The Scenario: One partner (often the wife) is desperate for a solution after years of diet struggles and wants to try GLP-1 medications (like Semaglutide). The other partner (often the husband) is skeptical, worried about “unknown side effects,” or believes in “doing it the natural way.”

As a specialist at Mirascare Clinics, I see this dynamic constantly. The tension isn’t just about weight—it’s about safety, money, and fear.

So, who is right? The answer isn’t simple. Here is the scientific reality behind the 10 biggest arguments I hear in my clinic, so you can make a decision together.

The Science: Separating Fear from Fact

1. The “Family Support” Factor

He says: “You’re on your own with this.”

Science says: That’s a recipe for failure. Data shows a 60% dropout rate when patients don’t have family support. Conversely, outcomes are 2.5x better when the household is aligned. If you’re going to do this, you need to be a team.

2. The “Cancer Scares”

He says: “I heard it causes tumors.”

Science says: This comes from rodent studies. FDA trials with 17,000+ participants showed thyroid C-cell tumors in rodents, but this has NOT been proven in humans. In fact, these drugs have shown a 20% reduction in cardiovascular events (heart attacks/strokes) in high-risk groups.

3. The “Long-Term” Unknowns

He says: “We don’t know what happens in 20 years.”

Science says: He is partially right. We have about 5-7 years of solid human data. The 20-year effects are currently unknown. This is a valid risk that must be weighed against the immediate risks of obesity (diabetes, hypertension, joint failure).

4. The “Rebound” Reality

He says: “You’ll just gain it back.”

Science says: This is statistically likely if you stop without a plan. 2/3 of the weight returns within 12 months of stopping the medication. GLP-1s manage metabolism; they do not “cure” it. Think of it like blood pressure medication—it works while you take it.

5. The Financial Impact

He says: “It’s too expensive.”

Science says: It is a major investment. At ₹20-30K per month, you are looking at ₹24-36 Lakhs over 10 years. Insurance in India rarely covers this for weight loss alone. This needs to be treated as a long-term household budget item, not a one-time expense.

6. The “Quality of Life” Trade-off

He says: “You’ll be sick all the time.”

Science says: 40-50% of users experience nausea, vomiting, or constipation, especially in the beginning. This is because the drug delays gastric emptying. However, only 5-10% of patients quit due to these issues.

7. The “Indian Social” Dilemma

She says: “I want to look good for the wedding season.”

Science says: Physical health improves, but social satisfaction can decrease. Indian culture, especially here in Gurgaon, is food-centered. If you can’t eat at weddings or family dinners because you feel full or nauseous, it can feel isolating.

8. Eligibility Check

The Rule: These meds are NOT for losing a cosmetic 5kg before a vacation. They are strictly for:

• BMI ≥30 (Obesity)
• BMI ≥27 (Overweight) WITH comorbidities like diabetes or hypertension.

9. Pregnancy Warning

Crucial for young couples: You must stop these medications 2 months BEFORE trying to conceive. The effects on a developing fetus are unknown and potentially dangerous. It is also not safe while breastfeeding.

10. The “Willpower” Argument

He says: “You’ll become dependent on it mentally.”

Science says: These drugs do alter the brain’s reward pathways. There is a risk of losing confidence in your own ability to self-regulate naturally. Psychological support is vital.

The Mirascare Verdict

This isn’t about being “Pro-Drug” or “Anti-Drug.” It is about being Pro-Informed Decision.

If you are fighting about this, stop scrolling social media and come into the clinic. At Mirascare Clinic, we don’t just write a prescription and send you away. We perform a full risk-benefit analysis, check your eligibility, and ensure both partners understand the commitment involved.

Don’t let a medical decision become a marital conflict.

Now it’s Your Turn

Are you discussing this in your household? What is the biggest hurdle you are facing?

Don’t worry and Visit Us:

Mirascare Multispecialty Clinic

Shop No. 10, M2K Corporate Park Shopping Plaza, Pearl Ln, Block N, Mayfield Garden, Sector 51, Gurugram, Haryana 122018

Expert care for Weight Loss, Bariatrics, and General Surgery.

Disclaimer: Educational content ONLY. This is not medical advice. GLP-1 medications require strict physician supervision. Do NOT start/stop medications based on internet posts.

Phimosis and paraphimosis may look similar, but they actually differ significantly in severity and the urgency of their treatment. Dr Mir Asif Says

At Mirascare Clinics in Gurugram, Dr. Mir provides exceptional, patient-focused care for conditions related to the foreskin, prioritizing prompt diagnosis safe and secure treatment options.

Understanding Phimosis

Nature has provided the penis with a protective covering called the foreskin (prepuce). This foreskin covers and protects the glans penis (the head of the penis).

