Laparoscopic Surgery in India

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Laparoscopy is a type of surgical procedure in which a small incision is made, usually in the navel, through which a viewing tube laparoscope is inserted. Laparoscopy is a surgical procedure that is done in the hospital under anesthesia. For diagnosis and biopsy, local anesthesia is sometimes used. After the patient is anesthetized, a hollow needle is inserted into the abdomen in or near the navel, and carbon dioxide gas is pumped through the needle to expand the abdomen. This allows the surgeon a better view of the internal organs. It is difficult to credit one individual with the pioneering of laparoscopic approach. In 1902 Georg Kelling of Dresden performed the first laparoscopic procedure in dogs and in 1910 Hans Christian Jacobaeus of Sweden reported the first laparoscopic operation in humans. The introduction in 1990 of a laparoscopic clip applier with twenty automatically advancing clips rather than a single load clip applier that would have to be taken out, reloaded and reintroduced for each clip application made surgeons more comfortable with making the leap to laparoscopic cholecystectomies gall bladder removal. Laparoscopic cholecystectomy is the most common laparoscopic procedure performed. In this procedure, 5-10mm diameter instruments graspers, scissors, and clip applier) can be introduced by the surgeon into the abdomen through trocars (hollow tubes with a seal to keep the CO2 from leaking. Rather than a minimum 20cm incision as in traditional cholecystectomy, four incisions of 0.5-1.0cm will be sufficient to perform a laparoscopic removal of a gallbladder. In certain advanced laparoscopic procedures where the size of the specimen being removed would be too large to pull out through a trocar site as would be done with a gallbladder, an incision larger than 10mm must be made. The most common of these procedures are removal of all or part of the colon colectomy) or removal of the kidney nephrectomy. Conceptually, the laparoscopic approach is intended to minimise post-operative pain and speed up recovery times, while maintaining an enhanced visual field for surgeons. Due to improved patient outcomes, in the last two decades, laparoscopic surgery has been adopted by various surgical sub-specialties including gastrointestinal surgery (including bariatric procedures for morbid obesity), gynecologic surgery and urology. The restricted vision, the difficulty in handling of the instruments (new hand-eye coordination skills are needed), the lack of tactile perception and the limited working area are factors which add to the technical complexity of this surgical approach.There are a number of advantages to the patient with laparoscopic surgery versus an open procedure.

Written by Laparoscopic Surgeon

August 5th, 2008 at 1:39 pm

Posted in Laparoscopic

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