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Laparoscopic Surgery - Treatment, Procedure And Side Effects

What is the treatment?

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.

How is the treatment done?

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.

Who is eligible for the treatment? (When is the treatment done?)

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.

Who is not eligible for the treatment?

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.

Are there any side effects?

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.

What are the post-treatment guidelines?

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.

How long does it take to recover?

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.

What is the price of the treatment in India?

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.

Are the results of the treatment permanent?

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.

What are the alternatives to the treatment?

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.

Safety: High Effectiveness: High Timeliness: High Relative Risk: Medium Side Effects: Medium Recovery Time: Medium Price Range: RS. 20,000 and above

Popular Health Tips

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Dr. Ajay Gupta 90% (43 ratings)
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Laparoscopic Hernia Surgery - An Overview!
A hernia occurs because of an internal weakening of the abdominal layer, resulting in tearing. The inner most layer of the abdomen forms a sac and pushes the weakening area. This results in the abdomen tissue being slipped into the sac, causing pain and other health problems. It can occur to both men and women. Apart from natural weakness of the abdomen, a hernia can get triggered from heavy weight lifting, constant coughing, gaining weight and from irregular bowel movement. 80percent of hernia cases originate near the groin. What are the symptoms? Some of the common symptoms of a hernia include: Constipation Nausea Feeling of fullness even without eating a thing Sharp pain while lifting weight Burning sensation Dull ache near the groin area Bulge near the groin area How is a laparoscopic hernia performed? This mode of surgery uses a telescope-like instrument known as the laparoscope. With the help of a small incision, the laparoscope is inserted at the belly button. Since the procedure is performed withanaesthesia, it isessential for a doctor to do a routine medical check-up that evaluates the general health of the patient, past medical history, EKG, blood work etc. Usually, the patient doesn t feel a thing while the surgery is performed. A video camera is connected to the instrument to get a detailed inside view of a hernia and the area that needs to be repaired. Before this, the abdomen is inflated with the help of carbon monoxide. A mesh is placed inside the abdomen to fix the defects of the abdominal wall and strengthen the weakened tissue of the abdomen. Once the procedure is done, the incisions that are made in the abdomen is closed with the help of surgical tapes. The mark of incision disappears within a month. Benefits of Laparoscopic Hernia Surgery The benefits of laparoscopic surgery are quite evident. A lot of tiny incisions are made rather than making a large incision in the abdominal area. This ensures speedy recovery and a short stay at the hospital. The pain is significantly less compared to the conventional surgery. The cost of a laparoscopic surgery is lesser Lastly, a speedy recovery can ensure that a person can return to work within a few days after the surgery is performed. What to expect after the surgery Doctors often suggest a week of complete rest after the surgery. The healing time can vary from person to person. A surgeon typically prescribes antibiotics and pain medications to cope up with the wound and pain. It must be ensured that these medicines are taken on time. A revisit to the surgeon might be required after a couple of weeks to assess the recovery.
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Post Laparoscopic Surgery Complications - How to Deal With Them?

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MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Phd
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Post Laparoscopic Surgery Complications - How to Deal With Them?
Laparoscopic surgery is also called keyhole surgery or minimally invasive surgery. In traditional method of surgery, large incision is a major post-operative side-effect which results in longer recovery period. The alternative technique, laparoscopy also known as minimally invasive surgery or keyhole surgery, is a modern surgical procedure in which small incisions of about 0.5-1.5 cm are made far from the location of the operation. Laparoscopic surgeries cause smaller, lighter scars once the surgery wound heals completely. However, as with any surgery, complications may occur during the course of Laparoscopic surgery. Anesthesia-related complications: To prevent anesthesia-related complications during Laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, anti-emetics are followed in the pre-operative state. 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 cleanliness and hygiene recommendations provided by the medical staff concerned. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part.
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Laparoscopic Urological Surgery - Know The Common Types!
The advent of Laparoscopy has given a new dimension to surgery. Gone are the days when one had to go through painful surgical procedures with many associated complications. Laparoscopic surgery is minimally invasive involving small incisions. There are negligible complications associated with a quick recovery. In the last few years, there has been a steady rise in people opting for Laparoscopic Urological Surgery. A person may undergo a laparoscopic urological surgery to treat problems of the genitor-urinary tract (which includes the kidneys, ureter, bladder, testes, and penis). Mentioned below are some of the laparoscopic urological surgeries performed to treat a diseased condition. Laparoscopic Nephroureterectomy: This surgery is used to treat conditions of renal cancer (Transitional Cell Carcinoma affecting the kidney or the ureter). The surgery involves removal of the ureter (a tubular structure that passes the urine to the bladder from the kidneys). Though considered safe, in some cases, laparoscopic nephroureterectomy may result in blood loss and infection. Laparoscopic Simple or Radical Nephrectomy: It comes as a blessing for people dealing with different types of kidney problems such as renal cancer, serious injury to the kidney, renal calculus (kidney stones), polycystic kidney disease (the condition is an inherited problem characterized by the formation of cysts within the kidney), symptomatic hydronephrosis and chronic infection. A person may undergo a Laparoscopic Simple Nephrectomy (a laparoscopic surgery which involves removal of one of the kidneys) or a Laparoscopic Radical Nephrectomy (here, along with the kidney, the surgeon may also remove adjacent lymph nodes and adrenal glands) based on the severity of the kidney problem. Laparoscopic Pyeloplasty: This surgery is used to treat patients with an obstruction of ureteropelvic junction (UPJ). The ureteropelvic junction is the merger point where the kidney connects to the ureter. UPJ obstruction is often found to be a congenital problem (present from birth). Due to the UPJ obstruction, the urine stored in the kidneys fail to move out of the system. If left untreated, UPJ obstruction can even result in kidney failure. Laparoscopic Pyeloplasty involves clearing the obstruction at the ureteropelvic junction. The surgery, however, comes with certain risk factors. There may be blood loss along with infection at the incision site. In some cases, the surgery may even result in injury to the neighboring organs and tissues (rare). Laparoscopic Partial Nephrectomy: In the case of a renal tumor, the diseased part of the kidney is removed by a specialized surgical procedure medically termed as Laparoscopic Partial Nephrectomy. Here, only the affected area of the kidney is removed sparing the healthy part. Laparoscopic Partial Nephrectomy is done to prevent further aggravation and kidney failure. Laparoscopic Radical Prostatectomy - It is a surgical procedure used in the case of a localized prostate cancer (prostate cancer that has not metastasized beyond the prostate gland). Laparoscopic radical prostatectomy involves removal of the prostate gland along with some neighbouring tissues.
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The Risk Factors or Complications of Laparoscopic Surgery?

