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Seton care at Home after Operation of High Lying Fistula | Surgeon Dr Imtiaz Hussain 

Surgeons of Sir Ganga Ram Hospital
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Home care after fissure operation click the link below:
• Anal Fissure | Fistula...
00:00 Intro
:::::About Dr Imtiaz Hussain :::::
Surgeon Dr Imtiaz Hussain (Gold Medalist)
MBBS, Punjab, Pakistan.
AMC, Australia.
FCPS, Pakistan.
FACS, USA
Diploma in Laparoscopy( Germany ).
LIFE MEMBERSHIP OF MEDICAL SOCIETIES:
1.Society of Surgeons of Pakistan(LC)-SSP
2. Surgical Oncology Society of Pakistan( SOS-PK)
3.Pakistan Academy of Family Physicians-PAFP® (Regd)
4. Public Relation Coordinator & Secretary of PAFP.
AWARDS & DISTINCTIONS:
Gold Medalist in Academics.
Surgical Jeaopardy SURGICON 2011
Award of Excellence FAMILYCON®, 2019
PUBLICATIONS:
He has published his work in various medical journals.
ORGANIZER:
1.International Conference on Medical Education
2.International Conference on Family Medicine- FAMILYCON®.
Dr Imtiaz Hussain is a Consultant General and Laparoscopic Surgeon. After graduating from Nishtar Medical University, Pakistan, he visited Australia for Australian Medical Council exam. He completed his FCPS degree which is the highest degree in Pakistan in the field of General Surgery. During his postgraduate residency program, he had also trained himself in the field of Urology, Plastic Surgery, Paediatric Surgery and Orthopaedic Surgery.
Since 2012, he, as a volunteer, is working as an instructor for the Basic Life Support (BLS) Program in Fatima Jinnah Medical University Lahore, Pakistan. In this course, he is the Master Trainer and teaches CPR and other lifesaving techniques to Doctors , Medical Students, N
Since 2015, he is working as a Clinical Exam Coordinator for the examination of FCPS part 2 ( Clinical Exam) by College of Physicians and Surgeons Pakistan (CPSP).
He has also served as an in-charge of Temporary Hospital setup by Government of Pakistan in PC Hotel Lahore for Pakistan Super League (PSL) matches and also for the matches against the Zimbabwe cricket team.
:::TEAM MEMBER:::
Engineer ISHFAQ HUSSAIN
BSc electrical engineering, UET, Lahore, Pakistan.
M.E. Comm. & Info. Systems Engineering, Nanjing, China.
Special interest in software and mobile applications and video editing.
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#fistulainano
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15 окт 2024

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Комментарии : 217   
@Khurrambutt86269
@Khurrambutt86269 6 месяцев назад
Mara aaj operat hai dr waseem hayat sab say so help ful and
@drimtiazhussain
@drimtiazhussain 6 месяцев назад
Best of luck and get well soon
@MianAbubakar-o5t
@MianAbubakar-o5t 2 месяца назад
Asslamoalikum sir kase tabeyt ha apki rehnumai kr day many b oprtion krwana ha
@manishwarthi4197
@manishwarthi4197 8 месяцев назад
Bhout Acha treatment hai Jad se khatam ho jata hai Fistula Recurrence na ke barabar hota hai
@drimtiazhussain
@drimtiazhussain 8 месяцев назад
Thanks for sharing your experience with others. Har mareez ki condition alag hoti hai aur agar operation ki zrurat ho ya seton lagana ho to wo procedure adopt karna chahiay.
@naveenjatthr4072
@naveenjatthr4072 8 месяцев назад
Muje lga ta isko kshar sutra bolte ha isliye muje dard nahi hoo rha 😢mere 25k waste ho gye
@wasibhatti1495
@wasibhatti1495 Год назад
Interesting dr sb maza agaya main aaj hi Highling opreat krwaya tha to kafi confusing thi aap ne door krdi
@drimtiazhussain
@drimtiazhussain Год назад
Thanks. Don't forget to subscribe
@AzadHussain-o5v
@AzadHussain-o5v 4 месяца назад
very fine and informative video
@drimtiazhussain
@drimtiazhussain 4 месяца назад
Thanks
@TayyabRajpoot-p8c
@TayyabRajpoot-p8c 12 дней назад
Assalam o Alikum Sir agar low line ma bi C ton use kr ly Yani fistula ki length 2cm ho to dahga laga Dy doctor to koi issue to nhi
@parmarbalvantsinh7052
@parmarbalvantsinh7052 4 месяца назад
Good information provided by you
@drimtiazhussain
@drimtiazhussain 4 месяца назад
Thanks and welcome
@Alijutt12145
@Alijutt12145 Год назад
Very hardworking❤
@drimtiazhussain
@drimtiazhussain Год назад
Very!
@LegendsProGear
@LegendsProGear 2 дня назад
👍❤Thanks for informative video
@drimtiazhussain
@drimtiazhussain День назад
Most welcome
@youtubekutiapa2678
@youtubekutiapa2678 Год назад
Dr. Sahab, seton kitni dafa change hota hai, mera surgery ke mahine ke baaad ek dafa change hogya hai. Seton ke chire se poty aaskti hai kyaa kc wjh se... Seton apne app kabtk cut hoga agar dhaga nhi kat rha to uska kyaa ilaj hai fr. Plz bataye.
@muhammadakram-ie1jw
@muhammadakram-ie1jw Год назад
Sir Allah k fzal se ab hmari fissure going to recover . Only 5% heeling left ... Apki vedio very informative hoti Hy sp BWASERR wali ....
@drimtiazhussain
@drimtiazhussain Год назад
Boht shukriya.
