Laparoscopic surgery, often referred to as the diagnostic laparoscopy is a surgical process used for examining the organs within the abdomen. It is a low-risk and minimally invasive process where only small incisions are made below the naval areas of the women who cannot conceive. In this process, a small instrument called laparoscope is used with high-intensity light and camera at the front. Many doctors recommend the process for having a view inside the abdomen in real time without having an open surgery. Your doctor can also take biopsy samples at the time of the process. The camera transmits the image of the organs present in the uterus onto the television monitor. The video camera becomes the eye of the surgeon in the process of laparoscopic surgery, and thus it helps the surgeon to determine whether there are any abnormalities with the patient. The laparoscopic surgery is often chosen over traditional treatment methods since it involves minimum post-operative discomfort, fast recovery, less duration of hospital stay, early return to daily chores and considerably smaller scars.
Laparoscopy can be described as a method of performing the surgery where tiny incisions are made in place of large cuts. There are two types of laparoscopic surgery- advanced surgery with a hand-held device and robot-assisted surgery. The human hand performs different functions during the surgery which are hard to reproduce with the aid of laparoscopic instruments. It is not possible for the hand to access microscopic regions within the stomach. This has led to the development of hand-access tools which can easily reach the liver, pancreas, and bile duct. It is very easy to access the areas which could only be reached through large cuts. In the case of robot-assisted surgeries, the doctor operates two devices which resemble the joysticks. It makes three incisions in the abdomen through which two robotic arms and one camera is inserted. The camera reflects high resolution and depth perceptive images which help the doctor to assess the condition of the patient. In most of the modern countries, the robot-assisted laparoscopic surgery is performed to reduce complications and time of recovery.
Your doctor may recommend you to undergo the laparoscopic surgery for reconstruction of the bile duct, altering the way of the bile duct which has been blocked by a tumour, reconstruction of the gastrointestinal tract and suturing the jejunum to the pancreatic duct. It is often helpful if you are suffering from distal pancreatectomy, laparoscopic cholecystectomy, and adrenalectomy. The laparoscopic surgery helps in the evaluation of the gallbladder, pancreas, liver, appendix, stomach, spleen, small and large intestine along with the organs of reproduction. It helps the doctor to find if there are any abdominal mass or tumour or unwanted fluid in the abdominal cavity and liver diseases.
There are no restrictions as such regarding who cannot undergo the laparoscopic surgery. But similar to all other surgical procedures, individuals with very high blood sugar and blood pressure may not be able to undergo the treatment. High cholesterol levels and smoking are also red flags for laparoscopic treatment.
The most common side effects of the laparoscopic surgery include infection and bleeding. Thus, it is crucial to watch for the signs of infection and report any abnormalities to the doctor. If your stomach pain becomes intense with the passage of time accompanied by fever and chills, then it must be reported to the doctor without any delay. Plus, you may also experience swelling, redness, bleeding at the site of the incision. Other side effects include lightheadedness, coughing persistently, difficulty in urinating, and a constant feeling of nausea. You must not ignore them and report to the doctor. Although very rare, some people experience complications arising from the general anaesthesia, inflammation of the abdominal wall and a blood clot which may also travel to your pelvis and lungs.
The symptoms after undergoing the laparoscopic surgery start alleviating from the second day of the surgery. There are no restrictions on the amount of work you can do after the surgery but make sure that you listen to your body. You can use the stairs if you feel that you will be able to take the physical exertion. You must avoid sex for at least two weeks if your surgery has involved incisions in the vagina or the cervix.
Once the laparoscopic surgery is over, your doctor would keep you under observation to find out whether there are any complications. They will also see to the fact whether there are any adverse reactions to the anaesthesia being used. The timing of your release would depend on factors such as your overall physical condition, kind of anaesthesia and how your body reacted to the surgery. At times, you may have to remain in the hospital at night. You can start with your daily chores within a week but make sure that you attend the doctor for follow-up treatments.
This is yet another surgical procedure which is affordable for every commoner. The price lies somewhere around Rs. 20,000, but it can be a bit more on the basis of the quality of the healthcare and your health complications. But many people undergo the treatment every year, and some insurances also cover it.
If the doctor takes a biopsy, he will look for instances of adhesions and scars, hernias, appendicitis, tumours and cysts, cancer and pelvic inflammatory disease. Since the laparoscopic surgery is an invasive procedure, it will mitigate the risk factors and ensure that your organs are healthy. But for this, you must abide by the instructions given by the doctor.
