Nikitha Hospital
54-13-6, Seethammadhara Jn. Visakhapatnam Pin-530013, India
Ph: 0891-2501501, 2719797, 2719696 Email: rameshnaiduk@yahoo.com  www.obesityhospitalindia.com  www.nikithahospital.com  www.lapsurgeonindia.com

* Nikitha Hospital is a 60 bed hospital located in the "beautiful hillside locality--Seethammadhara", in Visakhapatnam. We provides healthcare services exclusively in: Obstetrics & GynaecologyGeneral & Laparoscopic surgery,  Obesity surgery, Family medicine, Urology, Trauma, Orthopaedics, Plastic surgery

Location: It is situated just beside the main road, at Seethammadhara junction:
    --about 20 metres before Seetharama Raju statue and 
    --about 200 metres from EENADU office (Telugu paper main office) towards the hill.  
       It is on the same side of  the road as that of EENADU.
--Situated, just beside the hospital, is State Bank Of India (SBI)- Seethammadhara branch.

Lab facilities: The hospital has facilities for Biochemistry, Haematology, X-ray, ECG, Gynaecology ultrasound scan

Obstetrics & Gynaecology: Complete Obstetrics & Gynaecological care. Well equipped Labour room with facilities for foetal monitoring, mobile ultrasound scanning.

*Laparoscopy in Gynaecology: We perform the following operations: Hysterectomy, Tubectomy (Family planning operation), Evaluation of Infertility, Diagnostic laparoscopy, Chromotubation test for Infertility (Methylene blude dye test for tubal patency), PCOD (Polycystic Ovarian Cyst Disease) drilling, Salpingectomy or Salpingotomy for Ectopic Pregnancy, Management of Endometriosis, OvarianCysts( Twisted ovarian cyst; Chocolate Cyst, Dermoid cyst).


*Laparoscopy in General surgery: We perform the following operations: Weight loss surgeries (Gastric sleeve, Gastric banding, Gastric bypass), Appendicectomy, Cholecystectomy (Lap chole) for gall bladder stones, Adhesiolysis (Release of Adhesions, Bands), Diagnostic laparoscopy (Abdominal Pain, acute /chronic, Abdominal trauma, Liver Diseases, Malignancy), Closure of  Bowel Perforation ( Duodenal / Typhoid ulcers), Management of  Abdominal Cysts (Liver Cyst, Spleen Cyst, Chylolymphatic Cyst, Pseudocyst cyst, Ovarian Cyst), Sub Acute Instestine Obstruction (SAIO) due to  Post-op Adhesions (Congenital / Inflammmatory Bands), and  Strictures(Tuberculous / Malignant ), Repair of Ventral Hernia, Undiscended testis, Varicocele surgery, Nissen's Fundoplication.
  
*General surgical problems: Thyroid, Hernia, Hydrocele, Haemorrhoids (Piles), Pain abdomen: Appendicitis, Cholecystits, Gastritis, etc, Bowel obstruction problems, Emergency general surgical problems (Acute pain abdomen, Abscess, Gangrene etc.), Gastro-intestinal surgeries.

*Weight-loss surgery (Bariatric surgery)
--Gastric sleeve.
--Gastric banding
--Gastric bypass

*VASER Liposuction for body shaping
VASER Lipo is most commonly used for:
--Six packs abs.
--Tummy (Abdomen)
--Side loin tyres (Love handles)
--Sides of thighs (saddle bags) 
--Buttocks.
--Male breast (gynaecomazia)
--Arms

Other sites where VASER Lipo is used:
--Face and Chin
--Hips
--Knees
--Calves
--Ankles

*Urology:
--Stones in Kidney, Ureter, Bladder
--Strictures, UVF, VVF
--Stress urinary incontinence
--BPH

*Orthopaedic(On call)
--Trauma: Long bone fractures

Bariatric (weight-loss) surgery-A boon for morbid obesity  
"Health is Wealth" and "Keep your Health to enjoy your Wealth"
http://en.wikipedia.org/wiki/Obesity