@TahminaRafaqtTahminaRafaqt
@TahminaRafaqtTahminaRafaqt Месяц назад
Byta g mery byty ka treatment ho Raha ha Allah sub ky liy asaniyan kery Ameen
@psnav781
@psnav781 11 месяцев назад
Sir mera fistula operation hua hai operation se phele abceccs tha .wound 90 % heal hogya hai but setton tight karke lagbhag 2 months hogya kya aap baata sakte 2 cm heal hone aur kitna time lagega
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Yeh check up kay baghair nahin bta sakty. Apny surgeon say rabta mein rahein aur dobara dikhaein
@harimalik911
@harimalik911 3 месяца назад
Hello sir my fistula sugery occur on 1 Jul 24 i have removed this sting yesterday because it was very difficult to stay with it now what do i have to do i have to instal again?? After removal of sting my body come in relax mood
@drimtiazhussain
@drimtiazhussain 3 месяца назад
Removing a seton yourself without the guidance of your doctor is not recommended and can lead to complications. Here’s what you need to consider and do next: ### Immediate Actions: 1. **Contact Your Doctor:** - As soon as possible, inform your healthcare provider about what happened. They need to assess the situation and check the current state of your fistula. ### Possible Consequences: 1. **Incomplete Healing:** - The seton is placed to allow drainage and promote gradual healing. Removing it prematurely can lead to incomplete healing of the fistula. 2. **Infection:** - The fistula tract might become infected if it isn’t allowed to drain properly. Look out for signs of infection such as increased pain, swelling, redness, or discharge. 3. **Recurrence:** - Without proper treatment, the fistula can recur or even develop further complications. ### What to Expect: 1. **Evaluation:** - Your doctor will likely want to examine the fistula site to determine the best next steps. This might involve imaging studies or a physical exam. 2. **Possible Replacement:** - Depending on the evaluation, the seton might need to be replaced, or alternative treatments might be considered. 3. **Follow-up Care:** - Close follow-up will be essential to ensure proper healing and to prevent complications. ### Preventive Measures: - **Adherence to Medical Advice:** - Always follow your doctor's advice and don’t remove any medical devices without consulting them. - **Regular Check-ups:** - Attend all scheduled appointments to monitor the healing process and address any issues promptly. ### Conclusion: Removing the seton on your own was risky, and you should contact your doctor immediately for proper evaluation and guidance. Continuing to follow medical advice is crucial for the successful treatment of your fistula.
@tariqazeeem3224
@tariqazeeem3224 3 месяца назад
Sir nice and informative video thanks
@chohanvlogs4869
@chohanvlogs4869 10 месяцев назад
Normally how much time it take to come out seton after seton tighten treatment
@mtayyab6697
@mtayyab6697 8 месяцев назад
سر اللہ اپ کو خوش رکھے اچھے وڈیوز بناتے ہوں
@ArfaArooj-fe5dq
@ArfaArooj-fe5dq Год назад
You made it very easy to understand sir!! Thanks for your efforts 😊
@muhibwazir6804
@muhibwazir6804 Год назад
Dr sb good information
@drimtiazhussain
@drimtiazhussain Год назад
Thanks a lot
@manzoor1102
@manzoor1102 Месяц назад
Good information
@tanveerhussain5880
@tanveerhussain5880 7 месяцев назад
wonderfull g
@muhammadusmanakram7596
@muhammadusmanakram7596 11 месяцев назад
Thanks Imtiaz sb. I am a fistula patient and had met with four revisions of seton placement. My last procedure is done on 28oct2023. I have 7 cm high and complex fistula (single track). My treatment is still on way. But my surgeon has used a ruber band as seton instead of thread, is it good technic?. Nicely defined everything in this video. Jaza'ak Allah.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
It's also an option
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
The choice between a rubber seton and a thread seton for the treatment of a high-lying anal fistula depends on various factors and should be determined by a qualified healthcare professional. Both rubber setons and thread setons are used to manage complex anal fistulas, but they have different characteristics and are suited to different situations.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Rubber Seton: Rubber setons are typically used for high-lying and complex anal fistulas. They are made of soft, flexible material (often silicone or rubber) and are designed to remain in place for an extended period (weeks to months). The rubber seton helps to establish a tract and promote drainage of pus and fluid from the fistula, which can aid in healing. They are especially useful when there is a risk of the fistula closing prematurely and trapping infection within.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Thread Seton: Thread setons are temporary and made of non-absorbable material, like nylon or silk thread. They are often used to facilitate staged procedures in the treatment of complex anal fistulas. Thread setons are not meant for long-term use and may be replaced during subsequent procedures or surgeries.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
The decision to use a rubber seton or a thread seton depends on the patient's specific condition, the anatomy of the fistula, and the treatment plan devised by the healthcare provider. In some cases, a rubber seton may be used initially to help establish drainage and stabilize the fistula tract, and then it might be replaced with a thread seton as part of a staged surgical approach.
@KaharAmit-uy7eu
@KaharAmit-uy7eu Месяц назад
Doctor saheb mai opration karya hu 1 month ho Gaya lekin pain bhaug Seton jha bhanda hua hai?? Sir reply please
@drimtiazhussain
@drimtiazhussain Месяц назад
Agar aap ne operation karwaya hai aur jahan seton laga tha, wahan abhi bhi bohat dard ho raha hai, to yeh zaroori hai ke aap apne doctor se consult karein. Seton lagne ke baad dard hona aam baat hai, lekin agar dard zyada hai ya lamba arsa guzar gaya hai aur dard kam nahi ho raha, to yeh check karna zaroori hai ke koi infection ya complication to nahi ho gayi. ### Kuch Aam Wajuhat Jo Dard Ka Sabab Ho Sakti Hain: - **Seton ka Tight Hona:** Kabhi kabhi seton zyada tight hota hai, jiski wajah se dard ho sakta hai. - **Infection:** Agar wahan infection ho jaye, to dard zyada ho sakta hai. - **Healing Process:** Jahan seton laga hota hai, wahan healing mein waqt lag sakta hai, aur is doran dard mehsoos ho sakta hai. ### Kia Karna Chahiye: 1. **Doctor se Consult Karein:** Apne surgeon se mil kar unko apni condition ke bare mein batayein. Wo aapki examination kar ke behtar advice de sakte hain. 2. **Pain Management:** Agar dard zyada ho raha hai, to doctor se koi painkiller ya medication discuss karein jo dard ko kam kar sake. 3. **Proper Cleaning:** Area ko saaf aur dry rakhein taake infection ka risk kam ho. Aapko doctor se milna chahiye taake wo aapko proper guide kar sakein aur kisi bhi problem ka hal nikala ja sake.
