Laproscopic/Minimal Access Surgery

Laproscopic/Minimal Access Surgery

 Advantage of Laproscopic/Minimal Access Surgery

  • Lesser Postoperative Pain
  • Shorter Hospital Stay
  • Early join for work
  • Minimal scar
  • Lesser chance of incisional hernia

 

Most common and popular  Laproscopic/Minimal Access Surgery  done for condition like -

Gall stone Diseases

Gall stones are stones which form within the gallbladder and most of patients may feels right upper abdominal pain,fullness of stomach after meal , acidity and reflux of acid and sometime patients may present with jaundice,acute pancreatitis,pus in gall bladder and rarely with fistula between gall bladder and intestine and approximately 10-15% cases may present with gall bladder cancer in India( specially North India).They may vary in number and size. For management of these stones, size/shape and number is not matter and after consult with your Surgeon, you should removed your Gall bladder by Laproscopically(key hole surgery) and  Laproscopic Cholecystectomy is a gold standard  operation now a day and most of the patients can be dishcharged on the same day.

Appendix Diseases

Most common is inflammation of appendix (infection or swelling) kwon as appendicitis. The term acute means sudden development of the inflammatory process. It is most commonly seen in the second decade of life (adolescence), though it can occur in any age group.Symtoms of appendicitis commonly presented with Severe pain around the navel which shifts after few hours to the right lower abdomen,Coughing and straining cause an increase in the pain and pain is accompanied by nausea and vomiting and Less common complaints include burning on passing urine and loose stools.After cosult with your surgeon it may requires removal of Appendix knwon as Laproscopic Appendicectomy and advantage of Laproscopic method to rule out any other intra-abdominal diseases simultaneously.

Hernia Diseases

Hernia is the protrusion of abdominal viscera through a weakened part of abdominal wall that only gets bigger with time. It is easy to recognize and appears as a bulge under the skin. This bulge may appear on standing or straining and disappear on lying down. It may or may not be painful. Discomfort may worsen at the end of the day and also while coughing and sneezing.Sometime your Hernia presents with intestinal(gut) obstruction and it will requires immediate Surgery. Surgery is the only cure for majority of hernias. There is no medical treatment for it. Due to lack of expert availability  most hernias can be repaired by open method, but this method often has complications, such as chronic groin pain after surgery. Time needed for recovery after treatment is greatly reduced  and chronic groin pain would  not occurred if hernias are operated by  laparoscopically/Endoscopically and  this minimally invasive operation like IPOM,TEP and TAPP most commonly used today at centre where experts are available.

Hiatus Hernia

The hiatus is an opening in the diaphragm -- the muscular wall separating the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia (also called hiatus hernia) the stomach bulges up into the chest through that opening.

May be people with hiatal hernia have no symptoms, but others may have heartburn related to gastroesophageal reflux disease, or GERD. Although there appears to be a link, one condition does not seem to cause the other, because many people have a hiatal hernia without having GERD, and others have GERD without having a hiatal hernia and diagnosed by Barium swallow and Endoscopy.

Causes of  hiatus hernia in most of the time is not known,it may be present larger hiatal opening by birth and  Increased pressure in the abdomen such as from pregnancy, obesity, coughing, or straining during bowel movements may also play a role.

If the hiatal hernia is in danger of becoming constricted or strangulated, surgery may be needed to reduce the hernia. Your surgeon will also strengthen the oesophageal sphincter by wrapping the stomach around it. This operation is called a Hiatus repair with fundoplication done by  laparoscopic (keyhole) method.

Gastroesophageal reflux disease (GERD)

GERD is a chronic digestive disease. GERD occurs when stomach acid or, occasionally, stomach content, flows back into your food pipe (esophagus). The backwash (reflux) irritates the lining of your esophagus and causes GERD. It manifested as a burning sensation in your chest (heartburn), sometimes spreading to your throat, along with a sour taste in your mouth,Chest pain,Difficulty swallowing (dysphagia),Dry cough,Hoarseness or sore throat,Regurgitation of food or sour liquid (acid reflux) and Sensation of a lump in your throat. It happens due to the valve at oesophagus-stomach junction relaxes abnormally or weakens, stomach acid can flow back up into your esophagus, causing frequent heartburn. Sometimes this can disrupt your daily life. Initial management is by modification of diet and life style and drugs like proton pump inhibitors,Medications to strengthen the lower esophageal sphincter but in case of failure of above management Surgery would requires for definitive cure and now a day Laproscopic  fundoplication surgery made very faster  and smooth recovery for the patients.

Rectal Prolapse

A condition where in the rectum (distal most part of large intestine just above the anal canal) protrudes out of the anal opening due to stretching or disruption of its attachments to the posterior abdominal wall.  Predisposing factors include-Prolonged straining while passing stools (chronic constipation),Multiple pregnancies,Neurological illnesses causing muscular weakness or connective tissue disorders (genetic predisposition). In most cases however surgery is required to correct rectal prolapse. Rectopexy surgery can be done by Laproscopic method   for faster recovery ,  minimal pain after surgery and  Early fit for work.

Haemorrhoids or Piles

Piles or hemorrhoids are swollen blood vessels in the anal passage. There are two circular bunches of veins, one inside the anal canal and the second at the anal verge. Accordingly they are called internal and external hemorrhoids.It presented as bleeding after passing stool ,prolapse of something from anal canal and it will requires finger manipulation for reposition and some cases present with excessive pain while passing stool. There are certain conditions which predispose to formation of piles. These are-Excessive straining while passing stools e.g. chronic constipation, low fibre diet, poor bowel habits and Increased backward pressure on pelvic blood vessels e.g. Pregnancy, pelvic tumors.Management for Haemorrhoid or Piles are according to Grading of Haemorrhoids or Piles. For Grade one to  increase dietary fibre intake,increase water intake and regular bowel habit but for Grade-2,3 and 4 would requires surgery and  the newer advance minimally invasive technique are DG-HAL(Doppler Guided Haemorrhoidal Artery Ligation and Stapler Haemorrhoidectomy.Advantage of these techniques are Minimal pain after surgery, Faster recovery,Faster healings and no requirement of dressing after surgery.

Anal Fistula

Anal fistula, or fistula-in-ano, is a common anorectal problem in which an abnormal connection develops between the inner surface of the anal canal and the skin around the anal verge thereby causing severe pain and infection and presented as perianal pus dishcharge ,undergarment soiling and sometime anorectal sepsis.Surgery will requires almost cases and Minimally Invasive Anal Fistula Treatment technique is a major breakthrough treatment option for complex fistulas is Video Assissted Anal Fistula Treatment (VAAFT) and major advantage of this technique are no sphincter damage occurs during surgery thats why full control of defecation preserved during surgery,minimal pain after surgery,Faster healing ,Faster recovery and no requirement of dressing after surgery.

 

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