Laparoscopy – Minimally Invasive Surgery
“Surgical cuts as small as 2mm, faster healing.”
What is Laparoscopy?
Laparoscopic surgery, also called minimally invasive surgery (MIS) or keyhole surgery is a modern surgical technique in which operations in the abdomen are performed with video assistance through small incisions (usually 0.5-1.5cm) as compared to larger incisions needed in traditional surgical procedures.
How does a Laparoscopic system work ?
The key element in laparoscopic surgery is the use of a laparoscope. The Laparoscope has a high definition digital camera which allows detail vision for structure in the abdomen. There is also an attached fiber optic cable system connected to a ‘cold’ light source (halogen or xenon), to illuminate the operative field. The laparoscope is inserted into the abdomen through a 5 mm or 10 mm cannula or trocar to view the operative field, and the surgery is then performed using special precision laparoscopic instruments, with the surgeons viewing the entire procedure live on a screen.
Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons.
Laparoscopy is an acquired skill and a surgeon has to train long to achieve proficiency.
Advantages of Laparoscopy over conventional surgery
- Reduced haemorrhaging , which reduces the chance of needing a blood transfusion.
- Smaller incision, which reduces pain and shortens recovery time.
- Less pain, leading to less pain medication required.
- Hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.
- Reduced exposure of internal organs to possible external contaminants thereby reducing risk of acquiring infections.
Modern Hitech Laparoscopy
Modern hitech laparoscopy uses Hi-definition (HD) video imagery and 3D laparoscopy technologies. These give the surgeons more realistic images to work with, leading to hi-precision surgery.
Advances in technology and engineering have given rise to mini-laparoscopy, which involves more finer and delicate instruments to perform the same surgeries as laparoscopy. Mini laparoscopy incisions are in the range of 3- 3.5 mm and this has the advantage that stitches are not required to close them. Most of the incisions are closed with a steristrip (a thinner and narrower variety of bandaid like plaster). Hence the patient can have a bath on his wounds the very next day after surgery. Further smaller incisions mean lesser pain and faster recovery.
Ailments treated by Laparoscopy
- Gall Bladder stones (Cholelithiasis)
- Ectopic Pregnancy
- Family planning operation for women
- Close duodenal / stomach / intestinal perforations
- Peritoneal (Abdomen) biopsy/disease identification
RK – Leaders in Laparoscopy Surgery
- Dedicated laparoscopy team, internationally trained surgeons
- Cutting edge Stryker HDTV Laparoscopy System with Xenon Light Source
- Harmonic Scalpel
- Laparoscopic Stapler technology
- Support Team of nurses and postoperative care
- Pioneers in Daycare surgery (which involves many laparoscopic procedures) in India – discharge in 24 hours or less
Chief Laparoscopic Surgeon
Dr. Rajeev Premnath
- MBBS, MS (Gen Surg)
- Fellow of the European Board of Surgery
- Diploma in Laparoscopy (Strasbourg, France)
- 3D hernia mesh surgery training at Day Hospital, Venice Mestre, Italy
- MIPH (Minimally Invasive Procedure for Haemorrhoids) training at Singapore General Hospital
- Laparoscopy training at Essen General Hospital, Germany
- Minimal Access Surgery training at IRCAD – European Institute of TeleSurgery, France
- SILS – Single Incision Laparoscopic Surgery training at National University of Health, Singapore
- Performed the first VAAFT surgery for Anal fistula in Karnataka