Ideally, in adult men, the foreskin should be easily retractable behind the glans—both in the flaccid and erect state. The most prominent ridge of the glans is known as the corona, and a healthy foreskin should retract a few millimeters beyond this point without pain or difficulty.

Phimosis is a condition in which the foreskin cannot be retracted behind the glans penis.

Common Symptoms of Phimosis you can experience in such condition

• Difficulty retracting foreskin.
• Pain or burning when urinating
• Recurrent infections or redness.
• Discomfort during sexual activity.

Phimosis is treatable, especially when addressed early.

Treatment options may include medications, lifestyle guidance, or minor surgical procedures such as open surgery, laser circumcision, or advanced ZSR treatment at our general surgery center in Gurugram.

What Is Paraphimosis?

Dr. Mir  explains paraphimosis as a surgical emergency that necessitates prompt care.

It happens when the foreskin is aggressively pulled back and becomes trapped behind the glans penis. This creates swelling and reduces blood supply to the penis head.

Why Paraphimosis is so Dangerous?

If not treated urgently or on time, paraphimosis can lead to:

• Severe swelling and pain
• Reduced blood supply to the penis
• Darkening or black discoloration of the glans
• Damage to the urinary passage (urethra)
• Permanent tissue damage in severe cases

Causes of Paraphimosis

Paraphimosis may occur due to:

• Aggressive retraction of the foreskin during sexual activity
• Insufficient care during masturbation
• Inadequate method for penile hygiene
• Surgical procedures in which the foreskin is not repositioned to its anatomical site

When Should You visit Dr Mir Asif at MIRASCARE clinic in Gurugram?

Seek immediate medical help (call or whatsapp : 88825 21281)  if you experience:

• Sudden swelling of the penis head
• Severe pain or tightness
• Inability to return the foreskin to its normal position
• Early treatment can prevent complications and often avoids major surgery.

Why Choose Mirascare Clinics in Gurugram?

• Expert care provided by Dr. Mir Asif Rehman
• Cutting-edge ZSR,  Laser and minimally invasive techniques uses in treatment
• Discreet and patient-centered care centre in gurgaon
• Urgent treatment for paraphimosis
• Reliable clinic serving patients throughout Delhi NCR

Dr. Mir Asif Rehman is a DNB general surgeon, laparoscopic surgeon, and proctologist who has performed many surgeries and has vast experience addressing problems with the foreskin in a safe and effective way.

Frequently Asked Questions (FAQs)

Is paraphimosis an emergency case?

Yes. Paraphimosis is a critical medical and surgical emergency. Without immediate care, there is a risk of obstructing blood flow to the head of penis, which can lead to significant complications, such as tissue damage.

Can phimosis be treated without surgery?

Actually YES, In cases of mild phimosis, treatment options typically include the use of medications, maintaining proper hygiene, and engaging in stretching exercises, all under the supervision of a healthcare professional.

Dr. Mir Asif suggests that surgery should be considered solely when conservative treatment has proven ineffective and medical conditions require it.

Is laser circumcision safe for phimosis treatment?

Yes. Laser circumcision is a safe and effective treatment for phimosis. It involves minimal bleeding, less pain, faster recovery, and lower risk of infection when performed by an experienced surgeon.

How urgent is treatment for paraphimosis?

Treatment for paraphimosis should be done immediately. Delaying treatment can cause severe swelling, discoloration of the penis head, and permanent damage.

Can paraphimosis affect urination?

Yes. Severe swelling in paraphimosis can compress the urethra (urine passage), making urination painful or difficult.

Do patients from Delhi NCR visit Mirascare Clinics?

Absolutely. Mirascare Clinics in Gurugram provide care to patients from Delhi NCR, Faridabad, Ghaziabad, Gurugram, Manesar, and beyond, including individuals from all over India and internationally. We offer confidential care and advanced treatment options for conditions related to the foreskin.

Patient Note from Dr Mir Asif Rehman

Early diagnosis means simpler treatment and faster recovery. Do not ignore foreskin discomfort or swelling—your health and safety come first.

Presenting Complaint & Patient Medical History

The patient, Mr. Nikhil, who came from Canada, had been having pain in his left groin area for two months. Moving around, standing for long amounts of time, and doing normal things made the pain worse. He had never been hurt or had any abdominal surgery done before.

Medical Diagnosis & Evaluation 

• Clinical Examination: Indicative of a left inguinal hernia

• USG inguino scrotal region : Confirmed presence of a left inguinal hernia

• Medical History: No co-morbidities present 

• Fitness for Surgery: Thoroughly assessed; patient is fit for laparoscopic intervention

Dr. Mir Asif and his team suggested a minimally invasive method for fixing the abdominal hernia because the patient was in good health to begin with and had a clear diagnosis. 

