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A Complete Guide to Minimal Access Surgery

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Minimal Invasive Surgery

A Complete Guide to Minimal Access Surgery

Minimal access surgery also known as laparoscopic surgery or keyhole surgery is a modern technique of surgical treatment where a small incision is used to operate instead of large cuts. From small cuts, we refer to keyhole-sized incisions that allow surgeons to insert a telescope like an apparatus inside the human body to diagnose or treat a prevailing medical condition. When traditionally operated, the surgeon needs to make large cuts on the human body in order to view inside and operate. However, minimal access surgery allows surgeons to have a clear and better view of the insides of a human body through digitally transmitted images from a video camera, inserted inside the body. The camera acts like a surgeon’s vision during the surgery and allows performing a critical operation, efficiently.

Different types of minimal access surgeries:

When minimal access surgery is performed in the abdominal area of a patient, it is known as laparoscopy. On the other hand, when the technology is used to operate on joints it is known as arthroscopy, and when on the chest the procedure is named as thoracoscopy.

Let us have a better understanding of different types of minimal access surgical treatments:

  • Laparoscopy: One of the most common minimally invasive surgery is Laparoscopy. In this surgery, a video camera mounted on a telescopic instrument is inserted inside the abdominal range of the human body. This video camera transmits live images of the inside of the human body to a monitor, which the surgeon utilizes to proceed with the procedure. Laparoscopy is the procedure when the operation is performed in the abdomen area.
  • Arthroscopy: Another important keyhole surgery, Arthroscopy is used for examining and treating damage or other complications to the joints. The apparatus used for the procedure is known as an arthroscope, which is an endoscope device that is inserted inside the human body at the joints to get a view of the inside with minimal invasion.
  • Thoracoscopy: Thoracoscopy is a procedure that is used to examine and identify the problems in the lung region. Usually, doctors perform Thoracoscopy to check the pleural lining of the lungs and the surface of the lungs. Like other minimally invasive methods, a thoracoscope is introduced into the chest cavity through a minimal incision to identify signs of pleural mesothelioma such as inflammation, pleural plaques, and pleural thickening.

Minimal access or laparoscopic surgery: condition & treatments

Minimal Access Surgeries are one of the best ways to treat a range of medical conditions. It is recommended by the experts because of the successful results it has to offer. The most common health conditions & treatments where minimal access surgery is recommended include:

  • Gall Bladder Surgery
  • Hernia Repair
  • Anorectal conditions
  • Appendix Surgery
  • Intestinal Obstruction
  • Thyroid and Parathyroid glands
  • Solid Organ Surgery

Depending upon the condition of the patient and the extent of the condition the surgeon may recommend a minimally invasive procedure for the treatment. The success rate of Minimal Access Surgery is way higher than that of traditional surgeries along with many other exclusive benefits.

Advantages of minimal access surgery

The advantages of Minimal Access Surgery are over and above the benefits of conventional surgery. It can be broadly classified under two heads.

Benefits for the patient

The biggest advantage of Minimal Access Surgery is in an aspect of Cosmesis. The patient does not have to deal with large wounds and then scars in case of a minimally invasive procedure. Also, because the size of the wound is minimal, the healing time for the surgery is minimal too. The patient can gain back movement within a week or even less. As the patients get their mobility back, they get a physiological boost for early recovery.

To summarize, the benefits of minimal access surgery for patients include:

  • Lesser pain
  • Early recovery
  • Quick cosmesis
  • Short hospital stay and expenses
  • Lesser complications
  • Better results
  • Quick return to normal life

Benefits for the doctor

All the advantages of minimal access surgery for doctors also have favorable outcomes for the patients as they are the primary party getting affected by the treatment. The benefits include the large and magnified view of the inside of the body. In the case of cancer like diseases wherein the problem has expanded beyond treatment, the doctors can always have a visual examination
Any problem related to large incisions such as infection or pain in scars and hernia formation is limited in minimal access surgery.

