FREQUENTLY ASKEDQUESTIONS

You can request an appointment through the online form at /request-appointment/, or call +880 1711-402445. Our team will respond to confirm a date and time.

Prof. Kibria consults at two chambers in Gulshan, Dhaka:

Lake View Clinic — House-05, Road 79, Gulshan-2, Dhaka 1212.
SMG Kibria Foundation — Ta-97, 5th Floor, Middle Badda, Gulshan, Dhaka 1212.

Yes. Please bring all available diagnostic reports, imaging, and previous treatment records to your consultation. Second opinions are welcomed and treated with the same care as primary consultations.

Yes. Prof. Kibria regularly treats patients travelling from across Bangladesh and abroad. International patients should reach out by email at info@smgkibria.com for advance planning, written quotations, and travel logistics.

Bring any previous medical records, recent scans or reports (ultrasound, CT, MRI, X-rays), a complete list of current medications, allergies, and a brief written history of your symptoms. The more complete the information, the more accurate the consultation.

Genuine surgical emergencies are prioritised. Please call the clinic line on +880 1711-402445 and mention "urgent". For life-threatening symptoms (severe bleeding, breathing difficulty, sudden severe pain), call emergency services or attend the nearest hospital emergency department first.

Prof. Dr. S.M.G. Kibria — FRCS x4, GMC Registered (UK), 18 years UK consultant practice, 35,000+ surgeries — has performed over 2,500 cholecystectomies with a success rate exceeding 99% and same-day discharge in most uncomplicated cases.

Yes — laparoscopic cholecystectomy is the gold-standard treatment for symptomatic gallstones worldwide. Major complication rates are under 1% with experienced surgeons.

Same-day or overnight discharge. Office work in 7–10 days, light activity by week 2, full activity at 4–6 weeks.

If you have symptomatic gallstones, surgery is the only definitive treatment. Asymptomatic stones in average-risk adults can sometimes be observed.

Low-fat diet for 1–2 weeks. After that, the liver compensates and most patients return to a completely normal diet.

Laparoscopic uses 3–4 small (5–12mm) incisions; open uses a single 10–15cm incision. Laparoscopic is far less painful with faster recovery. Open is reserved for 2–5% of complex cases.

Yes — TAPP and TEP are the gold standard for inguinal hernias. Recurrence rates are below 2% with experienced surgeons.

Mesh is a fine, lightweight medical-grade material placed to reinforce the weak area. Modern mesh has been used safely for decades and dramatically reduces recurrence.

Same-day or overnight discharge. Office work in 7 days. Light activity by week 2. Full unrestricted activity at 4–6 weeks.

Hernias do not heal on their own. Surgery is the only definitive treatment. A truss may temporarily reduce symptoms but does not cure. Urgent surgery is needed for strangulation.

Most common sign is a visible bulge in the groin, abdomen, or navel — often more obvious on standing or coughing, disappearing when lying flat.

Laparoscopic uses 3 small (5–10mm) incisions; open uses a single 5–8cm incision. Laparoscopic offers less pain and faster recovery — especially good for bilateral or recurrent hernias.

No — laser piles treatment is one of the least painful options. The diode laser seals haemorrhoidal vessels without cutting or stitching. Most patients describe only mild discomfort.

Laser or stapler: office work in 3–5 days, normal activity in 1–2 weeks. Conventional open haemorrhoidectomy: 2–3 weeks.

Laser shrinks and seals the haemorrhoidal tissue with minimal damage. Conventional removes it with a scalpel — effective for very advanced cases but longer recovery. Stapler hemorrhoidopexy lifts and re-fixes prolapsed tissue.

Modern laser and stapler treatments have low recurrence rates of 5–10% over 5 years. Long-term success depends on high-fibre diet, water, regular bowel habits, and avoiding straining.

A small tear in the anal canal causing sharp pain and bleeding. Acute fissures usually heal with stool softeners, sitz baths, and topical medications. Chronic fissures benefit from lateral internal sphincterotomy — 95%+ success rate.

Common signs: rectal bleeding, itching, palpable lump, mucus discharge, prolapsed tissue. Grade I–II often respond to lifestyle; grade III–IV typically benefit from a procedure.

Overactivity of one or more parathyroid glands causing high blood calcium. Symptoms: kidney stones, bone thinning, abdominal pain, depression, fatigue. Surgery is the only definitive cure.

Yes — cure rates exceed 95% with major complication rates under 2%. The key factors are accurate pre-operative localisation, an experienced endocrine surgeon, and intra-operative PTH monitoring.

A small 2–3cm targeted incision over the localised diseased gland — rather than a four-gland exploration. Intra-operative PTH monitoring confirms successful removal. Smaller scar, faster recovery, equal cure.

No. Once the diseased gland is removed, the remaining 3 normal glands take over. A short course of oral calcium and vitamin D is usually all that's needed.

Same-day or overnight discharge. Office work resumed within 7 days. Full unrestricted activity by week 2–3. The neck scar fades over 6–12 months.

PAD is narrowing of the leg arteries from plaque build-up — causing leg pain on walking, cold feet, non-healing wounds, and in severe cases, gangrene. Risk factors: smoking, diabetes, hypertension, high cholesterol.

