Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women. Repair of these hernias is one of the most commonly performed surgical procedures in the world. In the India, approximately 800,000 inguinal herniorrhaphies are performed annually
Exploratory surgery is a diagnostic method used by doctors when trying to find a diagnosis for an ailment. It can be performed in humans . It is used most commonly to diagnose or locate cancer in humans, but it can be used for other ailments as well.
Laparoscopic surgery, also called minimally invasive surgery (MIS), bandaid surgery, or keyhole surgery, is a modern surgical technique in which operations are performed far from their location through small incisions (usually 0.5–1.5 cm) elsewhere in the body.
The camera transmits an image of the organs inside the abdomen onto a medical grade monitor. The surgeon is not able to see directly into the patient without the traditional large incision. The telescope becomes a surgeon’s eyes in laparoscopic surgery, since the surgeon uses the image from the video camera positioned inside the patient’s body to perform the procedure.
Laparoscopic surgery is now accepted all over world as an important skill and it is no more luxury it is considered as necessity.
Laparoscopic cholecystectomy has now replaced open cholecystectomy as the first-choice of treatment for gallstones and inflammation of the gallbladder unless there are contraindications to the laparoscopic approach. This is because open surgery leaves the patient more prone to infection. Sometimes, a laparoscopic cholecystectomy will be converted to an open cholecystectomy for technical reasons or safety.
Laparoscopic cholecystectomy requires several (usually 4) small incisions in the abdomen to allow the insertion of operating ports, small cylindrical tubes approximately 5 to 10 mm in diameter, through which surgical instruments and a video camera are placed into the abdominal cavity. The camera illuminates the surgical field and sends a magnified image from inside the body to a video monitor, giving the surgeon a close-up view of the organs and tissues. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through the operating ports.
Sun clinic has embarked on an ambitious initiative with the launch of Laparoscopy Department a 65 beds Multi Specialty in heart of Pune. As an associate hospital of Sun Clinic. Our Hospital offers a holistic range of medical services to patients from across the globe.
The medical team at Sun Clinic comprise of highly skilled and qualified Consultants with exposure to international systems and protocols. The support medical team comprising of Registrars and Medical Officers is competent and has well trained paramedical staff. The medical and nursing teams are ably supported by administrative staff, with a very patient focused Customer Care Team engaged in delivering a high degree of customer satisfaction.
Advantages Lap Surgery
There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include:
Reduced hemorrhaging, which reduces the chance of needing a blood transfusion.
Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring.
Less pain, leading to less pain medication needed.
Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.
Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.
There are more indications for laparoscopic surgery in gastrointestinal emergencies as the field develops.
While laparoscopic surgery is clearly advantageous in terms of patient outcomes, the procedure is more difficult from the surgeon's perspective when compared to traditional, open surgery:
The surgeon has limited range of motion at the surgical site resulting in a loss of dexterity.
Poor depth perception.
Surgeons must use tools to interact with tissue rather than manipulate it directly with their hands. This results in an inability to accurately judge how much force is being applied to tissue as well as a risk of damaging tissue by applying more force than necessary. This limitation also reduces tactile sensation, making it more difficult for the surgeon to feel tissue (sometimes an important diagnostic tool, such as when palpating for tumors) and making delicate operations such as tying sutures more difficult.
The tool endpoints move in the opposite direction to the surgeon's hands due to the pivot point, making laparoscopic surgery a non-intuitive motor skill that is difficult to learn. This is called the Fulcrum effect
It includes common and important conditions such as colon polyps and cancer, hepatitis, gastroesophageal reflux (heartburn), peptic ulcer disease, colitis, gallbladder and biliary tract disease, nutritional problems, Irritable Bowel Syndrome (IBS), and pancreatitis. In essence, all normal activity and disease of the digestive organs are part of the study of Gastroenterology.