Treatment Performed

Procedure:

Mr. Nikhil underwent a Laparoscopic Inguinal Hernia Surgery with 3D mesh, a minimally invasive technique that repairs the hernia through very small keyhole incisions.

Surgical Technique:

The surgery was performed using the TAPP laparoscopic approach. These methods allow the surgeon to repair the hernia from inside the abdominal wall with the help of a camera and fine instruments, ensuring precision and faster healing.

Anaesthesia:

The procedure was done under general anaesthesia, so the patient was completely comfortable and asleep throughout the surgery.

Surgery Duration:

The entire operation took around 45 to 60 minutes, making it a quick and efficient procedure with minimal downtime.

Key Advantages of This Surgery Technique Chosen by Dr. Mir for the Patient:

• Minimal incision, faster recovery
• Less pain post-surgery
• Better cosmetic outcome, less chances of infection and bleeding
• Early ambulation and return to routine activities

Dr. Mir Asif Rehman performed the surgery using advanced laparoscopic instruments and mesh placement to strengthen the abdominal wall, ensuring long-term durability.

Postoperative Recovery

• Patient recovered smoothly in the postoperative period
• Walked within a few hours after surgery
• Discharged in stable condition with minimal pain on the very next day of procedure
• Follow-up at one week showed excellent healing and no complications

One Week Post Surgery – Successful Results

One week after surgery, Mr. Nikhil made a full recovery suitable for air travel. He has now safely returned to Canada with his wife, pain-free and satisfied with the outcome.

Patient Experience (In Mr. Nikhil’s Words)

“My experience with Dr. Mir Asif Rehman and his team has been exceptional. From the very beginning, I received clear and transparent counselling that helped me understand my condition and the treatment plan. As an international patient travelling from Canada, I truly appreciated the smooth coordination and support throughout my journey. The care I received before and after the surgery was excellent. Thanks to the successful laparoscopic procedure and the fast recovery, I was able to travel back to Canada within a week. I am extremely satisfied and grateful for the treatment I received.”

Conclusion

This case demonstrates the effectiveness of laparoscopic inguinal hernia repair under the expertise of Dr. Mir Asif Rehman, enabling patients—even international travellers—to receive world-class surgical treatment with fast and safe recovery.

Patient Profile & Medical History – recurrent Gallbladder Pain

• Name: As per Patient (Confidential)
• Age: 30 years
• Patient Home Location: Uttarakhand

Chief Complaint:

Recurrent pain on the right side near the lower end of ribs for 2 months, especially after eating oily or fatty foods.

Patient Clinical History

The patient, a young 30-year-old woman, visited Dr. Mir Asif Rehman with a history of:

•             Sharp pain in the right upper abdomen

•             Pain radiating toward the back and shoulder

•             Episodes occurring after meals, particularly after consuming fatty foods

•             Associated nausea and bloating

•             2-3 attacks since 2 months

Due to increasing frequency of episodes and impact on daily life, she sought a permanent solution.

Diagnostic & clinical examination

After clinical examination, the following tests were advised by Dr Mir Asif:

1. Abdominal Ultrasound

•             Presence of solitary gallstones

•             Mild gallbladder wall thickening

•             No CBD (Common Bile Duct) dilation

2. Blood Tests

•             Liver function tests: Normal

•             No signs of jaundice or infection

Diagnosis:

Symptomatic Gallstone Disease (Cholelithiasis) requiring surgical removal of the gallbladder.

Decision for Surgery

After the diagnostic evaluation, Dr. Mir Asif advised and counseled the patient about treatment options. Considering:

•             Her young age

•             Recurring, debilitating pain

•             Desire for faster recovery

•             Cosmetic concerns (minimal scarring)

Dr. Mir Asif opted for Single Incision Laparoscopic Cholecystectomy (SILS)—an advanced technique performed by only a few surgeons in India.

She traveled all the way from Uttarakhand to our Centre in Gurgaon specifically to undergo this minimally invasive, scarless surgery under Dr. Mir Asif Rehman.

