My age is 25.Wt is the best way to reduce wrinkles and finelines on face.

Hello Dr. Chandrashekhar,

Thank you for your query regarding the management of mesh infections following recurrent incisional hernia repair.

General Management Approach

1. Assessment

   • Evaluate the extent and severity of the infection using clinical examination, laboratory markers, and imaging if necessary.
   • Differentiate between superficial and deep-seated infections.
     
     

2. Conservative Management

   • For localized or superficial infections, initiate broad-spectrum antibiotics based on culture sensitivities.
   • Consider percutaneous or surgical drainage if abscess formation is identified.
     
     

3. Mesh Removal

   • In cases of deep or persistent infections, removal of the mesh may be necessary.
   • Timing of explantation should be determined based on the patient’s clinical stability and response to conservative measures.
     
     

4. Adjunctive Therapies

   • Negative Pressure Wound Therapy (NPWT) can be considered to promote wound healing and manage chronic infections.
   • Optimize the patient’s nutritional and immunological status prior to any re-intervention.
     
     

5. Multidisciplinary Collaboration

   • Engage with infectious disease specialists and consider a team approach to tailor the management plan according to the patient’s overall condition and specific infection characteristics.

Hello MN Sharma Ji,

Thank you for reaching out. Psoriasis is a chronic skin condition that often benefits from specialized dermatological care. Hyderabad city has experienced dermatologists who can suggest the treatment for psoriasis.

Here’s a brief line of treatment:

• Topical Therapies:
  Corticosteroids, vitamin D analogues, and retinoids are often first-line treatments for mild to moderate psoriasis.

• Phototherapy:
  Controlled exposure to ultraviolet light can help reduce symptoms in many patients.

• Systemic Treatments:
  For moderate to severe cases, oral medications targeting specific inflammatory pathways may be recommended.

• Lifestyle Modifications:
  Stress management, a healthy diet, and avoiding triggers (such as smoking and excessive alcohol) can support overall treatment.

While psoriasis is a chronic condition, these treatment options can significantly improve symptoms and quality of life. Treatment is individualized based on severity, patient response, and any co-existing conditions.

अमित जी,

अत्याधुनिक इमेजिंग तकनीकें जैसे CT/MRI और ultrasound से Lipoma की स्थिति, आकार और बनावट का आकलन किया जा सकता है, लेकिन ये तकनीकें tissue diagnosis प्रदान नहीं कर पातीं। FNAC या biopsy सबसे विश्वसनीय तरीके हैं जिससे यह सुनिश्चित किया जा सके कि कोई malignancy या अन्य समस्या न हो। भविष्य में वैकल्पिक तकनीकों पर शोध जारी है, परंतु फिलहाल इनके विकल्प उपलब्ध नहीं हैं।

आगे की जानकारी के लिए, हम दृढ़ता से सलाह देते हैं कि आप अपने डॉक्टर से आमने-सामने मिलकर परामर्श करें, अपनी सभी जिज्ञासाएँ व्यक्तिगत रूप से चर्चा करें। चिंता करने या घबराने की कोई बात नहीं है। कुछ मेडिकल सवालों के जवाब बिना परामर्श के ठीक से नहीं दिए जा सकते।