Testimonials

 

1. Surgery not needed (Dr.Rao- case of constipation)

 

I was adviced by another surgeon to undergo expensive piles stapling operation. I consulted Dr. Agashe for 2nd opinion. After examining me he totally surprised me by telling me that I did not need any surgery. Thank god I consulted Dr.Agashe otherwise I would have undergone an unnecessary operation.Dr.Agashe is one of the few surgeons who also knows when not to operate.

 

 

Dr.Agashe’s Comments: This patient would have undergone an unnecessary surgery. Piles are not the cause of constipation but as a result of constipation. I evaluated the patient’s constipation by colonoscopy to rule out blockage of the lumen by growth/narrowing by stricture. His colonoscopy was normal. Further workup showed Hypothyroidism as a cause of his constipation. This problem required treatment (and not piles!).

 

2. Amputation saved (Dr.Deshchougule – case of diabetic foot infection)

 

I had a very severe diabetic foot infection in my left foot. I had already made up my mind that I would loose my toes. Dr.Agashe reassured me that he will preserve all the toes. He operated on me and I was back on my toes to stand up for my son’s wedding day.

 

Dr.Agashe’s comments: Diabetic foot infection is a complex problem requiring careful overall patient evaluation. This involves checking of patient’s nerve and blood supply to his limbs. I make a maximum attempt to save the patient’s leg. It is my policy not to use expensive creams/ointments/lotions unnecessarily to improve wound healing. I focus on patient’s haemoglobin, albumin (protein levels), early eradication of infection, early mobilization.

 

3. Serious wound infection (Mrs. Bhobhe – post hysterectomy infection)

 

I had a very bad wound infection after abdominal hysterectomy done elsewhere. I was in septicaemia (infection spreading in my blood).One surgeon had adviced me just dressings. I took 2nd opinion from Dr.Agashe. He quickly realized my serious condition. He did not delay the operation and even though it was a Sunday he operated on me and cleaned up the infection. If delayed all my intestines would have burst outside the abdomen. I got well subsequently.

 

Dr.Agashe’s comments: After any abdominal surgery especially in diabetics, anaemia patients, patients with protein malnutrition, post operative chest infections, emergency operations on infected cases there is very high incidence of wound infection. It can even lead to burst abdomen where all the layers of the abdomen open up and the intestines come out. This requires emergency treatment.

 

4. I am alive since 2005 even though I had cancer (Mrs.Patil- case of breast cancer).

 

I had developed a lump in my right breast sometime back. It was painless and small so I ignored it initially. Later the lump increased in size so I consulted a doctor who adviced that it should be removed. I had the lump removed from my right breast in Jalgaon. The pathology report was suspicious of cancer. I came to pune and consulted Dr.Agashe for further treatment. He examined me and reviewed the pathology slides personally with the pathologist and confirmed the diagnosis of breast cancer. Dr.Agashe operated on me in 2005 and I am ok since then.

 

Dr.Agashe’s comments: Cancer lumps are painless to start with. That is why patients ignore them and postpone going to the doctor. Every lump must be evaluated by a surgeon.

All post menopausal women should learn the technique of breast self examination and go for regular breast mammography check up.

Survival after any cancer (malignancy) depends on how bad are the cancer cells (that is – the tumor biology of the cells as seen in the pathology report). Survival after cancer surgery is by and large not surgeon dependent. Patients subjectively feel that they are ok because so and so surgeon did the operation (as in this testimonial) but I don’t accept the credit. As a surgeon we only do the operation scientifically as per principles of cancer surgery and leave the rest to god (I treat and god cures).

Personally I feel laparoscopy/Robotic surgery do not improve overall survival in cancer patients. Patients should not opt for these techniques thinking that they are going to live longer because of Laparoscopic/robotic operations.

 

5. I can eat inspite of cancer of the foodpipe (Shri.Godbole- Cancer Esophagus)

 

I was diagnosed to have cancer esophagus. I was neither fit for operation nor did I want surgery. My main concern was that I was not able to swallow and eat food. I knew that my disease was bad. I did not want to lead my last days bedridden in the hospital. Dr.Agashe gave me the best solution of endoscopic stenting. He performed this procedure at the Endoclinic located at Pabalkar Nursing Home. I was able to eat from the next day of the procedure and went to my village in 2 days eating well.

 

Dr.Agashe’s comments: Cancer of the food pipe (esophagus) is a dreadful disease. Overall 5 year survival is 5% (this means only 5 patients out of 100 will be alive after 5 years after detection of cancer inspite of treatment!). Most of these patients are not good candidates for surgery due to old age, comorbid conditions, protein malnutrition as they are unable to eat for many days due to the cancer obstructing the food pipe. Endoscopic stenting offers an excellent quality of life for such cases. Patients can go home in a day and they start eating the next day of the stenting. Stenting doesn’t cure the cancer but allows patients to eat in the last days of life.

 

6. High risk case of Hernia (Shri.Vaidya- Inguinal Hernia)

 

I was troubled by large inguinal hernias on both sides. Even walking was difficult. I also had enlarged prostate that added to the problem. I have many medical problems like diabetes, heart disease, high blood pressure. I had just recovered from paralysis on one side. So in short I was a very high patient for any surgery. Dr.Agashe did my hernia surgery effortlessly along with the prostate TURP surgery. I recovered uneventfully inspite of all my medical problems.

