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| Laparoscopic
Surgery |
We are all witness to an unprecedented revolution of the
surgical sciences. This era has seen the explosive revolution
and transformation of surgery into an entirely new patient
friendly technique i.e. laparoscopic / Key hole / Minimal
access surgery, the innovation of the century in the field
of surgery.
With rapid advancement in medical technologies and success
of laparoscopy in many specialties, patient are eagerly
seeking the benefit of laparoscopic surgeries i.e., less
pain, less discomfort, shorter hospital stay, reduced
blood loss and faster return to normal activities and
work.
The experience of Sukhda Hospital in realm of laparoscopic
surgery is truly one of its kind and the team is totally
committed to the principles of this technique. To the
department goes the credit of pioneering some of the most
advanced laparoscopic surgical services available in the
country.
The department have dedicated senior laparoscopic surgeons
and senior anesthetists for providing state of art care
to patients undergoing laparoscopy. The nursing staff
are trained to provide nursing care exclusively to patient
admitted in the department.
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| (A)
Laparoscopy in General Surgery : |
- Gallbladder stones : Laparoscopic
cholecystectomyIt is the gold standard for surgical
treatment of gallstones. This procedure is done under
general anesthesia and takes a short time, Patient
is usually allowed to go home same / next day and
resumes normal activities within 2-3 days.
- Appendix : Lap appendectomy One
of the commonest surgical disorder in the younger
age group. Can be very effectively diagnosed and treated
by laparoscopy. Appendectomy by laparoscopy is beneficial
specially in younger women / girls as following open
surgery adhesion may develop in lower abdomen and
may lead to infertility later in womens life. Also
in old persons, there is high likely hood of cancer
manifesting as appendicitis.
- Hernias (inguinal, Umbilical, Incisional
etc.) : Lap mesh hernia repair; Most hernias
are either inguinal, epigastric umbilical or incisional
and can be repaired laparoscopically by a mesh. Laparoscopic
hernia repair results in much less pain and early
recovery i.e patients are mobile within hours after
surgery. They are allowed all activities within 2-3
days. Another advantage is that both side of inguinal
hernia can be operated in the same sitting without
extra pain or stay. The cosmetic results are excellent.
- Stomach (Ulcer duodenum) : Lap
highly selective vagotomy / Lap Trucal Vagotomy +
Gastrojejunostomy.
- Oesophagus (Hiatus hernia) : Lap
Nissen fundoplication. This procedure is indicated
for treatment of documented severe acid reflux in
food pipe or mouth which fails to medical treatment.
With decrease in surgical morbidity by laparoscopic
approach, patients are being referred early for surgical
relief of their symptoms. After the procedure patient
is on normal diet within a week.
- Oesophagus : Difficulty in swallowing/ Achlasia
cardia : Lap Hellers cardiomyotomy
These patients have difficulty in swallowing and they
retain food / liquids which does not reach the stomach
A laparoscopic cardiomyotomy relieves the patients
of his symptoms.
- Small + large bowel : Laparoscopic
surgery for acute abdomen (perforation / obstruction).
Lap rectopexy (prolapse rectum).
- Spleen : (Lap spleenectomy) Lap
removal of spleen for haemolytical disorders. symptomatic
cyst / abscess.
- Liver : Lap hydated cyst surgery.
Lap liver abscess drainage Lap biopsy of liver.
- Pancreas : Lap cystogastrostomy,
pseudocyst removal. Role in cancer of pancreas.
- Kidneys : Lap Pyelo / Ureterolithotomy
for some of the Kidney and ureteric stone. Lap Nephrectomy
- Testis : (Lap orchidopexy) This
is laparoscopic surgery for testis which has not reached
the scrotum in children (undescended testis) which
may lead to infertility and malignacy if not treated.
Testicular pain ( laparoscopic treatment for varicocele).
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| (B)
Laparoscopy in Gynaecology |
- Laparoscopic hysterectomy: Uterus
removal is one of the commonest surgeries performed
in women of the perimenopausal age group has undergone
a sea change today, what used to be cumbersome in
the past has today become routine due to the advances
in laparoscopic surgery.
Laparoscopic Assisted Vaginal hysterectomy (LAVH) /
Total laparoscopic hysterectomy (TLH) thus causes practically
no bleeding, scar and most patient are discharged from
the hospital in 2-3 days and returns to normal activities
within a week.
- Uterus fibroid Removal : (Laparoscopic
Myomectomy) For women in child bearing age with fibroid,
myomectomy is desirable so that uterus can be saved
for future pregnancy.
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Ovarian cyst Removal :
(Lap ovarian cystectomy) Ovarian cyst which are
perhaps the commonest gynecological disorders can
be accurately diagnosed and treated laparoscopically.
Endometriosis (chocolate cyst ovary), a very common
cause of chronic pain lower abdomen and infertility
is best treated laparoscopicaly.
- Laparoscopy for infertility (Diagnostic
& Therapeutic): Worldwide laparoscopy
when combined with hysteroscopy gives the most comprehensive
information regarding cause of infertility. Not only
is the cause pinpointed very specifically, but most
of the times the corrective surgical measures can
be undertaken as the same sitting.
- Other Gyneacological
Procedure done laproscopically
- Sterlization (Tubectomy)
- Lap management of ectopic pregnancy
- Lap Adhesiolysis
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Diagnostic laparoscopy
: Worldwide studies have shown that 20-30%
patients operated by conventional open surgery has
some other cause of their problems. Laparoscospy
not only confirms the disease but treats it also
at the same.
Diagnostic laparoscospy is done for
- Chronic pain abdomen
- Unexplained lump
- Subacute intestinal obstruction
- Rule out cancer
Sukhda Hospital Minimal Access surgery center stands fully
committed to the cause of Minimal Access surgery (laparoscopic
surgery) with the clearly defined aims and objectives
:FUTURISTIC EXCELLENCE providing comprehensive high quality,
state of art surgical services in the field of Minimal
Access surgery to a wide spectrum of patients. In keeping
pace with advance in laparoscopic surgery, the department
has expanded and diversified in other fields of minimal
access surgery :- MORBID OBESITY.
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| Orthopaedics
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Some of the orthopaedic procedures which were difficult
to be undertaken with accuracy with conventional techniques
have become possible with minimal invasive surgery.
Fracture treatment.
Operative Arthroscopy for
- Shoulder
- Elbow
- Knee- Meniscus tear, Ligament Reconstruction
- Wrist Ligament Reconstruction
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| ENT |
- Functional Endoscopic Sinus Surgery
- CSF Rhinorrhoea repair
- Hypohysectomy
- Epistaxis
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| Urology |
- TUR for prostate& Bladder Tumour
- PCNL for Kidney Stone
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