Welcome and remember this if you want to survive on SRK
Laparoscopic surgery, also called minimally invasive surgery, Minimal Access Surgery, band aid
surgery, or keyhole surgery, is a modern surgical technique in which operations in the abdomen
are performed through small incisions (usually 0.5-1.5 cm) as opposed to the larger incisions
needed in laparotomy. Keyhole surgery utilizes images displayed on TV monitors to magnify the
surgical elements. Laparoscopic surgery includes operations inside the abdominal or pelvic
cavities, whereas keyhole surgery performed around the thoracic or chest cavity is called
thoracoscopic surgery. Laparoscopic and thoracoscopic surgery fit in with the broader field of
endoscopy. There are a variety of advantages to the individual with laparoscopic surgery versus
a wide open procedure. These include reduced pain because of smaller incisions and
hemorrhaging, and shorter time to recover. Use of body cavities in order to undertake surgical
treatments by other means than making a large cut has been a technique waiting for it is time.
Laparoscopic surgical techniques are being put on an increasing number of surgical treatments.
Patients are attracted to the reduced pain and faster recovery associated with the procedures,
and surgeons have found that laparoscopic surgery matches traditional open procedures in
terms of effectiveness.
What is laparoscopic surgery?
Translated from the Greek, “Laparoscopy” means examination of the abdomen having a scope,
which is also known as an Endoscope. When the procedure is done within the chest it is known
as Thoracoscopy. An Endoscope in the bladder is cystoscopy and in the uterus is hysteroscopy
and so on. The other terms used are key-hole surgery and laser surgery.
Explaining laparoscopic surgery is best accomplished by comparing it to traditional surgery.
With traditional or ‘open’ surgery, choices must make a cut that exposes the area of the body to
become operated on. Until not too long ago, opening your body was the only method a surgeon
could carry out the procedure. Now, laparoscopy eliminates the requirement for a sizable cut.
Instead, choices use a laparoscope, a skinny telescope-like instrument providing you with
interior views from the body.
Although laparoscopy has been utilized for several years by gynaecologists to evaluate pelvic
pathology, most surgeons did not recognize its value until laparoscopic gall bladder operation
was done. Ever since then, the use of laparoscopic instruments and methods has greatly
World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon, NCR Delhi, 122 002, India
PHONES: +91(0)9811416838, +91(0)9811912768, +91(0)12- 42351555
Email: contact@laparoscopyhospital.com
Website: http://www.laparoscopyhospital.com, http://www.worldlaparoscopyhospital.com
improved, and new uses are being developed rapidly.
What is Minimal Access Surgery and Non-invasive Surgery?
As utilization of telescope and fine instruments, spread with other areas of the body, a new
terminology was necessary. Strictly speaking laparoscopy is only for that abdomen. Hence the
above terms which mean exactly the same emerged as an umbrella name under which all
endoscopic / telescopic along with other surgery might be done in today’s world lowering the
cuts and trauma towards the body wall.
How is laparoscopic surgery done?
During laparoscopic surgery, laparoscopic surgeon make a small 10mm cut in the skin at the
belly button. Then a cannula is introduced among the muscle fibres without cutting any of the
muscle. Through the cannula, the laparoscope is inserted in to the patient’s body.
Laparoscope is equipped with a little camera and lightweight source that permit it to transmit
images through a fibre-optic cord to some television monitor. The television monitor shows a
higher resolution magnified image. Watching the monitor, choices are capable of doing the
process. Acquire the best inside the patient, further 5mm or 3mm diameter cannulas are put in
based upon the process e.g. yet another for a diagnostic laparoscopy, two more for groin hernia
repairs and three more for any laparoscopic gallbladder operation. Instruments are introduced
with the cannulas and the operation is conducted exactly as one would did exactly the same
procedure at an open operation. All fundamentals of surgery are strictly followed during
laparoscopic surgery.
Lately single incision laparoscopic surgery (SILS) originates up where all instruments are
introduced using it. By single Incision laparoscopic surgery many but not all procedures can be
achieved in selected patients that way. Recently robotic surgery is also been done by same
incision as laparoscopy. In da Vinci robotic surgery precision of surgery is much better.
What are the advantages of laparoscopic surgery?
