..What Is Laparoscopy?


Laparoscopy, is also called as key hole surgery, minimally invasive procedure, where a surgery performed with a small incision of less than 3mm.

Laparoscopy uses an instrument called a laparoscope to look into the abdominal organs.

Laparoscopy allows your doctor to see inside your body in real time, without open surgery. Your doctor also can obtain biopsy samples during this procedure.

If the patient operated through laparoscopic technic the recovery will be faster and scar less. Patient can be discharged early from the hospital.

Through this technic various surgery can be performed; for example: Appendectomy, Cholecystectomy, Hernia surgery.

Laparoscopic fundoplication for GERD


GERD:


Gastro-esophageal reflux disease: This is a disease that occurs when stomach acid or bile flows into the food pipe and irritates the lining. Acid reflux and heartburn more than twice a week may indicate GERD.

Symptoms include burning pain in the chest that usually occurs after eating and worsens when lying down.

Relief from lifestyle changes and over-the-counter medication is usually temporary. Stronger medication may be required.

 

Surgery for GERD: GERD is initially managed with medicines. When the patient develops severe reflux, then surgery is opted for. The surgery that is done for treatment of GERD is Laparoscopic fundoplication. This surgery gives very good results and if the patient has an associated hiatal hernia, that can also be repaired during the same.


Laparoscopic Cholecystectomy

 


What is Laparoscopic Cholecystectomy?


It is a surgical procedure that involves the removal of the gallbladder, a stomach organ.


What is Gallbladder?


The gallbladder is a small organ on the right side of the upper belly that stores bile, a liquid that the body needs to break down food.


What are the symptoms that are noticed if one has 
Gallbladder stones or deposits?


Gallstones can cause severe stomach discomfort, which is a very typical symptom.
Nausea, vomiting, and indigestion are other common side effects.
If the stones stop the bile duct, they may also develop jaundice and, in certain cases, fever.


How are the problems related to 
gallbladder detected?


Doctors will commonly prescribe an ultrasound or a CT scan when patients complain of abdominal pain and the symptoms listed above.
They may also request that the patient undergo a HIDA scan in specific cases.


What are the advantages of 
Laparoscopic cholecystectomy?

 
Smaller incisions less than 1 inch long are used to remove the gallbladder, which is preferred to open surgery.

The recuperation time is shorter than with open surgery. The pain is minor when compared to open surgery.


When is laparoscopic cholecystectomy 
suitable for you?


A laparoscopic cholecystectomy may be beneficial if the gallbladder problems are severe.
And if you’ve had surgery on your upper abdomen before.


Laparoscopic Inguinal Hernia Repair


What is Inguinal Hernia and why is it caused?


When the inner layers of the abdominal wall weaken, a hernia forms, resulting in a bulge or rip.
As the inner tube punctures the damaged tyre, the abdomen’s inner lining presses against the weakest part of the abdominal wall, generating a balloon-like sac. The intestine loops or the abdominal tissue rips as a result of this.
Tissue weakening can be caused by a variety of factors, including natural weakness, heavy lifting, chronic coughing, and straining with bowel movements or urination.

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What are the advantages of this surgery?


The treatment uses small incisions, which take less time to heal and allow the patient to return to their normal routine fast.


What are the treatments available? 


There are numerous treatment methods available, and the surgeon may recommend one based on the medical history of the patient.


What is Laparoscopic hernia repair?


The procedure for laparoscopically correcting a hernia is the same as for other laparoscopic procedures. The surgeon makes incisions through which a laparoscope (a laparoscope is a small instrument with a narrow tube that has a light source and camera at the end of the tube) is inserted, and the surgeon uses the Laparoscope’s video camera to locate the hernia; the hernia is then reduced with the help of surgical equipment through the other incisions made; and the incisions are then sealed using surgical glue or staples.
Depending on the severity of the hernia, the doctor may do an open procedure.


Laparoscopic Umbilical Hernia Repair
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What is an Umbilical Hernia?

An umbilical hernia occurs when tissues from the intestine or abdominal cavity push through a soft/weak part of the abdominal wall at the belly button. The intestine loops or the abdominal tissue rips as a result of this.
Tissue weakening can be caused by a variety of factors, including natural weakness, heavy lifting, chronic coughing, and straining with bowel movements or urination. This is a condition that can affect adults as well as children.

What are the symptoms of Umbilical hernia?


The symptoms of Umbilical hernia are as Follows :

·         Swelling at Naval region

·         Severe pain in the abdomen region

·         The affected area might turn blue


How is the laparoscopic repair of umbilical hernia surgery 
carried out?