Day prior to her surgery routine blood work was done so as to avoid surprise’s on the day of surgery and Pre Anesthesia consult was done to check for the feasibility of administration of general Anesthesia

The Day of Surgery

Single Incision Laparoscopic Cholecystectomy (SILS)

•             Surgery performed through one tiny incision inside the belly button

•             Specialized instruments used

•             Complete removal of gallbladder with stones

•             No drain tube required

•             Blood loss was minimal

•             Procedure time: ~25 minutes

•             Patient was shifted to recovery in stable condition

Postoperative Recovery

•             The patient was able to walk within a few hours

•             Started taking liquids 6 hours post procedure and semisolid as soon as she was able to tolerate liquids

•             Discharged within 24 hours

•             Only one hidden scar inside the navel—virtually invisible

•             Returned to routine activities in 3–4 days

•             Follow-up ultrasound confirmed normal recovery

Patient Happiness and Surgery Outcome

The patient reported:

•             Complete resolution of pain

•             Ability to eat normally without discomfort

•             High satisfaction with the scarless cosmetic result

•             Grateful for a smooth and painless surgical experience

Doctor’s Note – Dr. Mir Asif Rehman

“Single-incision laparoscopic cholecystectomy is an excellent and a novel option for young patients who want minimal scars and fast recovery. With the right expertise and technology, gallbladder surgery can now be performed safely with just one small incision hidden within the navel.”

Key Highlights of SILS Gallbladder Surgery at Our Centre

•             Practically scarless surgery (incision hidden inside the navel)

•             Faster healing, minimal pain and bleeding

•             Performed by a highly experienced laparoscopic surgeon

•             Quick discharge and recovery(Within 24 hours of admission in most cases)

•             Ideal for young and cosmetically conscious patients

P.S. we are earnestly grateful to our patients who travel from far and wide of the country and the world for the trust they have shown in us

By Dr. Mir Asif Rehman, Gallbladder & Laparoscopic Surgeon at Mirascare Clinics, Gurgaon

Millions of people worldwide suffer from gallbladder stones, also known as pith ki pathri in Hindi, one of the most prevalent digestive issues. We see a lot of patients with gallstone-related pain, indigestion, or discomfort at Mirascare Clinics in Gurgaon.

But what exactly are gallstones, why do they form, and how are they treated? Let’s understand.

What is the Gallbladder and Why Do Stones Form?

On the right side of your abdomen, directly beneath the liver, is a tiny organ called the gallbladder. Bile, a digestive fluid that aids in the breakdown of fatty foods, is stored there.

Gallstones can develop inside the gallbladder as a result of improper gallbladder function or excessively concentrated bile.

Common Causes of Gallstones

Gallstones are more common in certain groups of people. The major risk factors include:

• Hormonal changes in women – Dr. Mir Asif says mostly women in their 30s and 40s are more likely to develop gallstones due to hormonal fluctuations.

• Genetic factors – If your parents or siblings have gallstones, your risk is higher.
• Infections – Some bacterial or viral infections can damage the gallbladder and lead to stone formation.
• Blood disorders – Rarely, certain blood diseases can increase the risk of gallstones.

 In fact, studies and medical practice show that if 10 gallbladder surgeries are done, around 7–8 patients are women and only 2–3 are men.

Symptoms of Gallstones

Doctor Says, Not all gallstones cause problems. Many patients may experience no pain at all from silent (asymptomatic) stones. But when symptoms do appear, they could include:

• Pain in the upper right abdomen (especially after fatty meals)
• Nausea or vomiting
• Indigestion, bloating, or heaviness
• Fever or jaundice in severe cases (due to complications)

Do All Gallstones Need Surgery?

There are two approaches to gallstone treatment:

1. Asymptomatic gallstones – If stones are not causing pain or problems, sometimes surgery is not immediately needed. Regular monitoring is enough.
2. Symptomatic gallstones – If stones cause pain, vomiting, or complications, surgery is the only effective treatment.

Because gallstones can cause serious complications if left untreated, some surgeons advise preventive surgery even for patients who are asymptomatic. Dr Mir asif says..

Modern Treatment Options at Mirascare Clinics, Gurgaon

Previously, a large incision was made during open surgery to remove the gallbladder (cholecystectomy). However, the gold standard for treating gallstones nowadays is laparoscopic surgery.

Types of Laparoscopic Surgery:

• Conventional Laparoscopy – Four small incisions are made (at the belly button, above it, and two on the sides) to safely remove the gallbladder.
• Single-Incision Laparoscopic Surgery (Speciality at Mirascare Clinics) – At Mirascare Clinics, Gurgaon, Dr. Mir Asif Rehman specializes in performing gallbladder surgery through a single 11 mm incision at the belly button.

What are the advantages of single-incision surgery?

• Minimal pain and discomfort
• Hardly visible scar (cosmetically superior)
• Less risk of infection or bleeding
• Quick recovery and faster return to normal life

How to Prevent Gallstones?

While not all gallstones can be prevented, you can reduce your risk by:

• Maintaining a healthy weight (obesity increases risk)
• Eating a balanced diet rich in fiber and low in unhealthy fats
• Staying physically active
• Avoiding crash diets or sudden weight loss

Why Choose Dr. Mir Asif Rehman at Mirascare Clinics, Gurgaon?