One of the biggest advantage of laparoscopic surgery is that the recovery time in the immediate
post-operative period is quicker. Patients often go home after only 24 hours to recover in the
comfort of their own home. The small incisions tend to be less painful and patients often need
less postoperative pain medication as a result. Fewer wound infections occur. The cosmetic
results are also appealing as the scar is limited to three or four skin incisions that are less than
one half inch long. The most typical question asked is whether laparoscopic surgery another
cosmetic operation, the benefit of that is restricted to the bikini wearing public. There are lots of
more advantages of this procedure:
The pain is minimal like one would have following a skin cut.
Less possibility of hospital acquired infections.
Fewer post-operative chest complications.
Early return to work.
No residual weakness.
Minimal risk of incisional hernias.
Less disturbing to normal physiology.
During hernia operations, already weak muscles are not cut, as would have been the
case in open surgery.
Exploratory ’ open & close ’ look into the tummy operations are avoided and also the
same information is gained on diagnostic laparoscopy like a day case patient with one or
maximum two holes.
Avoidance of big cuts and rib removals and sternotomy in thoracoscopy when it comes to
thoracoscopic surgery. In the case of diagnostic laparoscopy, quick details are gained and also
the entire process could be documented on video and additional opinion can be obtained from
other surgeons in case of a diagnostic dilemma.
Despite small holes, there isn’t any compromise in neuro-scientific vision. Much more of the
’insides’ is visible than can be done in an open operation. Unlike the ‘mini-incision’ operations,
here the entire tummy could be visualised ensuring no abnormal anatomy or pathology is
missed.
How would be the laparoscopic operations done?
One of the most commonly performed surgery by laparoscopic cholecystectomy. Throughout a
laparoscopic gallbladder operation, the assistant surgeon grasps the gallbladder and also the
surgeon frees its duct and artery. These are then clipped or tied off and the gallbladder removed
from the liver bed. After ensuring that there isn’t any bleeding or injury, the gall bladder such as
the stones is taken away and among the cannulas. Your skin is closed with absorbable sutures.
Patient will be able to go home in 12 to 24 hours after laparoscopic surgery.
One of the other surgery performed by laparoscopic general surgeon. During a laparoscopic
hernia repair, three holes are created in the level of the navel and also the hernia reduced. A
non-reactive mesh is put over the hernia defect site and fixed in place. The approach to the
hernia is not through already weak muscles as is the situation with open hernias hence chances
of recurrence are less. The greatest advantage of laparoscopic surgery for hernias is in patients
of recurrent hernias in which the anatomy has already been disturbed and also in patients of
hernias on sides, as they can be repaired through the same three holes avoiding any further
pain or trauma.
In many of the patient’s pain abdomen where a cause cannot be found after a many
investigations, a diagnostic laparoscopy can offer rapid answers. The individual with doubtful
appendicitis is best evaluated laparoscopically and patients with suspected TB or Cancer
abdomen could have a laparoscopic biopsy from the lymph nodes or perhaps an intestinal
World Laparoscopy Hospital
Cyber City, DLF Phase II, Gurgaon, NCR Delhi, 122 002, India
PHONES: +91(0)9811416838, +91(0)9811912768, +91(0)12- 42351555
Email: contact@laparoscopyhospital.com
Website: http://www.laparoscopyhospital.com, http://www.worldlaparoscopyhospital.com
biopsy to make a quick and objective pathological diagnosis.
Another established laparoscopic procedures in present era include bariatric surgery, strategy to
ovarian cysts, hysterectomy, hiatus hernia, peptic ulcer surgery, intestinal resections, direct
vision liver biopsy, division of adhesions, laparoscopically assisted intestinal resections,
myomectomy, radical hysterectomy, colorectal surgery, repair of vault prolapse etc. and some of
the thoracoscopic procedures are for achalasia cardia, cysts, lung biopsies etc
Welcome to SRK. If you weren’t 13 years too late, you would’ve been issued a challenge by Fatherbrain to take on his SF2 Zangief. That was the true indoctrination into SRK back in the day for newbies.
Everyone knows that Calves/Legs and Feet lovers are just an off shoot of Ass lovers.
If you going to be a Leg/Thigh/Calf guy or a foot guy you are also into ass, your taste in ass will change but you are still into the booty.
Most breast men aren’t into anything else.
I am more like a Sir-Mix-alot video, a breast in one hand and a thigh in the other. :wgrin:
The ‘at least the women I post are known for other things than a big butt (and bad attitude)’ set that one guy off.
Guess what game I stopped following on steam, when I think I only followed to see the trainwreck that is that game will never be finished, already like 5 years later now. (soviet totally bought that game in buying too many games steam summer sale)
