Laparoscopic Surgeries

General and Advanced Laparoscopic Surgeries

General and Advanced Laparoscopic surgery, also referred to as the minimally invasive surgery (MIS), or keyhole surgery is a modern technique in surgery where operations are performed far from their location through small incisions elsewhere in the body. The incisions are usually 0.5–1.5 cm.

Dr. Kiran KJ offers his expertise in general and advanced laparoscopic surgeries in Bangalore.

Compared to an open procedure, laparoscopic surgeries have many advantages which include lesser pain and blood loss due to smaller incisions, and much faster recovery time. Even though the procedure duration is longer, the time one needs to spend in hospital is much lesser, thereby allowing you to spring back to normal life faster.

Laparoscopic Surgeries

Dr.Kiran KJ can be approached for the following Surgeries :

Laparoscopic Cholecystectomy

laparoscopic-cholecystecomy

Laparoscopic Cholecystectomy is the removal of gall bladder through laparoscopic methods. Although very common in India, it is considered as a major yet safe and effective surgery.

In most people, removal of the gallbladder is not associated with any deterioration of digestion. Gallbladder issues are generally caused by the presence of gallstones or stones comprised of cholesterol and bile salts in the gall bladder or in the bile duct. You will only need general anesthesia for this procedure, which usually lasts 2 hours or less.

Laparoscopic Inguinal Hernia Repair

Inguinal Hernia or Groin Hernia is a condition where soft tissue bulges through a weak point in the abdominal muscles. It is a common condition affecting more than 10 million cases per year in India. It is also self-diagnosable, wherein pain can be felt in the abdomen, groin, pelvis, or testicle especially while coughing or lifting heavy objects.

This can be treated through two means –

  • TAPP Repair (Trans abdominal peritoneal preperitoneal), where the surgeon goes into the peritoneal cavity or the lining of the abdomen wall and places a mesh over possible hernia affected areas.
  • TEPP Repair (Totally Extra peritoneal pre peritoneal Repair), where the surgeon seals the Hernia from outside the peritoneum or the abdominal wall. The inner cavity is not accessed in this procedure.

Although laparoscopic treatment of Hernia is more difficult than open procedure, it is still favored by many due to reduced postoperative pain, lesser use of narcotics and earlier return to normal life. The operation takes about 2 hours on an average on general anesthesia, and the recovery time on an average is about 3 weeks time.

Laparoscopic Umbilical Hernia Repair

umbilical-hernia

Umbilical hernia occurs when the stomach muscles don’t join completely after cutting of the umbilical cord, and tissues bulge through this weak spot around the belly button or navel. These hernias are generally painless and don’t cause any discomfort. Majority cases of umbilical hernias will eventually close on their own. However, they will require surgery if the hernia becomes strangulated or stops blood flow to the intestine. If left untreated gangrene can develop, leading to dangerous infections.

It is best to consult doctor if the hernia bulge becomes painful, is larger than 1.5 inches in diameter and/or doesn’t reduce in size after one year.

The surgery lasts for about an hour on general anaesthesia. The bulged intestine is pushed back through the abdominal wall through an incision and the opening is closed with stitches (for children) or with mesh (for adults)

Laparoscopic Incisional / Ventral Hernia Repair

A ventral hernia is a bulge of tissues through a weak opening within the abdominal wall. They usually form at the healed site of past surgical incisions. It generally causes no discomfort, but one may feel pain while lifting heavy objects, coughing, or strain during urination or bowel movements.

In Laparoscopic Ventral Hernia Mesh Repair, the tissue is pushed back into place and a mesh is sewed in, which serves as a reinforcing patch, to keep it in place. This is considered safe and reliable, and mesh placement has been shown to reduce risk of hernia recurrence. The procedure takes less than 2 hours on general anaesthesia. One can bounce back to light activities in 2-3 days, and return to normalcy in 4-6 weeks.

Laparoscopic Hiatal Hernia Repair

Laparoscopic Hiatal Hernia

Hiatal Hernia happens when the esophageal hiatus or the diaphragm opening is larger than usual, thereby causing heartburn for over 30-60 mins, Regurgitation or Acid/Stomach contents reflux, Asthma, Pain in chest and stomach, or even bleeding.

Since this usually occurs in the chest area, the bulge or the enlarged opening is pushed into the abdomen area. The hiatus is then re-approximated to the appropriate size. Sometimes, in case of larger hernias or weaker tissues, prosthetic materials are used to prevent recurrence. Then a new lower esophageal valve is constructed by wrapping a small portion of the stomach around the lower esophagus and anchored to the diaphragm.

