What Is Omental Torsion, Its Diagnosis And Treatment Procedure In India?
Omental Torsion treatment in India has thrived due to a large rush of foreign patients coming from all the nook and corner of the world
. It has been delivered through world class quality. Indian doctors dealing with Omental Torsion treatment in India have long been recognized as highly qualified and motivated. The hospitals delivering these treatments are built all over India that has the latest medical facilities. They are certified by globally recognized certification agencies and are attracting the brightest and the most qualified doctors from all over the world. The most interesting fact, the costs to deliver services are still low by international standards for various reasons. Thus Indian medical tourism is earning great prosperity for its world class facilities at an affordable cost budget in treating various medical treatments including Omental Torsion treatment in India.
What is Omental Torsion?
Omental Torsion is a condition in which the organ twists on its long axis to such an extent that its vascularity is compromised. Although Omental Torsion is rarely diagnosed preoperatively, knowledge of the entity is important to the surgeon because it mimics the common causes of acute surgical abdomen. The Omental Torsion is a free fold of peritoneum that connects visceral organs. It is divided into the greater omentum that covers the stomach and sweeps down like an apron over its anterior surface, and the lesser omentum that forms a partial covering of the stomach and the common bile duct. Torsion of the omentum' occurs when the omentum twists about its long axis. This can cause vascular compromise and create a situation that closely emulates a surgical abdomen.
What are the classifications of Omental Torsion?
Omental torsion is characterized as being either primary or secondary.
Primary Omental Torsion is not associated with any other abdominal pathology. A mobile segment of the omentum rotates around a fixed position. Associated with this type of torsion are the presence of an accessory omentum, a bifid omentum, and unusual configurations of omental fat in obese patients, redundancy of omental veins, past history of trauma, violent exercise, and hyperperistalsis.
Secondary Omental Torsion is more common than primary torsion. It is associated with cysts, tumors, and areas of inflammation, post-surgical adhesions, and hernia sacs, i.e. intra-abdominal pathology. The most common cause of secondary Omental Torsion is inguinal hernias.
The Omental Torsion usually twists in a clockwise fashion. The venous return is initially compromised, prior to arterial compromise. This leads to an omentum that is significantly congested and boggy. It will also produce a characteristic serosanguineous peritoneal fluid. Later in the course of the torsion, arterial compromise leads to infarction. The fact that the omentum can spontaneously reduce probably explains the existence of omental adhesions.
What is the Omental Torsion diagnosed?
Without surgery, diagnosis of Omental Torsion condition is very difficult. Success in this regard has been estimated to be as low as only 0.6% (and only as high as 4.8%). The right side is the most common area for Omental Torsion to occur. There is no specific test that nails a diagnosis of Omental Torsion. Computerized tomography may reveal an omental mass, but this may be seen in a variety of conditions and is not specific for torsion. Even at surgery, the operator may discover completely normal anatomy if the Omental Torsion has derogated. Only the presence of the serosanguineous fluid remains as a footprint of what preceded intervention. When the offending omentum remains twisted, it may be rotated as many as 4 or 5 times. It appears as a purple and firm mass.
How is Omental Torsion treated?
Omental Torsion is usually discovered during laparotomy or laparoscopy for an acute abdomen. Consider Omental Torsion if preoperatively diagnosed acute appendicitis is not found and if the gallbladder and ovaries reveal no disease. In addition, the presence of serosanguineous fluid in the peritoneal cavity mandates inspection of the omentum to exclude torsion. Treatment consists of resection of the affected portion of the omentum. Correct any disease process associated with secondary torsion. The Omental Torsion treatment, it can be conservative and is expectant in stable patients. This includes reassurance, analgesics, and antibiotics, and resolution is expected in two weeks. With the advent of laparoscopy, Omental Torsion treatment is being visualized easily, and the chances of missing the pathology at surgery are now rare. Treatment of Omental Torsion involves resection of the diseased segment of omentum and to correct any secondary pathology, if present. It has been observed that, if the omentum is not excised it may become atrophic and fibrotic and, on rare occasions, the pedicle may even autoamputate, leading to automatic clinical regression. Also, at times in case of untreated situation, one may see omental necrosis because of hemorrhagic infarction, intra-abdominal abscesses, peritonitis, or bowel obstruction. Spontaneous derotation may be possible and may explain omental adhesions found during laparotomy that have no clear cause. Hence, laparoscopy is the best method of diagnosis, therapy and to shorten the course of the disease.
Why India?
Omental Torsion Treatment in India is one of the best options for the patients seeking treatment. Patients are in a constant supervision of expert surgeons of India in biggest corporate hospitals in all the major cities of India such as Hyderabad, Mumbai, Chennai and Bangalore. The hospitals are fully equipped with all medically modern healthcare services and well trained staffs are available for 24x7 at you service looking after your needs throughout the course of the surgery. Experienced surgeons perform Omental Torsion Treatment in India with excellent results benefiting International patients. Patients opting to undergo the treatment are facilitated with the facilities of senior most surgeons of India having vast experience and successful profiles, of performing numerous successful surgeries. Omental Torsion Treatment in India have certifications for internationally recognized quality standards and are well-equipped and staffed to ensure the highest level of professionalism, safety and care to patients.
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by: rrohit
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