Laparoscopy

Laparoscopic surgery is ‘keyhole’ or ‘minimally invasive’ surgery. It is the technique of performing surgery through one or more very small skin incisions, rather than one large incision. Through these small incisions, ports are placed to pass a telescope and instruments, and carbon dioxide is used to inflate an operating work space. Laparoscopic surgery’s main advantages are the reduction of pain and shortening of recovery period in comparison to traditional open surgical incisions. Other potential advantages include a close-up and magnified view of internal organs allowing precise surgery, as well as reduced blood loss and a superior cosmetic appearance. Laparoscopic surgery has been the standard of care for many years in various surgical fields (such as gall bladder and kidney removal), and when performed by a trained laparoscopic surgeon in jalandhar is as safe and effective as open surgery.

Advantages of Laparoscopic Surgery

• Small Incision
• Excellent Vision
• Operation under Magnification
• Less Morbidity

The following operations are now regularly performed laparoscopically:

Laparoscopic Nephrectomies :

Nephrectomy means the removal of one or both the kidneys. Hence, laparoscopic nephrectomy is a minimally invasive technique and an effective method used to remove a diseased or a cancerous kidney. The surgical procedure is completed through three small incisions in the abdomen, and the kidney is removed. Apart from this, Laparoscopic partial nephrectomy is also done to remove small renal tumors. This approach offers lesser discomfort and the equal results as open surgeries. Laparoscopic Nephrectomy is suitable for patients with benign conditions, which results in end-stage kidney disease, also commonly known as kidney failure, the symptoms of which consist of infection, kidney stones, obstruction, dysplasia, etc.

Laparoscopic Pyeloslasty :

Laparoscopic pyeloplasty is a least invasive surgical method which is used to remove blockage from the base of the kidney. Pyeloplasty is beneficial for patients suffering from UTI, urination problems, abdominal pain and kidney stones too. An endoscope (small and flexible surgical tube) is used to insert a powerful however tiny video camera, miniature surgical tools and stent implant into the body through very small incisions. These are useful to repair tissue damage efficiently. Laparoscopic pyeloplasty is performed under a general anesthetic. The typical length of the operation is 3-4 hours. The surgery is performed through 3 small (1cm) incisions made withinside the stomach. A telescope and small gadgets are inserted into the stomach through these keyhole incisions, which allow the urologist to repair the blockage/narrowing without having to place his hands into the stomach.

Laparoscopic VVF Repair :

Vesico vaginal fistula (VVF) is a common consequence of gynecologic procedures. Fistula means connection between two organs because of creation of hole in the organ. VVF occurs due to communication between bladder & vagina. A whole occurs in bladder as well as in vagina. Cause of VVF is difficult hysterectomy done for uterine fibroid, Dysfunctional menstrual bleeding and other uterine condition because of improper exposure or severe bleeding trauma may occur to bladder wall. Due to trauma a part of the bladder wall becomes a vascular and finally it creates fistula with Vagina. Treatments consist of transabdominal, transvaginal and laparoscopic surgery. New methods for laparoscopic VVF repair aim to improve treatment outcomes and reduce post-operative complications.

Laparoscopic Ureteris Reimplantation :

Laparoscopic ureteral reimplantation is surgery to reposition a ureter. The ureter is a tube between the kidney and the bladder. It allows urine to pass down to the bladder. Laparoscopic procedures use small incisions and specialized tools. This enables to avoid large incisions that are needed with open surgery. Laparoscopic ureteric reimplantation by transvesical approach can be challenging because of the limited space and the risk of ports slipping out. It also involves considerable expertise in suturing. In extravesical reimplantation, suturing the bladder mucosa to the ureter and creating a submucosal tunnel, need dexterity.