General Surgery Services

Circumcision is a surgical procedure that removes the foreskin covering the head of the penis. It may be performed for medical, cultural, religious or personal reasons. Different techniques may be used depending on the patient’s age, anatomy, indication and surgeon’s assessment. Dr Shaunak Saha provides consultation and surgical care for selected pediatric and adult circumcision cases. The procedure may involve conventional open techniques or device-assisted/stapler techniques where appropriate and available. Before circumcision, the patient or parents should receive clear information about the reason for the procedure, available techniques, expected recovery and potential risks. SPECIFICATIONS: Procedure: Circumcision Patient groups: Pediatric and adult Indications: Medical, cultural, religious or personal Techniques: Open or device-assisted techniques where appropriate Assessment: Clinical examination Anaesthesia: Depends on age and procedure Treatment setting: Hospital or appropriate surgical facility Recovery: Depends on age and technique Aftercare: Wound care and activity guidance Follow-up: As advised FREQUENTLY ASKED QUESTIONS: Q: What is circumcision? A: Circumcision is the surgical removal of the foreskin covering the head of the penis. Q: Is circumcision performed in adults as well as children? A: Yes. Circumcision can be performed in newborns, children and adults depending on the circumstances. Q: How long does circumcision take to heal? A: Healing varies by age and technique. Patients should follow the specific postoperative instructions provided by their doctor. For pediatric or adult circumcision consultation, speak with Dr Shaunak Saha about the appropriate technique and treatment plan.

Lumps and bumps can have many causes, including sebaceous or epidermoid cysts, lipomas, ganglion cysts and other benign or more serious conditions. A new or changing lump should be assessed rather than assumed to be harmless. Dr Shaunak Saha provides clinical evaluation of common soft-tissue lumps and swellings and can advise whether observation, imaging, biopsy or surgical removal may be appropriate. The treatment approach depends on the location, size, symptoms, appearance and clinical characteristics of the lump. Where surgical removal is recommended, the aim is to treat the identified lesion while considering the surrounding tissue and cosmetic outcome. SPECIFICATIONS: Conditions: Cysts, lipomas, ganglion cysts and selected lumps Assessment: Clinical examination Additional evaluation: Imaging or biopsy when indicated Treatment: Observation or surgical removal Procedure: Excision where appropriate Target area: Skin and soft tissues Anaesthesia: Depends on location and procedure Pathology: Tissue may be sent for laboratory examination Recurrence: Depends on lesion type Follow-up: Based on diagnosis and treatment FREQUENTLY ASKED QUESTIONS: Q: Are all lumps and bumps harmless? A: No. Many are benign, but a new, growing, painful or otherwise unusual lump should be evaluated. Q: Can a lipoma or cyst be removed surgically? A: Yes, when clinically appropriate, symptomatic or otherwise requiring removal. Q: Will every lump require a biopsy? A: No. The need for imaging, biopsy or removal depends on the clinical characteristics of the lump. If you have a new, persistent or growing lump or swelling, consult Dr Shaunak Saha for proper evaluation before deciding on treatment.

Pilonidal sinus is a condition affecting the cleft between the buttocks and can cause a painful swelling, drainage or recurrent infection. Treatment depends on the severity and whether the condition is recurring. Dr Shaunak Saha provides assessment and treatment planning for patients with pilonidal sinus and recurrent pilonidal disease. A healthcare professional can often diagnose the condition through medical history and physical examination. Treatment can range from drainage of an abscess to surgical removal of the affected sinus when appropriate. Wound management and strategies to reduce recurrence are important parts of care. SPECIFICATIONS: Condition: Pilonidal sinus Location: Natal cleft Common symptoms: Pain, swelling and drainage Assessment: Clinical examination Treatment: Drainage or surgery depending on condition Surgical option: Excision of affected sinus Anaesthesia: Local or general depending on procedure Recurrence: Requires preventive planning Aftercare: Wound care and follow-up Suitability: Individualised FREQUENTLY ASKED QUESTIONS: Q: What is pilonidal sinus? A: It is a condition involving a sinus or cyst in the cleft between the buttocks, which can become infected. Q: Does pilonidal sinus always require surgery? A: Not always. An acute abscess may first require drainage, while recurrent disease may require surgical treatment. Q: Can pilonidal sinus come back after surgery? A: Recurrence is possible, and the risk varies depending on the disease and surgical approach. For persistent, painful or recurrent pilonidal sinus, consult Dr Shaunak Saha for diagnosis and treatment planning