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+923336303550 Get appointment for operation (WhatsApp messages only, no calls) **Pain Management and Dressing Care After Piles, Fistula, and Fissure Surgery**

After undergoing surgery for piles, fistula, or fissure, the journey to complete recovery involves more than just the operation. One of the biggest concerns patients face post-surgery is managing pain and ensuring proper wound care. In this detailed video, we will explain essential post-operative care practices that help minimize pain, prevent infection, and promote faster healing. Whether you’ve just had surgery or are preparing for it, this video is your complete guide to managing recovery effectively and comfortably.

**Pain Management After Surgery**

Pain after anorectal surgery is common but manageable with the right approach. The most effective strategy includes a combination of medication, physical care, and lifestyle modification. We explain when and how to use painkillers prescribed by your surgeon, such as NSAIDs or acetaminophen, and when stronger medications might be necessary. Warm sitz baths play a crucial role — soaking the area in lukewarm water for 10-15 minutes several times a day reduces inflammation and soothes the anal region. Avoiding constipation is key to reducing pain — we recommend fiber-rich foods, plenty of fluids, and mild laxatives if prescribed.

**Proper Dressing and Wound Care**

Caring for the surgical wound is crucial. We will demonstrate how to do dressing at home, clean the area gently, and apply any antibiotic ointments as prescribed. The perianal region is prone to moisture and bacteria, so hygiene is vital. Use soft toilet paper or preferably rinse with water and pat dry with a clean towel. Frequent dressing changes as guided by your surgeon help prevent infection and keep the wound dry and clean.

**Other General Measures After Surgery**

Recovery is not just physical — it requires changes in daily habits. Avoid sitting for long periods; instead, use a soft cushion or a donut pillow. Walking for short intervals every day helps circulation and prevents clot formation. Avoid lifting heavy weights for a few weeks. Bowel training is also essential — never delay going to the toilet, and avoid straining.

Diet plays an important role — add green vegetables, fruits, whole grains, and fluids. Avoid spicy food and processed items that can irritate the gut. For smokers, quitting helps in faster healing. Patients are advised to wear loose-fitting undergarments and avoid tight pants to reduce friction.

**Watch This Video If You Recently Had Surgery**

This video is specially designed to educate patients who have undergone surgery for:

* Hemorrhoids (Piles)
* Anal Fissure
* Anal Fistula

Whether it was laser surgery, conventional method, or ligation procedures, these aftercare tips are universally helpful. These steps not only ease discomfort but also reduce the chances of recurrence and complications.

**About the Surgeon**

This video features expert guidance from:

Surgeon Dr Imtiaz Hussain (Gold Medalist)
General & Laparoscopic Surgeon
Certified Piles, Fissure & Fistula Specialist
MBBS, FCPS, FACS (USA),
Diploma in Laparoscopy (Germany), CHPE (Medical Educationist)
Fellow of American College of Surgeons
Certified ATLS Trauma Course by American College of Surgeons

Dr Imtiaz Hussain is an expert in treating piles, fissure, fistula, and perianal conditions. His surgical experience spans gallbladder and appendix surgeries, thyroid diseases, breast conditions including cancer and fibroadenoma, lumps and bumps like lipomas, sebaceous cysts, scrotal issues, hernia repair, varicose veins treatment, amputations, and more.

**Subscribe for Trusted Surgical Guidance**

On this channel, we aim to provide helpful surgical and recovery information based on verified medical practices. Subscribe and share with others who may benefit from this knowledge — it might ease someone’s pain and answer the questions they’re too afraid to ask.

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How to Manage Pain after Operation by Dressing Care & General Measures | Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls) 
Welcome to a fact-based medical channel that aims to clear common misconceptions and false beliefs around piles (hemorrhoids), a condition that millions silently suffer from but few understand correctly. In this episode, Surgeon Dr Imtiaz Hussain (Gold Medalist), a renowned expert in anorectal diseases, breaks down the most widespread myths about piles and provides scientific, practical explanations to help patients, caregivers, and the general public understand the real nature of this condition.

Piles or haemorrhoids are swollen veins in the lower rectum or anus, and they can be both painful and embarrassing to discuss. Unfortunately, myths around piles cause patients to delay treatment or choose harmful self-remedies. This video will change that.

Let’s debunk some of the most common myths:

Myth 1: Piles only occur in old age
Many people believe that only elderly individuals get piles. While aging can increase the risk due to weakening tissues, piles can affect anyone—even in their 20s or 30s. Prolonged sitting, constipation, straining, and unhealthy diet patterns are major causes, and even young adults with sedentary lifestyles or poor bowel habits can develop the condition.

