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| Saturday, 17 July 2004 |
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Stapling down your Haemorrhoids procedure - painless
Surgical gastroenterologist at Sri Jayewardenapura Teaching Hospital Dr. Lalitha Piyarisi (MS, FRCS (ED) explaining this simple painless push pull surgical procedure for removal of haemorrhoids of any degree told the Health Watch. "Many elderly people, mostly women continue to suffer from haemorrhoids, undergoing the discomfort and pain, as they fear to undergo the pain involved in the normal surgical procedure to get them out, and the long hospital stay; about a week connected with it. No trauma The new procedure of stapling surgery has removed all that trauma, long stay to the patient as the special push pull instrument used in it takes only a few minutes for the procedure. No pain and hardly any bleeding at all. Mobile within minutes
The most important thing for the patient, Dr. Piyarisi says is within minutes he can move about, becomes mobile and the hospital stay is just one day. At the moment the procedure is somewhat costly, Dr. Piyarisi explained, as the monetary outlay for the patient would be around Rs. 35,000. There is every possibility in time to come as it generally happens with every new technical procedure the cost to come down, when the patient period of the instrument used expires which is generally seven years. Dr. Piyarisi has studied this procedure while on a professional trip to India. Last month Dr. K. Ismail from Trivandram in India with Dheeraj Rathi Manager of Johnson & Johnson Medicals India, the distributors of this special surgical instrument (Ethicon Endo-Surgery) were in Sri Lanka to introduce this instrument and conduct a training program on its use for doctors here. In this program which had been done at Sri Jayewardenapura, Colombo South and Kandy Teaching Hospitals, 14 patients with haemorrhoids had been surgically stapled. Youngest patient in the SAARC region
Dr. Ismail and Dheeraj Rathi speaking to the Health Watch said that among the operations carried out here, one patient had been a 14 years student, and she happens to be the youngest haemorrhoids patient in the SAARC region so far. In the 14 stapling operations carried out so far, the Indian firm had provided the surgical equipment free to the doctors. ####### General Code of Ethics recommended by the Sri Lanka Medical Council to the Medical Practitioners and Dentists registered with the Sri Lanka Medical Council Sri Lanka Medical Council has sent this document to us to use in this page. These guidelines should be read in conjunction with the publication issued in September 2000 on the subject of 'Serious Professional Misconduct.' Practitioners should take note of the Oath taken by Doctors prior to applying for full registration the provisions adapted from the Commonwealth Medical Association (1993); and the Guidelines to Practitioners and Media regarding indirect forms of advertising issued by the Sri Lanka Medical Council. Practitioners should conduct themselves with dignity at all times. They should be properly attired and neat in appearance when visiting and attending on patients. Whatever the provocation may be, they should act with restraint and abstain from rude or abusive behaviour to patients, colleagues and other staff. Indecent behaviour or violence towards a patient would be regarded as serious professional misconduct. Practitioners are advised to show sympathy and compassion to patients at all times. Professional misconduct could be caused by deprecation by one doctor of the skill, knowledge, qualification or services of another doctor. It is the responsibility of a practitioner to bring instances of professional misconduct, medical incompetence, incapacity, dishonesty or negligence of a fellow medical practitioner to the notice of the Medical Council, in the best interests of the medical profession and the general public. Name boards and rubber seals should not be ostentatious in size and form. Name boards should contain only the doctor's name, professional qualifications and surgery hours. Only medical qualifications registered with the Sri Lanka Medical Council should be used. Direction boards should be of reasonable size and not expansively or extensively displayed. In the opinion of the Council, convictions for drunkenness and other offences arising from the misuse of alcohol and/or drug abuse, indicate habits which bring discredit to the profession and may be a source of danger to the patients. Doctors who treat patients or perform other professional duties while under the influence of alcohol and/or drugs, or who are unable to perform their professional duties because they are under the influence of such substances, are liable to disciplinary proceedings by the Council their fitness to practise. Fees charged by practitioners should be reasonable. When fees are charged for surgical operations and other interventions, patients should be given an indication of the likely charges before performing such a procedure. Fee splitting (fees accepted on behalf of colleagues or other staff) is unacceptable and considered unethical. Major surgical operations carried out as planned routine procedures (not emergencies) should not be undertaken late at night since they may affect the overall efficiency of those associated with the operation. A physician should endeavour to add to the comfort of the sick by making his visits at reasonable times of the day unless otherwise indicated. A physician should neither exaggerate nor minimize the gravity of a patient's condition. He should assure himself that the patient, his relatives, guardian or his responsible friends have such knowledge of the patient's condition, as will serve the best interests of the patient and the family. While it is acknowledge that doctors must retain the right to dispense drugs to their patients, it is considered unethical for a doctor to own a pharmacy for dispensing prescriptions by doctors other than himself or for sale of medical or surgical appliances. They should also not direct patients to a particular pharmacy or laboratory for personal gain. Doctors should refrain from procuring appliances such as heart valves, joint implants or lens implants for their patients. If questioned by a patient, it is in the best interests of the doctor to mention why he prescribes a particular brand of medicine or appliances. A physician shall not give, solicit or receive, nor offer to give, solicit or receive, any gift, gratuity, commission or bonus, in consideration of or return for the referring, recommending or procuring of any patient for medical, surgical or other treatment. These provisions shall apply with equal force to the referring, recommending or procuring by a physician or any person, specimen or material for diagnostic or other study or work. Nothing mentioned here, however, shall prohibit payment of salaries by a qualified physician to other duly qualified persons rendering medical care under his supervision. Doctors registered with the Sri Lanka Medical Council should not employ persons who are not registered with the Council, to treat patients, for example pre-interns, or medical students. |
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