Laparoscopy is a surgical procedure in which surgeon uses a special instrument called laparoscope to view and gain access to the inside of the abdomen without taking large cuts in the skin. Also known as keyhole surgery or minimally invasive surgery.
Laparoscopy can be used for:
Diagnostic – study of abdominal conditions
Therapeutic – carry out surgical procedures, such as removing or repairing a damaged or diseased organ
Laparoscopy is most commonly used in:
Gastroenterology – diagnosis & treatment of digestive system
Gynaecology – diagnosis & treatment of female reproductive system conditions
Urology – diagnosis & treatment of urinary system
Keyhole incision (small cuts)
Shorter hospital stay
Less post-operative pain
Early return to full activity
Less internal scarring as compared to standard open surgery
Laparoscopy is performed under general anesthesia (patient is unconscious and won’t feel pain). During a laparoscopic procedure, the surgeon makes three small incisions in the abdomen.
A Laparoscope with a tiny camera is inserted into the abdomen through one of the incisions. Laparoscope relays images to a TV monitor in the operating theater, giving the surgeon a clear view of the whole area. A tube is inserted through the second incision through which carbon dioxide gas is pumped into the abdomen which makes it easier for the surgeon to view and operate. Surgical tools required for the procedure are inserted through the rest of the incisions. After the procedure, the gas is taken out of the abdomen, incisions are closed using stitches. Recovery in the hospital may take 2-3 days depending on the patient’s condition.
Sai Snehdeep Hospital has a full-fledged minimal access surgery department with doctors having more than 15 years of experience, state-of-the-art operation theaters with high-tech laparoscopic instruments, advanced ICU backup for high-risk cases. At our hospital, we do basic and advanced laparoscopic surgeries and bariatric surgery as follows:
Surgeries for Hernia
Surgeries of Pancreas & Liver Myomectomy
Although safe procedure, minor complications may occur:
Minor bleeding and bruising around the incision
Nausea and vomiting
Rare but serious complications after laparoscopy include:
Damage to an organ (intestine or bladder) resulting in loss of organ function
Damage to a major artery
Complications following use of carbon dioxide, such as gas bubbles entering veins or arteries
Serious allergic reaction to general anesthetic
Blood clot in a vein (DVT), which can break off and block the blood flow in one of the blood vessels in the lungs (pulmonary embolism)
Surgery to remove the gallbladder is the most common to treat symptomatic gallstones. In Laparoscopic Cholecystectomy, the surgeon takes four tiny incisions in the abdomen and inserts laparoscopic surgical instruments. The surgeon carefully separates gallbladder from liver, ducts and other structures. At times, a gastroenterologist would use special endoscopic equipment (ERCP – Endoscopic Retrograde Cholangiopancreatography) to locate and remove gallstone stuck in the ducts prior to gallbladder removal procedure.
Pain and complications with traditional surgery are much lessened in Laparoscopic Cholecystectomy. However, complications common to laparoscopic surgery may be present.
The most common complication in gallbladder surgery is bile duct injury causing leakage of bile resulting in infection. Other complications include excessive bleeding and other risks associated with laparoscopic surgery.
Surgery is the only option to remove the appendix; in the treatment of acute appendix infection. Laparoscopic Appendectomy is the modern surgical procedure, where the surgeon takes three tiny incisions in the abdomen and inserts laparoscopic surgical instruments. The surgeon carefully removes the appendix (diseased and normal) to eliminate future possibility of appendicitis. Sometimes when the appendix bursts, an abscess (pus-filled mass – body’s attempt to prevent infection from spreading) is formed which is drained prior; infection and inflammation are controlled and subsequently Laparoscopic Appendectomy is performed.
When appendix has been ruptured and infection has spread this is a life-threatening condition; Appendectomy is performed via Emergency Open Surgery (Traditional) where the surgeon thoroughly cleanses the abdominal cavity with Irrigation fluids to remove any pus followed by appendix removal.
Laparoscopic Appendectomy has fewer complications such as fewer hospital-related infections and shorter recovery time. However, complications common to laparoscopic surgery may be present.
The most common complication in appendix surgery is high-rates of intra-abdominal infection. Other complications include excessive bleeding and other risks associated with laparoscopic surgery.
Plot No. 12-13, Sector No. 20, Koparkhairane,
Navi Mumbai 400709.