Common myths about minimal access surgery

There are certain myths about the surgical procedure which do not have any scientific base and support. These myths include:

  • Minimal invasive surgery is an incomplete procedure and there are always chances of reoccurrence – This is not true as the results of conventional surgery as well as minimal access surgery is almost the same, in fact, better.
  • The complication rate is higher – Certainly not, when performed by a qualified surgeon, minimally invasive methods are least complicated.
  • An expensive procedure – There is only a small difference between the cost of conventional surgeries and the cost of minimally invasive surgery.
  • All the surgery can be performed utilizing the minimally invasive method. – No, not all surgeries can be performed utilizing the MAS technique. However, thanks to modern technology the expanse of MAS is rising and more and more procedures can be now done utilizing the minimally invasive surgery techniques.

 

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Medicare

First in Ludhiana to get NABH Safe-I Certificate

First in LudhianaRG Stone has become the first hospital in Ludhiana to get Safe-I certificate from National Accreditation Board for Hospitals & Healthcare Providers (NABH). Safe-I is the most comprehensive certification program that enables healthcare organizations in upgrading their infection control practices thereby ensuring quality care for their patients. It is increasingly being recognized by healthcare fraternity that a vibrant and functional infection control program is the cornerstone of ensuring safety and quality.

It will help us to get recognized as a hospital that follows the mandated quality protocols and has a vibrant infection control program that enables safety for the patients, ensures safety for the healthcare workers, and has processes that ensure that it does not generate waste that is dangerous to the community.

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Medicare

RG Stone now in Bathinda

We proudly announce the opening of our satellite clinic cum information centre in Bathinda. Every Saturday our urologists from RG Stone, Ludhiana will be attending the OPD from 10:00 am to 2:00 pm

Patients from Bathinda and adjoining regions can call us at 0164-5012222 or on our 24 hrs helpline 98769-10000.

RG Stone Bathinda

Categories
Minimal Invasive Surgery

Rare Endocrine Tumour Removal Surgery

One rare case of the endocrine tumour has been operated at RG Stone And Super Speciality Hospital on 12-May-2010 by Dr. HS Jolly. An old female, Karamjeet Kaur, aged 60 yrs, r/o distt. Jallandhar came to the hospital on 10-May-2010 with the complaint of one big mass in the upper abdomen. She was suffering from this disease for three years and had constant distress in the abdomen with heaviness after meals along with other digestion troubles. Upon clinical examination and investigation, she found to have one tumour arising from the head of the pancreas. After full preparation she was operated upon by Dr. HS Jolly, Chief Laparoscopic & Endoscopic Surgeon at RG Stone & Super Speciality Hospital.

After opening the abdomen, one mass with big blood vessels surrounding vital structures was found. Tumour of more than 12 cm. X 12 cm. in dimension removed carefully without any damage to surrounding structures.

The patient recovered well after such marathon surgery and has been discharged in a healthy condition. At the time of discharge, she was not feeling any distress and any other related problems.

Microscopic examination of tumour suggested it as an endocrine tumour from the pancreatic head region and such type of tumour with that big dimension is rare to be found in the medical literature.

Categories
Advanced Urology Minimal Invasive Surgery

Five Months Old Baby Operated Successfully with Holmium Laser

Baby Manvi, a 5 months old female child was having a rare congenital anomaly of her left Kidney. There were two kidneys on her left side (called duplex kidney), both of which were opening separately in her urinary bladder, but the problem was that one of these two kidneys was having blockade of its ureter due to a condition called ureterocele (the dilated lower part of the ureter which blocks its own passage). A big ureterocele was obstructing the passage of the urinary bladder.

Dr. Anand Sehgal, Chief Urologist at RG stone & Super Specialty Hospital, Ludhiana performed this difficult surgery with the help of the holmium laser and a very small telescope on Thursday, 11th Feb 2010. This operation was done without any incision on the skin, with the help of laser, the dilated lower end of the blocked ureter was opened.

The baby was fine after 3 hours of surgery taking her mother’s feed and was discharged from the hospital on Friday. (within 36 hrs of admission)

Duplex Kidney is a very rare congenital anomaly. This defect occurs during the development of the kidney while the baby is in the mother’s womb.