• Over 7,500 successful laparoscopic and laser surgeries performed
• Specialist in advanced gallbladder and gastrointestinal surgeries
• Expertise in single-incision laparoscopic gallbladder surgery for faster recovery
• Patient-friendly care with modern facilities in Gurgaon

Final Thoughts by Dr Mir Asif Rehman

Gallstones are a very common problem, especially among women in their 30s and 40s. While not all gallstones need immediate treatment, once they cause symptoms, surgery is the safest and most effective option.

At Mirascare Clinics, Gurgaon, Dr. Mir Asif Rehman offers advanced and minimally invasive gallbladder surgery with excellent outcomes.

If you are experiencing abdominal pain, indigestion, or have been diagnosed with gallstones, consult Dr. Mir Asif at Mirascare Clinics for expert care.

• “Will my life span become shorter after gallbladder removal?”
• “Will I start having acidity or digestive issues after the surgery?”

Here Dr Mir Asif Rehman clear these doubts with facts.

Myth 1: Gallbladder surgery reduces life span

One of the most common misconceptions regarding gallbladder surgery is this one. In actuality, neither scientific research nor medical literature indicates that removing the gallbladder reduces life expectancy.

Every year, millions of people around the world safely have gallbladder surgery and return to normal, healthy lives.

Myth 2: Gallbladder surgery causes acidity or indigestion

The development of acidity or digestive issues following surgery is another frequent worry. In actuality, acidity is not a result of gallbladder removal.

Gallbladder surgery is not the only cause of acidity; there are numerous other factors as well, including lifestyle choices, stress, and diet.

In fact, you might have experienced pain, bloating, or discomfort when consuming fatty foods if you had a gallbladder that was symptomatic (with stones). This issue usually resolves after surgery, which facilitates digestion.

The Reality: Safe and Effective Treatment

The removal of the gallbladder is a simple, safe, and minimally invasive (laparoscopic) operation. When gallstones cause pain, infection, or other symptoms, it is advised.

You can live a better life without the constant pain and discomfort by having the diseased gallbladder removed.

Advanced SILS Method for Gallbladder Surgery

For gallbladder removal, Dr. Mir Asif Rehman employs the most cutting-edge SILS (Single Incision Laparoscopic Surgery) technique.

For the purpose of to insert the camera and surgical tools during traditional laparoscopic surgery, the surgeon typically makes three to four tiny abdominal incisions. Despite being safe and efficient, this procedure still leaves a few minor scars.

The SILS technique involves making a single, tiny incision, usually inside the belly button, to perform the entire procedure. This implies:

• Only a single, hidden scar (often almost invisible)
• Less pain after surgery compared to multiple incisions
• Faster recovery and early return to normal activities
• Better cosmetic outcome, since the scar is hidden in the natural fold of the navel

One of the most advanced methods of gallbladder surgery available today is SILS, a state-of-the-art, minimally invasive procedure that blends safety, efficacy, and aesthetic advantages.

About Dr. Mir Asif Rehman

Based in Gurgaon, India, Dr. Mir Asif Rehman is a highly skilled general and laparoscopic surgeon.

Thousands of patients trust him for cutting-edge surgical care because he has over 19 years of surgical experience and has performed over 7,500 successful laparoscopic and laser surgeries.

He specializes in:

• Laparoscopic Gallbladder Surgery (including scarless and single-incision techniques)
• Advanced Hernia Repairs (3D mesh, laparoscopic methods)
• Bariatric (Weight Loss) Surgeries
• Laser Surgeries for Piles, Fistula, and Fissures
• Complex Laparoscopic Procedures (appendicectomy, splenectomy, fundoplication, etc.)

Dr. Rehman is known for his patient-centric approach, precision in minimally invasive surgery, and dedication to ensuring faster recovery with minimal discomfort.

Trust with Facts – Final thought by Dr Mir Asif Rehman

Gallbladder surgery does not necessarily result in acidity or a shorter lifespan. Gallbladder-related issues can be safely treated and permanently resolved with skilled surgical care from experts like Dr. Mir Asif Rehman.

“Looking for the best gallbladder surgeon in Delhi NCR? Dr. Mir Asif Rehman specializes in advanced laparoscopic and SILS (Single Incision Laparoscopic Surgery) cholecystectomy. With over thousands of successful laparoscopic surgeries, he ensures safe, scar-minimal procedures and faster recovery for gallstone patients.”

Sebaceous cysts: what are they?

• Although they can appear anywhere on the body, the face, neck, and torso are the most common locations.
  They can be uncomfortable, but they are not life-threatening or cancerous.
• Apart from their appearance, skin cysts typically don’t cause any issues. Although they are typically not painful, their presence may be palpable.
• For instance, it could hurt if a cyst on the scalp gets caught on a brush or comb.
• Usually, cysts only hurt when they get inflamed or infected.