@khalilahmed6893
@khalilahmed6893 4 месяца назад
Dr sab many surgery karwai ha Dahagy ko bahir aya howa daik kr many tanka samaj kar kat diya koi problem to ni hogi plz reply
@drimtiazhussain
@drimtiazhussain 4 месяца назад
Apny surgeon say rabta karein aur aik dafa zrur check up karwa lein
@pallavidwivedi4876
@pallavidwivedi4876 3 месяца назад
Sir, My seton placement surgery took place on 5th july 2024 but after a week its swelling again and pus is getting deposited again. Is it normal? Can you please suggest
@drimtiazhussain
@drimtiazhussain 3 месяца назад
Seton placement for fistula surgery often leads to some amount of discharge, including pus, during the healing process. This is usually normal and expected as the seton helps to drain the infection and promote healing. However, it is important to monitor the discharge and other symptoms: 1. **Normal Discharge:** Some pus and discharge are normal as the fistula heals. This can continue for several weeks. 2. **Infection Signs:** If the discharge is accompanied by increased redness, swelling, severe pain, or if you have a fever, it could indicate an infection. In such cases, you should contact your doctor immediately. 3. **Healing Signs:** Over time, the discharge should decrease, and the area should start to heal. Regular follow-up with your surgeon is essential to monitor the healing process and to ensure that there are no complications. 4. **Care and Hygiene:** Maintaining proper hygiene is crucial. Follow your doctor’s advice on cleaning the area and any prescribed medications. If you are concerned about the amount or nature of the discharge, it is always best to consult with your surgeon for personalized advice.
@pallavidwivedi4876
@pallavidwivedi4876 3 месяца назад
Sir, actually there is no redness but little hard swelling and pain while sitting and mild fever. The external opening which is being made, around that part is little hard. Pus is sent for further examination by the Dr. Is it normal?
@top10arroundtheworld83
@top10arroundtheworld83 11 месяцев назад
Thank you very much. I had my second surgery 20 days ago. During the first surgery, my doctor placed a seton and advised occasional pulling during sitz baths or bathroom visits. It began to loosen, as mentioned in your video. When I visited my doctor, they mentioned they would examine under anesthesia to decide whether to replace the seton or remove it. During the examination, they cut and left the wound open, mentioning that it had healed from the inside, thus avoiding the placement of a new seton. They explained that it would naturally heal over 1-2 months. It's been 20 days, and I've noticed a sticky discharge in the mornings and experience gas and farting before sleeping. I have two questions: 1. My doctor mentioned the wound would heal naturally. Does this indicate a fistulotomy? Is it advisable to start with seton placement and then proceed with the fistulotomy in a second surgery? 2. Are farting and gas normal after fistula surgery? I've been using Caremaffin syrup as prescribed by the doctor for stool softening over the next two months. Could this syrup be causing the gas and farting?
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Thanks for your detailed feedback after the experience. It will help others a lot. Answer to your both question is "YES"
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
The use of seton placement followed by fistulotomy in anal fistula surgery has been a common practice. The seton is initially placed to aid in drainage and to prevent abscess formation. This helps in controlling infection and promoting healing. After a period of time, once the inflammation has subsided, a fistulotomy may be performed to cut open the fistula tract. This approach is considered a standard method in many cases, but it'simportant to note that the choice of surgical technique depends on various factors, including the complexity of the fistula, its location, and the surgeon's preference. Each case is unique, and the surgeon decides the most appropriate course of action based on the individual patient's condition. Always consult with your surgeon to understand the specifics of your situation and the reasons behind the chosen surgical approach.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
After a fistulotomy for an anal fistula, it's possible for changes in bowel habits, including gas and flatulence, to occur. This can be due to various reasons: 1.Healing Process: The surgical procedure may temporarily affect the normal function of the anal sphincter, leading to changes in bowel movements. 2.Changes in Stool Consistency: The use of medications like Cremaffin syrup, which is a laxative, can influence stool consistency and bowel habits. 3.Dietary Changes: Post-surgery, individuals may make adjustments to their diet or experience changes in appetite, which can impact bowel movements. It's essential to communicate these symptoms with the treating surgeon or healthcare provider. They can provide insights into whether these changes are expected during the recovery process or if any adjustments in medication or lifestyle need to be made. Always follow the healthcare professional's advice for a smooth recovery.
@top10arroundtheworld83
@top10arroundtheworld83 11 месяцев назад
@@drimtiazhussain Thank you very much. Your videos helped me a lot in preparing for surgery. I felt fear when the doctor told me that surgical treatment was necessary for healing. Upon returning home, I searched on RU-vid, and your channel became the primary source of information. I found most of the answers to my pre-surgery questions in your videos. You explained everything in a very understandable way. Jazakumullah khair.
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Glad you liked it. Share with others
@KashmirBackpackers-g3b
@KashmirBackpackers-g3b 8 месяцев назад
I have 1.7cm Interspinchter simple fistula. Can it heal on its own? I mean can i live with it by managing? Also does nonveg food aggravate fistula? If surgery is the only solution. What to go for fistulotomy or fistulectomy? Thanks
@drimtiazhussain
@drimtiazhussain 8 месяцев назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-oZj-409K90s.htmlsi=xFDdvpwJyhVq1DCe Yeh video dekhein
@prabhatkumar2350
@prabhatkumar2350 7 месяцев назад
Sir , maine fistula ka operation kara liya hai, mera dhaga kab niklega , mera operation 21 feb 24 ko hua h
@drimtiazhussain
@drimtiazhussain 7 месяцев назад
Operation kay baad apny surgeon say rabta mein rahein. Check up kay baad hi decide kia jata hai aur iski boht si wajohaat ho sakti hain.
@NirajKumar-rf6vt
@NirajKumar-rf6vt 11 дней назад
This kshar sutra is the most efficient Ayurvedic methods ❤
@sankalpgupta353
@sankalpgupta353 10 месяцев назад
Sir video me aap resha keh rhe hain, aapka matlab pus jese yellowish-greenish liquid se hai kya?
