minimal access, General & Laparoscopic surgery

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General & Laparoscopic Surgery Department – An Overview

 

Dr. SS Trehan

MS – General Surgery, M.Ch – Onco Surgery

The General and Laparoscopic Surgery Department at Amcare Hospital is well equipped with the latest technology and infrastructure, supported by an experienced team of surgeons. The department specialises in performing all major surgeries involving abdomen, skin, breast, soft tissues, and hernia. Laparoscopic surgery is also known as key-hole surgery or minimally invasive surgery. It is widely used in gynaecology, gastroenterology and urology. Patients receive specialised assessment, latest treatments along with clinical post-operative care, medications and a regular follow-up. The advantages of laparoscopic surgery over traditional open surgery include a shorter hospital stay and faster recovery time; less pain and bleeding after the operation; and reduced scarring.

 

Minimal Access/Laparoscopic Surgery is a surgical technique which involves small (keyhole) incisions instead of large cuts. The surgeon introduces a telescope with a video camera through this incision into the body cavity and operates by viewing the internal parts on a TV monitor. In traditional open surgery, the surgeon is unable to see directly into the patient without a large incision. The video camera efficiently becomes a surgeon’s eyes in minimal access surgery, since to perform the procedure; the surgeon uses the image from the video camera placed inside the patient’s body. When the abdomen is operated using a telescope, the procedure is called laparoscopy. On the other hand, when used in a joint, it is called arthroscopy, and when used in the chest, the procedure is called thoracoscopy.

 

This minimal access surgery helps in early recovery of patients as they are usually walking around in a few hours after the surgery and can resume their daily activities in no time. Laparoscopic surgery causes minimal pain and has excellent cosmetic results. When compared to traditional open surgery, in laparoscopic or minimal access surgery patients experience less pain, less scarring and have a shorter recovery time. Minimal access surgery can successfully treat thyroid and parathyroid, hernia, appendix, anorectal conditions, diseases of gastrointestinal tract, gall bladder stones and certain clinical conditions involving pancreas, adrenal glands, spleen, kidneys and the liver.

 
Medical & Surgical Procedures:
Cholecystectomy (Gallbladder Removal)

Cholecystectomy (koh-luh-sis-TEK-tuh-me) is a surgical procedure to remove your gallbladder — a pear-shaped organ that sits just below your liver on the upper right side of your abdomen. Your gallbladder collects and stores bile — a digestive fluid produced in your liver.

Cholecystectomy may be necessary if you experience pain from gallstones that block the flow of bile. Cholecystectomy is a common surgery, and it carries only a small risk of complications. In most cases, you can go home the same day of your cholecystectomy. Cholecystectomy is most commonly performed by inserting a tiny video camera and special surgical tools through four small incisions to see inside your abdomen and remove the gallbladder. Doctors call this laparoscopic cholecystectomy. In some cases, one large incision may be used to remove the gallbladder. This is called an open cholecystectomy.

Myomectomy

Myomectomy (my-o-MEK-tuh-mee) is a surgical procedure to remove uterine fibroids — also called leiomyomas (lie-o-my-O-muhs). These are common noncancerous growths that appear in the uterus, usually during childbearing years, but they can occur at any age.

The surgeon’s goal during myomectomy is to take out symptom-causing fibroids and reconstruct the uterus. Unlike hysterectomy, which removes your entire uterus, myomectomy removes only the fibroids and leaves your uterus intact.

Women who undergo myomectomy report improvement in fibroid symptoms, including heavy menstrual bleeding and pelvic pressure.

Vasectomy

Vasectomy is a form of male birth control that cuts the supply of sperm to your semen. It’s done by cutting and sealing the tubes that carry sperm. Vasectomy has a low risk of problems and can usually be performed in an outpatient setting under local anesthesia.

Before getting a vasectomy, however, you need to be certain you don’t want to father a child in the future. Vasectomy is considered a permanent form of male birth control.

Vasectomy offers no protection from sexually transmitted infections.

Appendix

Appendicitis is a sudden inflammation of the appendix. Although the appendix does not seem to serve any purpose, but if left untreated, it can burst,or cause infection. It primarily occurs when the interior of the appendix becomes filled with something like mucus, bacteria, foreign materials, parasites or hard stools.

Anorectal Conditions

Anorectal refers to conditions related to the anus or rectum. These conditions are mainly caused due to some sort of overgrowth or abnormal growth of tissues in the anus and rectum region. While discussing these issues might be embarrassing, living with them can be painful.

Spondylitis

Spondylitis is one of the most common causes of back and neck pain and is essentially the result of an inflammation of the vertebral joints. Stretching exercises and spinal exercise can improve mobility and posture and minimize the long-term impact.

Rectal Prolapse Surgery

Rectal prolapse surgery is a procedure to repair rectal prolapse. Rectal prolapse occurs when the last several inches of the large intestine (the rectum) becomes abnormally stretched and protrudes from the anus. Rectal prolapse surgery moves the rectum back to its proper place.

 

There are a number of ways to do rectal prolapse surgery. Your surgeon will suggest the appropriate one for you based on your condition and your overall health.

 

Rectal prolapse surgery requires anesthesia and a hospital stay of one to several days.

Needle Biopsy

A needle biopsy is a procedure to obtain a sample of cells from your body for laboratory testing. Common needle biopsy procedures include fine-needle aspiration and core needle biopsy. Needle biopsy may be used to take tissue or fluid samples from muscles, bones and organs, such as the liver or lungs.

Thyroidectomy

Thyroidectomy is the removal of all or part of your thyroid gland. Your thyroid is a butterfly-shaped gland located at the base of your neck. It produces hormones that regulate every aspect of your metabolism, from your heart rate to how quickly you burn calories.

Thyroidectomy is used to treat thyroid disorders, such as cancer, noncancerous enlargement of the thyroid (goiter) and overactive thyroid (hyperthyroidism).

How much of your thyroid gland is removed during thyroidectomy depends on the reason for surgery. If only a portion is removed (partial thyroidectomy), your thyroid may be able to function normally after surgery. If your entire thyroid is removed (total thyroidectomy), you need daily treatment with thyroid hormone to replace your thyroid’s natural function.

Gastroesophageal Reflux

This is typically a condition in which the stomach contents (food or liquid) move backwards from the stomach into the esophagus (the tube from the mouth to the stomach). This movement can irritate the esophagus resulting into heartburn and other symptoms.

Hemorrhoid

Hemorrhoids are typically vascular structures in the anal canal which help with stool control. They become morbid or piles, when swollen or inflamed. They swell due to increased pressure within them, usually due to straining at stools and during pregnancy because of the pressure of the enlarged uterus.

Hernia

A Hernia occurs when the contents of a body cavity protrude out of the membrane in which they are normally contained through a weak spot in a surrounding muscle or connective tissue. Hernias by themselves may or may not produce symptoms as they are asymptomatic and can cause slight to severe pain.

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