, usually by keyhole. ### Recovery - After a clinic treatment: Home the same day with dressing and follow-up instructions. - After admission: Daily reviews until you're well enough to go home. - Follow-up: A review visit to check healing and plan any further treatment. ### When to seek urgent care - Pain spreading across the whole abdomen, or a hard, rigid belly - High fever, repeated vomiting or fainting - Blood in vomit, or black, tarry stools ### FAQs Q: Should I call the clinic or go to hospital? A: If you have collapse, difficulty breathing, heavy bleeding, confusion or a rigid, very painful belly, go straight to the nearest emergency department. For other urgent concerns, call the clinic and you'll be told where and when to come. Q: What should I bring? A: Previous reports and scans, a list of your medicines (especially blood thinners and diabetes medicines), and your insurance card. Q: Will I be operated on straight away? A: Only if it's needed. Many urgent problems are treated with medicines, drainage or observation. When surgery is needed, the reasons and risks are explained before you consent. Q: Can my family be kept informed? A: Yes. A family member is welcome to come with you, and the plan will be explained to them too. Q: Is the clinic open for emergencies at night? A: Please call to check availability. If you can't get through and symptoms are severe, go to the nearest emergency department. Q: I'm diabetic and have a painful boil. Is it urgent? A: Yes. Infections spread faster with diabetes. Get it seen the same day. Q: Can I be seen if I'm already admitted elsewhere? A: A surgical opinion can be arranged; call the clinic to discuss. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Diagnostic laparoscopy in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/diagnostic-laparoscopy.html When scans and tests don't explain ongoing abdominal pain, a diagnostic laparoscopy lets the surgeon look directly inside through a small cut, and often treat the cause in the same sitting. ### Quick facts - Procedure time: 30 to 60 minutes - Anaesthesia: General - Hospital stay: Day-care to 1 night - Back to desk work: 2 to 5 days - Discomfort: Mild - Scars: 2 or 3 cuts of 5 to 10 mm - Long-term result: Gives a clear answer in most cases - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Long-standing abdominal pain with no clear cause on scans - Suspected adhesions (bands of scar tissue) after previous surgery - Fluid in the abdomen of unknown cause - Taking a biopsy from a suspicious area - Assessing certain abdominal injuries ### Treatment options (simplest first) - Look and biopsy: A camera check, with tissue samples sent for testing. - Diagnose and treat: Releasing adhesions or removing the appendix during the same procedure. - Plan the next step: If a condition needs specialist care, you're referred with clear findings. ### Recovery - Day 1: Walking and light meals. An ache in the shoulder tip from the gas is common and settles in a day or two. - Week 1: Most people return to desk work and short drives once off strong painkillers. - Weeks 2 to 4: Gradual return to exercise; heavy lifting as advised for your operation. ### When to seek urgent care - Belly pain or swelling that increases after the first 2 days - Fever above 38°C - Redness or discharge from the cuts, or vomiting that won't stop ### FAQs Q: Why do I need surgery just to find the cause? A: It's considered only after less invasive tests. Some conditions, such as adhesions, small deposits on the abdominal lining or certain infections, simply don't show up on scans. Q: What if nothing is found? A: A normal result is still useful. It rules out many serious causes and helps direct further care. Q: Can the problem be treated at the same time? A: Often, yes. Adhesions can be released, a biopsy taken, or a diseased appendix removed. This is discussed and agreed with you beforehand. Q: Is it risky? A: It's a low-risk procedure. Risks include infection and bleeding, and rarely injury to the bowel or blood vessels. Q: How long does it take? A: Usually 30 to 60 minutes, longer if treatment is carried out. Q: Will I have a scar? A: Two or three small scars of 5 to 10 mm that fade over time. Q: When will I get the results? A: What was seen is explained the same day; biopsy results take about 5 to 7 days. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Laparoscopic abdominal surgery in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/laparoscopic-abdominal-surgery.html Many abdominal operations that once needed a large cut can now be done through small keyholes. Here's what laparoscopic surgery involves, what it offers, and when open surgery is still the better choice. ### Quick facts - Procedure time: Depends on the operation - Anaesthesia: General - Hospital stay: 1 to 3 nights - Back to desk work: 1 to 2 weeks - Discomfort: Mild to moderate - Scars: Cuts of 5 to 10 mm - Long-term result: Same as the equivalent open operation - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Gallbladder removal - Appendix removal - Hernia repair: groin, umbilical and incisional - Releasing adhesions - Diagnostic laparoscopy and biopsy ### Treatment options (simplest first) - Planned keyhole surgery: Booked in advance with full preparation. - Emergency keyhole surgery: For appendicitis, gallbladder infection and some bowel emergencies. - Open surgery when it's safer: Used when keyhole isn't suitable for your condition or health. ### Recovery - Day 1: Walking and light meals. An ache in the shoulder tip from the gas is common and settles in a day or two. - Week 1: Most people return to desk work and short drives once off strong painkillers. - Weeks 2 to 4: Gradual return to exercise; heavy lifting as advised for your operation. ### When to seek urgent care - Belly pain or swelling that increases after the first 2 days - Fever above 38°C - Redness or discharge from the cuts, or vomiting that won't stop ### FAQs Q: Is keyhole surgery less risky than open surgery? A: It usually means less pain, fewer wound infections and a quicker recovery. The operation inside is the same, so its specific risks remain; these are discussed with you individually. Q: Can everyone have keyhole surgery? A: Most people can. Severe heart or lung disease, extensive previous surgery or certain emergencies may make open surgery safer. Q: What does 'conversion to open' mean? A: If it becomes unsafe to continue through keyholes, the surgeon makes a larger cut to finish the operation. It's a safety decision, and you'll be told beforehand if it's likely. Q: Will I be in a lot of pain? A: Most people need regular painkillers for a few days only. Shoulder-tip pain from the gas is common and short-lived. Q: When can I drive? A: Once you can brake hard without pain and aren't on strong painkillers, usually about a week. Q: When can I lift things? A: Light lifting in 1 to 2 weeks; heavy lifting depends on the operation, typically 4 to 6 weeks for hernia repair. Q: Is it covered by insurance? A: Keyhole procedures are covered by most health insurance policies. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Minimally invasive surgery in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/minimally-invasive-surgery.html 'Minimally invasive' simply means reaching the problem with the least disturbance to your body, through keyhole surgery, laser procedures and small-incision techniques. The aim is less pain, smaller scars and getting you home sooner. ### Quick facts - Procedure time: Depends on the operation - Anaesthesia: General, spinal or local - Hospital stay: Day-care to 2 nights - Back to desk work: Days to 2 weeks - Discomfort: Usually less than open surgery - Scars: Small, or none visible - Long-term result: Same as the equivalent open operation - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Gallstones and gallbladder disease - Hernias - Appendicitis - Piles, fissure, fistula and pilonidal sinus (laser) - Lumps and cysts, through small incisions ### Treatment options (simplest first) - Laparoscopic (keyhole) surgery: A camera and instruments through 5 to 10 mm cuts, for gallbladder, appendix and hernia. - Laser procedures: For piles, fissure, fistula and pilonidal sinus, usually with no open wound. - Small-incision surgery: For lumps and cysts, with incisions placed along natural skin lines. ### Recovery - Day 1: Walking and light meals. An ache in the shoulder tip from the gas is common and settles in a day or two. - Week 1: Most people return to desk work and short drives once off strong painkillers. - Weeks 2 to 4: Gradual return to exercise; heavy lifting as advised for your operation. ### When to seek urgent care - Belly pain or swelling that increases after the first 2 days - Fever above 38°C - Redness or discharge from the cuts, or vomiting that won't stop ### FAQs Q: Is minimally invasive always better? A: Not always. It's better when it achieves the same result with less harm. For some conditions, a traditional operation is more reliable, and you'll be told honestly when that's the case. Q: Will I recover faster? A: Usually, yes. Most people are home sooner and back to routine days or weeks earlier than after open surgery. Q: Is laser the same as laparoscopic? A: No. Laser uses focused light energy, mostly for conditions around the anus. Laparoscopic surgery uses a camera and fine instruments through small cuts in the abdomen. Q: Does it cost more? A: Sometimes a little more, because of equipment. Shorter stays and less time off work often balance that, and insurance usually covers it. Q: Am I suitable? A: Most people are. Suitability depends on your condition, previous surgery and general health, and is assessed at consultation. Q: Will I need general anaesthesia? A: Keyhole surgery does; laser and small-incision procedures often use spinal or local anaesthesia. Q: How small will the scars be? A: Usually 5 to 10 mm for keyhole cuts; laser often leaves none visible. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Post-surgery follow-up in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/post-surgery-follow-up.html Recovery doesn't end when you leave hospital. Follow-up visits make sure your wounds are healing and your pain is controlled, and deal with any worries early, even if your surgery was done elsewhere. ### Quick facts - Procedure time: About 15 to 20 minutes - Anaesthesia: None - Hospital stay: None - Back to desk work: Not affected - Discomfort: Stitch removal is quick and mild - Scars: Not applicable - Long-term result: Problems are caught early - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A planned check after your operation - Stitches or clips due for removal - Wound pain, redness or discharge - Questions about diet, work, driving or exercise - A biopsy report to discuss ### Treatment options (simplest first) - Wound healing: Signs of infection, fluid collection or delayed healing. - Recovery milestones: Eating, bowel function, walking and sleep. - Long-term plan: Preventing recurrence, such as lifting advice after hernia repair. ### Recovery - Days 5 to 10: First review and dressing check. - Weeks 2 to 3: Stitch removal if needed; return-to-work advice. - About 6 weeks: Final review for most operations. ### When to seek urgent care - Belly pain or swelling that increases after the first 2 days - Fever above 38°C - Redness or discharge from the cuts, or vomiting that won't stop ### FAQs Q: Is it normal to have pain after two weeks? A: Some ache, especially with movement, can last a few weeks. Pain that's getting worse, or comes with fever or swelling, should be checked. Q: When can I go back to work, drive or exercise? A: It depends on the operation and your job. You'll get specific advice at the review, rather than general rules. Q: My wound is leaking a little. Should I worry? A: A small amount of clear or blood-stained fluid early on is common. Pus, a bad smell, spreading redness or fever need a prompt review. Q: Can you see me if another surgeon operated? A: Yes. Bring your discharge summary and operation notes. You'll be assessed and, if needed, care coordinated with your operating surgeon. Q: Do I need an appointment? A: Yes, please call ahead so you're seen without a long wait. Q: What should I bring? A: Your discharge summary, medicines and any reports. Q: Can dressings be done at home? A: For many wounds, yes. You'll be shown how, and told what to watch for. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Lumps and soft tissue swellings in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/soft-tissue-swellings.html Found a lump under your skin? Most are harmless: lipomas, cysts or swollen glands. A quick examination, sometimes with an ultrasound, tells you what it is and whether it needs removing. ### Quick facts - Procedure time: Exam 15 minutes; removal 20 to 45 - Anaesthesia: Local for most - Hospital stay: Day-care - Back to desk work: Same or next day - Discomfort: Mild - Scars: Small line along skin creases - Long-term result: Benign lumps rarely return once removed - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A soft or firm lump under the skin, anywhere on the body - A lump that's growing, painful or changing - Swollen glands in the neck, armpit or groin - A lump that's red, hot or leaking - A lump that bothers you because of how it looks or where it is ### Treatment options (simplest first) - Reassurance and monitoring: For small, clearly benign lumps. You'll know what changes to look out for. - Tests: Ultrasound, and a needle test or biopsy if needed. - Removal: Excision, usually under local anaesthesia, with the tissue sent for testing. