Laparoscopic Surgery

Operations within the abdominal or pelvic cavities come under advanced laparoscopic surgery, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery. Both the surgeries, laparoscopic as well as thoracoscopic belong to the wider field of endoscopy.

As compared to open surgery, there are number of advantages to the patient with laparoscopic surgery. Due to smaller incisions and hemorrhaging, there is reduced pain and shorter recovery time.

Today there is no abdominal surgery which is not performed laparoscopically.


The Digital laparoscope
A charge-coupled device is placed at the end of the laparoscope in this digital laparoscope technique. This eliminates the use of rod lens system. A fiber optic cable system is also attached which is inserted through a 5 mm or 10 mm cannula or trocar to view the operative field. To illuminate the operative field, the cable system is connected to a 'cold' light source (halogen or xenon). Carbon dioxide gas is used for blowing up abdomen like a balloon, as it is common to the human body and can be absorbed by tissue and removed by the respiratory system. CO2 gas is also used as it is non-flammable, which is important because electrosurgical devices are commonly used in laparoscopic procedures. Other than this; the abdomen can be also insufflated. Elevation of abdominal wall above the internal organs creates a dome shaped working and viewing space.

Advantages
As compared to open procedure, there are a number of advantages to patient with laparoscopic surgery. These include:

Reduced pain, less post-operative scarring and shorter recovery time with smaller incisions Low chance of requiring a blood transfusion due to reduced bleeding Less pain, leading to less pain medication needed Internal organs are not exposed for long to external contaminants thereby reduced risk of acquiring infections Hospital stay is less and sometimes it can be a same day discharge which leads to a faster return to everyday living

Dr Radhakrishna has extensive experience in :

Laparoscopic colonicresection (removal of part of colon) Laparoscopic AP resection (removal of rectum) Laparoscopic rectopexy (fixing prolapsed rectum) Laparoscopic cholecystestomy (removal of gall bladder with stone) Laparoscopic appendictomy (removal of appendix) Laparoscopic cardiomyotomy (fixing narrowed food pipe) Laparoscopic fundoplication (fixing dilated food pipe) Laparoscopic hydatid cyst liver surgery Laparoscopic splenectomy Laparoscopic bariatric surgery Laparoscopic esophageal surgery Laparoscopic diaphragmatic hernia repair Laparoscopic ventral hernia repair Laparoscopic inguinal hernia repair Laparoscopic cystogastrostomy