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Laparoscopic, Robotic and LASER Surgery - GI & Colorectal, Navi Mumbai


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    Doctor nitesh return from germany

    Dr. Nitish returns from Germany after training in VAAFT for fistula

    Dr. Nitish Jhawar General, Laparoscopic and Colorectal Surgeon at Fortis Hiranandani Hospital, Navi Mumbai, India recently attended a surgical workshop at Berlin (Germany )to understand and perform VAAFT – Video Assisted Anal Fistula Technique- better. This endoscopic treatment of fistula doesn’t have a risk of incontinence.

    In today’s era of minimally invasive surgeries, emphasis on painless treatment and faster recovery without much dissection of the tissue is higher. Anal fistulas have been treated from the era of Hippocrates from 1600 DC. Everything starting from horse’s hair to laser has been tried to treat these nagging problem. The two main factors / fear in fistula surgery is recurrence and incontinence due to incomplete removal or excessive cutting of sphincter.

    There are various surgical ways to treat fistula including removal of the fistula track completely. This is surely painful, requires daily dressing and also takes a lot of time to heal. Along with which there are higher chances of recurrence; whereas, VAAFT requires no incision, which helps patients to resume their daily lives with ease.

    This endoscopic treatment offers a complete diagnosis of the fistulous tract in the form of fistuloscopy and since no cutting of the sphincter is involved, there is no risk of incontinence. The latest case studies are showing encouraging results in this particular modality. Tackling recurrence of the fistula with VAAFT is much easier option and acceptable to the patient because of its painless patient-friendly treatment.

    On his visit to Berlin, Dr. Nitish Jhawar met Dr. Monreio, who is the inventor of this technique and have more than 10 centres all over the world.

    Dr. Monreio takes pride in the efficacy of this treatment which is helping him treat patients all across the Globe. As per Dr. Jhawar –“ It was a wonderful experience to learn the Nitti gritty of the surgical challenges and their management from the inventor himself. VAAFT has clearly achieved a reputed place in ARMAMENTARIUM of fistula treatment modalities and is here to stay. I am aiming to continue his legacy of helping people with VAAFT and make it easier for the patients suffering from Anal Fistula.”

    Doctor Nitesh Germany training
    doctor-nitesh-germany-training-session
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    Dr. Nitish Jhawar Attends Course on the Innovative DGHAL Technique For Piles Treatment at Austria

    Dr. Nitish Jhawar Attends Course on the Innovative DGHAL Technique For Piles Treatment at Austria

    Dr Nitish Jhawar, Head of Colorectal department, Fortis Hiranandani Hospital located in Vashi Navi Mumbai recently participated in a Surgical Workshop Training course on the use of Doppler Ultrasound Proctoscope for carrying out the Doppler-Guided Hemorrhoid Artery Ligation (DGHAL) procedure.

    The workshop, which was held at A.M.I head office at the Feldkirch & Bludenz General Hospital in Austria, covered key principles, techniques, and protocols regarding the use of the Proctoscope. It also covered the basics of the disease along with its indications as well as a comparison with other available techniques.

    The DGHAL is a relatively new advanced operational technique for evaluating and treating haemorrhoids (piles).  This minimally invasive procedure uses ultrasound Doppler to accurately identify the site of the piles and enables the tying of the affected vessels as well as repositioning of the haemorrhoidal lumps. A highly effective method, the treatment involves lesser pain and facilitates faster recovery for patients.

    The Proctoscope plays a vital role as it guides the process through the Doppler ultrasound probe which is mounted on this specially designed equipment. Understandably it is important to understand the full range of its features, operations and capabilities.

    The workshop attended by Dr Jhawar was focused on enabling participants to gain complete knowledge of the equipment, which would help them to better perform examinations using the Proctoscope and implement effective techniques to carry out the treatment.

    Dr. Jhawar thanked Dr. Mathias Sheyer, who is the Chief Surgeon of Bludenz General Hospital and has experience in treating over 2000 cases in last 15 years, and Dr. Gruber Andreas for sharing their expertise.

    Commenting on the event, Dr Nitish Jhawar said,” It has been an extremely educative experience to attend this workshop. The high rate of success and superior benefits to patients through innovative DGHAL technique makes it an important treatment option, and I will use the knowledge and skill gained from attending this workshop to offer this treatment to my patients.”

    Dr. Jhawar is a highly experienced expert in the field of Laparoscopic & Colorectal surgeries. He has previously undergone advanced training in treating piles & Fistula.

    He has additionally been trained in VAAFT – Video Assisted Anal Fistula Technique in a session held in Berlin, Germany which included a meeting with Dr. Monreio the inventor of the technique. This endoscopic treatment method offers diagnoses and removal of anal fistulas through fistuloscopy, which avoids surgical excision of the sphincter, making it less painful.

    About Dr. Nitish Jhawar

    By gaining a deep understanding of the various new and advanced therapies for treating piles, Dr. Jhawar is well placed in offering patients the latest in treatment options for colorectal surgeries. Minimal invasive Endoscopic surgeries are safer, less painful and ensure faster recovery making them the preferred method for many. A wide range of treatments for piles including DGHAL and stapling is available for patients looking for relief from this painful condition.

