Minimally Invasive Surgeries

Introduction

Laparoscopy refers to surgeries performed in the abdomen or the pelvis area under the influence of general anesthesia. As it is a modern technique, the term laparoscopic surgery is used for surgeries performed through small incisions or cuts that are usually 0.5–1.5 cm in size instead of one large opening on the skin. A long, thin tube with a tiny camera at the end is passed through one of the cuts. Images are then projected onto monitors so that surgeons get a clear view. Special instruments are passed through the remaining incisions. These instruments help the surgeon to perform the surgery by exploring or removing an aberration inside the body.

Procedure that involves the chest area is called thoracoscopy. It is done to remove excess fluid or a portion of diseased lung. Various names are used for laparascopy (e.g. minimally invasive surgery or keyhole surgery). Contemporary development in laparoscopy is the use of robots. In this case, the procedure is called “robotic-assisted laparoscopy”.

Purpose

Laparoscopy is performed various reasons such as removal of adrenal glands, cancer, lung tumors, ovarian cysts, and benign cervical disorders, to name a few.

Risks

Laparoscopy only carries a small risk of damage to the organs. Other less common risks include blood clots or inflammation of the abdominal wall. However, patients should watch for signs of infection. For instance, fever, chills, nausea, vomiting or swelling. Some patients have had to undergo another surgery in order to repair the damage caused by laparoscopy. However, serious complications are estimated to occur in 1 out of every 1,000 cases. Robotic-assisted laparoscopy may further have a lower risk of complications in comparison to regular laparoscopy.

Merits

A keyhole surgery can take longer than a conventional surgery but the advantages usually outweigh the disadvantages. Laparoscopic surgeries are associated with a number of advantages in contrast to an open procedure. Few of these benefits include reduced pain due to small incisions, shorter recovery time, less scarring and reduced hemorrhaging. Brief hospital stays mean reduced expenditure and less time away from employment.

Preparation

The best way to be prepared is to discuss with your doctor and clear all your concerns before the procedure. Doctors may advice you to avoid eating and drinking for at least eight hours before the surgery. He or she may also adjust the dose of prescribed or over-the-counter medicines. You should let your doctor know, if you are pregnant in order to avoid damage to the developing fetus.

Care after Surgery

Laparoscopy is performed as a day procedure and patients can go home on the same day. Although most patients are able to resume normal activities within a few days, they are still advised to refrain from strenuous physical activity for at least a week or so. Postoperative pain also resolves within a few days and scarring is minimal.

Would you like to talk more about it?

Dr. Dinesh M G is highly regarded for performing laparoscopic procedures at CAN–C (cancer care) which is situated in Bangalore.

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