Yes — performed through a small puncture under local anaesthesia with sedation. Major complication rates under 2%. Most patients are discharged within 24 hours.

Angioplasty opens a blocked artery from inside with a balloon (often leaving a stent). Bypass uses a graft to route blood around the blockage. Angioplasty is less invasive; bypass is durable for long, complex blockages.

Endovascular: home in 24 hours, normal activity within days. Open bypass: 3–7 days in hospital, office work in 4–6 weeks. Lifelong medication and lifestyle measures required.

Early cases respond to smoking cessation, exercise, diet, statins, and anti-platelet medication. Surgery is reserved for advancing symptoms or critical limb ischaemia.

EVLA is the modern gold-standard treatment. A laser fibre passed inside the diseased vein under ultrasound guidance seals it shut. Walk-in, walk-out procedure under local anaesthesia.

No — EVLA is performed under local anaesthesia. Most patients feel only mild pressure during the procedure and minor bruising afterwards.

Walk out of the clinic immediately. Return to office work the next day. Compression stockings for 2 weeks. Light exercise at week 1, gym by week 3.

Over 95% of treated veins remain closed at 5 years. New veins can develop in other areas over time, especially with pregnancy, prolonged standing, or obesity.

EVLA seals the main truncal vein with laser. Sclerotherapy injects foam for smaller branches. Conventional surgery strips the vein — effective but longer recovery. Most patients today benefit from EVLA, often combined with sclerotherapy.

Yes — early, aggressive, multi-disciplinary care saves more than 80% of diabetic feet. Limb salvage rates depend on early presentation, prompt revascularisation, infection control, and wound care.

No. Many cases respond to revascularisation, debridement, and antibiotics. Amputation is reserved for irreversible tissue death — and at the lowest possible level.

Urgently — within 24–48 hours. Diabetic foot infections deteriorate rapidly. Delay is a major risk factor for limb loss.

Three factors: nerve damage (neuropathy), poor blood circulation, and increased infection risk. Poorly controlled blood sugar accelerates all three.

Warning signs: non-healing wound, redness, swelling, drainage, bad smell, dark skin, numbness, sudden severe pain. Diabetics should self-inspect their feet daily.

A surgical connection between an artery and a vein in the arm. High-flow blood thickens the vein wall over 6–12 weeks so it can be needled reliably for haemodialysis. The gold-standard dialysis access.

6–12 weeks typically. Fistula exercises (squeezing a ball) help. Some mature in 4 weeks; others need balloon dilatation.

10+ years with proper care. Long-term patency depends on careful needling, avoiding compression, and periodic surveillance.

Fistula uses your own artery and vein — longer-lasting, fewer infections, gold standard. Graft uses synthetic tubing — matures faster (2–3 weeks) but shorter lifespan.

Ideally 3–6 months before dialysis is needed — once eGFR drops to around 20. Early creation allows maturation before dialysis is urgent.

No — the vast majority of breast lumps are benign. However, every new lump should be assessed with a triple test (clinical exam, imaging, biopsy when indicated).

Lumpectomy removes just the cancer with a margin — preserving the breast (combined with radiotherapy). Mastectomy removes the whole breast — for large, multifocal cancers or patient preference. Reconstruction can be added.

A minimally invasive way to check lymph node spread. The first 1–3 nodes that drain the breast are identified using dye/tracer and removed. If clear, no further node surgery — sparing arm side-effects.

Lumpectomy: day-case, office work in 7–10 days. Mastectomy: 1–2 nights in hospital, office work in 3–4 weeks. Full activity at 4–6 weeks.

Yes — immediate or delayed reconstruction options, including implant-based or autologous (using your own tissue). Prof. Kibria works with plastic surgery colleagues for the right plan.

Endoscopy examines the upper GI tract (oesophagus, stomach, duodenum) via the mouth. Colonoscopy examines the entire colon via the rectum.

No — both are performed under conscious sedation. Most patients have no recollection of the procedure.

2 days before: low-residue diet. Day before: clear fluids and prescribed bowel preparation. Stop blood thinners and iron as advised. Clear bowel is essential.

Age 45–50 for average-risk individuals, every 10 years if normal. Earlier and more frequently with family history of colorectal cancer or polyps.

Most polyps are removed during the same procedure (polypectomy) and sent for histological analysis. No separate operation needed.

Performed through 3–4 small incisions of 5–12mm with a thin camera and slender instruments. Operating on an HD monitor. Less pain, faster recovery, better cosmetics than open surgery.

Almost the entire range of modern general surgery — gallbladder, hernia, appendix, intestinal surgery, splenectomy, adrenalectomy, and more.

Yes — in experienced hands, at least as safe as open surgery with less pain, infection, and hernia formation.

No — 3–4 small scars of 5–12mm, usually in cosmetically inconspicuous positions. They fade and become nearly invisible over 6–12 months.

When laparoscopy cannot be safely completed: severe inflammation, dense adhesions, very large or complex disease. About 2–5% of planned laparoscopic cases are converted.