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Top Health Tips on Gall Bladder Surgerys

Obesity - A Leading Cause Of Death Worldwide!

Obesity - A Leading Cause Of Death Worldwide!
Obesity is a medical condition in which excess accumulation of body fat creates an adverse effect on health. Obesity is a leading preventable cause of death worldwide, with increasing rates in adults and children. In 2015, 600 million adults and 100 million children were obese. Obesity is more common in women than men.It is defined by body mass index (BMI) and further evaluated in terms of fat distribution via the waist-hip ratio (WHR) and total cardiovascular risk factors. Body mass index is closely related to both percentage body fat and total body fat.

It is defined as the subject's weight divided by the square of their height and is calculated as follows:

BMI = m/h2(Where m and h are the subject's weight and height, respectively)Waist-hip ratio is the dimensionless ratio of the circumference of the waist to that of the hips. This ratio is calculated as waist measurement divided by hip measurement (W H)The WHR has been used as an indicator or measure of health and the risk of developing serious health conditions.

The BMR of the body is classified into the following types:

BMI (kg/m2)
Classification up to 18.5
Underweight18.5 25.0
Normal weight25.0 30.0
Overweight 30.0 35.0
Class I obesity 35.0 40.0
Class II obesity

40.0 and above

Class III obesity
Causes-

Diet: Excessive food energy intake
Sedentary lifestyle
Genetics
Other illnesses: Hypothyroidism, Cushing's syndrome, growth hormone deficiency, and eating disorders
Certain medications: Insulin, sulfonylureas, thiazolidinediones, atypical antipsychotics, antidepressants, steroids, certain anticonvulsants, pizotifen, and some forms of hormonal contraception
Gut bacteria Health risks associated with obesity
Bone and cartilage degeneration (osteoarthritis)
Coronary heart disease
Gallbladder disease (gall stone)
High blood pressure (hypertension)
High total cholesterol and high levels of triglycerides (dyslipidemia)
Respiratory problems
Several cancers
Sleep apnea
Stroke
Type 2 diabetes mellitus
Management of obesity
Conservative management

Diet: Limit energy intake from total fats and sugars and increase consumption of fruits, vegetables, legumes, whole grains, and nuts.
Eat consistently: Resist the urge to overeat. Your food intake should follow a regular routine. Overeating not only upsets your routine but also impacts your metabolism.
Breakfast: Never miss your breakfast. Breakfast is a crucial meal; it also helps stave off hunger later on in the day, which often leads to overeating and snacking.
Monitor yourself: Keep a close check on what you eat and regularly weigh yourself.
Physical activity: Perform at least 200 minutes of moderate-intensity exercise each week. This schedule should be spread out over at least 3 days.
Watching TV: Limit watching TV to no more than 10 hours each week.
Surgical management

The surgical management of obesity involves the following two procedures:

Restrictive procedures
Malabsorptive procedures
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Bladder Cancer - Ayurvedic Remedies For It!

Bladder Cancer - Ayurvedic Remedies For It!
Bladder cancer is the result of the growth of cancerous cells inside the bladder. Bladder cancer is mainly of four types:

Urothelial carcinoma: In this type of bladder cancer, the tumours may be limited to the bladder or spread from the urothelial to the deeper layers in the bladder. The urothelial is the epithelium lining in the renal pelvis, ureters, urethra and bladder.
Squamous cell carcinoma: Squamous cells are flat, thin cells that form after a prolonged infection in the bladder. The cancer starts from these cells.
Adenocarcinoma: Glandular cells in the bladder produce and discharge mucus. This type of cancer begins from the glandular cells.
Superficial bladder cancer: If the cancer is limited to the bladder lining, then it is known as superficial bladder cancer. The cancer might spread to the bladder muscle wall, or spread to the lymph nodes and organs close to it.
It is important note that, if bladder cancer is detected early, then it can be cured most of the times.

Who is at a risk of acquiring bladder cancer?
Those who smoke or have a history of bladder cancer in the family or are exposed for to industrial chemicals for long durations are at an increased risk of bladder cancer.

