Laparoscopic surgery or Laparoscopy also called minimally invasive surgery (MIS), band aid surgery, 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 compared to the larger incisions needed in laparotomy. It is one of the most significant advancement of Surgery which took place in the 20th century. It has contributed greatly to the three corner stones of Modern Surgery viz. Reduction of Pain, Bleeding and Infection. Although laparoscopy has been used for many years by gynecologists to evaluate pelvic pathology, most surgeons did not recognize its value until laparoscopic gall bladder operation was done. Since that time, the application of laparoscopic instruments and techniques has greatly improved, and new uses are being developed rapidly.
What is Laparoscopic Surgery?
Laparoscopic surgery is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5–1.5 cm) as compared to the larger incisions needed in laparotomy. It is a direct visualization of the peritoneal cavity, ovaries, outside of the tubes and uterus by using a laparoscopy. The laparoscopy is an instrument somewhat like a miniature telescope with a fiber optic system which brings light into the abdomen. It is about as big around as a fountain pen and twice as long.
How it works?
During laparoscopy, a small 1/2 inch cut is made in the skin at the belly button. Then a cannula (thin tube) is introduced in between the muscle fibers without cutting any of the muscle. Through the cannula, the laparoscope is inserted into the patient's body. It is equipped with a tiny camera and light source that allow it to send images through a fiber-optic cord to a television monitor. The television monitor shows a high resolution magnified image. Watching the monitor, the surgeon can perform the procedure. While looking inside the patient, further 1/2" or 1/4" diameter cannulas are put in depending upon the procedure e.g. one more for a diagnostic laparoscopy, two more for groin hernia repairs and three more for a laparoscopic gall bladder operation. Instruments are introduced through the cannulas and the operation is performed exactly as one would have done the same procedure at an open operation. All fundamentals of surgery are strictly followed during laparoscopic surgery. Lately single incision laparoscopic surgery (SILS) has come up where all instruments are introduced through the same incision (many but not all procedures can be done in selected patients using this method).
What are Types of Laparoscope?
There are two types of laparoscope:
A telescopic rod lens system, that is usually connected to a video camera (single chip or three chip),
A digital laparoscope where the charge-coupled device is placed at the end of the laparoscope, eliminating the rod lens system.
What Types of Procedures Performed under Laparoscopic Surgery?
Dozens of different kinds of operations are now being done using these new minimally invasive techniques. These include operations on the abdomen, heart, reproductive organs, nerves, ear, nose, sinuses, throat, joints, chest organs, urinary tract, and blood vessels. These techniques are also used in plastic and reconstructive surgery. It may be an appropriate choice for conditions and diseases such as the following:
Diseases and conditions of the abdominal organs, including:
Removal of a damaged or diseased spleen;
Inguinal hernia repairs, when part of the intestine bulges through a weakened segment of the abdominal wall;
Gastroesophageal reflux disease (GERD).
Some problems of the colon (large intestine) or rectum; and
Removal of an infected or inflamed appendix
Gynecological conditions or procedures including:
Pelvic pain of uncertain cause;
Treatment of torn cartilage, ligaments, joint pain, and mobility problems in:
Lower back pain caused by a herniated spinal disk ; and
Spine, such as fusing segments of the backbone together to make the spine more stable.
Correction of abnormalities in the paranasal sinuses that cause chronic sinus infections:
What are the Advantages of Laparoscopic Surgery against Open Procedure ?
There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include:
Reduced hemorrhaging, which reduces the chance of needing a blood transfusion.
Smaller incision, which reduces pain and shortens recovery time, as well as resulting in less post-operative scarring.
Less pain, leading to less pain medication needed.
Although procedure times are usually slightly longer, hospital stay is less, and often with a same day discharge which leads to a faster return to everyday living.
Reduced exposure of internal organs to possible external contaminants thereby reduced risk of acquiring infections.
Although laparoscopy in adult age group is widely accepted, its advantages in pediatric age group are questioned. Benefits of laparoscopy appear to recede with younger age. Efficacy of laparoscopy is inferior to open surgery in certain conditions such as pyloromyotomy for infantile hypertrophic pyloric stenosis. Although laparoscopic appendectomy has lesser wound problems than open surgery, the former is associated with more intra-abdominal abscesses. While general benefits of having laparoscopy is as under:
There is no cutting of the muscles as the holes are made in between the fibers.
The pain is minimal like one would have after a skin cut.
Less chance of hospital acquired infections
Fewer post-operative chest complications
Early return to work
No residual weakness.
Minimal risk of incisional
Less disturbing to physiology.
