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Minimally Invasive Surgery - Things To Know

Written and reviewed by
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, DNB - General Surgery
General Surgeon, Pune  •  24years experience
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I am Dr. Neeraj Rayate. I am an expert in minimally invasive surgery, gastric related problem surgery and weight loss surgery which is scientifically also called bariatric surgery. What do we mean by minimal access surgery? It is a new tool in a vista of the surgeon which basically performs surgery without cutting or opening the abdomen. So, we make small holes in the patient's abdomen. And we do the same surgery which is done by the conventional open method. What are the advantages? Since it is not the big cut, the recovery is fast, the blood loss is minimal and for experienced general surgeons, the magnification helps in precise dissection. One of the latest extension of the application of minimal access surgery is in the science of weight loss. Conventionally we all know that for weight loss the diet and the exercise are the time tested methods which are used. But when diet and exercise don't work and when the expected weight loss is more than 30-40 kgs then probably bariatric surgery or endoscopic balloon are the tools which can be really effective for the patient. When these people are not able to lose weight despite several attempts on non-surgical weight loss, we have to understand that bariatric surgery is the biggest boon which has happened to them in the recent past.

We come across a lot of them who come to us and tell us that they have done the diet, they have taken some powders, exercises but the weight loss is temporary. The moment you stop the activities, it bounces back to gain probably more than what you have lost. So, in such situations, bariatric surgery comes for help. What do we do in bariatric surgery? This is a surgery which is performed by roots of minimal access or laparoscopy. We also do with the help of robotic surgery. We will reduce the size of the gastric pouch. The stomach in which our food gets stored and digested. And sometimes, we also bypass the part of the stomach. What does it effectively mean? It means that the person who has undergone this procedure, calorie intake will go down. Metabolic rate will also be increased. The magic of bariatric surgery is to such an extent that obese people who have diabetes, challenges because of excess weight or other problems like blood pressure, acidity, PCOS, heart disease. Patients come to us and tell that they have found new life. It is the surgery where you have to be hospitalized for 3-4 days.

Since it is done by laparoscopy so hardly any pain and blood loss. After the surgery, you get a new life. You get back on what you wear when you were at your young age. One of the effective application of minimal access surgery is coming up in a big way for various hernias. The hernias can be practically at belly button which is called an umbilical hernia. Or there can be a previous surgical scar which is called incisional hernia. There can also be hernia inside the abdomen. For all this type of hernia, surgical intervention is very much possible these days by means of minimal access to laparoscopic surgery. Patients of hernia stay in the hospital for 24-48 hours. So, many people are not aware that hernia can still be dealt with laparoscopy. It really gives advantages to the patients. Other common indication of minimal access surgery for gallstone disease. besides this, almost all procedure for the abdomen is done or possible by means of laparoscopy surgery. The only treatment where laparoscopy cannot be used in pregnancy or you have to have medical termination of the pregnancy. Besides, that laparoscopy is a very useful tool for the patients and it gives very effective results with quick recovery and satisfaction to the patients.

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