Dr. Deepak Subramanian 88% (10 ratings)
MS - General Surgery
General Surgeon, Chennai
The Risk Factors or Complications of 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 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. 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. 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 cleanliness and hygiene recommendations provided by the medical staff concerned. It is also assumed that the surgeons would prevent this possibility by maintaining strict protocols regarding this issue on their part. 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. 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 embolized selectively in order to reduce any further complication of this type. Anesthesia-related complications: To prevent anesthesia-related complications during Laparoscopic surgery, it is essential that procedures related to the airways, ventilation, analgesia, anti-emetics are followed in the pre-operative state. Injury inflicted: 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 must be avoided. Proper protocol must be followed by the doctor to avoid such complications as much as possible.
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Cancer Surgery - How Laparoscopy Can Help Treat It?

Dr. Raghu Vamsi Nadiminty 92% (32 ratings)
M.CH - Surgical Oncology
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Cancer Surgery - How Laparoscopy Can Help Treat It?
Laparoscopy essentially means a surgical technique that aims at minimizing the trauma of general surgery. This is also known as minimally-invasive surgery. This procedure can take the form of endoscopic and robotic technique as well. The laparoscopic technique involves making small incisions, the involvement of a camera and removing/ operating the affected part with the help of light through machines. Laparoscopic technique in cancer: Laparoscopic surgeries are being extensively used for removal of the colon, rectum, stomach, uterus, kidney, lymph node removal etc. The laparoscopic procedure helps to reduce the size of the incision, reduce pain related complications, reduce the hospital stay and a quicker recovery period. How old is the process? It s been a couple of decades since the first procedure of laparoscopy was performed. The first procedure was a gallbladder removal followed by a kidney removal. Laparoscopic procedures for cancer surgeries have only come into effect in the last 5-6 years. Since most cancer surgeries are complicated and demand a holistic involvement of a surgeon, this procedure is not followed by too many surgeons. This being said, cancer-related to the kidney, abdomen and gall bladder, laparoscopic treatments are getting more preference among surgeons. Understanding the benefits of Laparoscopic surgery The biggest advantage of this procedure is the minimization of pain. Apart from this, some other benefits include less bleeding, shorter duration of stay at the hospital, less scarring etc. Having said this, a lot of these factors depend on the type and location of the surgery. Typically, cancer-related surgeries involve intense pain and high recovery time. A laparoscopic procedure can help in this regard. Know the risks involved: Every operation has its fair share of risks and complication- be it conventional surgery or laparoscopic surgery and inexperienced hands and complex surgeries can make the matter worse. Some bigger risks involved in laparoscopic procedures include complications related to the anesthesia, injury to other organs, internal infections and the risk of punctures. Patients who have undergone surgeries before runs more risk than the one who has not undergone any operation. Cost involved: The cost involved for laparoscopic surgeries are comparatively lesser than conventional surgeries. Then again, the location and complication of the surgery also pay a deciding factor of the final cost involved. In case you have a concern or query you can always consult an expert & get answers to your questions!
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Popular Questions & Answers

I had undergone laparoscopic surgery on 8-3-17 and doctor had removed my left Fallopian tube as it is filled with water and send it for medical tests. The doctor told me that my right Fallopian tube is perfectly alright and I can get normal pregnancy with one Fallopian tube. Is the chances of conceiving decreases with one Fallopian tube.

Dr. Ashwini Talpe 93% (3379 ratings)
MBBS, MS - Obstetrics & Gynecology, Fellowship in Infertility (IVF Specialist)
Gynaecologist, Aurangabad
Hi lybrate-user, chances to conceive naturally will be reduced to 10-15% after removal of the Fallopian tube.
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