Exploratory ' open & close ' look into the tummy operations are avoided and the same information is gained on diagnostic laparoscopy as a day case patient with one or maximum two holes.
Avoidance of large cuts and rib removals in the case of thoracoscopic surgery
In the case of diagnostic laparoscopy, quick information is gained and the entire procedure can be recorded on video and further opinion can be taken from other surgeons in case of a diagnostic dilemma.
Despite small holes, there is no compromise in the field of vision. Much more of the 'insides' can be seen than is possible at an open operation. Unlike the 'mini-incision' operations, here the entire tummy can be visualized ensuring no abnormal anatomy or pathology is missed.
What are the Preparations for Laparoscopic Surgery?
Patients scheduled for laparoscopic surgery usually visit the doctor's office before the operation to discuss the procedure in detail. During the visit, the doctor should fully explain the procedure, what will be done and why, the risks, and how you will benefit from the procedure. The doctor also should answer questions about the procedure. Tests may be ordered, which include blood and urine tests, an electrocardiogram, and possibly an ultrasound scan or x-ray. For further information about ultrasound, go to Ultrasound.
On The Day Of The Operation: Most laparoscopic surgery is done on an outpatient basis, but this does depend on the procedure and how well the patient is. People undergoing laparoscopy should not eat or drink anything after midnight on the night before the procedure. If medications are usually taken in the morning, check with the doctor on whether to take them with a sip of water, take without water, or skip the dose. Before the surgery, an intravenous line, which consists of a small flexible plastic tube, may be inserted into a vein in the patient's arm or hand. It is used to give medications and fluids during the operation. Sometimes intravenous medication is administered before surgery to help the patient relax.
What is the post Operative care following a Laparoscopic Surgery?
Here are few precautions you need to follow after having a laparoscopic surgery:
Patients who have laparoscopic surgery should carefully follow their doctors' instructions after going home. The exact kind of care needed depends on the type of surgery, the individual's age and general health, and other factors. In general, people recovering from laparoscopic surgery should care for their incision as directed by the doctor, be cautious about certain activities, and watch for any of the warning signs.
Following Laparoscopic Surgery on the abdomen or pelvic areas, it is most likely that one will:
Leave the adhesive bandage or dressing on the incision for two days. During that period, keep the incision area dry. Do not take a shower.
No need to apply new bandages to the incisions unless clothing is rubbing against them.
Remove the bandages after two days, following the doctor's instructions. Individuals usually can resume taking showers at this point.
How long it takes for a full recovery?
Recovery time depends on the kind of procedure, the patient's age, and health before the procedure. The following is a normal timetable for recovery from minimally invasive surgery on the abdomen:
The groggy feeling from the anesthetic disappears the day after surgery and the individual is fully alert once again.
Any pain in the shoulders or neck area usually goes away after a few days.
Soreness in the incisions disappears within a few days and the incisions heal after about five days.
The bloated feeling after abdominal or pelvic laparoscopy goes away within a few days.
What Complications can occur after Laparoscopic Surgery?
Complications after laparoscopic surgery are rare. Most people recover quickly and resume their normal activities without problems. However, the risk of infection or other problems exists as with any kind of surgery. These include soreness near the incisions, especially when twisting or stretching the body, patients may have a mild sore throat in case breathing tube was used.
Laparoscopic Surgery in India
India has become a new medical destination for various medical treatments including Laparoscopy. Many international patients from all the corners of the world are coming on medical tour for various laparoscopic surgeries in India and are taking a great benefit from it. The fact behind this haul is that India is providing easily affordable and good quality healthcare facilities compared to foreign level so there is nothing to worry about hygiene etc. Thus the health infrastructure is achieving a great height and all thanks to medical tourism.
The Laparoscopic surgeons and medical professionals too are the most respected and world recognized. They strive to provide outstanding and compassionate care, every step along the way. Their solutions for various medical ailments are very contemporary. The Laparoscopy Hospitals in India, offers a perfect infrastructure and international environment to patient ant physician within its gleaming facade. They are established to ensure the highest standard of training, treatment and research in laparoscopic procedures. With highly advanced medical infrastructure, broad knowledge base, medical expertise and extensive integration, these Institutes make an ideal partner for international patients seeking a more affordable laparoscopic surgery away from their homes. The various laparoscopic procedures can easily be accessed in the following Indian cities:
The international Health Tourism guests vouch for the medical procedures they receive. Thus we see more and more international medical tourists flock in for various medical procedures.