The symptoms of bladder cancer include:

Blood in urine
More frequent passing of urine
There is a sensation of pain or burning when urinating
Bladder is not emptied completely
Pain in the lower back
Bladder cancer treatment by conventional medication can be complemented by Ayurveda; especially, with the Panchakarma therapy, which detoxifies the body. Detoxification can be done by:

Snehana therapy that is oil massage
Swedana that is steaming therapy
Vamana that is by urging vomiting
Virechana that is by purging
Basti is the enema medication
Nasya or through nasal medication
Raktamokshana Therapy
Along with the above mentioned therapies, consuming medicated juices, which contain fruits and vegetables is good for the body. Antioxidant Ayurvedic medicines are also highly beneficial. Practicing yoga, sound therapy, pranayama, acupressure and acupuncture can help in the long run.

Sometimes, traditional cancer medication can rob the body of its strength once the symptoms are cured. Rasayan Chikitsa can help the body regain its strength. Rasayan Chikitsa improves the metabolism, memory, longevity, hair and complexion. It brings back the vigour that was lost. If you wish to discuss about any specific problem, you can consult a specilized ayurveda and ask a free question.
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Gall Bladder Surgery - How To Prepare For It?

Gall Bladder Surgery - How To Prepare For It?
Surgery using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside our belly. It is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder.

The gall bladder is a small organ that sits right under the liver and is credited with bile storage, which can help the body in breaking down various kinds of fats that enter it. So, what all do you need to know about this operation? Read this list.

Reasons for Gall Bladder Operation: The gall bladder is not a very efficient organ. It can lead to blockages and choking as the bile it stores can become very thick and difficult to handle. Also, this bile can start to harbour deposits that are hard ball like substances, usually known as gall bladder stones. The size of these stones can vary from the size of a grain to the size of a golf ball.

Further, these gall bladder stones can cause infections which can lead to symptoms like nausea, vomiting, bloating and more. Another reason can also be the gall bladder disease known as chloelithiasis, which can cause abdominal pain. Inflammation in the pancreas, also known as pancreatitis, can lead to gall bladder open removal surgery.

Risk: While the gall bladder removal surgery is usually considered a safe one, with little or no complications, there are risks attached to this surgery too. These include sudden and excessive bleeding and the creation of blood clots, allergic reactions to the drugs used as well as anaesthesia, blood vessel damage, accelerated heart rate which leads to an increased risk of contracting a heart attack or heart disease, infections, inflammation or swelling in the pancreas, and injuries caused to the bile duct during surgery.

You might also need this type of surgery if you have the following:

1. biliary dyskinesia, which occurs when the gallbladder doesn't fill or empty correctly due to a defect
2. choledocholithiasis, which occurs when gallstones move to the bile duct and potentially cause a blockage that prevents the gallbladder from draining
3. cholecystitis, which is an inflammation of the gallbladder
4. pancreatitis, which is an inflammation of the pancreas

Laparoscopic surgery is preferred over open cholecystectomy surgery because the smaller incisions that are made reduce your risk of infection, bleeding, and recovery time.

Preparation: To prepare for your gall bladder removal surgery, the doctor may ask you to have a prescription fluid so that your bowels are flushed clean. You may also be asked to fast for at least six hours before the surgery so that there is no hindrance to the same. Also, the use of an antibacterial soap to bathe is usually prescribed so that the risk of contracting infections decreases.

While this surgery can be a simple one, you will have to take due care after the surgery to ensure that the recovery is fast and virtually pain free.
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Laparoscopic Surgery For Endometriosis!

Laparoscopic Surgery For Endometriosis!
Laparoscopy is one of the most common procedures for diagnosing and removing endometriosis. Instead of giving a big incision, this procedure of surgery uses lightweight instrument through a small hole or incision. There could be one or more incisions based on the number of instruments that require access inside the body. This procedure involves the use of a camera to ascertain endometriosis as well as treat it in the same sitting. This brings drastic improvement in infertility as well as pain associated with the endometriosis. If a cyst is found in the ovary, laparoscopic surgeon removes it very delicately without causing any harm to the normal ovary, as a part of the Laparoscopic Surgery for Endometriosis.

How does the procedure go?

Eating and drinking should be suspended before 8 hours of the laparoscopic surgery. The doctor takes a call on whether to give a general or local anesthesia. Mostly, General anaesthesia is given during such procedures. A person specialised in Gynecological Endoscopy ( Gynaec Laparoscopic Surgeon) is the best to perform such a procedure.