@dr.ashoklegha1175
@dr.ashoklegha1175 9 месяцев назад
Sir is there any permanent cure for faecal incontinence occurs due to multiple fistulectomy operation
@drimtiazhussain
@drimtiazhussain 9 месяцев назад
"Thank you for reaching out. Fecal incontinence after multiple fistulectomies can be challenging, and it's essential to consult with a healthcare professional for personalized advice. In some cases, treatment options may include biofeedback therapy, medication, or surgical interventions like sphincteroplasty. However, the effectiveness of these options varies, and a comprehensive assessment by a healthcare provider is crucial to determine the most suitable approach for your specific situation. Please consider scheduling an appointment with a qualified healthcare professional who can thoroughly evaluate your medical history and recommend a tailored treatment plan. Best regards!
@Jkssbwallah09
@Jkssbwallah09 Год назад
Sir, I did surgery from my surgeon. But my seton fall by own after 2 months what should I do now
@drimtiazhussain
@drimtiazhussain Год назад
May be seton has served its purpose. It's better you keep in touch with your operating surgeon
@Jkssbwallah09
@Jkssbwallah09 Год назад
Sorry, sir,not 2 months. It is one week
@sujitkumarsoren3544
@sujitkumarsoren3544 Год назад
Thank you very much Doctor Saheb. You explained everything and cleared my all doubts. Bahut dar raha tha. Thanks
@drimtiazhussain
@drimtiazhussain Год назад
Glad to hear that. Don't forget to subscribe
@shaikhsadaq8523
@shaikhsadaq8523 Месяц назад
Pilonidal sinus k liye b use ho skta ha ye khsar sutra.?
@yashsharma4963
@yashsharma4963 8 месяцев назад
Kya Dhaga Nikalane ke liye bhi surgery krni padti hai
@drimtiazhussain
@drimtiazhussain 8 месяцев назад
Yeh depend karta hai keh patient kitna dard bardasht kar sakta hai. Agar pain bardasht nahin hota to dobara same procedure aur same anaesthesia dety hain
@MotiyaniHimanshu
@MotiyaniHimanshu 3 месяца назад
Sir how many days or month it will take to heal this whole Fistula
@drimtiazhussain
@drimtiazhussain 3 месяца назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SZRJudJ9FBM.htmlsi=jE4ebRErZxSJ-PUZ Watch this video
@drimtiazhussain
@drimtiazhussain 3 месяца назад
The healing time for an anal fistula after seton placement can vary based on several factors, including the complexity of the fistula, the patient's overall health, and how well they follow post-operative care instructions. Generally, here is a rough timeline for healing: ### General Healing Timeline: 1. **Initial Recovery (First 1-2 Weeks):** - **Pain and Discomfort:** You may experience pain and discomfort for the first few days to weeks. Pain can be managed with medications prescribed by your doctor. - **Wound Care:** It's important to keep the area clean and dry. Follow your surgeon’s instructions regarding wound care and dressing changes. 2. **Early Healing Phase (2-6 Weeks):** - **Seton Adjustment:** The seton helps to drain the infection and can prevent the fistula from closing too quickly. During this period, the seton might be tightened or adjusted in follow-up visits. - **Improvement in Symptoms:** You should start noticing a reduction in pain, drainage, and other symptoms. 3. **Intermediate Healing (6-12 Weeks):** - **Continued Healing:** The fistula tract continues to heal around the seton. You might need regular follow-ups to monitor the healing progress and make any necessary adjustments to the seton. 4. **Long-Term Healing (3-6 Months or Longer):** - **Complete Healing:** In some cases, it might take several months for the fistula to completely heal. If a cutting seton is used, the tract gradually cuts through and heals behind it. This process might take longer and require patience. - **Removal of Seton:** Once the fistula is sufficiently healed, the seton will be removed. Healing continues after removal, and follow-up care is essential to ensure no recurrence. ### Factors Influencing Healing Time: - **Type of Fistula:** Complex or high fistulas typically take longer to heal than simple or low fistulas. - **Patient's Health:** Overall health, including immune system function, nutrition, and presence of other medical conditions, can impact healing time. - **Post-Operative Care:** Proper wound care, maintaining good hygiene, and following medical advice can significantly affect the healing process. - **Compliance with Follow-Up:** Regular follow-up visits with your surgeon to monitor progress and make necessary adjustments are crucial. ### Important Considerations: - **Infection Prevention:** Keep the area clean and follow all post-operative care instructions to prevent infections. - **Diet and Hydration:** A high-fiber diet and adequate hydration can help ensure soft bowel movements, reducing strain on the surgical site. - **Pain Management:** Use prescribed medications to manage pain and discomfort as needed. - **Activity Level:** Avoid strenuous activities that could strain the surgical site until your doctor gives you the green light. Always consult your surgeon for personalized advice and follow their specific instructions for the best outcomes. They are familiar with the details of your surgery and can provide the most accurate guidance for your recovery.
@muhammadrizwan2114
@muhammadrizwan2114 Год назад
Sir kia second time Seton tight karny k liye anaesthesia ke zaroorat hoti hy, kia is sy pain hota hy and kindly ye bata den k grade 1 fistula ko b Seton dala ja sakta hy, mera grade 1 fistula hy at 6 o clock and doctor ny seton dal diya hy
@drimtiazhussain
@drimtiazhussain Год назад
Yeh depend karta hai keh patient kitna pain bardasht kar sakta hai. Without anaesthesia bhi kar sakty hain warna saddle block mein karty hain
@sayedabusayed5932
@sayedabusayed5932 4 месяца назад
আসসালামুয়ালাইকুম স্যার। বাংলাদেশ থেকে বলছি।স্যার আমার fistula in Ano(complex) অপারেশন করছি একমাস হয়েছে এবং সেটন লাগিয়ে দিছে। এখন ওটা ধরে আস্তে আস্তে টানতে বলতেছে। কিন্তু স্যার টানার কয়েকদিন পর লক্ষ্য করছি আমার হাওয়া বা বায়ু বের হচ্ছে।কোন ব্যাথা বা রক্তপাত নেই। সামান্য ঘাম ঘাম পানি আসে। স্যার এখন বায়ু ছাড়লে সেটনের পাশ দিয়ে বের হয়ে যায়। এতে কোন সমস্যা আছে কি????
