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laproscopy

What is laparoscopy ?

  • Laparoscopy or keyhole surgery is doing major operations through a small holes/ cuts instead of large incisions(cuts) that are made to get access to organs inside body. Modern technology of using small flexible camera used to inside world of human anatomy. It’s like Yashoda seeming universe through mouth of Sri krishna.
  • It’s advantages are less pain, better magnification, enhanced 2D/3D images, early recovery, less hospital stay.

What are procedure that can be done laparoscopically ?

  • Most of the regular and advanced surgeries in all branches of surgery can be done laparoscopically. All that required is experience, expertise and skill and facilities.
  • Most of the open procedures can be done better through laparoscopy provided surgeon is experienced.
  • Laparoscopy is team work, with team we can do wonders.

Gastroenterology laparoscopic procedures

  • Gall stones & CBD stones
  • Appendicitis
  • Reflux disease & gastric surgery
  • Adhesions, intestinal obstruction
  • Hydatid cyst liver,
  • Malrotation gut
  • Pseudo pancreatic cyst
  • Abdominal trauma

Hernias

  • Inguinal hernia
  • Ventral hernia
  • Umbilical hernia
  • Diaphragmatic hernia
  • Hiatus hernia

Gynaecological procedures

  • Diagnostic laparoscopy
  • Hysterectomy
  • Myomectomy ( fibroid uterus)
  • Ovarian cysts
  • Endometriosis
  • Infertility procedures
  • Ectopic pregnancy

Cancer and endocrine procedures

  • Gastric cancer
  • Colonic cancer
  • Adrenalectomy
  • Distal pancreatectomy

Lung

  • Thoracoscopy
  • Mediastinal lymph nodes
  • Thymectomy
  • Lung procedures
  • Thoracic symphatectomy

Laparoscopy is the most important development in field of surgery since inception of surgery. Unlike traditional surgery where you have to make large cut in abdomen to access to organ to be operated. This large incision (cut) is responsible for pain, chances of infection, need for the rest, prolonged hospitalization and also cost of treatment.

Advances in technology made it possible to do the same with at making cut and this particular specialty is called laparoscopic surgery and other names are keyhole surgery, minimal access surgery.

This procedure essentially involves make a small cut 5-10 mm incision through which scope is passed which transmits images inside closed cavity of abdomen through help of advanced camera onto screen (TV/ medical monitor) . Surgeon can operate looking at the image with help of additional ports / instruments. The type of surgery done inside is same like traditional open operation but achieved without cutting open abdomen.

Other benefits are vision is very clearer , because of magnification structures that are not seen with naked eye also can be visualized with laparoscopy, bleeding is less, less pain and early discharge from hospital. Other benefits are persons go back to work early mostly in 3-7 days thus reducing loss of man hours. Others problems of open surgery like disfiguring scar and incisional hernias are rare in laparoscopy.

In short laparoscopy makes surgery more pleasurable and less painful both physically and mentally.

In today’s scenario 70 – 80 % of surgeries of gastrointestinal system, hernias, gynec surgery, pediatric surgery, cancer surgery, obesity surgery, and thoracic surgery can be achieved with laparoscopy

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