A laparascopy is a type of surgery that is carried out to treat a number of diseases such as kidney, gall bladder or liver stones, endometriosis or other diseases of the pelvic region, and hiatal hernia among others. It is also performed as a biopsy and also to check if cancer or tumors have spread. Hence, it's not just a treatment method but also a process of diagnosis of certain diseases. In fact, this procedure can also be carried out to figure out the underlying problem that makes it difficult for a woman to conceive. However, in this case it is generally referred after other fertility tests have been carried out and failed to show what the problem is.
A laparascopy is considered to be advantageous for patients since it involves the making of a very tiny incision in the the body, which means reduced chances of infections. Besides, a laparoscopy also leads to faster recovery periods in patients. Morover, this type of surgery is also cost-effective. However, before patients go for this surgery, they have to prepare themselves to ensure it is successful and free of complications. Preparations include telling the doctor about any allergies and on-going medications as well as following guidelines laid down by the doctor concerning eating and drinking before the surgery. That said, just before the surgery, the patient will be asked to remove all ornamentations from his or her body including contact lenses, spectacles and dentures and not just jewelry. This surgery is very effective so patients need not very about negative outcomes.
Once the patient is fully ready, the surgery is carried out by a qualified surgeon. Before the surgeon starts, the patient is given general anesthesia. After that, the surgeon may make some preparations such as cleaning the area of surgery and removing body hair that can get in the way. Once all the preparations have been made, the surgeon will make a small incision in the belly of the patient. In certain cases more than one such incision may be made to insert more tools that are needed for the surgery. Next, a tiny needle is inserted through the incision and carbon dioxide is pumped in to inflate the belly and make it ready for operation. After that, a very thin and lighted tube, known as a laparascope is inserted into the patient's body through the incision made previously. Now this tube can either be used to take tissue samples, drain liquid-filled cysts or fix the damage caused to a particular organ. In certain cases, the laparscope may have laser attached to help with the entire procedure. Once the purpose of the surgery has been served, the laparascope will be pulled out from the patient's body and the belly will be deflated back to its original state. The incision(s) made is then sutured up and covered with the help of a gauze or bandage. The entire surgery can take about half an hour to one and a half hour depending on why the laparascopy is being carried out. The patient is wheeled into the recovery room once the surgery is over where he is supposed to say for at least the next couple of hours. The patient is generally discharged on the very same day or the next day at the most.
Patients who suffer from health problems such as stones in the kidney or gallbladder, hiatal hernia, abnormal tissue growths such as tumors in the abdomen or pelvis, damage to internal organs etc. are eligible for this surgery. Since a laparascopy is also carried out for diagnostic purposes cancer patients and those suffering from fertility problems are also eligible.
Pregnant women are not eligible for this surgery. Patients on blood thinners may not be eligible too unless they discontinue the medication for a certain period of time before the surgery. Moreover, this surgery is not performed on patients who have adbominal hernia, abdominal cancer and have gone through other abdominal surgeries previously.
Side effects can take place after a laparascopy though they are not very common. These include torn stitches, pain at the site of incision, infection, bleeding from the incision, organ damage and or blood vessel damage.
Post-treatment patients are asked not to carry out strenuous activities such as exercising and/or lifting heavy weights. They may also be asked not to drive for a week. Patients will also not be allowed to have fizzy drinks at least one to two days after the surgery. Moreover, they will have to keep the area of incision clean and away from germs in order to prevent infections. With that being said, patients can return to leading their daily lives from the next day and to work a week after the surgery.
It does not take very long to recover from a laparscopy. Generally, patients are back on their feet just one week after the surgery.
A laparoscopic surgery in India can border towards the expensive side. Price of this type of surgery start from Rs. 50,000 and go up to Rs. 4,00,000. This broad range of prices of is dependent on the cause of the surgery as well as the type of the surgery.
As far as the results of a laparascopy are concerned, they are more or less permanent, and the patient generally, does not experience the cause of the surgery again. However, in certain cases, complications can arise for which further medical intervention may be required.
There are no alternatives to a laparascopic surgery if it is being carried out as a treatment process. As a diagnostic procedure, alternatives might exist in the form of other tests. One should consult with their doctor to know about alternative tests that suit their particular condition.
Rs 50,000 to Rs 4,00,000
3D laparoscopy has made a landmark achievement in the field of surgery for Gynaecology. It helps to provide in-depth perception along with correct measurement of the dimensions related to the anatomical spaces. Thus, it contributes towards increasing the skills of the laparoscopic surgeon in his attempt towards dissecting tissues and in designing strategies related to the surgery. 3D Laparoscopy helps a surgeon to perform the intracorporeal suture in an absolutely perfect manner. This is regarded as the World’s Best 3D Laparoscopy System. The very first installation has taken place in Gujarat.