@drimtiazhussain
@drimtiazhussain 4 месяца назад
এই অপারেশনের পর আপনার সার্জনের সাথে যোগাযোগে থাকা খুব জরুরি। তিনি জানেন কোন ধরনের অপারেশন করা হয়েছে, কীভাবে অপারেশন করা হয়েছে এবং এর পরের চিকিৎসা কেমন হবে। অপারেশনের পর অন্য কোনও সার্জনের সাথে যোগাযোগ করলে আপনি বিভ্রান্ত থাকতে পারেন। আমাদের ভিডিওগুলি সাধারণ নির্দেশনার জন্য, অপারেশনের পরে বিশেষ তথ্যের প্রয়োজন হয় যা শুধুমাত্র আপনার অপারেটিং সার্জনই দিতে পারেন। আমরা পরীক্ষার আগে কিছু বলতে পারি না।
@zameeralam-tw5sl
@zameeralam-tw5sl Год назад
Sir g seton replacement again patients feel kar sakta hain seton i mean
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Zrurat ho to change karty hain
@tanweerah
@tanweerah Год назад
Sir, very good information I got fistulactomy and Seton placement simultaneously... Fistulactomy wound healed timely ....but Seton had been very painful and tightening was done 4 times....after one and half month Seton got out....but still Seton pathway or wound pains ....and it seems that healing is not proper.... I met my surgeon who is very competent... but 2 and half month still I am not fully recovered... If you could suggest me... What should I do. I shall be obliged.... Khuda aapke marizon ko shifa de aur aapko...jaza e khair...
@drimtiazhussain
@drimtiazhussain Год назад
Be in touch with your surgeon. Seton treatment is lengthy but curative.
@rehankhan6154
@rehankhan6154 Год назад
Mera b setone daala Howa hai mein b bhttt pain me hon
@ankitranjan3895
@ankitranjan3895 Год назад
Bhai thik hue ap tanweer
@noreenawan3762
@noreenawan3762 2 месяца назад
Mera one weak phly 3sri bar setone dla aa ab unhu n bola k hm aftr some mnths chk krn gy agr es ny apna kam sai kia tu thk wrna pait k side sa nlki lgani prygi totly edr sa trck bnd krny k liaaa sirrr plzzzz tl me k setone ktni dfa dala jtaaaa a ta k nlki lgny sa bch juuu plzzz tl me
@abhiudaymishra3218
@abhiudaymishra3218 8 месяцев назад
sir meri fistula ki surgery hui thi usme Dr ne partial fistulectomy with ksharshutra kiya tha lekin thread padne ki baad motion k raste pe ek gola jaisa nikal gya Dr ko dikhaya to unhone thread kaat diya aur 3 din bad phir ot me bulaya hai
@drimtiazhussain
@drimtiazhussain 8 месяцев назад
Apko apny operating surgeon say rabta karna chahiay. Wo apko behtre guide kar sakty hain. Hum baghair check up kiay koi medicines ya ilaaj nahin bta sakty aur na apko baghair examination kay koi medicines leni chahiay. Operation kay baad kisi bhi problem ya issue ki soorat mein apny surgeon say rabta mein rahein
@sheikhshani4549
@sheikhshani4549 Год назад
sir mera seton remove hua hai zakham bhrny mai kitna time lg jye ga or koi test krwany ki zrort to ni hai jis mai pta chl jye operation thek be hua k nhi
@drimtiazhussain
@drimtiazhussain Год назад
Yeh depend karta hai keh kitna complex fistula hai. Abhi test karwana bhi boht jaldi ho ga. Behtre hai apny surgeon say rabta karein
@drimtiazhussain
@drimtiazhussain Год назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SZRJudJ9FBM.html Yeh vidoe dekhein helpful ho gi.
@sheikhshani4549
@sheikhshani4549 Год назад
sir meri seton surgery hoi hai seton kis trha tight kry gy kamer mai injection lga k ya wese e kry gy or iss k charges be hoty ya nhi ?
@drimtiazhussain
@drimtiazhussain Год назад
Ap nay kahan say seton wala ilaaj karwaya hai?
@sheikhshani4549
@sheikhshani4549 Год назад
@@drimtiazhussain hameed lateef hospital sy
@drimtiazhussain
@drimtiazhussain Год назад
@@sheikhshani4549 Seton change karna depend karta hai apky pain bardasht karny par. Kabhi kabhi to waisy hi change kar dety hain magar usually phr injection lgatay hain aur tassali say change karty hain
@sheikhshani4549
@sheikhshani4549 Год назад
@@drimtiazhussain sir kamar mai injection lgty hai ? or kitna time lgta hai tight krny mai
@drimtiazhussain
@drimtiazhussain Год назад
2mins mein.
@somratshahjahan6517
@somratshahjahan6517 Год назад
You made it very easy
@drimtiazhussain
@drimtiazhussain Год назад
Thanks a lot. Don't forget to subscribe.