How is the procedure performed?

The abdomen is first inflated with gas with the help of a needle. It pushes the abdominal wall from the organs to give a clear visibility to a surgeon. The laparoscopic Camera is then pushed through an incision or a set of incisions to examine the internal organ. If the scar tissue or endometriosis needs to be removed, a doctor can use one of the several laparoscopic techniques such as electrocautery, excision etc. Post the surgery, the incision is closed with stitches. The whole procedure usually takes 30-60 minutes depending upon the severity of endometriosis.

Why is laparoscopy done?

If the endometriosis pain has returned after a hormone therapy
If there is a growing endometriotic cyst
If the scar tissue found on the pelvic wall poses a threat on fertility
If the endometriosis interferes with other organs such as the bladder etc.
If the pain during menses ( dysmenorrhoea) refuses to subside
Duration of hospital stay:
Operations such as these are usually conducted at the outpatient facility owing to their less risky nature. A patient need not spent more than a day in the hospital. Rarely in severe cases of endometriosis overnight hospitalisation may also be required. One can successfully return to normal work within 1 week of the surgery.

Post-surgical recovery: Once the laparoscopy is done, the next steps of treatment are decided based on the patient's age and severity of endometriosis. Few hormonal medicines are advised according to the desire for fertility etc. If a patient is over and above 35 years of age, the risk of miscarriages double. Since the quality of egg declines by the year, it makes sense to undergo infertility treatment such as the in vitro fertilization, intake of fertility drugs, insemination etc. If, however, the patient is below 35 years of age, makes sense to conceive naturally first and consult a doctor simultaneously. A routine check-up post-laparoscopic surgery on alternate six months for a year will keep any risks at bay.
5643 people found this helpful

Gall Bladder Surgery - How To Get Ready For It?

Gall Bladder Surgery - How To Get Ready For It?
Surgery using a laparoscope is the most common way to remove the gallbladder. A laparoscope is a thin, lighted tube that lets the doctor see inside our belly. It is a minimally invasive surgery in which small incisions and specialized tools are used to remove a diseased or infected gallbladder.

The gall bladder is a small organ that sits right under the liver and is credited with bile storage, which can help the body in breaking down various kinds of fats that enter it. So, what all do you need to know about this operation? Read this list.

Reasons for Gall Bladder Operation: The gall bladder is not a very efficient organ. It can lead to blockages and choking as the bile it stores can become very thick and difficult to handle. Also, this bile can start to harbour deposits that are hard ball like substances, usually known as gall bladder stones. The size of these stones can vary from the size of a grain to the size of a golf ball.

Further, these gall bladder stones can cause infections which can lead to symptoms like nausea, vomiting, bloating and more. Another reason can also be the gall bladder disease known as chloelithiasis, which can cause abdominal pain. Inflammation in the pancreas, also known as pancreatitis, can lead to gall bladder open removal surgery.

Risk: While the gall bladder removal surgery is usually considered a safe one, with little or no complications, there are risks attached to this surgery too. These include sudden and excessive bleeding and the creation of blood clots, allergic reactions to the drugs used as well as anaesthesia, blood vessel damage, accelerated heart rate which leads to an increased risk of contracting a heart attack or heart disease, infections, inflammation or swelling in the pancreas, and injuries caused to the bile duct during surgery.

You might also need this type of surgery if you have the following:

1. biliary dyskinesia, which occurs when the gallbladder doesn't fill or empty correctly due to a defect
2. choledocholithiasis, which occurs when gallstones move to the bile duct and potentially cause a blockage that prevents the gallbladder from draining
3. cholecystitis, which is an inflammation of the gallbladder
4. pancreatitis, which is an inflammation of the pancreas

Laparoscopic surgery is preferred over open cholecystectomy surgery because the smaller incisions that are made reduce your risk of infection, bleeding, and recovery time.

Preparation: To prepare for your gall bladder removal surgery, the doctor may ask you to have a prescription fluid so that your bowels are flushed clean. You may also be asked to fast for at least six hours before the surgery so that there is no hindrance to the same. Also, the use of an antibacterial soap to bathe is usually prescribed so that the risk of contracting infections decreases.