Previously this condition used to remain undiagnosed until the child grew up and the disease had caused complications. Thanks to the ultrasound modality which now helps us to diagnose this condition even before the baby is formed and timely action can be taken to preserve the kidney from further damage. Such highly advanced procedure requires a combination of modern technology and the exclusive skill of the surgeon.

The facility of such advanced urological procedures is available in very few centres in India.

Categories
Minimal Invasive Surgery

New Era of Laparoscopy

Conventionally cholecystectomy is done by laparoscopy by putting four holes over the abdomen. As the surgical field is evolving and technologies are becoming advanced day by day, especially in laparoscopic surgery, now this surgery can be performed by putting a single incision over the abdomen.

Recently, this operation has been performed successfully for the very first time in Punjab at RG Stone And Super Speciality Hospital. The patient was a young lady and was distressed with gall stone problems for a long and was planning to do this operation in the least possible invasive way. As per the plan, the procedure went smoothly by a single hole over the abdomen and the patient was being discharged the next day. The surgery was a success with a single scar, hence cosmetically superior with minimal need for medications and with no chance of pain in the long run at other scar sites.

The dawn of a new era of laparoscopy has been started and minimally invasive surgery has become more minimal. In the above single port cholecystostomy, state of the art imported instruments was used. After putting a single incision over the abdomen; the flexible port was inserted and through the port miniature camera and miniature instruments were used to perform the surgery.

Categories
Minimal Invasive Surgery

Successful Holmium Laser Surgery on Kids

Recently a 15 months old baby named Jagjeevan Singh from Jagraon, presented with the pain while passing urine and he was diagnosed to have two large bladder stones measuring 18 mm and 15 mm. After conducting initial tests, our specialized team of RG Stone decided to opt for Holmium Surgery. Finally, the kid was discharged 24 hours after surgery.

Thanks Holmium Laser,
Thanks Team RG Stone.

Categories
Advanced Urology Kidney Diseases Minimal Invasive Surgery

Laparoscopic Pyeloplasty to cure Horse Shoe Kidney with PUJ Obstruction

A young female patient named Mrs. Tripta Goel age 25 years from Mandi Gobind Garh (Punjab) India, presented with pain in the left flank. Her initial investigations showed that she was having an anomaly in her kidney, which is called the horseshoe kidney. In addition, she was having obstruction at the junction of pelvis and ureter (PUJ Obstruction). This problem requires surgery (Pyeloplasty).

The chief urologist at RG Stone, Ludhiana, Dr. Anand Sehgal (Mch, Urology) performed the procedure of laparoscopic pyeloplasty on 29th October 2009. Conventionally, this surgery is being done through a large incision in the abdomen which requires prolonged hospitalization and painful recovery. However, surgery at our center was done laparoscopically through three small holes. Mrs. Tripta was discharged from hospital on 4th day in satisfactory condition. This is a technically demanding procedure and is considered to be an advanced laparoscopic urological procedure that is being done in very few centers in India.

Categories
Advanced Urology Minimal Invasive Surgery

Kudos for the team RG

Me & my wife came to India for the holiday. Before coming here, I was suffering from hernia & my wife had a sinus problem. Therefore, while on the tour we decided for the surgery. I searched on the web about the best hospital for the hernia treatment. We found so many hospitals but after going through several inquiries, we both decided to go for a specialty hospital that is RG Stone, Ludhiana. We were warmly welcomed by its medical superintendent & his core team. It was a pleasant experience of getting expert treatment from Dr. H.S. Jolly (Laparoscopic Surgeon), Dr. S.V. Gupta (ENT Surgeon) & their team. After the surgery, within two days we were feeling much more comfortable.

All in all, we are really impressed by the facilities provided by the hospital & pleasing behavior of staff. Thanks to the entire RG Stone family. Keep it up…

Mr. & Mrs. Peter T. Sweka
Directorate of Youth & Sports, Sudan

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