@mohsinsulehriazafrwal2811
@mohsinsulehriazafrwal2811 Год назад
V good information
@drimtiazhussain
@drimtiazhussain Год назад
Thanks
@sardarhaiderrehman4324
@sardarhaiderrehman4324 4 месяца назад
Well explained ❤
@drimtiazhussain
@drimtiazhussain 4 месяца назад
Thank you 🙂
@umeshkumar-mf1do
@umeshkumar-mf1do 11 месяцев назад
Sir Seton or kharsutra ek hi Cheez Hoti Hai.....ya alag alag Cheez hai
@drimtiazhussain
@drimtiazhussain 11 месяцев назад
Taqreeban aik hai but kshar sutra ayuruvedic hai aur kuch chemical bhi lagy hoty hain
@naveenjatthr4072
@naveenjatthr4072 8 месяцев назад
Bhai me fas gya hu iske chkkr me mera doctor sayd normal dhaga use karta ha
@zahidshah7189
@zahidshah7189 Год назад
hi sir nowadays i suffer from this procedure i used seton but today is my 9th day and pain increases day by day and im disturbed very much
@drimtiazhussain
@drimtiazhussain Год назад
This video will help and also watch other video about seton on our fistula playlist
@zameeralam-tw5sl
@zameeralam-tw5sl Год назад
Allah of ko jannat main ala mokam dai bas mery yai dawa hain our hamary buner kpk docter ko Allah gark kary
@clarinportiaar795
@clarinportiaar795 Год назад
For me also bro... Paining a lot😭
@sheikhshani4549
@sheikhshani4549 Год назад
sir mera seton ka ek session ho chuka hai ab doc ne 2 may ko kaha tha check krwny ana doc ab out of country chly gye hai unho ne 8 may ko ana wpis to jo 8 din upr ho jye gy koi malsa to ni ata seton ka
@drimtiazhussain
@drimtiazhussain Год назад
Bilkul masla nahin ho ga itny dinon ka. Don't worry
@sheikhshani4549
@sheikhshani4549 Год назад
@@drimtiazhussain sir jab seton nikaly gye to track bhr nikla k dekhy gye ya bs seton nikaly gy or nikalty kesy hai
@sumantaghoshal611
@sumantaghoshal611 Год назад
Sir may 26july e operation kiya hai cmc Vellore may 45days ka bad bohot pain hai mera 3trak huya tha o open hai stul ka jaiga may bohot pain hay or left sight may pain hai kiya karna hay sir 3 mehina bad jena bola
@MianAbubakar-o5t
@MianAbubakar-o5t 2 месяца назад
Asslamoalikum sir kase tabeyt ha apki
@kamrankhan3559
@kamrankhan3559 2 месяца назад
ڈاکٹر صاحب جب یہ داگ کا دوبارہ ٹیٹ کر دیتے ہیں بہت پین ہو رہا ہے یہ کتنا دیر تک ہوتا ہے
@KashmalaAwan
@KashmalaAwan Год назад
Sir Kia After fistula surgery hmain jo doc cream lgany k liye dety hain wo to hm use krty hain lekin pass any ki waja sy Kia hm wahn ki safai Pyodine sy kr skty hain ya pyodine lga skty hain?? sbhi doc mnna krty hain?? pyodine sy .. q k sir wsy to zakhm pyodine foran bhr jata hai koi b zakhm ho.. plz rep❤kren sir
@drimtiazhussain
@drimtiazhussain Год назад
Kar sakty hain magar warm sitz bath laxmi leny hain
@laraibkandhir3319
@laraibkandhir3319 18 дней назад
Mena krwae hai dhage wali docra month chal rha ha buht tklef haa buht painkiller kha rhi .. meri surgeon tu kehti hai k bs pani m betho or painkiller lo jb drd hoo per drd ki shidat kam nh hotii m kiaa karun
@drimtiazhussain
@drimtiazhussain 18 дней назад
Seton care ke baad anal fistula ka ilaaj bohat aham hai. Yahan kuch zaroori baatain hain: 1. **Safai**: Seton wali jagah ko naram garam pani se din mein 2-3 dafa saf karo, khas tor pe pakhane ke baad. 2. **Dard ka ilaaj**: Dr ke diye gaye painkillers ka istamal jari rakho. 3. **Dressing**: Zakham ko dry rakho aur dressing badalti raho. 4. **Discharge ka khayal**: Thora discharge normal hai, lekin agar ziada pus ya badboo aaye to doctor se raabta karo. 5. **Regular check-ups**: Apne doctor ke paas bar bar jao.
@laraibkandhir3319
@laraibkandhir3319 18 дней назад
Buht zyda pain hota h
@chohanvlogs4869
@chohanvlogs4869 10 месяцев назад
جب سیتون نکلتا ہے تو کیا اسکے ساتھ کوئ ٹریک بھی نکلتا ہے یا صرف دھاگہ نکلتا ہے، شکریہ
@drimtiazhussain
@drimtiazhussain 10 месяцев назад
Jab Seton fistula ke ilaj mein istemal hota hai, to jab yeh seton final stage tak rakha jata hai aur nikala jata hai, toh amooman saath mein fistula ka tract khatam ho jata hai. Seton ka istemal fistula ke tract ko open rakhne aur infection ko control karne mein madad karta hai. Ismein Seton slowly-slowly fistula ke tract ko heal hone mein madad karta hai. Lekin, har mareez ka haal mukhtalif hota hai, aur ismein kuch variations bhi hosakti hain. Aapko is masle ke bare mein apne doctor se mukammal malumat leni chahiye.
@aqeel-baloch
@aqeel-baloch 9 месяцев назад
And thank you so much for your guidance ❤
@drimtiazhussain
@drimtiazhussain 9 месяцев назад
You are so welcome
@sachinkumar00097
@sachinkumar00097 16 дней назад
sir seton opearation dhaga nikalne k baad bhi pus jaara hai 😢😢😢
@tomtree2336
@tomtree2336 Год назад
Sir, is there any lazer treatment for fistula treatment?
@drimtiazhussain
@drimtiazhussain Год назад
This is an option but not 100% treatment option. Recurrence is also there.
@naseemullahkhan9992
@naseemullahkhan9992 5 месяцев назад
My doctor has advised 3 weekly sessions of seton tightening.ist ok
@drimtiazhussain
@drimtiazhussain 5 месяцев назад
After operation always follow his advice
@zaibakhtar2650
@zaibakhtar2650 9 месяцев назад
Defficult to set on hips after surgery Please advise doctor saib. Akhtar zaib Karachi
@drimtiazhussain
@drimtiazhussain 9 месяцев назад
"I'm sorry to hear about the difficulty you're facing in sitting after your perianal abscess operation. It's not uncommon to experience discomfort during the recovery period. I recommend consulting with your healthcare provider for personalized advice. They can provide guidance on managing pain and discomfort, suggest any necessary modifications, and ensure a smoother recovery. If you have specific concerns or questions, please feel free to share, and I'll do my best to provide helpful information. Wishing you a speedy recovery!"
@SANDEEPYADAV-mh8tk
@SANDEEPYADAV-mh8tk Год назад
Sir baith uth chalna ghumna firna kitna kr skte h
@drimtiazhussain
@drimtiazhussain Год назад
After week normal jaisy pehly karty thy but pain na ho. ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SZRJudJ9FBM.html Yeh video dekhein
@aqeel-baloch
@aqeel-baloch 9 месяцев назад
Sir Seton ko Nikal ne Mai Kitna time Lage gha.....
@drimtiazhussain
@drimtiazhussain 9 месяцев назад
"Jee, anal fistula mein seton ko nikalne ka waqt mareez ke haalat par depend karta hai. Aksar, yeh kuch hafton ya mahinon tak lag sakta hai. Seton nikalne ka maqsad hota hai keh fistula tract ko dheere-dheere theek kiya ja sake aur infection ko control kiya ja sake. Lekin har mareez ka jism alag hota hai, is liye behtar hai ke aap apne healthcare provider se consult karein, unki hidayat par amal karein, aur apni halat ka behtar tajziya hasil karein.