    Dr.-Nitish-Jhawar-Attends-Course-on-the-Innovative-DGHAL-Technique-For-Piles-Treatment-at-Austria-DghalDr.-Nitish-Jhawar-Attends-Course-on-the-Innovative-DGHAL-Technique-For-Piles-Treatment-at-Austria-dghalDr.-Nitish-Jhawar-Attends-Course-on-the-Innovative-DGHAL-Technique-For-Piles-Treatment-at-Austria-dghalDr.-Nitish-Jhawar-Attends-Course-on-the-Innovative-DGHAL-Technique-For-Piles-Treatment-at-Austria-dghal

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    Doctor nitesh return from germany

    Dr. Nitish returns from Germany after training in VAAFT for fistula

    Dr. Nitish Jhawar General, Laparoscopic and Colorectal Surgeon at Fortis Hiranandani Hospital, Navi Mumbai, India recently attended a surgical workshop at Berlin (Germany )to understand and perform VAAFT – Video Assisted Anal Fistula Technique- better. This endoscopic treatment of fistula doesn’t have a risk of incontinence.

    In today’s era of minimally invasive surgeries, emphasis on painless treatment and faster recovery without much dissection of the tissue is higher. Anal fistulas have been treated from the era of Hippocrates from 1600 DC. Everything starting from horse’s hair to laser has been tried to treat these nagging problem. The two main factors / fear in fistula surgery is recurrence and incontinence due to incomplete removal or excessive cutting of sphincter.

    There are various surgical ways to treat fistula including removal of the fistula track completely. This is surely painful, requires daily dressing and also takes a lot of time to heal. Along with which there are higher chances of recurrence; whereas, VAAFT requires no incision, which helps patients to resume their daily lives with ease.

    This endoscopic treatment offers a complete diagnosis of the fistulous tract in the form of fistuloscopy and since no cutting of the sphincter is involved, there is no risk of incontinence. The latest case studies are showing encouraging results in this particular modality. Tackling recurrence of the fistula with VAAFT is much easier option and  acceptable to the patient because of its painless patient-friendly treatment.

    On his visit to Berlin, Dr. Nitish Jhawar met Dr. Monreio, who is the inventor of this technique and have more than 10 centres all over the world.

    Dr. Monreio takes pride in the efficacy of this treatment which is helping him treat patients all across the Globe. As per Dr. Jhawar –“ It was a wonderful experience to learn the Nitti gritty of the surgical challenges and their management from the inventor himself. VAAFT has clearly achieved a reputed place in ARMAMENTARIUM of fistula treatment modalities and is here to stay. I am aiming to continue his legacy of helping people with VAAFT and make it easier for the patients suffering from Anal Fistula.”

     

    doctor nitesh germany trainingdoctor nitesh germany training session

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    The-East-Africa-Medic-Summit-2016-held-at-Nairobi-Kenya-to-speak-about-Laparoscopic-Hiatal-Anti-reflux-Surger

    Dr.Nitish Jhawar was invited as Speaker at ‘ The East Africa Medic Summit 2016’ held at Nairobi Kenya to speak about ‘Laparoscopic Hiatal Anti-reflux Surgery’ and ‘Laparoscopic Inguinal Hernia Surgery’

    Dr.Nitish Jhawar was invited as Speaker for “Laparoscopic Hiatal Anti-reflux Surgery ” and ” Laparoscopic Inguinal Hernia Surgery ” in Nairobi Kenya in the 2016 East Africa Medical Summit to share his experience & expertise.

    It was a moment of pride and we hope to coninue helping the world with his knowldege.

    The-East-Africa-Medic-Summit-2016-held-at-Nairobi-Kenya-to-speak-about-Laparoscopic-Hiatal-Anti-reflux-Surgery

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    Dr-Nitish-Jhawar-introduces-State-of-the-art-manometry-machine

    Dr Nitish Jhawar introduces State-of-the-art manometry machine at a hospital in Vashi Navi Mumbai

    Bringing in a higher level of quality in medical care, Dr Nitish Jhawar who is the Head of Colorectal department at the Fortis Hiranandani hospital located in Vashi Navi Mumbai has introduced a manometry machine to his department.

    This will be the first manometry machine available in the whole of Navi Mumbai region.

    Manometry tests are key physiological tests that enable doctors to study the Colorectal and Esophageal region. Physiological tests are important because they allow doctors to directly examine how the interior muscles and reflexes are working.

    Using Colonic manometry and anorectal manometry doctors are able to understand the pressure and motor activity including sensations and reflexes inside the colon and the anus /rectal region, as well as the strength of the muscles there.

    Speaking on the occasion, Dr. Jhawar said,” I am happy to announce that our department will now be able to provide the best in medical investigation for colorectal conditions. The manometry machine plays a vital role in providing information to doctors to diagnose accurately and quickly enabling patients to benefit from the right therapy.”