Summary of Obesity management 
--Main treatment for obesity consists of dieting and physical exercise
--Dieting means taking a balanced low calorie quality food in less quantity. 
--Exercise include: walkingjoggingrunningswimminggymyogaaerobicsgamesdancing. Cut down high calorie food like groundnuts, coconut, cashew nuts, sweets, ice creams, fast foods, soft drinks, hot drinks.
--Dieting and exercise would work for people with BMI up to 33, beyond which the success rate decreases.
--Low calorie slimming powders also come under dieting. Success in slimming centers also depends mainly on dieting.  
--So what if these doen't work. Do you need to suffer from the ill effects of morbid obesity like:" Breathlessness, Snoring, Knee pains, Back ache, high Blood pressure, high blood Sugar, high blood Cholesterol,  Heart burn, Leg ulcers, Low confidence level, decreased Quality of life, infertility due to PCOD in females ". 
--No not at all. Now there is a boon for morbid obesity: Bariatric surgery ( a key-hole surgery with "Significant Weight loss")
--Bariatric surgery, the most effective treatment for morbid obesity with a BMI >33 is keyhole bariatric (weight-loss) surgery, which gives long-term weight loss and good relief of previously mentioned health problems.
--Therefore bariatric surgery is a type of permanent forced dieting.
--Liposuction (suction of fat below skin) is a pin-hole cosmetic surgery for "Body contouring and Inch-loss" with minimal weight loss.
--Non-surgical fat reduction is strictly for " Body Shaping and Tightening ".


Obesity information:
Obesity, widely perceived as a symbol of wealth (affordability to buy food) is now viewed as one of the most serious urban public health problem of the 21st century. Obesity is due to eating more calories than their body uses. Many obese people disagree the fact that they eat more than what their body height requires. The secret is learning how to balance your "energy in" and "energy out" over the long run. "Energy in" is the calories from foods and beverages you have each day. "Energy out" is the calories you burn for basic body functions and physical activity.
A balancing act:  Where is your energy balance?
--Maintaining weight — Your weight will stay the same when the calories you eat and drink equal the calories you burn.
--Losing weight — You will lose weight when the calories you eat and drink are less than the calories you burn.
--Gaining weight — You will gain weight when the calories you eat and drink are greater than the calories you burn.
So we have to " Eat to Live but Not Live to Eat " and get rid off Fat which is Funny, Frustrating and Fatal. 

Obesity is measured in BMI (Body Mass Index = kilograms/metres2. 
BMI for Indians: Normal 18-23, Overweight 23-27, Moderate obesity 27-33, Severe obesity 33-37Morbid obesity >37. Simple way of calculating the upper limit of normal weight is height in centimeters minus 100. For example, a person of 170 cm, should be below 70 kg
Common health problems due to obesity: Breathlessness, Snoring, Knee pains, Back ache, high Blood pressure, high blood Sugar, high blood Cholesterol,  Heart burn, Leg ulcers, Low confidence level, decreased Quality of life, infertility due to PCOD in females. 
Main treatment for obesity consists of dieting and physical exercise. Dieting means taking a balanced low calorie quality food in less quantity. Exercise include: walking, jogging, running, swimming, gym, yoga, aerobics, games, dancing. Cut down high calorie food like groundnuts, coconut, cashew nuts, sweets, ice creams, fast foods, soft drinks, hot drinks.
Dieting and exercise would work for people with BMI up to 33, beyond which the success rate decreases. Low calorie slimming powders also come under dieting. Success in slimming centers also depends mainly on dieting.  So if diet and exercise fails, the most effective treatment for morbid obesity with a BMI >33 is keyhole bariatric (weight-loss) surgery, which gives long-term weight loss and good relief of previously mentioned health problems. Therefore bariatric surgery is a type of permanent forced dieting.
The three popular weight-loss surgeries are gastric sleeve, gastric band, and gastric bypass, of which bypass is done for very high BMI. After gastric sleeve and band surgeries, the person eats very less amount of food and has sensation of fullness early. The extra accumulated fat in the body gets converted to glucose to meet body requirements and thus loses weight. About 70-80% extra weight will be lost over a period of 4-8 months. In gastric bypass, in addition to decreased intake, there will be decreased absorption. The type of operation will be decided by BMI and patient acceptance. 
Liposuction (suction of fat below skin) is a cosmetic surgery and not a weight reduction procedure. It is commonly mistaken as an anti-obesity procedure. The best candidates for liposuction are normal weight or just overweight people, who have pockets of excess fat in certain areas that do not respond to traditional weight loss methods. Liposuction is best used for body contouring. Liposuction is quite useful even after bariatric surgery for shaping of body. But nowadays, in overweight persons with BMI <27, multiple sitting VASER liposuction helps to lose up to about 10 kgs.
Final message is that the main treatment of obesity is a balanced low calorie diet combined with exercise. But if diet and exercise fails, and the person has BMI >33 with serious co-morbid health problems, keyhole bariatric (weight loss) surgery gives long-term weight loss and good relief of previously mentioned health problems.