A laparoscopic operation is a technique that allows you to see within your body Umbilical hernia repair, like other laparoscopic operations, is done under anaesthesia.
Where the surgeon makes incisions through which a laparoscope (a laparoscope is a small instrument with a narrow tube that has a light source and camera at the end of the tube) is inserted, and the hernia is located using the Laparoscope’s video camera, and the hernia is reduced with the help of surgical equipment through the other incisions made; to strengthen the abdominal walls, the surgeon may place a synthetic mesh and sew it in place.
The doctor may choose for an open therapy depending on the severity of the hernia.

 

Laparoscopic Repair of Ventral Hernia

What is Laparoscopic Repair of Ventral Hernia ?


A ventral hernia is an abdominal protrusion caused by a muscular opening. The hernia is repaired laparoscopically. When a person has had previous Laparoscopic surgery or when muscles, particularly the abdominal muscles, are weak, this problem can arise.
Laparoscopic ventral hernia surgery is similar to other Laparoscopic procedures in that a Laparoscope is inserted through abdominal incisions.

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What are the symptoms of Ventral Hernia?


Some of the symptoms are:

·         Sharp pain in the abdomen

·         Visible bulge of the abdominal wall

·         Nausea

·         Vomiting and indigestion


How is the surgery performed ?

To help the surgeon discover the hernia, the physician makes three to four incisions through which air (carbon dioxide) is pumped.

 The surgeon next inserts a laparoscope (a small tool having a narrow tube, a light source, and a camera at the end of the tube) and utilises the video camera on the laparoscope to locate the hernia. The hernia is subsequently reduced using surgical instruments through the previous incisions made; the surgeon may use a synthetic mesh and suture the area to strengthen the abdominal walls.
Surgical glue or staples are used to close the incisions. The doctor may propose surgery depending on the severity of the hernia.

 

What are the advantages of this surgery ?

Small incisions are used in the procedure, which take less time to heal and allow the patient to return to regular life quickly.

 

What are the other avenues of treatment available apart from surgery ?


There are numerous treatment methods available, and the surgeon may recommend one based on the medical history of the patient.
If surgery is not an option for the patient, a ‘Truss,’ which is a belt that maintains the hernia in place as the patient goes about his daily activities, may be recommended.

Laparoscopic Hiatal Hernia Repair
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What is Hiatal hernia?


A hiatal hernia occurs when the contents of the abdominal cavity protrude beyond the esophageal hiatus of the diaphragm. The following variables contribute to hiatal hernia:  
An expanded esophageal hiatus is caused by developmental defects.
The thoracic-abdominal pressure gradient has widened.
The phrenoesophageal membrane loses its elastic fibres as it ages.


What are the Different types of hiatal hernias?


There are four types of hiatal hernias they are:

The gastroesophageal junction is forced into the thoracic cavity, causing a sliding hernia.

This is one of the most common types of hiatal hernias, accounting for roughly 95 percent of all cases.
The second type is a paraesophageal hernia, in which the gastroesophageal junction is preserved but the gastric fundus protrudes across the diaphragmatic hiatus.
In the third sort, both the gastroesophageal junction and the stomach herniate above the diaphragm.
The fourth type of hernia occurs when organs other than the stomach protrude above the diaphragm, such as the colon.


What are the symptoms of 
hiatal hernia?


The symptoms of hiatal hernia are :

·         Difficulty in swallowing food

·         Shortness of breath

·         Chest and abdominal pain

·         Backflow of stomach acid into the esophagus or acid           reflux

·         Vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding

·         Feeling full as soon as you finish eating

·         Heartburn

 

Laparoscopic Appendectomy


What is appendix?


The appendix is a tube-like structure that connects the large intestine to the stomach and is usually found beneath the right side of the belly button.


What is Laparoscopic appendectomy and why is it performed?

A laparoscopic appendectomy is a surgical procedure that removes the appendix in cases of appendicitis.

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What are the advantages of Laparoscopic Appendectomy?


The advantages are :
 You will spend less time in the hospital as a result of the surgery. Scarring is minimal, and the healing process is short.


What are the symptoms of appendicitis?


Some of the common symptoms of appendicitis are:

·         Nausea and vomiting.

·         Loss of appetite.

·         Pain in the lower abdomen, predominantly on the               right side.

·         Pain in the lower abdomen while lifting something or while performing Jarring movements.


What are the avenues of 
treatments available?


Appendicitis can be treated with antibiotics and needle drainage operations, but these treatments have only been shown to be effective in a few cases, thus doctors usually prescribe surgery.

 

How is Laparoscopic appendectomy performed?


It’s similar to other laparoscopic procedures in that a laparoscope is inserted through incisions near the belly button, gas is slowly let into the abdomen, and after locating the appendix’s correct position through the laparoscope using surgical instruments inserted through other incisions, the appendix is gently disconnected and removed.
In most situations, the operation requires three incisions, although it can take up to four in some cases.