3D laparoscopy helps to reduce the time frame of a gynaecologist and along with it, it increases the accuracy level of the surgeon. Even the complications involved with carrying out this surgery are reduced.
There are a number of surgeries, which surgeons can perform with the help of 3D Laparoscopy.
Advantages of 3D Laparoscopy
There are quite a number of advantages related to the use of 3D Laparoscopy towards carrying out surgeries for different organs.
The advantages include:
Bariatric surgery is unlike other surgeries, as its effects are not instant but gradual and are seen over the months. Like any other surgery, it is not without complication. But again unlike all other surgeries, the complication rate can be negligible if a strict protocol is followed. Moreover, the factors like technology advancements, development in the field of advanced laparoscopy, enhanced skillset of the bariatric surgeon, dedicated management of bariatric and metabolic surgeries by bariatric surgeons, play a vital role in the reduction of complication rate which eventually results in safe surgery.
As the procedure is done laparoscopically, the pain is just for a day and is minimally managed by analgesics.
The fear of increasing incidence of incisional hernias while operating an obese patient is so negligible or nil, as the procedure is performed through tiny key holes and all precautions are taken to suture the sheath through which the ports are put to perform the surgery.
Reduced hospital stay and early resuming to work is one of the biggest benefits of this laparoscopic bariatric procedure.
Sometimes, problems that may be faced are:-
Post-operative bleeding: Normally, this a nearly bloodless surgery involving 5 to 10ml loss of blood. However bleeding from the staple edges is known, but this can be managed well by the surgeon, by choosing the right size of the cartridge as well the right technique of application of the cartridge.
Dehydration: We are normally accustomed to drinking water at long intervals (a few hours) as we can consume nearly 200 to 400ml at one go. Following bariatric surgery, gulping or drinking water in one go is not possible in the first 2 to 4 weeks, due to reduced capacity of the gastric pouch. Hence, care needs to be taken to drink small quantities of water at frequent intervals to avoid dehydration. This is possible only if the patient is counselled about this prior to surgery and is fully aware of this. Also, the patient needs to be given good and clear post operative instructions regarding the quantity and frequency of liquid consumption, not forgetting the type of liquids. Coffee taken frequently could be another cause for dehydration. Family members and colleagues and friends at work play a major role in reminding tthe patient about consuming water frequently. Special care needs to be taken in people who are not accustomed to consuming adequate quantities of water prior to surgery as a general habit.
Vomiting/Fullness/ Discomfort/Indigestion: Following bariatric surgery, soft food is introduced in the diet in the third week, after the first 2 weeks of taking liquids. Due to the reduced capacity of the gastric pouch, the morsel size is significantly reduced and one has to chew the morsel well and eat slowly, giving a gap of 40 to 50 seconds between the morsels. This prevents distension or overdistension of the gastric pouch and thus avoids vomiting. This again requires good counselling prior to the surgery and on the follow up visit too before stating soft food. There is a subjective difference when we say small morsels and we cannot reach a standardization as the morsels size of each individual varies prior to the surgery itself. The best way to avoid this confusion is to make the person have the first soft food meal before you where in you can physically show the way food is expected to be eaten. However, by mistake, there is a chance that one can have a regular sized morsel as over years one is used to eating in that manner. If this happens, the person will vomit , and this will be a reminder to gauge the morsel size the next time the person eats. Following the vomiting, there could be a burning sensation in the stomach which will subside afer taking an antacid. If one follows the instructions of small morsel size, chewing properly and eating slowly, there is no chance that there will be vomiting. Another reason for vomiting could be keeping the stomach empty for a longer duration or having sicy food on an empty stomach. Avoid nuts, seeds, fried foods and processed foods. Very rarely vomiting could be due to reduced size of the joint between the gastric pouch and the small intestine. This could require an Endoscopy and necessary treatment.
Vitamin and mineral deficiency: It is seen that many of the obese patients are seen to have vitamin B12, vitamin D, iron and protein deficiencies in their blood tests that are done prior to surgery. With the significant reduction in the amount of food consumed after bariatric surgery, the existing deficiencies are bound to increase. Hence, it is necessary to do these tests, before surgery and rectify the deficit prior to the surgery.
Gall bladder stones: Significant weight loss which is consistant over a short duration could lead to the formation of gall bladder stones, be it with or with out surgery in a small percentage of patients. To avoid this there are two schools of thought, one is have a prophylactic removal of the gall bladder along with the bariatric surgery and another is to put the patient on ursodeoxycholic acid (a tablet) for the first few months after surgery during which there is significant weight loss.
Skin sagging: In the morbidly obese, when the skin is overstretched beyond a certain point, it tends to sag once significant weight is lost. This sagging is influenced by a number of factors like age of the patient, the BMI, pre existing sagging, pre-existing muscle tone and protein supplements taken during weight loss and exercises done during the weight loss period. Skin sagging is less if the age is less than 45, BMI less than 45, good protein intake during weight loss and good toning exercises done during the weight loss period.