Myth 2: It always cures by itself
While some minor cases of hemorrhoids may improve temporarily with lifestyle changes, many do not resolve completely and keep recurring. Chronic piles require proper medical evaluation. Ignoring the condition may lead to complications like thrombosis, anemia, or prolapse, which then require more aggressive treatment.

Myth 3: Piles are caused by spicy food
Spicy food may irritate the bowel but it is not a direct cause of piles. The actual culprits are constipation, hard stools, and excessive straining during bowel movements. Dehydration, lack of fiber in diet, and prolonged sitting on the toilet contribute more significantly.

Myth 4: Surgery is the only option
This is among the biggest misconceptions. Not every patient needs surgery. Most early-stage hemorrhoids are treated with medications, dietary changes, sitz baths, and local treatments. Even in advanced stages, minimally invasive treatments like rubber band ligation or infrared coagulation can be used. Surgery is reserved for complex, large, prolapsed or non-responsive piles.

Myth 5: Surgery is painful and dangerous
With today’s modern anesthesia, surgical tools, and techniques like laser piles surgery or stapled hemorrhoidopexy, piles surgery is far safer and less painful than older methods. Recovery is also much faster when performed by experienced surgeons like Dr Imtiaz Hussain.

Myth 6: Once treated, piles never return
Piles can recur if the underlying causes are not managed. A patient must continue with a fiber-rich diet, hydration, and bowel training post-treatment to prevent relapse.

This video by Dr Imtiaz Hussain educates with authentic knowledge backed by years of surgical experience and thousands of successfully treated patients. Whether you're a patient seeking guidance, a student looking to learn more, or someone caring for a loved one suffering from piles, this video gives you clarity in simple language.

Meet Surgeon Dr Imtiaz Hussain (Gold Medalist)
General & Laparoscopic Surgeon
Certified Piles, Fissure & Fistula Specialist
MBBS, FCPS, FACS (USA)
Diploma Laparoscopy (Germany)
CHPE (Medical Educationist)
Certified ATLS Trauma Course by American College of Surgeons
Fellow of American College of Surgeons (FACS USA)

Dr Imtiaz Hussain is an accomplished general and laparoscopic surgeon with a deep specialization in treating piles, fissures, fistulas, and perianal conditions. He is also known for expertise in laparoscopic surgeries of gallbladder and appendix, thyroid treatment, breast surgeries for cancer and benign conditions like fibroadenomas, and excision of lumps and bumps like lipomas, sebaceous cysts, scrotal swellings, hernias, varicose veins, amputations, and trauma care. His comprehensive and minimally invasive approach to surgery helps patients recover faster, with fewer complications and long-term relief.

Subscribe to this channel and watch other videos covering in-depth patient education on common surgical diseases. Our goal is to make medical knowledge accessible, myth-free, and helpful to all.

Watch. Learn. Heal.
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Common Myths about Piles | Easy Understanding of Haemorrhoids | Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls) 

Surgical Removal of Multiple Lipomas in Dercum’s Disease | By Dr Imtiaz Hussain

Welcome to our YouTube channel where we share real surgical cases, in-depth knowledge, and expert medical insight from Surgeon Dr Imtiaz Hussain (Gold Medalist), a leading General and Laparoscopic Surgeon. In this video, we highlight a complex and rare case involving **Dercum’s Disease** (also known as adiposis dolorosa), in which the patient had **around 182 lipomas** spread across the body. The surgical approach focused only on removing those lipomas that were **painful**, had **cosmetic concerns**, or showed **progressive growth**.

This case reflects the challenging nature of Dercum’s Disease, where lipomas are not just numerous but can significantly affect the patient’s quality of life due to pain and disfigurement. The video offers a step-by-step overview of how such cases are evaluated, prioritized, and managed surgically in a safe and patient-focused way.

Not all lipomas need surgical removal. In this patient’s case, only those causing **significant pain**, **interference with daily life**, or **cosmetic issues** were excised.

Surgical Planning and Prioritization

With more than 180 lipomas spread across the arms, legs, abdomen, and back, a full-body removal wasn’t practical or medically advised. Instead, a **targeted surgical plan** was created, focusing on high-priority lipomas based on:

* Pain severity
* Size increase over time
* Location interference (e.g. joint movement, pressure points)
* Cosmetic disfigurement

Surgery was performed under general anesthesia for multiple sites. Each lipoma was removed through small incisions with complete excision of the encapsulated mass to reduce the chance of recurrence.