Conclusion:
--Diet and Exercise is the "Main treatment of obesity".
--Bariatric surgery is the key-hole weight-loss surgery for "Significant Weight loss" in morbid obesity.
--Liposuction (suction of fat below skin) is a pin-hole cosmetic surgery for "Body contouring and Inch-loss" with minimal weight loss.
--Non-surgical fat reduction is strictly for " Body Shaping and Tightening ".

FAQ
Is obesity a wild spreading disease?
--Obesity, widely perceived as a symbol of wealth (affordability to buy food) is now viewed as one of the most serious 
  urban public health problem of the 21st century. It is a disease and a serious health risk. It leads to many health problems and in long term, reduced life span. Take action now, and live your life to the fullest.
--Obesity is due to eating more calories than their body uses
  Many obese people disagree the fact that they eat more than what their body height requires
--Anything in excess is poisonous ( Food-Wealth-Medicine) & Food is only a part of our life.
--So Eat to Live but Not Live to Eat and get rid off Fat which is Funny, Frustrating and Fatal

What are the health tips to lose " Fatal Fat "?
-- Enjoy Exercise (Walking-Jogging-Running-Swimming-Cycling-Treadmill-Gym-Yoga-Aerobics-Pilates-Games-Dancing)
     " Bi-CYCLE prolongs your "Bio/Life-CYCLE " --Goodness of Gym. --Wellbeing of Walking. --Joyful Jogging. 
       –Stamina of Swimming  --Yes to Yoga. Yoga is one of the best form of phsiotherapy. –Powerful Pilates
--Discard/Limit Dangerous Drinks (Soft-Hot-Tea-Coffee-Juices). --No to Nuts (Cashew nuts, Groundnuts, Coconuts).
  Stop/Limit Sweets/Sedentary life. Forget Fast foods & Fats/Oils. Prefer Proteins(Egg white-Meat-Fish). 
  Cup of Carbohydrates. Vital Vegetables/Fruits for Vitamins. Go Green-Green leafy vegetables. 
--Avoid/Control ABCD—Anxiety-Alcohol-BP-Cholesterol-Cigar-Diabetes-Excitability-FattyFoods-

How is OBESITY measured?
--Obesity is measured in BMI (Body Mass Index = kilograms/metres2)
--BMI for IndiansNormal 18-23Overweight 23-27Moderate obesity 27-33,
                          Severe obesity 33-37Morbid obesity >37
--Simple way of calculating the upper limit of normal weight is height in centimeters minus 100.
  For example, a person of 170 cm, should be below 70 kg.

How are people classified based on BMI?
Severe underweight        Underweight                Normal                 Overweight           Obese-I             Obese-II         Obese-III 
                                                                                                                                Moderate              Severe              Morbid     
•  WHO-----------16.5---------------------18.5--------------------25-------------------30---------------------35--------------------40------------
•  India ------------15  ---------------------18.5--------------------23-------------------27 --------------------33--------------------37------------

What are the common health problems due to obesity?
--BreathlessnessSnoringKnee painsBack acheHigh blood pressureHigh blood sugarHigh blood cholesterol,
--Heart burnLeg ulcersLow confidence levelDecreased quality of lifeNon-alcoholic fatty liver disease
--Infertility due to PCOD in femalesStress urinary incontinencesMigraine.

What is the solution for obesity?
-- Initial main treatment for obesity consists of dieting and physical exercise
--Dieting  means taking a balanced low calorie quality food in less quantity
  Cut down high calorie food like groundnuts, coconut, cashew nuts, sweets, ice creams, fast foods, soft drinks, hot drinks.
--Exercise include: walking, jogging, running, swimming, cycling, treadmill, gym, yoga, aerobics, pilates, games, dancing. 
--Dieting and exercise would work for people with BMI up to 33, beyond which the success rate decreases. 
  Low calorie slimming powders also come under dieting. Success in slimming centers also depends mainly on dieting.  
--So if diet and exercise fails, the most effective treatment for morbid obesity with a BMI >33 is keyhole bariatric surgery which gives long-term weight loss and good relief of previously mentioned health problems. 
  Therefore bariatric surgery is a type of “permanent force dieting

What are the indications for bariatric surgery?
--West: BMI 35-40 with co-morbidities or BMI >40 with or without co-morbidities. Simplified: BMI >35 with co-morbidities
--India: BMI 33-37 with co-morbidities or BMI >37 with or without co-morbidities.  Simplified: BMI >33 with co-morbidities

How does bariatric surgery help to lose weight?
--Bariatric surgery helps patient to eat less and have sensation of fullness early. Bypass procedure aid mal-absorption.
--The  popular weight-loss surgeries are gastric sleeve, gastric band, & gastric bypass, of which bypass is  for very high BMI. 
--After gastric sleeve and band surgeries, the person eats very less amount of food and have sensation of fullness early.
  The extra fat accumulated in the body gets converted to glucose to meet body requirements and thus loses weight. 
  About 70-80% extra weight will be lost over a period of 4-8 months
  Many people, if combined with regular exercise, have even achieved 100% weight-loss.
--After gastric bypass, in addition to decreased intake of food, there will be decreased absorption of food. 