Performing an office procedure for an infected sebaceous cyst.

This is a 40-year-old gentleman who has had a sebaceous cyst for a few years. In the past couple of days, the cyst has become infected, which is why we are proceeding with drainage.

Important to note:

An infected sebaceous cyst cannot be stitched immediately, as suturing can trap infection and cause recurrence. Instead, we will drain the pus, remove the sebum and the cyst wall, and leave the wound open. The wound will then heal by secondary intention, or if it is healthy and uninfected after 2–3 weeks, we can stitch it.

Dr. Mir Asif from Mirascare Clinics, and will show you the step-by-step procedure.

Problem Area – Cyst is located

The cyst is located on the left shoulder and scapular region.

• We begin by prepping the area with Betadine.
• You can see the punctum and surrounding redness (erythema), which indicates inflammation.
• The cyst measures around 4 x 4 cm.

Since sebaceous cysts are subcutaneous structures arising from sebaceous glands, they cannot be pinched from the surface.

Local anesthesia

Dr. Mir Asif administers local anesthesia using Xylocaine combined with adrenaline. The patient experiences only a small prick during the injection. The temporary blanching of the skin that appears immediately is a normal effect caused by adrenaline, which induces vasoconstriction (narrowing of blood vessels).

This combination not only helps in reducing bleeding at the surgical site but also ensures that a safer dosage of anesthetic can be used while still providing effective and long-lasting pain control throughout the procedure.

During The Treatment

After making the incision, pus begins to pour out.

• It’s a foul-smelling discharge, which confirms infection.
• The patient will likely feel significant relief after drainage, as the pressure and infection are released.

Then Dr Mir Asif carefully remove the cyst wall along with the contents. This is crucial because leaving the wall behind may lead to recurrence.

The cavity is thoroughly washed and cleaned to remove any residual pus or debris.

• The cavity is approximately 2 to 2.5 inches deep.
• We leave the wound open and pack it with sterile gauze.

Post-procedure care:

• The patient will be prescribed antibiotics and painkillers.
• Pain after the procedure is usually minimal, and relief is often immediate compared to the discomfort of the infected cyst.
• Hygiene is not a cause of sebaceous cysts – they occur due to blocked sebaceous glands and sometimes genetic predisposition.

Post Recovery

 With that, the procedure is complete. The wound will heal gradually, and if required, delayed stitching can be done after 2–3 weeks.

At MIRASCARE Multispecialty Centre, we ensure that every patient who walks through our doors will get expert, caring, and quick care. One recent case like this shows the kind of accuracy and one-on-one care that define our way of doing things.

The Case: A Rare Abscess Near the Eyelid

A young male patient recently visited us at MIRASCARE Clinic in Gurgaon with a painful swelling in the upper left eyelid, particularly affecting the lateral palpebral region. This is an unusual site for an abscess and requires careful evaluation and treatment due to the delicate anatomy and cosmetic sensitivity of the area.

While the patient was non-diabetic, he was a chronic smoker, which may have impaired local immunity and contributed to the development of the infection.

Our Approach: Precise, Patient-Centered Treatment

At MIRASCARE, Dr. Mir Asif prioritizes patient comfort and cosmetic outcomes. Here’s how we managed this rare case:

1. Pain-Free and Precise Procedure

We administered local anesthesia (Lignocaine with adrenaline) to ensure the patient remained comfortable throughout the procedure.

2. Minimally Invasive Drainage

A small incision was made carefully along the natural eyelid crease, minimizing visible scarring. Once opened, pus began to drain from the abscess, confirming the diagnosis.

3. Targeted Diagnosis

We collected a sample for bacterial culture, which allows us to prescribe the most appropriate antibiotic therapy based on the specific infection.

4. Complete Internal Drainage

We ensured that all internal loculated pockets were broken down, and gently performed curettage of necrotic tissue—a crucial step to prevent recurrence and promote healing.

5. Post-Procedure Care

The cavity left behind will gradually heal over 4 to 6 weeks, supported by oral antibiotics and scheduled follow-up visits for close monitoring.

Going Beyond Treatment – Our Philosophy

This case is just one example of how MIRASCARE Multispecialty Centre provides comprehensive and thoughtful care—whether the problem is routine or rare. We combine:

• Expertise in multispecialty surgical procedures
• Advanced diagnostic and treatment protocols
• A compassionate team focused on the individual
• Commitment to minimal discomfort and cosmetic integrity

When to Seek Help?