Postoperative care included oral antibiotics, analgesics, and proper wound hygiene instructions.

About Surgeon Dr Imtiaz Hussain

Dr Imtiaz Hussain is a highly skilled and experienced General and Laparoscopic Surgeon with multiple international qualifications. His clinical approach is guided by patient safety, surgical precision, and modern medical standards. His credentials include:

MBBS, FCPS, FACS (USA)
Diploma in Laparoscopy (Germany)
CHPE – Certified in Medical Education
Certified ATLS (Advanced Trauma Life Support) by the American College of Surgeons
Fellow of the American College of Surgeons

Surgical Expertise of Dr Imtiaz Hussain

Dr Hussain is known for his expertise in:

* Piles, anal fissure, fistula, perianal abscess, and other anorectal disorders
* Gallbladder and appendix laparoscopic surgeries
* Hernia repairs (inguinal, umbilical, incisional)
* Breast diseases including fibroadenoma, cysts, and cancer
* Lipomas, sebaceous cysts, and skin tumors
* Scrotal swellings, hydrocele, and varicoceles
* Thyroid nodules and goiter surgeries
* Treatment for varicose veins
* Amputations for diabetic foot and chronic infections

Importance of Lipoma Surgery in Dercum’s Disease

In cases like Dercum’s Disease, surgical removal can provide **pain relief**, **improved mobility**, and **better psychological well-being**. However, due to the tendency for recurrence and presence of deep-seated lipomas, ongoing follow-up is essential. Complete cure is not guaranteed, but quality of life can be greatly improved.

Our Mission on This Channel

We aim to educate patients, doctors, and students through transparent and well-explained surgical videos. Every case we present is rooted in real clinical practice and handled with the utmost care and evidence-based medical standards.

Why You Should Subscribe

* Watch real surgical cases with clear narration
* Understand the decision-making process in complex diseases
* Learn about rare conditions like Dercum’s Disease
* Explore safe surgical practices and recovery tips
* Get medical insights from a top-tier surgeon with international credentials

Subscribe to our channel and hit the bell icon to stay updated with new surgical videos and informative discussions. Leave your questions or personal experiences in the comments for interaction and awareness.

To book an appointment or seek consultation, you can contact:
Dr Imtiaz Hussain (Gold Medalist)
Certified Piles, Fissure & Fistula Specialist
General & Laparoscopic Surgeon
Contact Number: 0333-6303550

We are here to make surgery understandable, safe, and approachable for everyone.

Thank you for being part of our journey.

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Surgical Removal of Multiple Lipomas in Dercum’s Disease | By Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls)

How 3rd Degree Pile Looks on Inspection and Examination – Complete YouTube Video Description**
By Surgeon Dr Imtiaz Hussain (Gold Medalist)

This video offers an exclusive and professional look into **how 3rd-degree piles (hemorrhoids) appear on visual inspection and during clinical examination**. This is a valuable resource for patients, medical students, and health professionals who want to understand the practical appearance and diagnostic approach of advanced hemorrhoidal disease.

Third-degree piles are one of the more advanced forms of internal hemorrhoids. They **prolapse during defecation** and **do not reduce automatically** — they often need to be pushed back manually. This stage is often accompanied by discomfort, mucus discharge, itching, and bleeding. Understanding how they look clinically can guide better awareness and earlier treatment.

In this video, we demonstrate how a 3rd-degree pile appears in a real patient on external observation. You will see the **classic signs of hemorrhoidal prolapse**, including:

* Bulging, purplish or pinkish mass
* Mucus-stained surrounding skin
* Associated skin tags or sentinel piles
* Evidence of inflammation, ulceration or thrombosis (in some cases)

We also discuss the **clinical approach to examination**, including:

* Perianal inspection in lithotomy position
* Use of gloved finger to assess sphincter tone and tenderness
* Proctoscopic examination (if applicable) to visualize internal components

This type of in-depth demonstration is often missed in textbook knowledge but is extremely helpful for real-world understanding.

This video is also highly valuable for patients who may be wondering whether their symptoms match the features of 3rd-degree piles. It also educates about the urgency to seek medical help and the types of treatment options available.

This video is part of our mission to educate and empower our audience, especially people suffering in silence due to perianal diseases. Delayed treatment of 3rd-degree hemorrhoids may lead to worsening prolapse, infection, or complications like strangulation or thrombosis. So timely diagnosis and consultation with a certified surgeon is crucial.