There is only one alternative to laparoscopic surgery which is HSG although many gynaecologists believe that it is a complimentary process rather than an alternative. The other process is laparotomy which is a major surgery where the abdomen is cut open, and the patient is required to stay at the hospital for about 4 to 6 days.
The outcome and the procedure of an abdominal laparoscopic surgery vary among patients. The extent of the surgery, the length of the procedure, the surgeon, the hospital nursing staff, and a number of other factors vary with each patient.
Moreover, the recovery or the healing time also varies among patients. What applies to one patient may not apply to another. Generally speaking, surgeons will tell you that it takes only a few days to recover from a laparoscopic surgery, but this is not true to specific cases as in many cases, the recovery time has been longer than expected. So, a laparoscopic surgery is subjective to the health of the patient and the extent of the procedure; however, there are some tips that may prove to be helpful for you to deal with a laparoscopic surgery and to improve your healing process.
Here are some useful tips that you can follow before the surgical procedure.
Here are some useful tips that you can follow after the surgery.
The gallbladder is a very important organ in the human body. This is a pear-shaped organ which is used for storing the bile. Bile is a fluid which helps in digesting your food. When the gallbladder does not function well, then hard fragments will form in the gallbladder and they are calledgallbladder stones. The size of these stones differs from person to person. For a few people, they are just the size of a small rice grain and for few, it can be as large as a golf ball.
When gallbladder stones are formed, they will not vanish by themselves. They will cause pain and many other symptoms which are unbearable. You need to consult a doctor and you may have to get the gallbladder removed. This kind of gallbladder removal surgery is called cholecystectomy.
How are gallbladder stones removed?
More than 80 percent of people with gallbladder stones will need a cholecystectomy. This surgery can be performed in two different ways.
Before performing the laparoscopic gallbladder removal surgery, you will have to undergo a few tests such as blood test, complete physical test, gallbladder imaging tests and a review of your past medical history. After going through the reports of all these tests and checking all other medications that you take, your doctor will decide if you need gallbladder surgery or not.
Post Gallbladder surgery: Post-surgery, you may see some symptoms, but they are rare and mild. One of the common symptoms experienced after the surgery is diarrhea. You can start walking as soon as you start feeling better. But you should talk to the doctor in order to get back to your normal routine.
Regarding your diet, you will have to start with a liquid diet and make sure that you do not take heavy and fatty food. Your body will take some time to get back to digesting a normal diet and hence you will have to take good care.
Hernia refers to the condition when an organ or fatty tissue inside the body begins to protrude from its location. Hernias are mostly detected in the groin, belly, or the stomach region. They occur because of muscle weakness in the said region where it is detected but they can be treated with surgery. In most cases, a surgery is prescribed and laparoscopic hernia repair is a very popular surgical procedure that has proven to be successful in most of the cases. This is why a growing number of patients decide to go for it.
Laparoscopic hernia repair: procedure: In this surgical procedure, a laparoscope (an instrument with a high-resolution camera and high-intensity light) is passed inside the abdomen through small incisions that varies between 0.5 and 1.5 inches in length. When the laparoscope moves inside the abdomen, it sheds light on the hernia and sends the images to the monitor connected to it. The surgeon views the hernia on the monitor and then the abdominal cavity is made to swell with carbon dioxide so that the surgeon can find enough space to operate the hernia. Once this is done, the surgeons operate the hernia with tiny surgical instruments. Once the hernia is removed, space or the hole is covered with a mesh from inside the abdomen.
Advantages of laparoscopic hernia repair: The laparoscopic procedure is popular because it is comfortable for the patient in many ways. They have to endure lesser post-operative pain as compared to open surgery, which means the recovery is quicker. They require lesser drugs for healing and the patient can get back to work in fewer days. It is an advanced form of surgery and thus, gives better results.
Disadvantages of laparoscopic hernia repair: While the non-invasive laparoscopic surgery has several advantages, it also comes with some drawbacks. It is lengthier in comparison to open surgery and also costs more. It cannot be performed by all the surgeons and only those who are skilled in this type of surgery can do justice to the different cases of a hernia.
Recovery after laparoscopic hernia repair: The patient takes one to two weeks after the surgery to return to light activity and daily routine. Nevertheless, heavy exercise and strenuous activity should be avoided until four weeks after the surgery. The full recovery time differs from patient to patient depending on their age, gender, and health condition but one month is the average time for full recovery.