If you notice any unusual swelling, pain, or redness—especially near sensitive areas like the eyes—it’s important to seek medical attention immediately. Early diagnosis and intervention can prevent complications and speed up recovery.

At MIRASCARE Multispecialty Centre, we’re here to provide trusted care—backed by science, delivered with compassion.

Visit Us –

• Dr Mir Asif, Gallbladder Surgeon, Piles Doctor, Hernia Surgeon, Fistula Treatment, Best Piles Surgeon in Gurgaon
• LA MIDAS- NR – 38, Main, Nathupur Rd, DLF Phase 3, Sector 24, Gurugram, Haryana 122002

   Call for Appointments – (+91) 8882 521 281 | www.mirascare.com

In some important case studies “Individuals with hidradenitis suppurativa (HS) possess a heightened susceptibility to cancer development. This include hematologic malignancies, solid tumors, and cutaneous squamous cell carcinoma (SCC) arising from HS lesions.”

Dr. Mir Asif Rehman explains that chronic inflammation and repeated scarring associated with severe or longstanding HS may lead to the development of squamous cell carcinoma (SCC), a type of skin cancer, particularly in areas affected by persistent lesions.

Key factors

• Patients with HS also have an increased risk of developing noncutaneous cancers.
• Malignancy is a comorbidity associated with HS.
• Both primary cancers and cutaneous metastases can masquerade as HS lesions.
• Hidradenitis suppurativa is linked to several comorbidities, including metabolic, cardiovascular, musculoskeletal, gastrointestinal, and mood disorders.

Types of Cancer Linked to HS:

• Squamous Cell Carcinoma (SCC) is most usually associated with chronic HS.
• Other malignancies, such as basal cell carcinoma or lymphoma, may also be associated, but this is extremely rare.

What can be the Warning Signs?

• Non-healing or rapidly growing lesions in HS-affected areas.
  • Changes in color, size, or texture of the skin around HS lesions.
  • Persistent pain or unusual discharge.

Hidradenitis Suppurativa (HS) is a persistent dermatological illness that predominantly impacts regions of the body where skin surfaces interlace. Dr. Mir Asif Rehman elucidates that hidradenitis suppurativa (HS) is marked by painful nodules, abscesses, and sinus tracts in areas susceptible to friction, perspiration, and hair proliferation.

Commonly Affected Areas that can be affected by HS:

1. Axillary Region: A often affected area due to perspiration and friction.
2. Groin area : Skin-to-skin contact and moisture collection are common causes of irritation in the inner thighs and groin.
3. Buttocks: Lesions often appear in areas of high friction, such as the intergluteal cleft.
4. Breast Region: Women may get HS beneath and around their breasts, particularly if they have large breasts or sweat a lot.
5. The labia in females and the scrotum in males may be affected, causing significant discomfort.
6. Thighs: Inner thighs are prone to lesions, especially in people with extra body weight.
7. Neck and Retroauricular Regions: HS lesions might appear in these areas less commonly, particularly in severe cases.

Prevention and Early Detection:

• Regular monitoring by a concerning doctor who are expertise in HS Treatment.
• HS should be treated early and effectively in order to reduce the amount of chronic inflammation.
• For the purpose of preventing complications, surgical treatment of chronic or severe lesions is recommended.

Dr. Rehman emphasizes that, while the risk of cancer in HS patients is minimal, it is critical to be cautious and seek medical assistance if any worrisome changes arise. Early intervention is critical for lowering the likelihood of problems.

Treatment of Hidradenitis Suppurativa

A range of treatments is available for individuals with this condition to alleviate discomfort and mitigate the indications or symptoms of their illness.

The primary therapy modalities for hidradenitis suppurativa include:

• Antibiotics,
• Immunosuppressants,
• Surgical intervention, and
• Topical therapies.

In extreme instances, surgical intervention may be required to excise all contaminated tissue to avert any future recurrence of the condition.

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Facts & Resource:

1. Mucinous adenocarcinoma of the buttock associated with hidradenitis:
   
   Kim SJ, Kim TG, Gu MJ, Kim S. Mucinous adenocarcinoma of the buttock associated with hidradenitis: A case report. World J Clin Cases 2020; 8(18): 4200-4206 [PMID: 33024779 DOI: 10.12998/wjcc.v8.i18.4200]
2. Cancer and hidradenitis suppurativa

https://www.sciencedirect.com/science/article/pii/S0738081X24001834

• Chronic hidradenitis suppurativa and perianal mucinous adenocarcinoma. A case report. – https://europepmc.org/article/med/17393769?utm_medium=email&utm_source=transaction&client=bot

• Hidradenitis suppurativa

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)02475-9/fulltext

“Fundoplication surgery is a treatment employed to address gastro-oesophageal reflux disease (GERD), a disorder characterised by the recurrent regurgitation of stomach acid into the oesophagus, resulting in discomfort.” Dr Mir Asif, Renowned General and Laparoscopic Surgeon in Delhi NCR & Director of MIRASCARE Multi speciality Clinic, Gurugram

This operation is also conducted to rectify hiatal hernias, in which a segment of the stomach protrudes through the diaphragm into the thoracic cavity.