While this surgery can be a simple one, you will have to take due care after the surgery to ensure that the recovery is fast and virtually pain free.
5035 people found this helpful

Getting Pregnant With Laparoscopy: What You Need to Know

Getting Pregnant With Laparoscopy: What You Need to Know
Laparoscopy is a procedure that helps a doctor to view the abdomen of a woman. The pelvis of a female consists of the uterus, ovaries and the fallopian tube right at the bottom of the abdomen. The process of laparoscopy allows a doctor to witness any abnormalities that might be interfering the ability of a woman to conceive. Some of the common problems that women encounter in this regard include ovarian cysts, endometriosis, uterine fibroids, pelvic adhesions, pelvic adhesions etc.

Advantages of Laparoscopy:
Laparoscopy allows correct diagnosis of infertility problems that are often missed by the conventional method of diagnosis. For instance, a woman suffering from severe endometriosis can be rightly diagnosed by employing ultrasound. However, if a woman suffers from mild endometriosis, ultrasound cannot pick it up. Laparoscopy, in this case, can do the trick. Another instance where laparoscopy comes handy is during the diagnosis of pelvic adhesions or scar tissue. Adhesion is a disorder that restricts the fallopian tube to hold the egg during ovulation. Conventional methods such as x-rays, ultrasound, and CT scan fail to rightly diagnose the problem in this case.

Another important advantage of laparoscopy is the fact that, it is a less invasive technique as compared to conventional surgery. Traditional surgery requires making an incision that is several centimeters long. This necessarily means that a patient requires at least 2-3 days in the hospital to heal. In laparoscopy, on the other hand, make several small incisions that heal quickly.

Who has to go undergo laparoscopy?
Laparoscopy surgery is suggested for those women, who have gone through the basic assessment for infertility. Some of the infertility tests that should be undergone before approaching for a laparoscopy include ultrasound, ovulation, ovarian reserve, hysterosalpingogram etc. For men, a basic semen analysis should be done to test fertility. There are instances, where a doctor recommends laparoscopy, if the woman has a history of severe pelvic infection or ruptured appendix.

Things to expect after surgery:
Typically, the incisions are covered with bandages that are removed after twenty-four hours. Medications for nausea and pain are prescribed, to deal with them after the surgery. The recovery time depends on the length and type of the procedure, the present health of the patient, the number of incisions made, complication level of the surgery etc. Usually, there are no restrictions on food and drink after the procedure is performed. Since anesthesia is given for undergoing the surgery, it is recommended that a person takes rest for at least twenty-four hours before resuming normal activities. The woman cannot return to normal life and work after a few days, from the day of the surgery. But it is recommended to take rest for two weeks.
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Laparoscopy: Myths & Facts

Laparoscopy: Myths & Facts
Laparoscopy is used to diagnose a number of ailments such as ovarian cysts, endometriosis, and pelvic inflammatory diseases to name a few.

It is a type of surgery, which involves the usage of small tubes, surgical instruments and video cameras for operations through small incisions or cuts in your body.

Even though laparoscopy is a very popular form of surgery, there are quite a few myths associated with it, which are:

Myth: If you've undergone multiple abdominal surgeries in the past, you can't opt for a laparoscopy: The truth is that you can go for a laparoscopy even if you've gone through multiple surgeries previously, irrespective of the location or size of the previous incisions. This is done through the use of a special instrument, called a microlaparscope that enables safe entry into the abdomen of the patient.

Myth: If you're overweight or underweight, you can't undergo a laparoscopy: No matter if you're obese or too thin, you can still undergo a laparoscopy as the tools used for this surgical procedure are available in different lengths and sizes, and can be adjusted as per the body type of the patient before the incision is made.

Myth: The images taken through a laparoscope are of poor quality: This is not true. In fact, the visuals obtained through a laparoscope are clearer and much more accurate when compared to those obtained via an open surgery. The visuals of a video laparoscopy provide a detailed magnification of even those parts of the area that are inaccessible by the human eye.

Though different people experience the surgery differently due to difference in health conditions, there are some points everyone should know about a laparoscopic surgery.

