Laparoscopic Surgery often referred to as minimally invasive surgery or key hole surgery . Laparoscopy utilizes small (1/2 inch or smaller) incisions instead of the large incision used in traditional open surgical procedures. Through the small incisions trocars are inserted into the abdominal cavity, which is inflated with carbon dioxide gas to create space between the internal organs and allow visualization and organ manipulation. One of the trocars is used to allow access to the video camera, which also has a built-in light source.
- Less pain
- More cosmetic –scarless /minimal scarring
- Early return to bowel function
- Fewer chances of postoperative hernias or wound infection
- Less hospitalization and return to work
- More cost effective in long run
Laparoscopic Surgery has come a long way since its beginning. Initially it had to face a lot of criticism due to increased complications in case of Laparoscopic Cholecystectomies compared to open surgery. But, having understood the learning curve phenomenon, adapting to a new anatomical orientation of laparoscopy, high definition systems to visualize, sophisticated instrumentation like energy devices, 3D systems, ergonomically improved hand instruments. Laparoscopic surgery has become more safer & evolved than what it started with.
Now it is a well established speciality in surgery & most of the abdominal procedures are being done laparoscopically at tertiary care centres. Advanced laparoscopy which includes the procedures apart from appendicectomy, cholecystectomy & diagnostic laparoscopy is being done for more & more complex abdominal procedures with equal simplicity as open surgery.
Laparoscopic upper G. I. & colorectal surgery, bariatric & metabolic surgery, single incision surgery, robotic surgery based on a common basic background are established specialities. The misconception that doing G. I. Oncosurgery laparoscopically increased post site metastasis or has inadequate lymph node clearance is no more valid.
Bariatric & metabolic surgery although started in India 15 years ago, yet has less acceptance amongst doctors & misconceptions in common people at large.
The fact that it can reduce weight significantly & cure obesity related diseases i.e. type 2 obesity, hypertension, PCOD, obstructive sleep apnea etc. is not known to most of people.
Laparoscopic surgeries like diagnostic laparoscopic, appendectomy, cholecystectomy, ventral hernia, inguinal hernia, fundoplication and Bariatric Surgery are done by Dr. Kedar Patil.
- Fewer chances of adhesions
- Whole abdomen and thorax can be visualized in a magnified way