How Fundoplication Works?

The procedure entails encircling the upper section of the stomach (the fundus) around the lower oesophagus. This reinforcement establishes a valve mechanism that inhibits the reflux of stomach acid and contents into the oesophagus.

Types of Fundoplication

1. Nissen Fundoplication (360-degree wrap): The stomach is wrapped completely around the esophagus. It’s the most common and effective type.

2. Partial Fundoplication (270-degree or less wrap):

• Toupet Fundoplication: A 270-degree posterior wrap.
• Dor Fundoplication: A 180–200-degree anterior wrap.

These partial wraps are used when a full wrap might lead to complications like difficulty swallowing.

Indications for Fundoplication Surgery

• Chronic GERD not managed by medications or lifestyle changes.
• Complications of GERD, such as esophagitis or Barrett’s esophagus.
• Due to Large hiatal hernias patient cause severe symptoms.
• Persistent regurgitation or aspiration.

Our Surgical Process at MIRASCARE Centre, Gurgaon

• Laparoscopic Fundoplication (Minimally Invasive): Dr. Mir Asif’s expertise in this minimally invasive surgery, which involves small incisions and quicker recovery times, is impressive.
• Open Fundoplication: This is very traditional method compared to above Laparoscopic Fundoplication , Performed through a larger abdominal incision, typically reserved for complex cases.

What are Benefits of this Surgery

• Significant reduction or elimination of GERD symptoms.
• Prevention of esophageal damage.
• Improved quality of life.

Risks and Side Effects

Like many other surgeries, this surgery has some side effects, but not very long-term (depending upon the person-to-person recovery process).

• Difficulty swallowing (temporary or long-term).
• Gas-bloat syndrome (inability to burp or vomit).
• Recurrence of GERD symptoms in some cases.
• Surgical complications like bleeding or infection.

What is the Recovery time?

• Most patients recover within 2–4 weeks after the surgery performed successfully.
• Dietary modifications, such as starting with liquids and gradually introducing solid foods, are essential during the healing process.

If you’re considering fundoplication surgery, consulting a gastroenterologist or surgeon experienced in GERD management can help determine if it’s the right option for you.

Please message or WhatsApp your query to +91 8882521281 or Leave your Contact Number.

Why choose Dr. Mir Asif Rehman for fundoplication surgery in Gurgaon?

Dr. Mir Asif is an accomplished general surgeon with over 19 years of experience, demonstrating a strong track record in performing a wide range of surgical procedures and effectively treating advanced conditions. Dr. Mir Asif excels in advanced laser surgeries and possesses expertise in both basic and advanced laparoscopic surgeries. Dr. Mir Asif is dedicated to delivering specialised, dependable, and affordable quality health care to every patient he serves.

He has performed nearly 7500 different laparoscopic and laser surgeries. He excels in both basic and advanced laparoscopic surgeries.

1. Expertise in Minimally Invasive Surgery

Dr. is well-known for his skill in laparoscopic and minimally invasive surgical techniques, which ensure that his patients have less pain, heal faster, and have less scars.

2. Extensive Experience

Extensive Experience of Doctor , with over 19 years of experience in general and gastrointestinal surgery, has effectively treated a number of patients who are suffering from complicated GERD (gastro-oesophageal reflux disease) and related conditions that necessitate fundoplication surgery.

3. Comprehensive Pre- and Post-Operative Care

Doctor is known for his personalised care; he guides patients through their diagnosis, surgical procedures, and recovery process to ensure the best possible outcomes.

4. State-of-the-Art Facilities

Doctor conducts surgeries in leading hospitals in Gurgaon, using cutting-edge technologies and equipment to improve safety and precision.

5. Patient-Centric Approach

Dr. Mir alaways believes in a compassionate and transparent approach, explaining the procedure, benefits, risks, and expected results to help patients make informed decisions.

6. Excellent Track Record

His high success rates and positive patient testimonials reflect his dedication to excellence in surgical care.

7. Convenient Location

Mirascare Centre, based in Gurgaon, Dr. Mir Asif, is easily accessible to patients from Delhi, NCR, and other regions, including international patients seeking world-class surgical expertise.

If you’re considering fundoplication surgery for GERD or hiatal hernia, Dr. Mir Asif Rehman combines advanced surgical skills with personalized care to ensure a seamless experience.