@hafizqadri8443
@hafizqadri8443 Год назад
Sir sits bath me koi surgeon kehte ha povidon dal kr sitz bath kre koi surgeon kehte ha salt dal kr kre ap btae kya use krna behter ho ga sitz bath k time
@drimtiazhussain
@drimtiazhussain Год назад
Hum nay bataya keh kia use karein
@nadeemhashmi2846
@nadeemhashmi2846 10 месяцев назад
Good Dr
@DrMuavia
@DrMuavia День назад
V.NICE.
@drimtiazhussain
@drimtiazhussain 17 часов назад
Thanks
@aamirjalal1531
@aamirjalal1531 Год назад
Sir aj main na phliii br koi channel subscribe kiya hai aur wo apka channel hai... Mara operate howa 1 maah ho gya hai lakin main satisfy nae tha abi dhagha under e hai aur bht dard hotiii hai aur swelling b ho gae hai lakin is video k bd thora sa satisfy hn... Lakin ab kitna aur time laga ga dhagha niklna ma???
@drimtiazhussain
@drimtiazhussain Год назад
General information yahan say mil gai hon gi baqi specific information kliay apny surgeon say rabta mein rahein kionkeh wo janty hain kia hu hai aur ab kaisy agy chanla hai. Thanks for subscribing
@khurramjameel9248
@khurramjameel9248 Год назад
Allah apko salamat rkhy ❤
@abhiudaymishra3218
@abhiudaymishra3218 8 месяцев назад
sir mera ksharshutra hua hai but bahut jyada latring lagti hai aur pet me awaj bhi aati hai gud gud wali sir pls help me 😢
@drimtiazhussain
@drimtiazhussain 8 месяцев назад
Is operarion kay baad apny surgeon say rabtay mein rahna boht zruri hai.. Unko pata hai konsa operation kia hai, kis trah operation kia hai Aur agay iska ilaaj kaisy chalay ga? Operation kay baad kisi aur surgeon say rabta karein gy to confuse rahein gy. Hmari videos general instructions kliay hain. Operation kay baad khaas maloomat ki zrurat hoti hai jo apka operating surgeon hi bta sakta hai. Hum examination kah baghair kuch nahin bta sakty.
@RaviKumar-ul8cm
@RaviKumar-ul8cm Год назад
मैंने same surgery 10 din पहले करवाया है
@drimtiazhussain
@drimtiazhussain Год назад
Good
@ayeshazain5385
@ayeshazain5385 Год назад
Salam dr.. mere fissure ke operate ke 40 days bad jo fissure lga tha operate wali jga pr use 12 days ho gae hein nd 0% healing after following measure religiously. To dr saab kia mera operate ka koe faida ni hua. Or mein to phly se b ziada pain mein a gae hu.. dr saab koe hal hy apky pas.
@drimtiazhussain
@drimtiazhussain Год назад
Ab kia situation hai examination kay baad hi hum apni opinion day sakty hain
@ayeshazain5385
@ayeshazain5385 Год назад
@@drimtiazhussain to jo healing bilkul b ni ho rae iska mtlb operate ka koe faida ni hua..
@baburamtimilsina4721
@baburamtimilsina4721 Год назад
Dr. Sap. Seton kasae nikalte ? Seton hatanekelya surgery jaruri hai or nahi high line fistula k sawalme ?
@drimtiazhussain
@drimtiazhussain Год назад
Surgery kay baghair bhi nikala ja sakta hai
@baburamtimilsina4721
@baburamtimilsina4721 Год назад
Dr. Sap Konsa situation mae seton change karna patahe ? Kya yeh jaruri हे ?
@sheikhfaisal4296
@sheikhfaisal4296 Год назад
thanks for the information
@drimtiazhussain
@drimtiazhussain Год назад
Thanks and don't forget to subscribe
@MdAlamin-hu9by
@MdAlamin-hu9by Год назад
Sir mane complex fistula surgery koraya.. 3 din hogia ..lakin bhoth darad horahe..and bohot pani jarahe...blood bhe jarahe....pain kitna den rahega sir..
@drimtiazhussain
@drimtiazhussain Год назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SZRJudJ9FBM.html Yeh video dekhein.
@MianAbubakar-o5t
@MianAbubakar-o5t 2 месяца назад
Asslamoaliukm sir kase tabeyt ha apki allah apko sehat day
@waqasahmadani2218
@waqasahmadani2218 Год назад
Sir fissure thek ni ho raha gtn bhi use kar raha hoon 2 haftay ho gaye hain. Kabhi arama a jata hai aur kabhi phir burning shuru ho jati hai
@drimtiazhussain
@drimtiazhussain Год назад
Aapke liye behtar hai ki aap general surgeon se examination karvayen. uske bad aapka surgeon decision le ga ki ab kya karna chahie.
@hafizqadri8443
@hafizqadri8443 Год назад
Thanks For Guidance
@drimtiazhussain
@drimtiazhussain Год назад
Thanks and don't forget to subscribe for more interesting videos
@sheikhshani4549
@sheikhshani4549 Год назад
sir mera 3 din pehly seton remove hua hai lkn resha phr be aarha hai kia krun samj ni aarhi
@drimtiazhussain
@drimtiazhussain Год назад
In hidayaat par amal karein thek ho jaey ga aur warm sitz bath lazmi karein
@golamali194
@golamali194 Месяц назад
Din me dobaar khichh sakta Hain?
@drimtiazhussain
@drimtiazhussain Месяц назад
Jab jab warm sitz bath karein
@aqibarif7927
@aqibarif7927 9 месяцев назад
Dhaga jab tait karty h to dard hota h
@drimtiazhussain
@drimtiazhussain 9 месяцев назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-3QPhWM6IqyM.htmlsi=Ed1MKiaOt4HT3Pbp Yeh video dekhein
@FaizanKhan-fp4fm
@FaizanKhan-fp4fm Год назад
Great sir
@drimtiazhussain
@drimtiazhussain Год назад
Thanks my regular viewer😊
@akshikasharma308
@akshikasharma308 Год назад
2nd thread k bad bolte h cut lgayge esa kch hota h kya ????