Hairfall: Significant weight loss either by diet and exercise, aerobics, bariatric surgery, will entail hair loss. But this can be minimised to a greater extent by ensuring good protein intake during the weight loss period and adequate supplements in terms of vitamins and minerals.
Dumping syndrome: With a reduced size of the stomach, the food moves from the stomach into the smaller intestine much faster. This causes the pancreas to release excessive amount of insulin, leading to very low blood sugar levels , producing various symptoms like abdominal cramps, bloating, diarrhoea, sweating, dizziness, nausea, weakness, and anxiety. This is managed by eating less amount of sugars and fats and spacing out the meals through the day, having four to five small meals compared to 2 to 3 large meals. Having a high protein diet and avoiding liquids during meals is also an option.
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.
In this article we will be talking about Laparoscopy during Infertility and different other information about it which will be helpful for those who want to undergo a Laparoscopy.
What is Laparoscopy?
Laparoscopy is the method with the help of which doctors can diagnose infertility or treat different other problems related to fertility. Laparoscopy is a kind of surgery which is conducted with the help of two or three small cuts around the abdomen area. Through these small cuts the doctor inserts a laparoscope (thin, fiber optic tube) which allows the doctor to see inside the abdominal organs or they also insert any other important
Laparoscope is usually fitted with a light and camera which allows to monitor the inside of the women abdominal or genital system. Women are suffering from infertility and also if they experience pelvic pain, then it is highly possible that they will need to undergo a Laparoscopy. It can also be done once other infertility tests have been conducted.
Reasons For Laparoscopy Diagnosis
Your doctor may recommend you to undergo Laparoscopy because of many reasons.
Here are some of the most common and important reasons for Laparoscopy :
● If the woman experiences significant and frequent pain when she is engaged in
● If the woman has severe and chronic menstrual cramps or pelvic pain at other
times of the cycle.
● If there has been a serious Pelvic inflammatory disease or severe pelvic
● If the doctor suspects that there is a chance of ectopic pregnancy and which can
be life threatening if left untreated.
So you can see that there are so many reasons because of which doctors can recommend you to choose Laparoscopy.
Why Is Laparoscopy in Infertility Important?
Infertility can be diagnosed with Laparoscopy and in many cases there have been instance that infertility was diagnosed only with this process. Laparoscope method not only helpa to identify the problem of infertility but also allows the doctor to check for much serious issues like cysts or tumors inside the abdominal system.
Laparoscopy is also very much beneficial for those who are suffering from significant pelvic pain. This process will help to remive the various scar tissues or endometrial residues which might be the reason for the pain.
Is Laparoscopy Safe?
Laparoscopy is a minimally evasive surgery which involves two or three very small incisions to be made around the abdomen. They will not hurt you much neither they will leave a mark of surgery for a long time. The Laparoscope is absolutely safe but there are some things to keep in mind that it is done in a medically induced environment which should not posses any threats of infection or pollutant. Laparoscopy is also recommended because there is not much postoperative problems which the patient face.
In order to maintain a healthy digestive system, your small intestine plays a major role. This is also called as the small bowel. The major function of the small intestine is that it absorbs fluids and nutrients from the food that you take in and discharges waste material to the large intestine. When there is a problem with the small intestine’s functioning, then your health is at total risk. It will not be able to absorb the essential elements from the food and will not send waste to the large intestine. You will need immediate intestine surgery for this. The doctor may even remove the damaged part of the small intestine if there is a blockage or any other infection inside. This surgery is also called as Small bowel resection.
Why do you need an Intestine Surgery?
There are many conditions that can cause some damage to the small intestine. Mostly, the damaged part of the small intestine is removed, but in rare cases, a small part of the same intestine is also removed to do some tests. When you have a severe ulcer, infection or bleeding in the small intestine, intestine cancer, any injuries to the small bowel or blockage in the small intestine then these can be some of the conditions which need an Intestine surgery.
Intestine Surgery procedure:
Usually, Intestine Surgery is performed in two different ways:
Open Surgery: Initially, you will be given anesthesia so that you will not feel the pain. Usually, depending on the severity of the problem, the surgery may take from one hour to eight hours also.
To finish the surgery, usually the two ends of the left out intestine are stapled or sewed together to make it into one. But in some cases, this may not be possible and hence they will make a new opening and that is called as Stoma. The intestine will discharge through the Stoma into a drainage bag. This entire process is called as an ileostomy.
You will have to stay on a liquid diet for at least seven-days post-surgery. If it was an emergency or a major part of the intestine gets removed, then you will need to stay in the hospital for two weeks.