1. The problems that laparoscopy addresses: Conditions like ectopic pregnancy, endometriosis and pelvic inflammatory disorders are generally treated using laparoscopic surgery. Moreover, laparoscopy is also used to remove the gallbladder, appendix, patches of endometriosis or detect adhesions, fibroids and cysts. Also a biopsy of the organs inside the abdomen can be done through laparoscopy.

2. The duration of your stay in hospital: Usually performed on an outpatient basis (release on the same day as the surgery), a laparoscopic surgery may require you to stay overnight at the hospital if your condition requires a complex or lengthy surgery. Moreover, if the doctor feels that a bowel resection or partial bowel resection needs to be performed, you may have to stay at the hospital for a few days.
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Stave Off Five Complications Following Laparoscopic Surgery

Stave Off Five Complications Following Laparoscopic Surgery
Laparoscopic surgery is also called minimally invasive surgery. It leads to a lesser amount of pain after the surgery, and therefore requires less medication also. It reduces the possibility of hemorrhage, thereby the lowering the possibility of requiring blood transfusion. The smaller length and depth of the incision also means that the patient recovers from the surgery faster than usual. There is also a lesser chance of contracting infections because a larger number of organs remain unexposed and therefore uncontaminated. Laparoscopic surgeries also cause smaller, lighter scars once the surgery wound heals completely.
However, as with any surgery, complications may occur during the course of laparoscopic surgery.
1. Wound infection: Even though laparoscopic surgery is minimally invasive and the possibility of contracting infections is considerably less, the wound is capable of getting infected. Hence it is essential to maintain the cleanliness and hygiene recommendations provided by the concerned medical staff. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
2. Bruising: After surgery, depending on the type and duration of the procedure, the patient is always advised to follow certain restrictions regarding mobility and restriction of normal day to day functioning. These rules must be followed in order to prevent the possibility of bruising after a laparoscopic surgery.
3. Hematoma formation: A hematoma is an accumulation of blood outside the blood vessel. This is not normal at all and requires urgent inspection and treatment. This is a relatively common complication that happens after a laparoscopic surgical procedure. Precautions are taken by surgeons to avoid this but it may still occur. It needs to be diagnosed early, and then the bleeding vessel needs to be emobilized selectively in order to reduce any further complication of this type.
4. Anesthesia-related complications: To prevent anesthesia related complications during laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, antimetics are followed in the preoperative state.
5. Any injury that may be inflicted on the blood vessels present in the walls of the abdomen or on the sidewall in the pelvic region, as well as injuries in the bowel area and the urinary tract: Proper protocol must be followed by the doctor to avoid such complications as much as possible.
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Laparoscopic Surgery - What Should You Know?

Laparoscopic Surgery - What Should You Know?
Laparoscopic Surgery, also known as Keyhole Surgery, is a minimally invasive technique in which operations are performed through small incisions made far from the location. Laparoscopic Surgery has many advantages over traditional open surgery procedures. It is reliable, risk-free and reduces the chances of huge pain and haemorrhaging. Smaller incisions are made while performing this operation which enables a faster recovery.

How is it performed?
Laparoscopic Surgery is performed with the help of an instrument called Laparoscope. It has a thin tube-like structure and is extensively long. The camera at the front of a laparoscope is inserted into the body through a hole that allows doctors to perform surgery by watching real-time video on the TV screen and it is much more convenient than open surgery.

Reasons Behind Performing Laparoscopic Surgery
Abdominal Problems are usually solved by using techniques such as MRI, CT scan, and Ultrasound technology. If these fail to provide enough information, then laparoscopic surgery is performed for a better diagnosis of the condition. It can also be performed in a case when the doctors need a sample of tissue from a part of the abdomen. Laparoscopic surgery is famous and most preferred in Bariatric Surgery and Gallbladder Removal. This minimally invasive technique is widely common for weight loss.

Laparoscopic Surgery is safe and trusted by many surgeons worldwide, and it can be performed on patients who have undergone laparoscopy surgery beforehand as well. The only thing that is needed to be kept in mind is that the keyhole is to be made should be from a different site. Laparoscopic Surgery allows the patient to start having food normally after a couple of days of the surgery. It reduces hospital costs as minimal days are spent in the hospital, and it helps the patient to continue with their normal life early.