Our channel is hosted and supervised by **Surgeon Dr Imtiaz Hussain (Gold Medalist)**, a leading authority in perianal and laparoscopic surgeries. With years of experience and hundreds of successful surgeries, Dr Imtiaz brings practical insights, surgical skills, and educational clarity to every topic covered on this platform.

Dr Imtiaz Hussain is not only a skilled general and laparoscopic surgeon, but also a certified piles, fissure, and fistula specialist. His special focus includes:

* Laser and conventional treatment of hemorrhoids
* Surgery of complex fistulas and chronic fissures
* Perianal abscess and sinus management
* Laparoscopic surgery of gallbladder and appendix
* Treatment of thyroid diseases and goiter
* Management of breast problems including breast cancer, fibroadenoma, nipple discharge
* Surgery for lumps and bumps like lipomas, sebaceous cysts, and ganglion
* Scrotal and testicular surgeries, including hydrocele and varicocele
* Hernia surgery (inguinal, umbilical, incisional)
* Treatment of varicose veins and limb ulcers
* Amputations and trauma surgeries

He holds prestigious international qualifications such as:
MBBS, FCPS, FACS (USA),
Diploma in Laparoscopy (Germany)
CHPE (Medical Educationist)
Fellow of American College of Surgeons
Certified ATLS Trauma Course by American College of Surgeons

Our goal is to provide clear, visual, and practical understanding of anorectal and general surgical diseases, especially for the South Asian community. Subscribe to our channel to stay updated with life-saving content and videos based on real surgical cases.

This video will help remove fear and hesitation around piles and help people take the right step towards getting better — early diagnosis, early treatment, and expert care.

For appointments and expert consultation, contact:
Dr Imtiaz Hussain (Gold Medalist)
General & Laparoscopic Surgeon
Certified Piles, Fissure & Fistula Specialist
Contact: 0333-6303550

Don't forget to like, comment, share, and subscribe for more helpful medical videos.

This is an awareness-based video and not a substitute for clinical consultation.
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How 3rd Degree Piles Look | Examination of Haemorrhoids | Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls) 
Rectal prolapse is a medical condition in which the rectum, the final part of the large intestine, loses its support and slips out of its normal position, sometimes protruding through the anus. It can range from mild internal slipping to a complete external bulge. Though more common in elderly females, it can also occur in men and children.

In this video, Surgeon Dr. Imtiaz Hussain (Gold Medalist) provides a brief but complete overview of rectal prolapse. The focus is to give viewers a clear understanding of this condition, including its causes, key symptoms, simple diagnostic tests, and treatment options, both surgical and non-surgical.

**what is rectal prolapse**
Rectal prolapse occurs when the rectal walls become loose due to weakening of muscles and ligaments in the pelvic area. The condition can be uncomfortable and may cause social embarrassment due to symptoms like a bulge from the anus or stool leakage. There are three main types:

1. Internal prolapse (rectum folds but doesn’t exit the body)
2. Mucosal prolapse (only the inner lining slips out)
3. Full-thickness prolapse (entire rectum protrudes through the anus)

**causes of rectal prolapse**
Several conditions may contribute to the development of rectal prolapse:

* Chronic constipation or straining during stool
* Long-term diarrhea
* Weak pelvic floor muscles, especially in elderly or post-childbirth women
* Previous pelvic or rectal surgeries
* Neurological conditions like stroke or spinal cord damage
* Malnutrition or parasitic infection in children

**symptoms of rectal prolapse**
The signs and symptoms vary depending on the severity of the prolapse. Common ones include:

* A lump or bulge coming out of the anus, especially during defecation
* Mucus discharge or rectal bleeding
* Discomfort or a feeling of something "coming down"
* Inability to fully empty the bowels
* Fecal incontinence (leakage of stool or gas)
* Soiling of undergarments and itching

**tests and diagnosis**
Diagnosis is mainly clinical and confirmed through physical examination. Other investigations may include:

* Colonoscopy: to rule out tumors or inflammatory bowel disease
* Defecography: a special X-ray taken during bowel movement
* MRI pelvis: to examine muscles and supporting structures
* Anorectal manometry: to assess muscle pressure and function
* Ultrasound: in some cases for deeper tissue assessment

**non-surgical treatment options**
Mild or early prolapse can often be managed without surgery, especially in patients not fit for an operation. These include:

* High-fiber diet to soften stool and avoid constipation
* Use of stool softeners or laxatives
* Pelvic floor muscle training and Kegel exercises
* Biofeedback therapy to strengthen control over bowel function
* Avoiding straining and using proper toilet posture

**surgical treatment options**
For complete or persistent prolapse, surgery is usually needed. Common procedures include:

* **Rectopexy**: where the rectum is lifted and fixed in place using sutures or mesh, either through open or laparoscopic surgery
* **Resection rectopexy**: part of the colon is removed and the rectum is fixed, often for patients with constipation
* **Perineal procedures** (Delorme or Altemeier): performed through the anal area, suitable for elderly or high-risk patients
* **Laparoscopic surgery**: less invasive, quicker recovery, and less postoperative pain

**about surgeon dr imtiaz hussain**
Dr. Imtiaz Hussain (Gold Medalist) is a highly qualified and experienced General and Laparoscopic Surgeon. He is a Certified Specialist in the treatment of piles, fissure, fistula, and rectal prolapse.

His qualifications include:
MBBS, FCPS, FACS (USA)
Diploma in Laparoscopy (Germany)
Certified in Medical Education (CHPE)
ATLS Trauma Course – American College of Surgeons
Fellow of American College of Surgeons

He also treats gallbladder stones, appendix inflammation, thyroid problems, hernias, breast lumps, scrotal issues, lipomas, sebaceous cysts, and varicose veins.

Dr. Imtiaz combines modern surgical techniques with compassionate care, helping patients recover quickly with minimal discomfort. His YouTube channel is dedicated to public awareness on common surgical and anorectal conditions in Urdu, Hindi, and English.

**subscribe for more videos on:**
piles, fissure, fistula, rectal issues, gallbladder, appendix, thyroid, hernia, breast diseases, and general surgical guidance.

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Rectal Prolapse | Causes, Symptoms & Treatment | गुदा का बाहर आ जाना
+923336303550 Get appointment for operation (WhatsApp messages only, no calls)

**YouTube Channel Description:**

Welcome to the official YouTube channel of **Surgeon Dr. Imtiaz Hussain**, a distinguished Gold Medalist in General and Laparoscopic Surgery. With extensive qualifications including MBBS, FCPS, FACS (USA), Diploma in Laparoscopy (Germany), and CHPE (Medical Educationist), Dr. Hussain is a Certified Specialist in Piles, Fissure, and Fistula treatments. He is also a Fellow of the American College of Surgeons and certified in the ATLS Trauma Course by the American College of Surgeons.

In this video, Dr. Hussain conducts a detailed examination of a chronic anal fissure case, highlighting the formation of 2 to 3 skin tags resulting from prolonged improper treatment. Chronic anal fissures, if left untreated or mismanaged, can lead to the development of sentinel skin tags—flesh-colored protrusions near the anal opening. These tags are often associated with persistent discomfort and may indicate the chronicity of the fissure.([ma1.mdedge.com][1])

**Key Highlights of the Video:**

* **Visual Examination:** A step-by-step visual inspection of the anal region, identifying the presence and characteristics of skin tags associated with chronic fissures.

* **Understanding Skin Tags:** Explanation of how chronic inflammation and healing processes contribute to the formation of skin tags in long-standing fissure cases.

* **Clinical Significance:** Discussion on the implications of skin tags in chronic fissure patients, including potential symptoms like itching, hygiene issues, and psychological discomfort.

* **Treatment Considerations:** Overview of treatment options for chronic anal fissures with associated skin tags, emphasizing the importance of proper medical intervention to prevent complications.

**About Surgeon Dr. Imtiaz Hussain:**

Dr. Hussain's expertise extends beyond anorectal disorders. He is proficient in laparoscopic surgeries of the gallbladder and appendix, treatment of thyroid diseases, management of breast conditions including cancer and fibroadenoma, removal of lumps such as lipomas and sebaceous cysts, addressing scrotal problems, hernia repairs, varicose veins treatment, and performing amputations. His comprehensive approach ensures that patients receive holistic care tailored to their specific needs.

