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 0.5-1cm 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.
In certain situations a surgeon may choose to use a special type of port that is large enough to insert a hand. When a hand port is used the surgical technique is called “hand assisted” laparoscopy. The incision required for the hand port is larger than the other laparoscopic incisions, but is usually smaller than the incision required for traditional surgery.Compared to traditional open surgery, patients often experience less pain, a shorter recovery, and less scarring with laparoscopic surgery.
Minimally Invasive Gynecologic Surgery :
Myomectomy is the surgical removal of uterine fibroids without the removal of the uterus. There are several techniques that may be used, and the choice of the technique depends on the location and size of the fibroids as well as the characteristics of the woman. It is sometimes impossible to remove all the fibroids, and new fibroids may grow after a myomectomy. Though myomectomy is the only accepted procedure for fibroids in a woman who wants to maintain fertility, a myomectomy may lead to scarring that can negatively affect future fertility. Following a myomectomy, cesarean delivery is frequently recommended to prevent the myomectomy scar from breaking open during labor.
Types of myomectomies include:
»» Laparoscopic myomectomy (removal of uterine fibroids)
»» Abdominal myomectomy
»» Hysteroscopic myomectomy
Hysterectomy is a surgery to remove the uterus. It prevents future pregnancy and eliminates fibroid-related bleeding and pressure symptoms. Total hysterectomy is removal of the entire uterus, including the cervix (the lower part of the uterus)
»» Vaginal hysterectomy
»» Laparoscopic total hysterectomy (removal of uterus and cervix)
»» Abdominal hysterectomy
Other Surgical Procedures:
»» Diagnostic laparoscopy
»» Microlaparoscopic pain mapping
»» Laparoscopic removal of endometriosis
»» Laparoscopic removal of ovarian cysts
»» Laparoscopic removal of adhesions (scar tissue)
»» Laparoscopic removal of a tube and ovary
»» Laparoscopic uterine suspension
»» Hysteroscopic surgery (removal of polyps or fibroids from the inside of the uterus)
»» Laparoscopic bladder support surgery
»» Endometrial ablation (for heavy periods)
»» Laparoscopic Removal of Fibroids
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. 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 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.
The Department of General laparoscopic Surgery aims at providing treatment for a whole range of complications. The department has proficient doctors and surgeons who are devoted to exclusive and comprehensive patient care. Below are some advantages of laparoscopic surgery.
» Small incisions
» Less pain from the incisions after surgery
» Shorter hospital stay
» Shorter & Quick recovery time
» Less scarring
» Better cosmetic healing
» Low risk of infection
» Reduced blood loss
» Recovery time
» Faster return to normal diet
» Faster return to work or normal activity
» Lower medical bill because of brief stay at hospital
» Restricts exposure of internal organs eliminating chances of infection
» Less chances of blood transfusion
» Reduces post operative pain