Advanced Laparoscopic & General Surgery

The general surgery is one of the broadest healthcare specialities in medicine. Specialized general surgeons can diagnose and treat a complete spectrum of diseases via different body systems. This involves conditions requiring surgical treatment for the areas, such as:

  • Small intestine
  • Stomach
  • Colon
  • Appendix
  • Spleen
  • Gallbladder
  • Liver
  • Pancreas
  • Adrenal glands
  • Skin and soft tissue
  • Thyroid and parathyroid

Besides, the general surgeons perform some emergency surgeries to treat in-office haemorrhoid treatment, hernia repairs, surgical colon exploration and gallbladder removals.

Advanced Laparoscopic Surgery

Advanced laparoscopic surgery is a minimally invasive surgery. In this procedure, the surgeon usually operates through tiny incisions made in the skin instead of the large incision for performing an open operation.

What makes this type of surgery more advanced is the type of procedures that general surgeons perform with this technique. For instance, foregut surgery, liver resections, colon surgery, total gastrectomies and other major operations are done laparoscopically by general surgeons.

The advantages of advanced laparoscopic surgery are that it’s less painful, minimal to no scarring and quicker recovery. However, the best surgical method is figured out based on a specific patient’s condition. So, make sure to consult your surgeon about the treatment that is right for you.

Surgery Types

With technical advances nowadays, surgery doesn’t need large incisions as it was done in the past. There are many surgical procedures like:

Open surgery: It means that the surgeon will cut the skin and tissues to fully view and access the organs and structures involved. For example, open surgery requires the removal of organs like kidneys or gall bladder.

Minimally invasive surgery: This advanced type of surgical technique doesn’t require a large incision. It is a relatively new technique of recuperating a patient with less pain. However, all conditions are not suitable for treatment with minimally invasive surgery. The common surgery methods that fall under minimally invasive surgery are:

  • Endoscopy
  • Laparoscopy
  • Cystoscopy
  • Bronchoscopy
  • Arthroscopy
  • Gastroscopy
  • Sigmoidoscopy
  • Laryngoscopy
  • Hysteroscopy

Besides using conventional surgical knives for surgery, the open and minimally invasive surgeries can also involve alternative techniques (depending on the procedure), such as:

  • Electrosurgery
  • Laser surgery

Advantages of Minimal Access (Laparoscopic) Surgery

  • Smaller Incisions: Unlike traditional surgery that requires large incisions, the new minimally invasive surgery depends only on small incisions for inserting cameras, thin tubes or other surgical tools for treatment.
  • Less Pain: This procedure is less painful and discomforting during and after the treatment.
  • Shorter Hospital Stay: The patients can go home sooner and also return to work quickly after this procedure.
  • Faster Recovery: Since the size of the incision is small, you’ll heal faster than the open surgery.
  • Less Scarring: Minimally invasive surgery needs small incisions. This means there will be very few noticeable scars.

Increased Accuracy: Compared to traditional open surgery, minimally invasive surgery offers higher accuracy and it utilizes advanced equipment and tools.

Some common and advanced procedures of Laparoscopic Surgery

The laparoscopic surgical procedures are becoming popular rapidly. The two common benefits of these procedures are reduced postoperative pain and reduced hospitalization and recovery compared to the open surgical procedure.

Currently, laparoscopic cholecystectomy is the most common procedure used for most patients suffering from symptomatic gallstones. Likewise, other stones in the bile duct can also be retrieved with laparoscopic techniques.

Laparoscopic appendectomy is another reasonable alternative with advanced diagnostic capabilities compared to the open appendectomy. Besides, laparoscopic antireflux procedures are used for the repair of inguinal hernias and bowel resections. However, its long-term results are unavailable currently.

Many diagnostic and palliative medical procedures can be done with laparoscopic techniques, as they offer effective postoperative management with less perioperative morbidity.

Even the solid organ resections could be undertaken safely using laparoscopy technique in the selected patients. Due to all the benefits, the demand for laparoscopic operations is increasing broadly today.

Why us

  • World-renowned care at one place: We specialise in several medical treatments and offer expert care under one roof.
  • Specialists in minimally invasive surgery: Our team uses advanced minimally invasive surgical techniques to offer you the best results.
  • Ease of scheduling: We understand the need of seeking medical care quickly, so we schedule appointments quickly.
  • Coordinated care focus: We aim to offer the best operative and comprehensive care to let you restore the quality of life.
  • Conservative approach: Most of the time, we can cure patients without open surgical treatments, using therapeutic injections, osteopathic treatments, physical therapy and other non-surgical treatments.

Best Laparoscopic Surgeon in Delhi

Dr. Arwind Kumar is one of the best laparoscopic surgeons in Delhi. With more than 14 years of experience in dealing with Advanced Laparoscopic surgery, he has operated many patients successfully. He has even operated many complicated cancer cases laparoscopically, including oesophagectomy and Whipple’s (pancreatoduodenectomy). He currently works as a GI and Consultant Advanced Laparoscopic Surgeon at PSRI (Pushpawati Singhania Research Institute) and Dharmshila Cancer Institute. Do book an appointment to consult him for treating your condition laparoscopically.

Our specialists

Dr. Asif Umar

Minimal Access & General Surgery
MS, FMAS, FIAGES

Dr. Arvind Kumar

MBBS, MS – General Surgery
Laparoscopic Surgeon

Dr Navin Ghambhir

Anaesthesia
MBBS,MD

Dr Rahul Popli

Anaesthesia
MBBS,MD, DNB, MNAMS

Our Doctors

DR. VISHAL DUTT GOUR

MBBS,MS,M.Ch (Urology)

Dr. Vishal Dutt Gour, is the Consultant Urologist and Male Fertility Specialist at SCI Healthcare for the past 14 years.

Dr. Shivani Sachdev Gour

M.D. DNB M.R.C.O.G. (UK)

Dr. Shivani Sachdev Gour is the founder and director of SCI Healthcare and Multispecialty Centre and consultant fertility specialist.

Dr. Arvind Kumar

MBBS, MS - General Surgery

With an overall experience of more than 14 years in the field of surgery which includes 14 years in Advanced Laparoscopic surgery.

PATIENT TESTIMONIALS - REAL PEOPLE, REAL STORIES

Advanced Laparoscopic & General Surgery

Advanced Laparoscopic & General Surgery

Advanced Laparoscopic & General Surgery

FAQS

Who cannot get a Kidney Transplant?

Several patients have an assumption that if they are old they cannot get a kidney transplant, but if you are otherwise healthy, age is not a factor in determining your transplant eligibility. However, there can be other factors that may prevent patients from getting a kidney transplant if:

• Current life expectancy is less than 5 years
• Recent cancer (other than most skin cancers)
• Untreatable heart disease/ psychiatric illness
• Missing dialysis appointments or signing off the machine early
• Active substance abuse (alcohol or drugs)
• Lack of health insurance or Medicare/ Medicaid coverage

What are the benefits of living donor transplant?

Kidney for a transplant may come from a person who has died (a deceased donor) or from a healthy living person who can be a family member, a friend who donates a kidney (a living donor). The benefit of living donor transplant is that the recipient will have a kidney immediately available to them. There is no waiting list. The surgery can take place while the recipient is relatively stable and is done as an elective procedure. This allows for surgery to occur in a healthier recipient who is expected to have better surgical outcomes.

Who can be a living donor?

According to Indian transplant act, a living donor can only be the recipient’s first degree blood relative, i.e. mother, father, brother, sister or spouse on emotional ground. All kidney transplant patients personally arrange their legal donor.

Which kind of transplant happens faster?

A living donor transplant happens faster if the living donor is available within one year; however, with a deceased donor transplant several patients have to wait for 3-5 years until a kidney is available is from a deceased donor.

"Is there a difference between having a living or deceased donor transplant?

Yes. Living donor transplants last longer than deceased donor transplants because a living donor kidney is removed from a healthy donor and transplanted.

How is a possible living donor evaluated?

Many variables are considered when evaluating a possible living donor. Living donors must be over 18 years of age, healthy, free of kidney disease and have normal blood pressure. The best matches come from full siblings (brothers or sisters). Areas of evaluation include the following.
• Blood group (A, B, O) compatibility of donor and recipient.
• Tissue typing: Once the donor’s blood group matches with the patient’s blood group, tissue typing is advised. Both the recipient and donors blood is tested HLA – A, B, & DR. Generally, 50% match is accepted. For spouse donor, even lower match is acceptable.
• We have got an experience of performing ABO incompatible kidney transplant. Even if blood group of donor & recipients are not matching, then also transplant can be done. In modern era with the availability of plasmapheresis, adsorption filters and few special drugs, it can be made possible with comparable results.

"What would happen if Kidney Transplant does not work? Would the patient die?"

No. In case the transplant does not work the recipient can start or resume dialysis or pursue another transplant.

"Can a person live longer with a transplant as compared to dialysis?"

Yes. Patients who have a transplant done live longer than the patients who stay on dialysis. The transplanted kidney works whole day to remove total waste from the body. Dialysis removes little amount of waste only when the dialysis machine works.

What are the risks of having a kidney transplant?

It is true that getting a kidney transplant is better than having dialysis as there are chances of a higher survival. You can experience:
• Excessive bleeding
• Clotting of blood
• Rejection/failure of donor kidney
• Risk of severe infections from the donated kidney

What should be the diet post-transplant?

Excessive weight gain immediately after a transplant can be dangerous. It can lead to problems like high cholesterol, high blood pressure, diabetes. You need to be careful in choosing your diet and consume:

• High-fiber foods rather than fried foods
• Initially, you must consume rich sources of protein like eggs (avoid raw or uncooked eggs), chicken, and low fat dairy products.
• At least 8 to 10 glasses of water. Refrain from having any calorie drinks, beverages or canned soups.
• You should try to use olive oil instead of saturated fats like butter.