@drimtiazhussain
@drimtiazhussain Год назад
Yeh to apka surgeon hi btaey ga
@KumarMaharaj-v7l
@KumarMaharaj-v7l Месяц назад
Mera ston dhaga dla hua h 5din ho gaya h dard h av kyo?
@drimtiazhussain
@drimtiazhussain Месяц назад
Seton lagne ke baad 5 din tak dard hona aam baat hai, kyunki seton ka main maksad fistula ko khol kar usay theek karna hota hai. Is process mein irritation aur pressure ki wajah se dard mehsoos hota hai. Jaisay jaisay healing hoti hai, dard kam hota chala jata hai. Agar dard zyada ho raha hai ya barqarar hai, to aap apne doctor se mashwara karein takay wo aapko behtar treatment ya pain management ke liye kuch de sakain.
@rajnishpaswan520
@rajnishpaswan520 Год назад
Sir lekin dard bht jada h aaj hi tight kara h mere surgen ne bht jada dard h
@yogi8035
@yogi8035 Год назад
सर anal एरिया में एक मसा जेसा हो गया है ' इसको केसे ठीक करे plzz सर reply में बहुत परेशान हू
@RaviKumar-ul8cm
@RaviKumar-ul8cm Год назад
रेशा मतलब pus sir ji ❓
@drimtiazhussain
@drimtiazhussain Год назад
Yes. Rassiya
@bntrading7934
@bntrading7934 Год назад
Thanks
@drimtiazhussain
@drimtiazhussain Год назад
Welcome and don't forget to subscribe.
@aqeelahmad7688
@aqeelahmad7688 Год назад
Good sir
@drimtiazhussain
@drimtiazhussain Год назад
Thanks
@sheikhshani4549
@sheikhshani4549 Год назад
sir ye hota kis waja sy hai ?
@drimtiazhussain
@drimtiazhussain Год назад
Infection, foreign body, irradiation and cancer etc. But check karwaein phr final pata chalay ga warna confuse rahein gy
@vishalchaudhary6804
@vishalchaudhary6804 9 месяцев назад
Thanku 🙏🙏
@khansanawaz159
@khansanawaz159 Год назад
Seton remove kasy hota hay?
@drimtiazhussain
@drimtiazhussain Год назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-DswsAo-4B4E.html Yeh video dekhein
@bismillahpolipas6137
@bismillahpolipas6137 Год назад
Thank you sir
@drimtiazhussain
@drimtiazhussain Год назад
Thanks. Don't forget to subscribe
@SyedMuhammadHuzaifa-wr4om
@SyedMuhammadHuzaifa-wr4om 2 месяца назад
دھاگے کا پروسس کتنے عرصہ چلتا رہتا ہے اسسے کب نجات ملتی ہی
@drimtiazhussain
@drimtiazhussain 2 месяца назад
ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-3QPhWM6IqyM.htmlsi=euYXbXXwljMOtf9M یہ ویڈیو دیکھیں
@aounmuhammad2891
@aounmuhammad2891 Месяц назад
❤❤❤❤
@Alijutt12145
@Alijutt12145 Год назад
Make Title interesting❤❤❤
@drimtiazhussain
@drimtiazhussain Год назад
Thanks
@jasmeetmaan9898
@jasmeetmaan9898 Год назад
Sir muje one month ho gaiya stone dala Huna ta to kal docter ne nikal kar wahi jaga cut laga Diya or us said ko khol deiya to koi problem to nahi hai
@drimtiazhussain
@drimtiazhussain Год назад
Nahin ho ga problem
@jasmeetmaan9898
@jasmeetmaan9898 Год назад
@@drimtiazhussain thanku soo much sir Mai to Darr he gai thi but blood bhot nikal ta hai jab tolet jaati hu tab
@ashtaralihaider2966
@ashtaralihaider2966 Год назад
Nice❤❤❤❤❤
@drimtiazhussain
@drimtiazhussain Год назад
Thanks
@mohammadmukhtar479
@mohammadmukhtar479 Год назад
@drimtiazhussain
@drimtiazhussain Год назад
Thanks and don't forget to subscribe
@Scudblaint
@Scudblaint Год назад
Hiya dr.
@drimtiazhussain
@drimtiazhussain Год назад
Hi
@muhammadakram-ie1jw
@muhammadakram-ie1jw Год назад
Sir very painful procedure...
@drimtiazhussain
@drimtiazhussain Год назад
Not at all. Procedure kay waqt bhi pain nahin hota aur baad mein bhi medicines say pain bilkul control hota hai kionkeh koi muscles nahin cut hoty. Muscle cut say pain hota hai
@muhammadakram-ie1jw
@muhammadakram-ie1jw Год назад
@@drimtiazhussain hme b NE hoi . Boht km hoi Hy still . Even after opt.. now stool is passing easily.
@drimtiazhussain
@drimtiazhussain Год назад
@@muhammadakram-ie1jw good
@vivekkapoor7228
@vivekkapoor7228 Год назад
Great doctor sahab ...
@hafizqadri8443
@hafizqadri8443 Год назад
Dear Sir Mera Bhi seton replacement hua ha mera ak question ha apse kya apka num ya koi email mil sakti ha jis pr me apse contact kr sako
@drimtiazhussain
@drimtiazhussain Год назад
Yahan poochh sakty hain yeh common forum hai aur apky questions say baqion ko bhi help mily gi
@hafizqadri8443
@hafizqadri8443 Год назад
OK sir
@hafizqadri8443
@hafizqadri8443 Год назад
Mere kafi questions apki video dekhne se clear ho gae ha but ak question ye ha k sfai or paki k liye waha razer use kre ya koi cream use kre hair removal k liye
@drimtiazhussain
@drimtiazhussain Год назад
Razer say easy hai to wo karein
@hafizqadri8443
@hafizqadri8443 Год назад
Agar easy ni ha to phr kya kre agar cream use krni ha to konsi use kre
@oregnalzakirvlog8542
@oregnalzakirvlog8542 2 месяца назад
Good information
@drimtiazhussain
@drimtiazhussain 2 месяца назад
Thanks
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