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Laparoscopy

LAPAROSCOPY

What is Laparoscopy?

Laparoscopy is a minimally invasive or surgical procedure which takes its name from laparoscope. A laparoscope is a modified endoscope and Laparoscopy is also referred by many as a key-hole surgery. A thin tube with a light and a camera at the end is passed through a small incision in the abdomen of the patient, and the affected area of the organ (which can be a prostrate for a male or for female reproductive organs), is visualized on the screen or video monitor and the surgery is done. With laparoscopy, it is revolutionary that a surgery takes place without the hands of surgeonsin the patients body!

Laparoscopic surgery is one kind which is minimally invasive”, which is a widely known terminology now, associated with surgeries. Initially, laparoscopic surgeries were undertaken for Gall Bladder and then Doctors used it for and gynaecology operations. With time, this procedure came into play for the intestines, liver, and other organs.

Why Laparoscopy?

Laparoscopy is a surgical diagnostic procedure, and is a low risk, minimally invasive procedure to find the cause of symptoms related to abdominal pain or pain in the pelvic region, or even swelling of both the areas. A surgeon cuts an incision usually near the belly button, post that he inserts a thin tube through the incision which pumps carbon dioxide gas to inflate the belly. An endoscope with an attached light and camera is inserted which helps the surgeon to view the effected organ and the extent of damage or disease.

Compared to tradition procedure, laparoscopic surgery has

  • Less pain following the procedure
  • Lower risk of complications
  • Shorter hospital stay and much quicker recovery
  • Smaller scar

How is Laparoscopic surgery performed?

Contrary to the traditional procedure, a laparoscopic procedure is when the surgeon makes several but small incisions on the diagnosed area or organ for surgery, each of which are not more half-an-inch long. Subsequently, the surgeon inserts a thin tube through each opening, and the camera and surgical instruments go through those. The surgeon can see the ends of these tubes and thus performs the procedure accordingly.

In some operations, which is an advanced form of laparoscopic surgery, the surgeon can put the camera and the surgical tool through the same opening in the skin. This means less scarring. Since the instruments are in very close vicinity of each other, it becomes a little risky and sensitive proposition, although not precarious for the surgeon.

As an alternative, the surgeon may decide to use the procedure of “hand assisted” laparoscopy. The incision in the skin is bigger than the routine laparoscopy, though it is still much smaller than in traditional surgery.

Advantages of Laparoscopic Surgery

A laparoscopic surgery has several advantages and various benefits associated with, compared to a traditional surgery.

  • The patient has smaller scars.
  • In post surgery scenario, he or she gets released of the hospital quicker.
  • The patient will feel less pain while the scars heal, and they heal quicker.
  • Hence the patient gets back to your normal activities sooner.
  • Even there is an advantage of less internal scarring.

As a fundamental example, while the patient has to spend around a week or 10 days post a traditional surgery either on abdomen or the pelvic region, it will be just about two nights for the same patient to recover and move out of the hospital. While the total recovery takes 4-6 weeks, and in some cases, about 8 weeks for a patient in the traditional procedure, it takes just about 2 weeks for a patient, who has undergone laparoscopic surgery to resume his normal life.

At Greenleaf Medical Centre, we perform the following laparoscopic procedures

Hysterectomy:is the surgical procedure for the removal of the uterus (womb). It may also include removal of the adjacent fallopian tubes and ovaries. The laparoscopic procedure for Hysterectomy is a common procedure and is carried on via small incisions in the abdomen using laparoscopes and uterine manipulator.

Cholecysectomy: is a surgical procedure and is a common treatment of symptomatic gallstones, mainly gall bladder removal. We provide the minimally invasive laparoscopic procedure for Cholecysectomy, which involves 92% of such surgeries in the present day. The foremost advantage is a same day discharge from hospital, in most cases while the other benefits are

  1. Use of epidural anaesthesia
  2. Cost savings for patient for faster release from hospital
  3. Increase in patient satisfaction
  4. Less post operative pain
  5. Less bleeding during surgery, which means minimum need of blood transfusion for the patient
  6. Better wound healing and less scarring as also much shorter length of recovery
  7. However there are certain cases where the surgeon has to decide for an open procedure, where the patient might have obesity, pancreatitis, severe gall bladder infection, pregnancy (3rd trimester) or severe liver problems.

Ruptured Ectopic Pregnancy: This is a medical emergency, where the embryo gets attached outside the uterus. The patient has symptoms of severe abdominal or pelvic pain and vaginal bleeding. Considered as a severe emergency, a ruptured ectopic pregnancy is diagnosed with the symptoms of dizziness, pale complexion, sweating and soggy skin, fast heartbeats and excruciating pain in the abdominal or pelvic region. Sometimes, the pain is such that patients is unable to stand up or walk. Usually this happens within the first 5-10 weeks of pregnancy and unfortunately, in most cases, the product does not survive. Laparoscopic surgery for acute ruptured ectopic pregnancy is beneficial in terms of lesser level of trauma for the pregnant woman compared to the procedure of laparotomy.

Tubectomy: Laparoscopic Tubectomy is a surgical procedure done on women as a permanent method of contraception. In this procedure the fallopian tubes are ligated or divided and clipped so that the ova or eggs are prevented from travelling to the uterus. It is a major surgical procedure that refers to blocking of the female Fallopian tubes, preventing the eggs from reaching the uterus for implantation. The fallopian tubes, which are attached on either side of the uterus are cut open and are tied or clipped to block the path of eggs travelling to the uterus.

Ovarian Cyst: Laparoscopy procedure is done for smaller cysts. The doctor makes a tiny cut above or below your belly button for the procedure and cysts can be removed from either or both ovaries. However, removal of the ovarian cyst during laparoscopy can be of two types: removal of cysts directly (this operation is also called cystectomy) or removing both the cyst or cysts and the ovary at one go.

Appendicectomy: is the procedure of surgically removing vermiform appendix. The sequential symptoms, known as Murphy’s syndrome are pain, vomiting, fever and constipation, associated with appendicitis. There are numerous techniques of incisions, depending on the stage, condition, age and lifestyle of the patient. However, in a laparoscopic procedure in removal of the appendix, an incision in the hypo gastric region or right iliac is most suitable. In acute cases though, para rectal incision is more appropriate.

At Greenleaf Medical Centre which facilitates as one of the best laparoscopic hospital in Hyderabad, we engage the very best of the laparoscopic surgeons who has expertise to conduct the above mentioned procedures, however after detailed discussions, examinations, and analysis of the symptoms, we recommend either a general or a laparoscopic surgery, looking at the best possible way to nurture a patient, in the most appropriate way.