 

Dr.Agashe’s comments: Hernia can occur at many sites- Groin/Umbilicus/ thro scars of previous abdominal operations. It can also occur in children (congenital type). The standard of care nowadays for adult hernia is to repair the hernia using a prolene mesh. This is an inert material mesh that doesn’t cause any allergic response from the body. Most of the operations are well tolerated.

If a patient has a hernia then it is better to get it operated before the hernia gets stuck/blocked.

In children use of mesh is not required.

As in this mentioned case it is necessary to find the cause of straining of the abdominal muscles.

Chronic cough, difficulty in passing urine (enlarged prostate/stricture of the urethra), chronic constipation are predisposing factors for hernia. These factors are to be treated at the same time otherwise the hernia can recur.

Stitchless hernia surgery is a misleading marketing gimmick.

 

7. Skin Grafting success (Mrs.Mulla- case of previous 2 failed skin graftings)

 

I had a large diabetic foot ulcer on my right ankle area. Previous 2 skin grafting had failed. I consulted Dr.Agashe. He identified the cause of failure of the previously done graftings. He did skin grafting for my ulcer after correcting the problem. I was very scared during dressing change after the surgery as I thought all the grafted skin will come out like before. But no! This time all was well. The graft uptake was 100 %. I was cured of a problem that was nagging me since 1 year.

 

Dr.Agashe’s comments: This patient had poor blood supply to her legs due to diabetes and atherosclerosis. This was the cause of her previous graft failures. We corrected this problem with injections and medicines and the graft uptake improved. Some cases also require revascularization surgery to improve blood circulation to the limbs.

 

8. Keyhole surgery for Gall bladder stones (Mr.Bakshi)

 

I had lot of pain in my right upper abdomen. I was diagnosed to have gall stones and infection of the gall bladder. Dr.Agashe operated on me by laparoscopic technique. Due to this I recovered fast and there was no big scar on my abdomen.

 

Dr.Agashe’s comments: Keyhole (laparoscopic) surgery for gall stones is now considered as the treatment of choice. Most of the patients can go home in a day or two after the surgery.

 

9. Stressed importance of surgery (Mrs.Shambhavi- Thyroid cancer case).

 

I had a small swelling in the front of the neck for sometime. I stay in the USA. During my visit to India I consulted Dr.Agashe. He diagnosed it as a thyroid swelling and stressed that it has to be operated soon. I did not have pain or any other symptom due to the swelling. So I was quite surprised as to why surgery was adviced by Dr.Agashe and that too why he said that it should be done quickly. The FNAC report was ok. As I stay in the USA it was convenient for me to get operated in the USA. I decided to follow Dr.Agashe’s opinion and soon underwent the surgery there. To my surprise the report came as cancer of the thyroid. If Dr.Agashe had not urged me to undergo the surgery I would have ignored my disease and the cancer would have spread all over my body. Thank god that the cancer is now out of my body at an early stage.

 

Dr.Agashe’s comments: Thyroid swelling occurs in front of the neck. It is more common in women. In some cases there is increase or decrease in the thyroid hormone levels. These have to be corrected prior to surgery.

In this case the gland was hard to feel and it made me suspicious of underlying cancer of the thyroid.

Luckily thyroid cancer has a good prognosis and many patients can lead a long life after thyroid cancer.

 

10. She was suffering for almost half a century (Mrs.Dhanankar- Gastro esophageal reflux disease)

 

As narrated by her son in a thanksgiving letter “She was harboring this problem since half a century and we had given up hopes that she will be ever cured from this. But she started feeling better from the first day of your treatment. She is now well with medicines.”

 

Dr.Agashe’s comments: Gastroesophageal reflux disease is widespread nowadays. This is due to loose valve between the food pipe and the stomach. It requires proper assessment by endoscopy. Patients respond well to medicines if the problem is correctly diagnosed (As in this case).

Patients require life long medicines and surveillance endoscopies periodically to rule out progression of the disease to stricture or in some cases even cancer.

Patients who do not want to take life long medicines can opt for surgery to control this problem. This surgery is done laparoscopically.

I have taken special training for this surgery as it is a very specialized surgery and can cause problems if not done without correct assessment and planning.

 

11. Non operative Piles treatment (Shri.Abhyankar)

 

I was suffering from piles since long time. I had bleeding in stools and I did not want to undergo surgery for piles. Dr.Agashe reassured and told me that my case could be tackled non operatively with Infrared Coagulation therapy. This treatment did not need any anesthesia or hospitalization. To my surprise I walked into the hospital and came out walking within half hour treated for piles.

 

Dr.Agashe’s comments: Infrared coagulation of piles is an excellent option in case of non prolapsing internal piles.

This treatment involves using infrared beam to shrink the piles.

This does not require any hospital stay and patients can walk in and out of the hospital in half an hour with the treatment. You don’t have to take off from your work or no need to take bed rest at home. You can do your daily activities easily.

This procedure can be done in diabetics/heart patients and even in pregnancy.

This treatment may require few sessions in few cases but the overall cost of treatment works out to be cheaper than expensive surgery.

 

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