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Could it be cancer? A: Most lumps are benign. Features that need prompt assessment are rapid growth, a size over 5 cm, a hard lump fixed to deeper tissue, pain in a deep lump, or a lump that returns after removal. You'll be told clearly whether tests are needed. Q: Do I need a biopsy? A: Not always. Many lumps are diagnosed by examination and ultrasound. A fine-needle test (FNAC) or biopsy is used when the diagnosis isn't clear. Q: Will removal leave a scar? A: Every cut leaves a mark, but incisions are kept small and placed along natural skin lines, so most scars fade well. Q: Can I leave it alone? A: Many benign lumps can safely be left if they're small and not bothering you. Removal is advised if a lump is growing, painful, infected, or its nature is uncertain. Q: How quickly should I get a lump checked? A: Within a few weeks for a lump that's new, and sooner if it's growing fast, hard or painful. Q: Can lumps be removed without a cut? A: Most need a small cut to remove them completely. Needle drainage may help some fluid-filled cysts, but they often refill. Q: Are swollen glands a surgical problem? A: Usually they're caused by infection and settle on their own. Glands lasting more than 3 to 4 weeks, or that are large or hard, need assessment. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Lipoma removal in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/lipoma-removal.html A soft, painless, rubbery lump that moves under your skin is most likely a lipoma, a harmless collection of fat. Removal is quick, done under local anaesthesia, and you go home the same day. ### Quick facts - Procedure time: 20 to 40 minutes - Anaesthesia: Usually local - Hospital stay: Day-care - Back to desk work: Same or next day - Discomfort: Mild - Scars: Usually smaller than the lump - Long-term result: Recurrence uncommon - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A soft, doughy lump that slips under your fingers - Painless and slow-growing over months or years - Often on the back, shoulders, arms, neck or thighs - Sometimes several lipomas ### Treatment options (simplest first) - Leave it alone: Fine for small, painless lipomas that don't bother you. - Removal under local anaesthesia: For most lipomas; about 20 to 40 minutes. - Removal under general anaesthesia: For large, deep or multiple lipomas. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Can a lipoma turn into cancer? A: Lipomas don't turn into cancer. Very rarely, a fatty lump is a different tumour called a liposarcoma, usually deep, large or fast-growing. That's why large or deep lumps get an ultrasound or MRI first. Q: Can medicine or injections dissolve it? A: No medicine reliably dissolves a lipoma. Surgical removal is the definitive treatment. Q: Will it come back? A: When it's fully removed with its capsule, recurrence is uncommon. People who tend to form lipomas may develop new ones elsewhere. Q: How big will the scar be? A: The cut is usually smaller than the lump and placed along skin lines. Scars fade over months. Q: Is the lump tested after removal? A: Yes, it's sent to the laboratory to confirm it's a lipoma. Q: Can several lipomas be removed at once? A: Often, yes, depending on their number and position. Q: When can I bathe? A: Usually after 48 hours, keeping the wound dry, or sooner with a waterproof dressing. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Sebaceous cyst removal in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/sebaceous-cyst-removal.html A round lump just under the skin, often with a tiny black dot on top, that may leak a thick, smelly material: that's an epidermoid, or sebaceous, cyst. Removing the whole cyst wall stops it coming back. ### Quick facts - Procedure time: 20 to 30 minutes - Anaesthesia: Local - Hospital stay: Day-care - Back to desk work: Same or next day - Discomfort: Mild - Scars: Small line; fine stitches on the face - Long-term result: Won't return if the whole wall is removed - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A firm, round lump just under the skin - A small central pore or black dot - Occasional discharge of thick, foul-smelling material - Redness, swelling and pain when it gets infected - Common on the scalp, face, neck, back and earlobes ### Treatment options (simplest first) - Watch and wait: For small cysts that aren't troubling you. - Drain first if infected: Relieves pain; removal is planned once it has settled. - Complete excision: Removes the cyst with its wall, under local anaesthesia. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Can I squeeze it out? A: Please don't. Squeezing can push infection deeper and make it harder to remove cleanly later. Q: Why did it come back after it was drained? A: Draining empties the contents but leaves the cyst wall, which fills up again. Removing the complete wall prevents recurrence. Q: Can it be removed while it's infected? A: Usually the infection is settled first with antibiotics or drainage, and the cyst removed a few weeks later for a cleaner result and a smaller scar. Q: Will there be a scar on my face? A: Facial cysts are removed through small, carefully placed cuts with fine stitches to keep scarring minimal. Q: How long does removal take? A: Usually 20 to 30 minutes. Q: When are stitches removed? A: About 5 to 7 days on the face and 10 to 14 days on the back. Q: Can I wash my hair after a scalp cyst? A: Usually after 48 hours, gently. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Wound and abscess care in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/wound--abscess-care.html Wounds that aren't healing, infected cuts, boils and abscesses need more than a change of ointment. Proper cleaning, drainage where needed and a dressing plan help them heal quickly, and reveal why they weren't healing. ### Quick facts - Procedure time: 15 to 30 minutes per visit - Anaesthesia: Local, if drainage is needed - Hospital stay: Usually none - Back to desk work: Usually not affected - Discomfort: Relief once pus is drained - Scars: Depends on the wound - Long-term result: Heals once the cause is treated - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A wound that hasn't healed after 2 weeks - Redness, warmth, swelling or pus around a wound - A painful boil or lump that's getting bigger - A bad smell from a wound - Wounds or ulcers on the feet, especially with diabetes ### Treatment options (simplest first) - Cleaning and a dressing plan: The right dressing for the wound, with a schedule you can follow. - Incision and drainage: For abscesses, relieving pain and letting the wound heal from inside. - Debridement: Removing dead tissue so a stuck wound can start healing. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Why won't my wound heal? A: Common reasons are infection, uncontrolled diabetes, poor circulation, pressure on the area, smoking, or dead tissue in the wound. Finding the cause is the key step. Q: Do I need antibiotics? A: Not always. Antibiotics help with spreading infection, but an abscess full of pus needs draining; antibiotics alone rarely cure it. Q: I have diabetes. Should I worry about a small wound? A: Yes, get it checked early, especially on the feet. Early care prevents serious infections. Q: How often do dressings need changing? A: It depends on the wound. Some need daily changes, others every 2 to 3 days. You'll get a clear schedule. Q: Can I use turmeric or home remedies on a wound? A: Please avoid applying pastes or powders; they can trap infection. Keep it clean and covered until it's seen. Q: Will my sugar levels be checked? A: Yes. Blood sugar control makes a big difference to healing. Q: Can family members do the dressings? A: For many wounds, yes. They'll be shown how. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Surgical second opinion in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/surgical-second-opinion.html Told you need an operation and not sure? A second opinion is your right, and a good surgeon welcomes it. Bring your reports and you'll get an honest, independent view of whether surgery is needed and what the options are. ### Quick facts - Procedure time: 20 to 30 minutes - Anaesthesia: None - Hospital stay: None - Back to desk work: Not affected - Discomfort: None - Scars: Not applicable - Long-term result: A clear, honest recommendation - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - You've been advised surgery and want to be sure it's necessary - Different doctors have suggested different options - You want to know whether keyhole or laser is an option - You're worried about the risks or recovery - A previous operation didn't give the result you expected ### Treatment options (simplest first) - A clear answer: Whether surgery is needed now, later, or not at all. - Your options side by side: Medicines, keyhole, laser or open surgery, with honest pros and cons. - Next steps: Any extra tests needed, or confirmation that you can go ahead with your plan. ### Recovery - Before the visit: Collect your reports and write down your questions. - At the visit: About 20 to 30 minutes, with time for your questions. - Afterwards: Call the clinic if any new questions come up. ### When to seek urgent care - Severe or rapidly worsening pain while you're deciding - Fever, vomiting or a hernia that won't go back in - Heavy bleeding ### FAQs Q: Will my first doctor be offended? A: Second opinions are a normal part of good medical care, and most doctors are comfortable with them. You can share the findings with your doctor. Q: What if the opinion is different? A: You'll get a clear explanation of why, so you can discuss it with both doctors and decide with confidence. Q: Will you push me to have surgery here? A: No. The aim is an honest view. If the original plan is right, you'll be told so. Q: Will I have to repeat all my tests? A: Usually not. Existing reports and scans are reviewed first; more tests are advised only if they're really needed. Q: Can I consult by phone or video? A: Call the clinic to ask. An in-person examination is usually needed for a reliable opinion. Q: Can a family member come with me? A: Yes, and it's often helpful. Q: Do I need a referral? A: No. You can book directly. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Minor surgical procedures in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/minor-surgical-procedures.html Small lumps, ingrown toenails, skin tags, warts and corns can be treated quickly under local anaesthesia. No hospital stay, and you're back to your day soon after. ### Quick facts - Procedure time: 15 to 45 minutes - Anaesthesia: Local - Hospital stay: Walk in, walk out - Back to desk work: Same day - Discomfort: Brief sting of the injection - Scars: Small, or none - Long-term result: Usually permanent - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - Ingrown toenail removal - Skin tags, warts and corns - Small lipomas and cysts - Removing a foreign body, such as a splinter or glass - Biopsy of a skin lesion ### Treatment options (simplest first) - Ingrown toenail: Removing the ingrowing edge of the nail, with treatment to stop it regrowing. - Skin lesions: Skin tags, warts and small moles removed, and sent for testing where appropriate. - Biopsy: A small sample taken to diagnose a skin or lump problem. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Will the injection hurt? A: The local anaesthetic stings for a few seconds, then the area goes numb. You may feel pressure, but not pain. Q: Do I need to fast? A: No, not for local anaesthesia. Eat a light meal beforehand. Q: Can I drive home? A: Usually, yes, unless the procedure is on your foot or hand in a way that affects driving. Q: Should I stop my blood thinners? A: Don't stop them on your own. Tell the doctor what you take; the decision depends on the procedure and why you take them. Q: Will I need stitches? A: Sometimes. Dissolvable stitches or glue are often used. Q: Can children have minor procedures? A: Many can, under local anaesthesia with a parent present. Some need sedation. Q: When will biopsy results come? A: Usually in 5 to 7 days. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Circumcision in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/circumcision.html Whether it's for a tight foreskin, recurring infections or personal reasons, circumcision is a common day-care procedure. Modern techniques, including stapler methods, make recovery faster and neater. ### Quick facts - Procedure time: 20 to 40 minutes - Anaesthesia: Local for adults; general for children - Hospital stay: Day-care - Back to desk work: 2 to 3 days - Discomfort: Discomfort for a few days - Scars: Neat line that fades - Long-term result: Permanent - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A tight foreskin (phimosis) that can't be pulled back - Repeated infection or inflammation of the foreskin - A foreskin stuck behind the head of the penis (paraphimosis), which needs urgent care - Cracks, splits or pain during intercourse - Religious or personal choice ### Treatment options (simplest first) - Steroid cream: For mild tightness, particularly in children. - Conventional circumcision: Removal of the foreskin with dissolvable stitches. - Stapler circumcision: A device-based method with less bleeding and a neat edge. ### Recovery - First few days: Some swelling and tenderness. Loose underwear and painkillers help. - 1 to 2 weeks: Stitches dissolve. Avoid swimming. - 4 to 6 weeks: Resume sexual activity once fully healed. ### When to seek urgent care - Bleeding that doesn't stop with firm pressure - Unable to pass urine - Spreading redness, swelling or fever ### FAQs Q: Is it very painful? A: Most adults describe discomfort rather than severe pain for a few days. Local anaesthetic during the procedure and regular painkillers afterwards keep it manageable. Q: Will it affect sexual function or sensation? A: Circumcision doesn't affect erections or fertility. Most men report no change in sexual satisfaction once healed. Q: Is there a non-surgical option? A: For mild phimosis, especially in children, a steroid cream for 4 to 8 weeks often loosens the foreskin. Q: What is stapler circumcision? A: A stapler device gives a neat cut with less bleeding and a shorter procedure, and suits most adults. Q: What's the right age for children? A: It depends on the reason. For medical reasons it can be done at any age; your child is assessed individually. Q: When can I bathe? A: Usually after 24 to 48 hours, gently. Q: I have diabetes. Is it safe? A: Yes, and recurring infections from diabetes are a common reason for it. Good sugar control helps healing. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Abscess drainage in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/abscess-drainage.html A painful, swollen, hot lump full of pus, an abscess, rarely goes away with antibiotics alone. Draining it relieves the pain almost immediately and lets it heal from the inside out. ### Quick facts - Procedure time: 15 to 30 minutes - Anaesthesia: Local or short general - Hospital stay: Day-care - Back to desk work: 1 to 3 days - Discomfort: Relief almost immediately - Scars: Small wound that heals from inside - Long-term result: Doesn't recur once the cause is treated - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A red, hot, painful swelling that's getting bigger - Throbbing pain, often worse at night - A soft centre or a yellow or white head - Fever or feeling unwell - Common in the armpit, buttocks, groin, breast and around the anus ### Treatment options (simplest first) - Incision and drainage: A small cut releases the pus, and the cavity is cleaned. - Antibiotics: Added when infection is spreading, or if you have diabetes. - Treating the cause: Removing a cyst or treating a fistula to stop it coming back. ### Recovery - First 2 days: Pain eases quickly. The pack is changed or removed. - 1 to 2 weeks: Regular dressings as the wound gets smaller. - 2 to 4 weeks: Healed for most people. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Why can't antibiotics clear it? A: Antibiotics don't penetrate well into a collection of pus. Once pus has formed, it needs draining; antibiotics are added if infection is spreading. Q: Will it hurt? A: The area is numbed first, or a short anaesthetic is given. Most people feel much better straight afterwards because the pressure is released. Q: Why is the wound left open? A: Leaving it open with a light pack lets the remaining pus drain and the wound heal from the bottom up, which stops the abscess reforming. Q: Why do I keep getting abscesses? A: Repeated abscesses can point to diabetes, a fistula (if near the anus), a cyst or a skin condition. The cause will be looked for. Q: What about an abscess near the anus? A: It needs drainage promptly, and afterwards the doctor checks for a fistula. Q: Can I keep breastfeeding with a breast abscess? A: Usually, yes, and it can help. You'll be guided on how to feed during treatment. Q: Can dressings be done at home? A: Sometimes, after the first few clinic visits. You'll be shown how. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Cyst excision in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/cyst-excision.html Cysts under the skin, whether sebaceous, dermoid, ganglion or others, can be removed completely in a short procedure under local anaesthesia, with the tissue sent for testing for peace of mind. ### Quick facts - Procedure time: 20 to 40 minutes - Anaesthesia: Local - Hospital stay: Day-care - Back to desk work: Next day - Discomfort: Mild - Scars: Small line - Long-term result: Recurrence uncommon with complete removal - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A round lump that has slowly been growing - A cyst that has become infected more than once - A cyst on the wrist or hand (a ganglion) causing pain - A cyst where clothing or a belt rubs - A cyst you'd like removed for how it looks ### Treatment options (simplest first) - Observation: For small cysts that aren't troubling you. - Aspiration: Draining fluid with a needle, sometimes used for ganglions, though they often refill. - Complete excision: Removing the cyst with its wall for the lowest chance of recurrence. ### Recovery - Same day: Home with a dressing. A mild ache is eased by simple painkillers. - 5 to 14 days: Stitches removed if they aren't dissolvable, and the wound is checked. - 2 to 3 weeks: Back to full activity. Protect the scar from the sun as it matures. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Will it come back? A: When the whole cyst wall is removed, recurrence is uncommon. Ganglion cysts have a somewhat higher recurrence rate. Q: Is it sent for testing? A: Yes, removed cysts are routinely sent to the laboratory. Q: Can more than one be removed at once? A: Often, yes, depending on their size and position. Q: Can a ganglion be burst at home? A: Old remedies like hitting a ganglion with a heavy book aren't recommended. It often returns and can cause injury. Q: Will I have stitches? A: Usually, either dissolvable or removed after 7 to 14 days. Q: Can I use my hand after ganglion removal? A: Light use soon after; avoid heavy gripping for about 2 weeks. Q: How soon can I go back to work? A: Usually the next day for desk work. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Wound suturing and care in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/wound-suturing--care.html A deep cut needs careful cleaning and stitching, ideally within 6 to 8 hours, to heal well, avoid infection and leave the neatest scar possible. ### Quick facts - Procedure time: 15 to 45 minutes - Anaesthesia: Local - Hospital stay: Walk in, walk out - Back to desk work: Often the next day - Discomfort: Mild once numbed - Scars: Fine line; best with early stitching - Long-term result: Heals in 1 to 2 weeks - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - It's gaping, deep, or longer than about 1 cm - It's on the face, hand, a joint or the genitals - Bleeding hasn't stopped after 10 minutes of firm pressure - It was caused by something dirty or rusty, or by an animal or human bite - You can see fat, muscle or something stuck inside ### Treatment options (simplest first) - Skin glue or strips: For small, clean, straight cuts under little tension. - Stitches: For deeper or gaping wounds, and those over joints. - Delayed closure: For dirty or older wounds: cleaned first, then closed once infection is ruled out. ### Recovery - First 48 hours: Keep it dry and elevate the area if it's on a limb. - 5 to 14 days: Stitches out: about 5 days on the face, 7 to 10 on the scalp, 10 to 14 on limbs. - Months after: Protect the scar from sun for 6 to 12 months. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: Do I need a tetanus injection? A: If your last tetanus shot was more than 5 years ago for a dirty wound, or 10 years for a clean one, a booster is advised. Bring your vaccination record if you have it. Q: Will it leave a scar? A: Every wound leaves some mark, but careful cleaning, precise stitching and scar care afterwards, such as sun protection and silicone gel, give the best result. Q: Is it too late to stitch? A: Clean wounds on the face can often be stitched up to 12 to 24 hours later, less elsewhere. Older or dirty wounds may be cleaned and left to heal, or closed later. Q: Can I get it wet? A: Keep it dry for 24 to 48 hours, then brief showers are usually fine. Pat it dry, and avoid soaking until the stitches are out. Q: What first aid should I do? A: Press firmly with a clean cloth for 10 minutes, rinse with clean water, and cover. Don't apply powders or pastes. Q: Do dog bites need stitches? A: Many are cleaned and left open or loosely closed to reduce infection. Rabies vaccination may also be needed. Q: Will I need antibiotics? A: Only for bites, dirty wounds or signs of infection. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. --- ## Post-operative dressing in Vijayawada | Dr. Naresh Veeranki URL: https://drnareshveeranki.com/services/postoperative-dressing.html Clean, correctly done dressings help surgical wounds heal on time. Whether your operation was here or elsewhere, we can take over your dressings, remove stitches and spot problems early. ### Quick facts - Procedure time: About 15 minutes - Anaesthesia: None - Hospital stay: None - Back to desk work: Not affected - Discomfort: Mild - Scars: Not applicable - Long-term result: Keeps healing on track - Cost: clear estimate after examination; most health insurance accepted ### Common signs / who it suits - A routine dressing change after surgery - Removal of stitches, clips or drains - Wound packing after abscess or fistula surgery - Redness, discharge or a gap in the wound - Advice on bathing, scar care and activity ### Treatment options (simplest first) - Simple dressings: For clean, closed wounds healing normally. - Packing: For open wounds after abscess, fistula or pilonidal surgery. - Advanced dressings: For slow-healing or infected wounds, chosen for the wound type. ### Recovery - First week: Dressings every 1 to 3 days as advised. - Weeks 1 to 2: Stitch or clip removal. - After healing: Scar care and sun protection. ### When to seek urgent care - Spreading redness, warmth or pus from the wound - Fever or chills - Bleeding that soaks the dressing and doesn't stop with 10 minutes of firm pressure ### FAQs Q: How do I know if my wound is infected? A: Pain that increases after the first few days, spreading redness, warmth, pus, a bad smell or fever. A little clear or blood-tinged fluid early on is common. Q: Can I change the dressing at home? A: For many clean wounds, yes, and you'll be shown how. Packed or complex wounds are better managed in the clinic. Q: Can I bathe with my dressing? A: With a waterproof dressing, a quick shower is usually fine after 48 hours. Avoid soaking in a bath or swimming until the wound has healed. Q: My surgery was done elsewhere. Can you help? A: Yes. Bring your discharge summary so the dressing plan matches your operation. Q: Do I need to book? A: Please call ahead so your visit is quick. Q: What should I bring? A: Your discharge summary and any dressings you were given. Q: Is a little bleeding normal? A: A few spots on the dressing are common. Bleeding that soaks through needs prompt attention. Book: +91 83338 26666 (call or WhatsApp), Veeranki Clinic, Gayatri Nagar, Vijayawada. ---