**Connect with Dr. Imtiaz Hussain:**

* **Website:** [surgeondrimtiazhussain.com](https://surgeondrimtiazhussain.com/)

* **Facebook:** [Surgeon Dr Imtiaz Hussain](https://www.facebook.com/p/Surgeon-Dr-Imtiaz-Hussain-100064570313423/)

* **Instagram:** [@imtiazhussaindr](https://www.instagram.com/imtiazhussaindr/)

* **LinkedIn:** [Dr Imtiaz Hussain](https://pk.linkedin.com/in/dr-imtiaz-hussain-20951993)

**Hashtags:**

\#ChronicAnalFissure #AnalSkinTags #FissureTreatment #DrImtiazHussain #GoldMedalistSurgeon #GeneralSurgery #LaparoscopicSurgery #PilesSpecialist #FissureSpecialist #FistulaTreatment #MBBS #FCPS #FACS #DiplomaLaparoscopy #CHPE #AmericanCollegeOfSurgeons #ATLSCertified #AnorectalDisorders #SkinTagRemoval #AnalHealth #RectalExamination #SurgicalExpertise #PakistanSurgeon #MedicalEducationist #PerianalCare #GallbladderSurgery #AppendixSurgery #ThyroidTreatment #BreastCancerCare #FibroadenomaRemoval #LipomaExcision #SebaceousCystRemoval #ScrotalProblemTreatment #HerniaRepair #VaricoseVeinsTreatment #AmputationSurgery #PatientCare #HealthAwareness #MedicalKnowledge #SurgicalProcedures #AnorectalHealth #DigestiveHealth #ColorectalCare #PainManagement #HealingProcess #MedicalConsultation #HealthcareProfessional #SurgicalIntervention #ChronicConditionManagement #preventivecare 

This video aims to educate viewers on the importance of timely and appropriate treatment for anal fissures to prevent complications such as skin tag formation. Dr. Imtiaz Hussain's expertise provides valuable insights into the diagnosis and management of these conditions, ensuring better patient outcomes and
How does Chronic Anal Fissure Look | Examination of Skin Tags | Spasm | Tight anal Sphincters | Nar
Examination of Low Lying Perianal Fistula | Early Diagnosis and Simple Excision Explained

Perianal fistula is a painful and distressing condition that arises due to chronic infection near the anal canal. In this video, we present the clinical examination and surgical discussion of a very **low lying perianal fistula**, just a few millimeters away from the anal verge. These types of fistulas are small but dangerous if left untreated.

This particular case shows a low lying fistula with a clearly visible **external opening covered with granulation tissue**, indicating ongoing inflammation and infection. The external opening is red, raised, and moist — classic signs that the fistula tract is active and discharging pus. When carefully examined, the **internal opening is found just near the anal verge**, which confirms the low grade and short tract nature of the fistula.

This kind of fistula is classified as a **low transsphincteric or intersphincteric fistula**, and these are ideal for **complete excision** without the need for complicated procedures like seton placement or staged surgeries. Early detection and complete fistulectomy under expert hands can lead to complete cure and rapid recovery.

The video highlights how these small fistulas may seem harmless but can progress rapidly. If left untreated, even a low lying fistula can develop into a **high lying complex fistula** involving deeper muscles and posing a serious challenge for future surgeries. High fistulas often require seton placement, multiple operations, and long-term wound care. That’s why **early examination and complete excision** are strongly recommended.

The visual content in this video shows how the fistula tract looks under direct examination. You can see the small external opening, the narrow tract, and the internal opening’s proximity to the anal verge. This surgical video is highly educational for students, doctors, and patients alike. It clarifies that **low lying fistulas are treatable with minimal risk** and can be removed completely if caught early.

Why is early surgery important? Because with time, these tracts can become fibrosed, branch out, and develop secondary tracts. The infection can spread, making the condition much worse. Timely surgical intervention is the key to avoiding future complications, pain, repeated abscess formation, and prolonged treatment.

The goal of this channel is to provide **clear, real, and practical surgical knowledge** for patients and healthcare professionals.

This educational video is brought to you by **Dr. Imtiaz Hussain (Gold Medalist)**, a highly respected and experienced general and laparoscopic surgeon known for his specialized care in anorectal conditions. Through years of experience and surgical excellence, Dr. Imtiaz has helped thousands of patients recover from difficult perianal problems.

About Dr. Imtiaz Hussain

Surgeon Dr. Imtiaz Hussain (Gold Medalist)
General and Laparoscopic Surgeon
Certified Piles, Fissure & Fistula Specialist
MBBS, FCPS, FACS (USA)
Diploma Laparoscopy (Germany)
CHPE (Medical Educationist)
Fellow of American College of Surgeons (FACS USA)
Certified in ATLS Trauma Course by American College of Surgeons

He has extensive expertise in:

– Treatment of piles, fissure, fistula, and perianal abscesses
– Laser and open surgery for anorectal diseases
– Laparoscopic surgery of gallbladder and appendix
– Thyroid problems, goiter, and nodules
– Breast lumps, fibroadenoma, and breast cancer surgery
– Lipomas, sebaceous cysts, and scrotal swellings
– Hernia repairs (inguinal, umbilical, incisional)
– Varicose vein surgery and management
– Surgical treatment of diabetic foot infections and amputations

This channel provides genuine surgical footage, step-by-step explanations, and case-based learning that benefits both laypeople and professionals. Subscribe to the channel for weekly updates, real surgical insights, and practical advice from one of Pakistan’s leading surgical experts.