    The test is an important step while evaluating a patient in cases of constipation, stool leakage, or severe abdominal pain which are not responding to other medical therapy and it also helps in deciding whether patient is a candidate for STARR surgery for constipation . Manometry tests often are able to spot issues which are missed by other diagnostic tests like radiology and endoscopy.

    The Manometry test is an outpatient procedure, taking only around 30-90 minutes but can be higher in rare cases. Under the procedure a thin flexible tube is inserted into the rectum and the machine then measures the muscle contractions, movement and pressure occurring internally. Patients might need to carry out certain actions so that the machine can record the responses to these manoeuvres.

    Completely safe and painless, the test delivers critical inputs to doctors. The results, which are seen in form of graphs, enable medical practitioners to understand the efficacy of motor functions of the affected muscles helping them identify the cause accurately, guiding the doctor in choosing and administering in the correct treatment therapy.

    About Dr Nitish Jhawar

    Dr Nitish Jhawar is asenior laparoscopic surgeon & Colorectal Surgeon  (Colo- Proctologist) at Fortis Hiranandani Hospital Vashi and Neoalta specialty clinic, Vashi, Navi Mumbai.  He has received training from Germany and Austria and has over 16 years experience in treating piles, constipation, Anal fistulas and pilonidal sinus through minimally invasive procedures.

    Treatments he does include painless piles surgery through techniques such as DGHAL / Stapler, Constipation surgery STARR ,and advanced treatment for fistula such as VAAFT, LASIT , LIFT and LASER.

    He also specialises in Laparoscopic Surgery including gall bladder, hernia, appendectomy, and other general surgeries such as diabetic foot, and varicose veins.

     

    Dr-Nitish-Jhawar-introduces-State-of-the-art-manometry-machinesmanometry-machine

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    Testimonial

    What patient says about Dr. Nitish Jhawar

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at Max hospital, he just asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Apollo staff was also very caring and good. I would mention Apollo Hospital, Navi Mumbai in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Person Image

      I was diagnosed with gall stones a year ago in Delhi, I showed it to a doctor at M.... hospital, he .... asked me to get a surgery done and get my gall removed on any date of my choice, I was sacred and too young to get it done I got a vibe from doctor that for him it’s just a small things, however according to for a patient it’s important first be convinced on the urgency to get it done and feel safe . A year later I shifted to Mumbai and started having a frequent pain in shoulder blades and gall area. It went sharp this time. We went to Dr Nitish , as oppose to Delhi doc, Dr Nitish was very polite, first asked us to get the scan done and understand the current scenario, the scan showed one big 17 mm stone which was earlier also there but this time also there were multiple various sized stones as well along with the big one. Dr Nitish examined the scan, explained me and my husband about the condition and need of surgery or else the stone Would have slipped in the panacea or bile calling for a bigger operation. He explained diagramatically . He was patient in explaining, gave us time to think and be convinced. We were ready and then he performed it . It was flawless, quick and went well. He is a very experienced and fine surgeon , he is caring and doesn’t create panic at all rather he takes it slowly and makes patient comfortable. It was lapro, it’s been 2 months I m writing this . I faced no issues till now. Fortis staff was also very caring and good. I would mention fortis Vashi in specific. Good follow up diet makes it normal. I would strongly recommend Dr Nitish. He knows his job perfectly. He is not money minded at all. He would recommend surgery only if it’s required.

    • Kishore-Kumar-Das

      I had surgery of my left hydrocele on 27th May 2017 by Dr Nitish Jhawar. An excellent experience of service I got particularly from Dr Jhawar. He is not only a qualified experienced doctor but also a splendid human being. Thanks a lot.

    • Siddappa-Hasbi

      It was a Laparoscopic operation for the removal of Gall Bladder (stones). I had developed on and off pain in abdomen before the operation, after the operation feeling good, totally pain free. Thanks and respect for handling my case very well.

    • Person Image

      I met doctor Nitish for piles problem and wanted to undergo LASER procedure only, my operation is successful and I thank doctor for being a good human being and great surgeon.

    • Person Image

      I was suffering from piles since long time. For bleeding heavily I met Dr Nitish Jhawar and after meeting him decided to go for Stapler surgery for piles. I found him a doctor who listens to our problem and explains properly.

    • Person Image

      I got diagnosed about a year back but was avoiding operation for Hernia repair, Dr Nitish Jhawar explained me why surgery should be done and I chose surgery by laparoscopy method. I am happy with the doctor and the hospital.

    • Person Image

      I visited for Gall Bladder removal by Laparoscopy after searching for best laparoscopic surgeon. After meeting dr my fear for surgery was vanished and my surgery went well and recovery was smooth.

    • Person Image

      Honest doctor, expert in his field....can trust his words

    • Person Image

      Very good he describe everything in very pleasant manner about the problem which was very helpful to me to understand my disease.

    • Person Image

      Very nice. Doctor is very patient and gives you correct advice.

    • Person Image

      He is very erudite and smart at getting to the bottleneck of the problem. And before realized he had pinched away d growth bothering me near my anal area.

    • Person Image

      Dr. Jhawar is few of the best doctors in town. Extremely pleasant and comfortable experience