Laparoscopic Surgery also known as minimally invasive surgery is a surgical procedure performed to treat gastro intestinal diseases. Laparoscopic surgery employs very sophisticated equipment and has many advantages over open surgery.
During traditional open surgery the surgeon makes a large incision/cut in the abdomen. While performing laparoscopic surgery the surgeon makes 3-5 small incisions in the abdomen. Laparoscope, a specialized instrument with camera mounted in top will be used to view the insides of the abdomen. Other surgical tools are inserted through the incisions to perform the surgery. Patient won’t feel the pain as he will be under general anesthesia. Once the surgery is performed doctor will remove the laparoscope and the incisions are closed with stitches.
The advantages of laparoscopic surgery include:
Imagine a doctor says – ” you have to undergo surgery”, things which strike your mind are pain, ugly scars and the question ` When can I return to work?’ No more worries. We are in the era of Laparoscopy (minimally invasive surgery). Laparoscopic surgery has grown to such an extent that things formerly considered impossible are possible now.
Laparoscopic surgery is also known as “keyhole surgery”, as no large cut is made. This is a mode of surgery, which is performed through small holes created in the abdominal wall. The telescope, which is used to visualise organs inside the body, is passed inside the tummy via the navel. The tummy is distended with a gas to make more room. Picture images of the abdominal organs can be viewed on a TV screen. It gives visualization and clarity of the internal organs better than that of conventional surgery since the image is magnified. Two or three small pencil-like instruments are passed on the sides along with it to perform the procedure.
It is virtually painless and cosmetic (skin marks 1 cms or lesser). Your hospital stay is very much reduced so that you can walk home early. Infections and complications are substantially reduced and above all, the trauma of the operation is minimal. There isn’t much restriction in games or sports after surgery
Initially started in adults to remove gallstones, the technique is now successfully being used for surgeries of other organs in the tummy like Gullet, Stomach, Spleen, Liver, Pancreas, Small and large bowels, Uterus, Kidneys and Major Blood vessels. It is usually done under general anesthesia.
Lack of awareness, inadequately trained surgeons and improperly informed patients are the major problems associated with Laparoscopy, especially in our state. People stay away from the procedure thinking that it’s very expensive. But they don’t realize that though the technique is expensive, the over all cost is not when the short hospital stay and early return to work are taken into consideration
Patients often think that with Laparoscopic surgery, the treatment they are getting is sub optimal when compared to open surgery. That is not true. The surgeon can do a better job utilising the magnified image on the screen. Moreover the video images of the surgical procedure can be recorded and reviewed later if any need arises
Lot of studies are there in the world literature favoring Key-hole surgery for even cancer. Studies have shown that your surgeon can remove the abdominal cancer better by Laparoscopic surgery, than by the conventional surgery. In a case of cancer of the liver, Laparoscopic surgery can remove specified part of the liver affected by the disease with minimal blood loss.
Laparoscopic surgery for obesity is an area, which is evolving very fast. You don’t need to exercise a lot; you can reduce your overweight by taking a key-hole surgery
Though we are living in an era of robotic surgery, and though dedicated surgeons are trying to bring that technology within our reach, our patients are still reluctant to accept and utilise it because of myths and misconceptions existing in our society. Laparoscopic surgery is fast catching on. Let us hope for a new era where with the acceptance of Laparoscopic surgery people will start taking up surgery with a smile, without any apprehension