Laparoscopy

 

 

 

We are experts in advanced laparoscopic surgery

Laparoscopy is a tool to diagnose and treat certain conditions with a minimal invasive approach to examine the abdominal cavity. Common conditions we deal with are inflamed appendix ,inflamed gallbladder with gallstones and all form of hernias including inguinal femoral ventral. 

Laparoscopy surgery is generally safe and has a shorter recovery time than traditional open surgery. Qualified surgeons with specific training in this type of surgery can do it.

The procedure

The laparoscope is a small video camera inserted through a small incision in the abdominal wall. This allows the surgeon to see inside the abdomen on a video monitor. Laparoscopy surgery can be done using standard laparoscopic equipment . Guide wires and catheters may also be used during laparoscopy surgery. These thin tubes help the surgeon navigate the abdominal cavity and organs.

The laparoscopy procedure requires several small incisions in the abdominal area. A laparoscope, a long, thin tube with a light and camera on the end, is inserted through one of these incisions. The laparoscope transmits images of the inside of your abdomen to a video screen, where your surgeon can see them.other ports that we make through 2 or more incisions on the abdomen are used as surgeon’s hands through which he performs the surgery using various equipments.

Conditions treated

Laparoscopic surgery is often used to treat digestive system conditions like gallstones, inflamed appendix, abdominal wall hernias, hiatus hernias and weight loss surgeries. . The recovery from laparoscopic surgery is typically quicker and less painful than traditional open surgery, with most people being able to return home the same day or the next day. All key holes are closed using absorbable stiches covered with a water proof dressing so as patient do not experience any discomfort

Recovery in laparoscopy surgery & Aftercare

 Most of the laparoscopic procedures performed are done as a day case where patient leaves the hospital same day pain free.

Following your surgeon’s instructions for care after laparoscopic surgery is important. Your surgeon will allow you to resume daily activities based on the treated condition.For example if you underwent a hernia procedure, via placing a mesh you need to avoid  to ensure a quick and successful recovery.

Immediately after laparoscopy

You are kept under observation post anesthesia till you are completely awake in recovery room. After the doctor assesses your stability and alertness, you are moved to the hospital room. You may be allowed to go home after a few hours if it is an outpatient procedure. It is best to have someone assist you as no stress should be induced after the procedure. 

It is better if you move as early as possible , mobilization is one of the tool to recover fast. Doctor will prescribe you some oral pills including antibiotic and pain killers as needed to be safely taken at home.

Diet and Activity

A laparoscopic surgical procedure doesn’t have any dietary restrictions. You can consume light yet solid foods and continue with the same after the process.

Laparoscopic bariatric surgery will have dietary restrictions. You will be asked to be on a clear fluids diet for four weeks or as suggested by the surgeon. You can move to a solid diet, but only as instructed by the doctor. All the dietary instructions in case of bariatric surgery are planned and discussed with the patient well in advance. This allows you to better prepare for the procedure and the recovery both.

Risk stratification

Most of the times we address high risk patients who are consulting for a bariatric procedure, wherein we involve our cardiologist , physician and Aneathetist to evaluate them for the particular risk and they are taken up for surgery after the clearance of all the doctors treating them.

Invention of Laparoscopy Surgeries

In 1895, Georg Kelling performed the first endoscopic examination on humans. He used an endoscope of his design to visualise the interior of the bladder via the urethra. Seven years later, in 1902, Anton Brill and Hans Christian Jacobaeus performed the first pneumoperitoneum for diagnostic purposes. They injected carbon dioxide into the abdomen through a Veress needle and inserted a cystoscope through a small incision to examine the interior of the belly. These pioneers laid the foundation for one of the most significant advances in surgical history: laparoscopic surgery.

The first successful laparoscopic surgery was performed in 1917 by Kussmaul and Schloffer,3who used a Laparoscope to remove a kidney ball from a patient with renal tuberculosis. It wasn’t until 1948, however, that Gerhard Buess entirely performed the first successful surgery through abdominal wall punctures (i.e., trocar insertion). He removed an ovarian cyst from a patient using only 2 5-mm incisions: 1 for a telescope and 1 for a dissector. The laparoscopy techniques evolved with time, and today, we are in an era where the surgery is robot-assisted. Artificial intelligence and augmented reality are the way forward in surgeries, and laparoscopy will only improve patients’ experience and recover faster.

NOTES (Natural Orifice Transluminal Endoscopic Surgery)

NOTES is a minimally invasive surgery that has revolutionised the medical industry. This technique allows surgeons to operate through small incisions, which results in less pain and scarring for patients. NOTES was first developed in the early 1900s but did not gain widespread popularity until the late 1990s. Since then, NOTES has undergone significant evolution. The most important advance has been the development of single-port or natural Orifice surgery, a NOTES technique that uses only one small incision. This type of surgery is less invasive and has many benefits for patients. In addition, new robotic surgery techniques have made NOTES more precise and safer. As NOTES continue to evolve, more patients will likely benefit from this minimally invasive technique.

Types of Laparoscopic Surgeries

Laparoscopic advanced gastric surgery procedures are usually performed to treat patients who are struggling with obesity. These procedures work by changing the stomach and intestines, reducing the amount of food a person can eat and decreasing how much they absorb from what they eat.

Commonly performed surgical procedures are laparoscopic appendectomy, laparoscopic cholecystectomy, hernia mesh repair and repair of hiatus hernia. Along with bariatric surgeries including laparoscopic sleeve gastrectomy, laparoscopic mini gastric bypass etc.