This procedure requires about 5 tiny incisions and lasts for 2-4 hours, depending on the size of the hernia. There will be diet control (liquid diet only) for first few days and can be discharged the next day of the surgery. The patient can return to normalcy within a week of surgery.

Laparoscopic Appendectomy ( Appendix Surgery )

This procedure is carried out to surgically remove the appendix during appendicitis. When the appendix gets inflamed or swollen, bacteria multiplies faster leading to pus formation. When left untreated, the appendix can burst and release bacteria and other harmful substances into the abdominal cavity. The most common symptom is a travelling stomach pain starting suddenly from near the navel and spreading to the lower right side of the abdomen. Symptoms can also include swelling, nausea, diarrhoea or constipation.

When doubtful of appendicitis or diagnosed of the same, an appendectomy needs to be performed right away to prevent complications.

The surgery is performed on general anaesthesia, and can be discharged within a day. One can return to normal routine in 1-3 weeks.

laparoscopic-appendix-removal

Laparoscopic GI Surgery

Gastrointestinal

GI Surgery or the Gastrointestinal Surgery is carried out to treat the diseases of the gastrointestinal tract and conditions of the mouth, esophagus, stomach, small intestine, large intestine (colon), rectum, and anus. Most of uncomplicated Laparoscopic GI Surgeries are carried out on general anesthesia and require 2-4 weeks before returning to normalcy.

There are 5 types of GI Surgeries that Dr.Kiran KJ handles –

  • Laparoscopic Splenectomy where the damaged spleen is surgically removed. Since spleen is an important organ that helps fight infection and filters out unwanted things from the system, splenectomy is a major surgery and leaves you with a compromised immune system. That is the reason it is performed only when necessary.

It is performed on general anesthesia and takes about 2 weeks to return to routine.

  • Laparoscopic Gastrectomy where either partial or the complete stomach is surgically removed, generally due to stomach cancer, life threatening obesity or ulcers. In this, the esophagus (food pipe) is directly connected to the small intestine or the remaining part of the stomach. You will still be above to digest liquids and foods but you may need to make several lifestyle changes after the procedure.

Gastrectomy being a major surgery, one will have to be in hospital for up to 2 weeks after the procedure.

  • Laparoscopic Right/Left Hemicolectomy or bowel resection where a part of or the complete colon is surgically removed. This is carried out when the colon had become cancerous, affected with conditions like IBD, or severe injury to the area.

There are two main kinds of hemicolectomies, left (the lower part of the colon which is attached to the rectum is removed) and right (the ascending part of the colon attached to the small intestine is removed). This procedure takes about 2 hours on general anesthesia and one would take about 3-6 weeks to recover.

  • Laparoscopic Anterior resection where the rectum, or the last part of the large intestine just before the anus, is surgically removed. This procedure is done to remove a malignant tumor within the rectum. Since the rectum is attached to the side walls of the pelvis and the other organs within the pelvis, the surgery which is carried out through small incisions in the abdomen, will first involve separating the rectum from the attached organs. The rectum is cut across surrounding the tumor and then the cut ends are joined to restore the continuity of bowel.
  • Laparoscopic Hydatid cyst Surgery is required where a cyst is formed in liver because of parasitic infestation by a tapeworm. Surgery is the only treatment for this since the parasite does not respond to any kind of drugs or medicines. If not treated early, the infection can spread to the lungs and eventually spread to the entire body through pulmonary circulation. The surgery lasts for about 90 minutes and the average discharge time is about 5 – 7 days.
Gastrointestinal1

Laparoscopic Urological Procedures

Minimally invasive urological surgeries are carried out to treat the diseased in the urinary track system and the male reproductive organs including the kidneys, adrenal glands, ureters, urinary bladder, urethra, and the male reproductive organs consisting of testes, epididymis, vas deferens, seminal vesicles, prostate, and penis. This method is majorly used for kidney cancer removal. The entire kidney may be removed through small puncture holes approximately 5 mm large. The hospital stay is usually just overnight and the average recovery time is about 2 weeks.

Dr.Kiran KJ handles 3 types of urological surgeries –

  • Laparoscopic Nephrectomy, which is the removal of cancerous or diseased kidneys
  • Laparoscopic Orchidopexy, which is the relocation or removal of impalpable testes especially in children
  • Laparoscopic Varicocelectomy, where the varicocele or the swelling in the scrotum veins are repaired, i.e, swollen veins are cut and the ends are closed off.
Laparoscopic-Orchidopexy

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