Department of General Surgery

 

Take Advantage of Laparoscopy
No pain, No big wounds, No long hospital stay.
Dr. Maran takes us through how some major surgeries can be performed through this technique.

What is Laparascopy?
In Greek (‘Laparo’ means abdomen – ‘skopein’- to view). Here, a telescope is introduced into the abdominal cavity through small holes of 1 cm. Images from the scope are projected onto a monitor. Surgery is performed by viewing the monitor. Additional openings of 0.5 cm are made as required. Because of the small point of entry, laparoscopy is also called “Keyhole/ Minimal Access Surgery/ Endoscopic Surgery /Band Aid Surgery/ Belly Button Surgery.”

Let’s take a look at some Laparoscopic procedures.

Laparoscopic Appendicectomy
The appendix is a small worm-like dead tissue at the junction between the small and large intestine which serves no purpose. Appendicitis means infection and inflammation of the appendix. It occurs when faeces or undigested food gets trapped in the dead space by the appendix, setting off infection.

As with any dead infected tissue, the appendix has to be removed. The best and simplest way is through surgical removal – Appendicectomy.

Compare the treatment
In conventional open surgical appendicectomy, an 8-10 cm long cut is made in the lower abdominal wall and the appendix is removed. After this surgery you will have to stay in the hospital for 4 days, (2-3 days before food is allowed) and you will be recommended complete rest for another 2 weeks and no heavy work for another 4 months. Compare this to Laparoscopic Appendicectomy. Only three 0.5 cm holes are made. You will be back to normal activity within 24 hours and can

return to work in 2 days. There is no pain and no need for attendants. Two months after the Laparoscopy the scar is gone – while in open surgery it remains as a life long reminder.

Laparoscopic Cholecystectomy
The gall bladder is a globular bag located on the undersurface of the liver. Its function is to store and concentrate the bile secreted from the liver. During the process the bile sometimes transforms into a salt called gall stones. Once a stone is formed it can obstruct the bile flow causing digestive

problems, pain and fever – and in some cases jaundice. If a stone migrates down it can cause pancreatitis (destruction of the pancreas). If you suffer from gall stones, the only option is to remove the gall bladder completely. Using the conventional method a 12-15cm long cut will be made in your upper abdomen to perform the surgery. Following this you will need to rest for 10 days before resuming routine work. In the Laparoscopic procedure only 3 holes of 0.5 cm are required and you will be back on your feet the next day itself!

Laparoscopic Assisted Vaginal Hysterectomy
No woman is immune to fear of hysterectomy. It brings images of pain, big surgical scar, prolonged bed rest, the possibility of wound infection, weight gain, post surgical back pain and surgical hernias. Even after hysterectomy you may continue to experience pain.

All these were side effects of conventional surgery which involves making a long incision of 15 cms, in the lower abdomen. Laparoscopic Hysterectomy, on the other hand calls for just 3 holes of 0.5 cms. You can return to normal routine in 2 days. Since no prolonged bed rest is required you won’t gain weight.

Laparoscopic Ovarian Surgeries
Usually young females have a problem in their ovaries. The cause? Either multiple small cysts or large cysts containing fluid or a tumour. By open method a 8-10 cm cut is made in the lower abdomen to do surgery in the ovaries. But in Laparoscopy 3 holes of 0.5 cm holes is enough. They are immediately discharged and back to normal in a day.