The Organs it can be used for -
The laparoscopic surgery can be used for many organs including the appendix as well as the gall bladder, the pelvic region and the reproductive organs, the small and large intestines, the spleen, the stomach, the liver and the pancreas.

Types of Laparoscopic Surgeries -

Hand-assist laparoscopy: Hand Access Devices are new Laparoscopic devices which help the doctor perform various functions having their hand inside the surgical location. Such hand-assist surgeries are called the hand-assist laparoscopy and are used in surgeries like colon removal and kidney removal.
Robot-Assisted Surgery: This is the most commonly used laparoscopic technique which surgeons perform in a less invasive way. This computer-based system is known as the Da Vinci system. The surgeon performs this type of surgery with the help of two masters which are similar to joysticks. These masters control the two arm-like instruments which they insert into the body.
Preparing for Laparoscopic Surgery: There are no such preparations that are required to be taken before laparoscopic surgery as your doctor might help you out with everything. If you are taking any prescribed medicine, your doctor must know about it. Before laparoscopic surgery, blood test, urinalysis, ECG, and other required tests might be advised by your doctor. It is best not to eat or drink anything 8 hours before laparoscopy.

Advantages of Laparoscopic Surgeries -
In comparison to traditional, large surgery, laparoscopy is much more comfortable and is less painful as well. The small incision takes less amount of time to heal, therefore the patient is allowed to get back to his/her regular activities much sooner. Patients who go through laparoscopic surgeries spend less time in the hospital and get discharged on the same or the next day as well.

Laparoscopic surgeries help in reducing the risk of bleeding during the surgery as the incision is relatively very small than the ones made during traditional surgery. The amount of blood loss is minimal in such a case and therefore the need for blood transfusion is also decreased, significantly.

Another important factor which can be counted in is that, with the help of laparoscopic surgeries the risk of exposing the internal organs to contamination is also reduced. This allows the chance of post-operative infection risks to diminish as well.
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Laparoscopic Surgeries - Advantages And Disadvantages You Must Know!

Laparoscopic Surgeries - Advantages And Disadvantages You Must Know!
Laparoscopic surgeries are minimally invasive surgeries where a very small incision is made on the patient s belly button. After making this incision, a camera called the laparoscope is inserted from the hole and then the condition of the organ is evaluated upon a television screen in order to perform the operation. An air pocket via carbon dioxide is then made for the surgeon to carry out the operation. This procedure, although used widely has a couple of advantages and disadvantages which should be kept in mind before undergoing the surgery.

Advantages of Laparoscopic Surgeries
In comparison to a traditional, large surgery, laparoscopy is much more comfortable and is less painful as well. The small incision takes less amount of time to heal, therefore the patient is allowed to get back to his/her regular activities much sooner. Patients who go through laparoscopic surgeries spend less time in the hospital and get discharged on the same or the next day as well.

Laparoscopic surgeries help in reducing the risk of bleeding during the surgery as the incision is relatively very small than the ones made during a traditional surgery. The amount of blood loss is minimal in such a case and therefore the need of blood transfusion is also decreased, significantly.

Another important factor which can be counted in is that, with the help of laparoscopic surgeries the risk of exposing the internal organs to contamination is also reduced. This allows the chance of post-operative infection risks to diminish as well.

Disadvantages of Laparoscopic Surgeries
Just like a coin which has two sides, laparoscopic surgeries also have its advantages and disadvantages which you need to consider before going through it. One of the most important factors is that laparoscopic surgeries are extremely expensive as the instruments required to carry out the operation is very costly. A number of less affluent hospitals can therefore not afford to have the intrument; this makes laparoscopic surgeries less accessible to a vast number of people.

Laparoscopic surgeries may not be suitable for complicated surgeries. The tools required to carry out a laparoscopic surgery may not be sufficient for an operation which needs a 3-dimensional field of vision. For surgeries where large chunks of tissues are to be removed, these minimally invasive surgeries are not preferred.

Laparoscopic surgeries may also need a second open surgery in case of any complication during the procedure. Thus, the risk of having two surgeries increases for patients who opt for laparoscopic surgeries. These surgeries also need a special skill set and every hospital is not equipped specialized personnel who know how to operate the unit. Therefore, you should consider every aspect before going through the procedure.
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