555 Manish Technique for inguinal hernia repair:
Totally extra-peritoneal (TEP) repair of inguinal hernia is now a standard surgical technique. A 12 mm incision in infra-umbilical region for Hasson trocar is must for TEP repair of inguinal hernia. This is the only technique known to laparoscopic surgeons. We have innovated a "555 Technique" for completing Mini TEP repair of inguinal hernia by using all three 5 mm ports.
555 Technique" is a feasible option without compromising the principles of TEP repair for inguinal hernia. Innovation of simple "Manish Retractor" is the key in completing Mini TEP repair. This technique is simple, less invasive, less morbid, and cost effective as it avoids dependence over costly Hasson trocar with better cosmetic results. In case you have a concern or query you can always consult an expert & get answers to your questions!
No one likes to have large incisions on their body for any kind of surgery, as they would leave scars. Apart from scars, there is a lot of pain involved in open surgeries and you need to stay for a really long time in the hospital when you opt for open surgeries. So, nowadays, both patients and doctors are opting for the minimally invasive surgeries over the open surgeries.
You have two options when you are opting for minimally invasive surgeries and they are:
It sometimes gets really tough for patients to make a decision on which is the right surgery from these two options. Not all surgeries can be done using these technologies. So, in that case, the only option will be chosen and in other cases, your doctor will help you choose the best based on other factors such as time, cost and post-surgery care.
What is Laparoscopic Surgery?
When compared to the normal open surgery, your doctor makes only small incisions in the area of surgery such as your belly button. Usually, three incisions are made to insert the tubes that hold the equipment and the camera. The camera will show images on the screen and with the help of these images, the doctor can perform the surgery. The scars are less noticeable and the pain is also very less.
What is Robotic Surgery?
Robotic surgery is very similar to laparoscopic surgery. Small incisions are made to insert the camera and equipment inside the abdominal area and it is inflated using carbon dioxide gas. But the main difference is that the doctor does not sit close to the patient to operate the equipment manually with their hands. The doctor does not hold any equipment. Only a nurse stands close to the patient, while the doctor sits in front of his computer and operates the equipment with the help of hand controls available on the computer. That means, it instructs the robot on what to do. The images in robotic surgery are much more magnified than the laparoscopic images and they are of high clarity. The image is three-dimensional ensuring image clarity for the doctor.
Advantages of Robotic Surgery over Laparoscopic surgery:
Colon cancer is the cancer of the colon or rectum, situated at the lower end of the digestive tract. Bowel cancer or colon cancer is the third most common type of cancer and primarily affects people aged 50 and over. It generally arises as non-cancerous polyps without one's knowledge and symptoms begin to surface slowly. Changes in bowel habits, constipation, diarrhea, blood in the stool or rectal bleeding, abdominal cramps and discomfort are some of the common symptoms of colon cancer. This type of cancer often has no symptoms but can be detected by screening. So doctors recommend screenings for those at high risk or over the age of 50.
Risk factors that make a person more likely to develop colon cancer are
Treatment of colorectal cancer depends on the
The most common treatments can be removal of the cancerous polyp through surgery, chemotherapy and radiation therapy. A test known as a colonoscopy is performed to detect the disease. Samples of tissues are collected from areas which are suspected to contain cancer cells and this makes it possible to detect the cancer. Smaller colorectal polyps can be removed during the colonoscopy. Chemotherapy or radiation therapy is used to treat cancer only in advanced stages.
Laparoscopy is a procedure which enables the doctor to have a look inside the abdominal cavity with a special camera. To conduct a laparoscopic treatment, incisions are made in the abdomen. Generally, 3-6 incisions are made varying between 5-10mm. These small incisions are used to insert the laparoscope and special laparoscope instruments. The laparoscope guides the surgeon by transmitting a picture of the internal organs on a monitor.
There are several advantages of undergoing a laparoscopic surgery for cancerous colon removal compared to a large open incision. Patients undergoing a laparoscopic approach experience less pain, faster return of intestinal function, a shorter period of rest, and quicker walking ability all of which aids in recovery and leading a normal life faster. Instead of making long incisions that are common in traditional open surgery, laparoscopic surgery requires only small incisions to perform the same operation. Also, treatment of colon cancer has been the most effective using laparoscopic surgeries.
Doctors must be consulted before undergoing any such surgery. Through tests and screenings, they can determine the intensity of the cancer, how far it has spread, where it is located and on the basis of it, the method of treatment needs to be decided. One must strictly follow the doctor’s advice especially diet rules before and after the operation is conducted to ease bowel movements and aid in healing.
In case you have a concern or query you can always consult an expert & get answers to your questions!