What type of surgery suits to a person?
--The type of operation will be decided by BMI and patient acceptance.
--For BMI 33-44, gastric sleeve & band are preferred of which sleeve is popular.
--For BMI 44-55, mini gastric bypass (MGB) & Roux en-Y gastric bypass (RGB) preferred
--For BMI     >55 Roux en-Y gastric bypass (RGB) is the gold standard.
--For short term rapid weight loss, 6 months prior to a target event, Gastric Balloon is used 
--For Younger patients, Sleeve / Band and for Older patients, Bypass is preferred

What is the role of liposuction in bariatric surgery?
--Liposuction (suction of fat below skin) is a cosmetic surgery and not a weight reduction procedure. 
--It is commonly mistaken as an anti-obesity procedure. 
--The best candidates for liposuction are normal weight or just overweight   people, who have pockets of excess fat in certain 
  areas that do not respond to traditional weight loss methods. Liposuction is best used for body contouring. 
--Liposuction is quite useful even after bariatric surgery for shaping of body and to remove residual fat.
--But nowadays, in overweight persons with BMI <27, multiple sitting VASER or LASER liposuction helps to lose significant 
  amount of weight of up to about 10 kg.

What is the take away message in dealing with obesity?
--Final message is that the main treatment of obesity is a balanced low calorie diet combined with exercise
--But if diet and exercise fails, and the person has BMI >33 with serious co-morbid health problems, keyhole bariatric 
  (weight loss) surgery gives long-term weight loss and good relief of previously mentioned health problems.
--Post-bariatric cosmetic surgeries help patient get perfect shape.

What is the percentage resolution of problems after weight-loss?
--Quality of life                      95%
--Exertion breathlessness     95%
--Snoring                             >90%
--Joint pains(Knee,Ankle)   >85%
--Diabetes mellitus Type-II   85%
--Hypertension                  52-92%
--Hypercholesterol               63%
--Heart burn (GERD)        72-98%
--Depression                         55%
--Asthma                               82%
--Non-alcoholic fatty liver    90%
--Metabolic syndrome         80%
--Migraine                            57%
--PCOD in females              79%
--StressUrinaryIncontinence44- 88%

Bariatric surgery quoted: "ONE solution for TEN problems" and "CURE surgery for Diabetes"
-----------
Fitness Tips
  Health tips to lose " Fatal Fat ": (These tips for easy rememberance)
--Enjoy Exercise (Walking, Jogging, Cycling, Swimming, Skating, Treadmill, Yoga, Gym, Aerobics, Pilates)
-- " Bi-CYCLE prolongs your "Bio-CYCLE " (Life-Cycle) and kills pollution
--Goodness of Gym.
--Wellbeing of Walking
--Joyful Jogging
--Yes to Yoga. Yoga is one of the best form of physiotherapy
--No to   Nuts (Cashenuts, Groundnuts, Coconuts).
--Discard Drinks (Soft/Hot/Coffee/Juices)
--Stop   Sweets.
--Forget Fast foods.
--Forget Fats/Oils
--Prefer  Proteins
--Comfortable limits of Carbohydrates
--Vital    Vitamins



Nikitha Hospital
54-13-6, Seethammadhara Jn. Visakhapatnam Pin-530013, India. Ph: 0891-2501501, 2719797, 2719696 
Email: info@nikithahospital.com www.nikithahospital.com  www.obesityhospitalindia.com 

-- Nikitha Hospital, Visakhapatnam -- Network Hospital For Dr. NTR Vaidya Seva Scheme --
NTR Vaidya Seva was previously called Aarogyasri

Visitors since 1st August 2002
 Visitors since 1st August 2002
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                          Click on the thumbnails to view hospital photos
-1st Bariatric surgery in Vizag--Hospital with the highest number of weightloss surgeries in Vizag www.obesityhospitalindia.com
-1st VASER liposuction(fat removal) machine in Vizag: Less pain, Less blood loss & Faster recovery www.liposuctionvizag.com
Weight-loss surgery photos
"Nikitha Hospital - Health City Branch": Opening shortly in Arilova,Vizag. Google map: http://goo.gl/maps/7q5if