To consult or book an appointment:

Dr. Imtiaz Hussain (Gold Medalist)
Contact: +92 333 6303550
YouTube Channel: [https://www.youtube.com/@drimtiazhussain](https://www.youtube.com/@drimtiazhussain)

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Examination of Low Lying Perianal Fistula at 6 O clock Position | Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls)

See the Cut of Chronic Anal Fissure | You Won’t Forget It Once You See It

Chronic anal fissure is one of the most painful and disturbing conditions affecting the anal region. In this video, you will witness what a real, deep, and severely chronic fissure looks like. This isn’t just a small tear—this is a long-standing, deep cut in the anal canal, one that causes excruciating pain.

A chronic fissure is far worse than an acute one. The edges are hard, fibrosed, and often associated with a sentinel skin tag—an extra piece of skin that forms near the tear. In many cases, the cut is so deep that the internal sphincter muscle becomes visible, leading to spasms, more pain, and a vicious cycle of delayed healing.

How big and deep can a fissure be? Some chronic fissures go several millimeters deep, extending even into the internal sphincter. They are painful not just during bowel movements but also at rest. Blood on the tissue, burning, itching, and severe discomfort are everyday symptoms for those suffering from it. The moment you see the cut in this video, you'll realize why topical creams often fail and why surgical treatment becomes the only permanent solution.

One of the best treatments for chronic anal fissure is Lateral Internal Sphincterotomy (LIS). This procedure involves cutting a portion of the internal sphincter muscle to relieve the spasm and allow the fissure to heal. LIS has a very high success rate and provides lasting relief from pain and bleeding. It is a quick, safe, and effective outpatient procedure in expert hands.

But that’s not all. If a chronic fissure is left untreated, it may lead to further complications. The persistent inflammation and unhealed cut can result in secondary infection, forming pus inside the tissues of the anal canal. This can eventually lead to the formation of a perianal abscess, a painful collection of pus near the anus, or even worse, the development of a fistula—an abnormal connection between the anal canal and skin. This can turn a simple fissure into a complex surgical challenge.

That’s why early diagnosis and proper treatment under a specialist is key. Watching this video will help you understand how severe a chronic fissure can become and why ignoring it is not an option.

This channel is dedicated to creating awareness about anorectal diseases and their advanced surgical treatments. Through real surgical footage, case-based education, and expert insight from one of Pakistan’s leading surgeons, you will get to see how chronic conditions like anal fissure, piles, fistula, perianal abscesses, and related problems are treated effectively and safely.

This video features Dr. Imtiaz Hussain (Gold Medalist), a renowned general and laparoscopic surgeon with specialized expertise in treating anorectal conditions.

About Dr. Imtiaz Hussain

Surgeon Dr. Imtiaz Hussain is a Gold Medalist
General & Laparoscopic Surgeon
Certified Piles, Fissure & Fistula Specialist
MBBS, FCPS, FACS (USA)
Diploma in Laparoscopy (Germany)
CHPE (Certified Medical Educationist)
Fellow of American College of Surgeons (FACS USA)
Certified in ATLS Trauma Course by American College of Surgeons

Dr. Imtiaz Hussain has vast expertise in:
– Treatment of Piles, Anal Fissures, and Fistulas
– Perianal abscesses and related infections
– Laser and open surgical options for anorectal diseases
– Laparoscopic surgery for gallbladder (cholecystectomy) and appendix
– Management of thyroid problems, goiter, and thyroid nodules
– Diagnosis and surgical treatment of breast diseases including fibroadenoma, breast cancer, and infections
– Removal of benign lumps and bumps including lipomas, sebaceous cysts, and scrotal swellings
– Hernia repair (inguinal, umbilical, incisional)
– Varicose veins treatment
– Diabetic foot infections and surgical amputations

If you or someone you know is suffering from severe anal pain, bleeding, or any anorectal condition that doesn’t improve with medicines, this channel will give you in-depth knowledge and practical solutions through real cases and advanced surgical approaches.

