Laparoscopic or “Minimally Invasive” surgery is a specialized technique for performing surgery. In the past, this technique was commonly used for gynecologic surgery and for gall bladder surgery. Over the last 10 years the use of this technique has expanded into intestinal surgery. In traditional “open” surgery the surgeon uses a single incision to enter into the abdomen. Laparoscopic surgery uses several 0.5 – 1 cm incisions. Each incision is called a “port”. At each port a tubular instrument known as a trochar is inserted. Specialized instruments and a special camera known as a laparoscope are passed through the trochars during the procedure. At the beginning of the procedure, the abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the surgeon. The laparoscope transmits images from the abdominal cavity to high-resolution video monitors in the operating room. During the operation the surgeon watches detailed images of the abdomen on the monitor. This system allows the surgeon to perform the same operations as traditional surgery but with smaller incisions.
What are the advantages of Laparoscopy?
Laparoscopy is a minimally invasive approach over more traditional methods of surgery.
Reduced blood loss.
Less time in hospital.
Less chance of infection.
What kind of operation can be performed using laprosopic surgery ?
Most intestinal and abdominal surgeries can be performed using the laparoscopic technique. These include surgery for Appendix, Gall bladder, Hernia, Pelvic organs in female, diverticulitis, cancer, rectal prolapse.
In the past there had been concern raised about the safety of laparoscopic surgery for ¬cancer operations. Recently, several studies involving hundreds of patients have shown that laparoscopic surgery is safe for certain ¬colorectal cancers.
LAPAROSCOPIC SURGERIES- FOLLOWING OPERATIONS ARE COMMONLY PERFORMED BY LAPAROSCOPY METHOD
Inguinal Hernia Repair- Lap TAPP and TEP
Ventral Hernia/Abdominal Wall Hernia Repair
Laparoscopy for bowel perforation
Total laparoscopic hysterectomy (TLH)
Laparoscopic tubal ligation
Laparoscopic ectopic pregnancy removal
Laparoscopic ovarian cyst removal
Laparoscopy for adnexal mass
Diagnostic hystero-laparoscopy for infertility
How safe is laparoscopic surgery ?
Laparoscopic surgery is as safe as traditional open surgery. At the beginning of a laparoscopic operation the laparoscope is inserted through a small incision near the belly button (umbilicus). The surgeon initially inspects the abdomen to determine whether laparoscopic surgery may be safely performed. If there is a large amount of inflammation or if the surgeon encounters other factors that prevent a clear view of the structures, the surgeon may need to make a larger incision in order to complete the operation safely.
Any intestinal surgery is associated with ¬certain risks such as complications related to anesthesia and bleeding or infectious complications. The risk of any operation is determined in part by the nature of the specific operation. An individual’s general heath and other medical conditions are also factors that affect the risk of any operation. You should discuss with your surgeon your individual risk for any operation.
What is Hysteroscopy?
A Hysteroscopy is a minor surgical procedure that helps us view inside the uterine cavity for diagnostic and treatment purposes. The procedure is carried out with a hysteroscope, a thin, lighted telescope-like device inserted into the vagina and transmits clear, magnified images to a video monitor in real-time.
What procedures are done by Hysteroscopy?
Diagnostic Hysteroscopyis done to evaluate the uterine cavity in infertile patients, or sometimes it is necessary to rule out the cause for abnormal uterine bleeding.
Operative hysteroscopicprocedures performed at Kalp Hospital are: