What is Laparoscopy Surgery?
Laparoscopy Surgery can be termed as a distinct set of surgical methodology that involves very less invasion and is hence called as a Minimal invasive surgical procedure. The surgery is currently used for intestinal based problems, gallbladder and gynaecological problems.
A large number of intestinal surgeries are now performed using Laparoscopy, these include the surgeries for ulcerative colitis, cancer, rectal prolapse and Crown’s disease. While it is true that there were initial concerns about the safety of such a radical new concept to treat cancers, numerous studies over the following years have time and again proven the efficacy of Laparoscopic surgeries for treating multiple health problems including colorectal cancers.
Why choose Laparoscopy Surgery over Open surgery
Open surgery can be considered as one of the earliest and traditional forms of surgeries and often involves a single incision on the patient’s to surgically access the abdomen. The incisions made during the Open surgery are often large which enable the surgeons to get proper access to the patient’s organs. On the contrary, Laparoscopic surgical technique focuses on performing multiple 0.5 to 1cm sized incisions placed strategically to perform the surgery.
Laparoscopy as a surgical procedure yields maximum results when used for organs that are usually not easily accessible by the conventional surgical methods. Some of the organs which benefit from Laparoscopy are the stomach, pelvic region, liver and pancreas.
No blood loss in laparoscopy surgery.
Types of Laparoscopy Surgery performed at SCI International Hospital:
Laparoscopic Bariatric Surgery
This type of surgery is also known as RYGB which expands to Roux-en-Y Gastric Bypass surgery. It is regarded as one of the more effective surgeries to counter overweight and help the patients lose their excess weight. The surgery primarily focuses on reducing the food intake and by limiting the absorption of food. This is achieved with the help of a small pouch that looks like an adjustable gastric band. The surgery focuses on preventing the excess food from coming in contact with the stomach and in case circumnavigates it to the small intensive thereby reducing the absorption of food into the patient’s body.
The surgical procedure takes around six to seven small incisions in the abdominal region which is used to insert a tiny scope that carries a video camera into the patient’s body. The rest of the incisions are used to insert the tools which will be used to perform the Laparoscopic Bariatric surgery. In this procedure, the top portion of the stomach is stapled which separates it from the bottom of the stomach. This creates a small pouch like formation which can be used to limit the food intake. A section of the small intestine is connected to the small pouch effectively ensuring that the fix bypasses the stomach leading to malabsorption of the nutrients and calories present in the excess food, hence leading to an overall reduction in weight.
Laparoscopy is widely used for cancer surgeries where its efficacy has been proven with fantastic success rates. Although other cancers can be cured with laparoscopic surgeries, they are specifically handled on a case by case basis since every cancer case is a different challenge. The benefits of Laparoscopic surgeries such as short recovery time and minimal invasion or damage to the patient also lends itself well to the treatment of cancer by allowing the doctors to carefully remove clusters of cancerous cells distinctly with very little harm to the neighbouring healthy cells. This is something that cannot be easily achieved in an open surgery.
The biggest attribute of laparoscopic surgeries for cancer treatment is their ability to act like microsurgeries in comparison to the open surgeries. Since cancerous can be spread out throughout the patient’s body. It could be extremely detrimental to the patient’s health if multiple open surgeries are performed in s short span of time.
Total Laparoscopic Hysterectomy
This type of Laparoscopic surgery is used in cases where surgically removing the uterus of a woman can be life-saving. This is used in certain scenarios where a woman is suffering from endometriosis or fibroids, since performing open surgery on the women can lead to extreme bleeding and intolerable amounts of pain.
Advancements in technologies have enabled the doctors to leverage the potential of Laparoscopy and Cary over all of its benefits to the field of hysterectomy. This technique can even be used to remove large uterus with relative ease. Doctors at SCI Hospital are well trained to perform this surgery and even advocate it over open surgeries because of how effective and beneficial to the patients. The small half-inch incisions are tiny compared to the enormous eight-inch incisions required by open surgeries which are immensely painful and take a long time to heal. By contrast, patients can be discharged within two days post the THL surgery and have been observed the return to their normal lifestyle in two weeks.
This surgery is performed to remove the uterine fibroids which are also referred to as leiomyoma. Uterine fibroids occur in the uterus and are non-cancerous. They are relatively common and appear in women during the childbearing years, although they are not limited to it.
Unlike Total Laparoscopic Hysterectomy, this procedure focuses on removing only the discomfort causing fibroids while leaving the uterus unscathed. Laparoscopic Myomectomy is aimed at removing the symptoms caused by fibroids since they can interfere with the normal well-being of the patients and cause major discomfort.
Laparoscopy Surgery for Complex Ovarian Cyst and Uterine Cancer
In simple cases, the ovarian cysts generally go away on their own in a span of few months, but in complex cases surgical intervention is necessary. The core focus of this procedure is to remove the ovarian cysts and analyze them for the potential to cause cancer. If the cysts are indeed found to be cancerous, the patient has to be placed under constant monitoring and treatment to ensure their well-being. This is one of the many instances where doctors at SCI Hospital effectively utilize Laparoscopy both as a diagnostics tool and a treatment procedure.
Mini-laparoscopic procedures have recently witnessed a large spike in the total amount of Laparoscopic procedures conducted owing to their numerous advantages over the already efficient laparoscopic procedure. Mini-Laparoscopy used mini ports that are smaller than the regular laparoscopic ports which are already tiny by conventional standards. These mini ports are augmented with mini apparatus and a reduced incision count which ensures a speedy recovery time, less pain and minimal scarring.
Mini-Laparoscopy Cholecystectomy has been practised with utmost care at the SCI Hospital which has so far produced great success rates with extremely less recovery duration and pain post operation. The procedure is gastro-intestinal and is focused heavily around the ball bladder.
Laparoscopic Hernia Repair
This type of surgery can also be called as keyhole surgery and it focuses on accessing the hernia and repairing it with staples. This surgery is quite complicated and only a handful of experts in India are capable of handling it. SCI hospital is one of the few hospitals in India where laparoscopic hernia repair is carried out with a high degree of success.
While in most cases, the more conventional mesh-based approach is utilized to treat a hernia, there are certain instances when it cannot be effectively utilized. In cases when the patient has already undergone a major open surgery, successive surgeries are not a viable option and this is where laparoscopic hernia repair shines. When performed by a skilled doctor with adequate caution, it can result in a vastly reduced pain with impressive results.
Is Laparoscopy Surgery safe?
Laparoscopy has been in use for such a long time now that we can state with confidence that it is absolutely as safe as the conventional Open surgery, numerous cases and reports confirm this. Safety of the procedure can only be gauged entirely based on the perspective and comparison to the contender, the Open surgery and when such a comparison is done, it becomes quite clear that Laparoscopic surgeries are relatively safer and cleaner.
Advantages of Laparoscopy Surgery
Laparoscopic surgeries have taken over most forms of Open surgeries because of the huge benefits they pose in comparison and here are a few of them:
- Surgeries take a very short time for recovery since the incisions are small enough to heal much quicker than the stitches caused during the Open surgeries.
- Small incisions also lead to less scarring in comparison to other types of surgeries which expose the internal organs.
- The ports or incisions are small enough, the patient can leave the hospital relatively sooner than other types of surgeries which require the patient to be in a continuous stat if monitoring since bigger incisions and stitches have a higher potential to cause infections.
- The patient experiences reduced pain in comparison to the extreme pain experienced during open surgeries. This also contributes to lesser painkiller intakes and a better overall health.
- The success rate of Laparoscopic surgeries is also relatively high when compared to other forms of surgeries.
SCI International Hospital
M-4, Greater Kailash -1, New Delhi