Make sure to watch, like, share, and subscribe to stay updated with informative and eye-opening surgical content.

For appointments and consultations:

Dr. Imtiaz Hussain (Gold Medalist)
📞 Contact: +92 333 6303550

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Deep Cut of Chronic Anal Fissure | Examination & Treatment | Surgeon Dr Imtiaz Hussain
+923336303550 Get appointment for operation (WhatsApp messages only, no calls) 
In this video, we bring you a real-life case study of a **huge lipoma on the neck** of a patient, evaluated and explained by Dr Imtiaz Hussain himself. This educational and informative content is designed for patients, medical students, and anyone curious about soft tissue swellings, especially lipomas.

Dr Imtiaz Hussain, a gold medalist and renowned general and laparoscopic surgeon, provides a clear, concise, and step-by-step clinical assessment of the lipoma.

what is a lipoma?

A lipoma is a slow-growing, benign tumor made of fat tissue. They can appear on any part of the body but are commonly found on the neck, shoulders, back, arms, and thighs.

clinical features of lipoma

Dr Imtiaz Hussain explains how to differentiate a lipoma from other lumps through clinical examination:

* Soft and mobile under the skin
* Non-tender on palpation
* No redness or temperature rise
* Grows slowly over months or years
* Common in middle-aged individuals

In this video, the patient presents with a prominent lipoma on the side of the neck. The mass is examined carefully for its consistency, mobility, size, and relation to nearby structures. The purpose is to determine whether surgical excision is necessary and to rule out other causes of neck lumps such as sebaceous cysts, lymph nodes, or malignancy.

why surgery may be needed

Not all lipomas require surgery, but some conditions demand intervention:

* Cosmetic disfigurement
* Increasing size over time
* Pressure symptoms on surrounding tissues
* Pain or discomfort
* Diagnostic uncertainty

Dr Hussain also explains modern surgical options for lipoma removal:

* Open surgical excision: the most effective and permanent solution
* Minimal excision techniques: less invasive with quicker recovery

In this case, the size and location of the lipoma make surgical excision the preferred choice, which will be planned under local anesthesia with complete removal and minimal scarring.

about surgeon dr imtiaz hussain

Dr Imtiaz Hussain is a board-certified general and laparoscopic surgeon with a reputation for excellence and a strong academic background:

* MBBS, FCPS, FACS (USA)
* Diploma in Laparoscopy (Germany)
* CHPE (Medical Educationist)
* Certified Piles, Fissure & Fistula Specialist
* Certified in ATLS Trauma Course by American College of Surgeons
* Fellow of the American College of Surgeons

He is a gold medalist and is known for his expertise in a wide range of surgical conditions, including:

* Perianal problems like fissures, piles, and fistulas
* Gallbladder and appendix laparoscopic surgeries
* Breast diseases including fibroadenoma and cancer
* Thyroid diseases and nodules
* Skin and soft tissue swellings such as lipomas and sebaceous cysts
* Hernias of all types
* Varicose veins treatment
* Scrotal conditions and urological lumps
* Amputations and diabetic wound care

educational focus

This channel is not just for surgery watchers—it’s for learners. Dr Imtiaz believes in spreading surgical awareness to the public through visuals and real cases, and this video is another step in that direction. With simple language and clinical insight, the video ensures that you understand the condition, treatment options, and what to expect.

If you are someone suffering from similar conditions or a medical student looking to learn real-world surgical knowledge, this channel is the right place for you. Subscribe and enable the notification bell so you don’t miss our weekly uploads.

watch, learn, and share

Share this video with your friends and family to spread awareness about lipomas and their management. Knowing when to seek help can make all the difference.

subscribe for more surgical content

Don’t forget to like, comment, and subscribe for more real-life surgical videos, patient education, and medical procedures explained in detail by one of the top surgeons in the field.

contact for appointment or queries

For appointments or consultations with Dr Imtiaz Hussain, please use the following:
WhatsApp: +92 333 6303550 (Text only)
Website: [www.surgeondrimtiazhussain.com](http://www.surgeondrimtiazhussain.com)

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Lipoma on Neck | Examination & Treatment Options | Surgeon Dr Imtiaz Hussain
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Dr. Imtiaz Hussain (Gold Medalist) is a renowned surgeon in Pakistan, specializing in general and laparoscopic surgery. With extensive experience and a commitment to patient care, he delivers exceptional surgical outcomes, ensuring a safe and effective treatment journey for all his patients

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  • 65 Ravi Rd, Qasurpura, Lahore, Punjab, Pakistan

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