Cost of Laparoscopic Surgery in India
So, if you are suffering and medical intervention is inevitable and urgent, and you are hard pressed to pay from your savings, India is the best option for medical assistance. Would you not go to a country where top-notch medical professionals provide care for a fraction of the cost? Following cost comparison tables prove the financial viability of the Indian healthcare industry:
Lap. Adjustable Gastric Banding
Lap. Rouxen Gastric Bypass
Lap. Gastric Bypass
Some of the common countries from which patients travel to India for surgery are:
Located in South Asia, bordered by Pakistan, Nepal, China and Bangladesh, India is South Asia's largest, sovereign, democratic republic. India has an edge over other countries when it comes to offering comprehensive, cost-effective and timely medical care: it also offers an exotic, adventure-filled or cultural -if you wish array of destinations to discover and revel in for the travelers. Indian cities like Mumbai, Hyderabad, Goa, Bangalore, Nagpur, Kerala, Delhi, Pune, Jaipur, Chennai, Gurgaon, and Chandigarh offers best medical tourism service.
Mumbai - Mumbai, formerly known as Bombay in English, is the capital of the Indian state of Maharashtra. This port city (India's largest and busiest) accounts for a major share of the government's revenue, and has one of the world's largest harbour. There are many things to love about Mumbai. One is simply the geographical names, like The Queen's Necklace and Elephanta Island, all with roots in the British Empire.
Hyderabad - Also known as City of Nizams. The city of Hyderabad has its own individual character, which is evident in the beautiful, ancient palaces and the equally modern, and state-of-the-art offices and buildings. Medical tourism at hospitals in Hyderabad combines care for your health with international tourism. The primary reason behind its surging popularity is better healthcare services at an affordable budget.
Goa - Popularly known as the ‘Rome of the East’, Goa boost of natural, magnificent churches and exquisite works of man. Plunge into the clear blue water of the large pool, or soak in the blissful sunshine on the picturesque island. Goa is an interesting location for getting your health propped up and getting those long postponed surgeries done. You have modern facilities, short waiting times and very affordable prices for procedures, hospital services and medicines.
Bangalore - The progressive and modern city of Bangalore is the state capital, being located within India's Karnataka state. Bangalore is often referred to as the country 'Garden City', due to its high concentration of parks and green spaces. Bangalore has few of the world’s best doctors and medical practitioners, who have been trained by the rigorous Indian medical education system as well as in countries like UK and USA.
Nagpur - Nagpur City has many distinctions. It is also the second greenest in India and is located at the very center of the heartland, almost equidistant from Kolkata, Chennai and New Delhi and Mumbai. The present city was founded in the early 18th century by Bhakt Buland, a Gond prince of the kingdom of Deogad in the Chhindwara district. The Nagpur District has a varied culture, as well as being in the central part of India, the market in Nagpur is flooded with products from all over India. Nagpur has few of the world’s best doctors and medical practitioners, who have been trained in countries like UK and USA.
Kerala - Natural beauty, clean air and primordial greenery amidst the vast expanse of water and sky, typifies the state of Kerala – better known as God's own country. Kerala is famous for its alternative medical therapies such as Ayurveda, which help to rejuvenate and revitalize the body. The region is also home to India’s only virgin tropical rain forest – the Silent Valley National Park, supporting an overwhelming range of life forms, many of which are highly endangered, and endemic to this part of the planet.
Delhi - "Welcome to The Capital City of India - New Delhi" Delhi is famous as Capital city of India is located in North India. Delhi is truly a symbol of the old and the new; a blend of ancient well preserved monuments and temples along with jam-packed burger joints and up market shopping malls. Delhi has state of the art Hospitals and the best qualified doctors.
Pune - Once referred to as the Oxford of the east, Punecontinues to be a stronghold for academics and culture. An array of factors like availability of efficient and experienced doctors, comparatively low treatment costs, hospital facilities of international standards and many more have made Pune one of the top destinations for medical tourism.
Jaipur - Jaipur is one of the most popular destinations on a tourist's itinerary. The magnificent forts, beautiful havelis and colourful bazaars make Jaipur a popular tourist destination among tourists. Jaipur has pioneered health and medical tourism in India.
Chennai - Chennai is one of the most developed urban centers in the Indian subcontinent. The city forms the capital of Tamil Nadu state and is the fourth largest metropolitan city in India. They have some of the very best hospitals and treatment centers in the world. Each hospital is equipped with state of the art facilities. The technology brought into practice is the very latest, including robotic surgery.
Gurgaon - Located in the National Capital Region, Gurgaon is one of the most rapidly growing cities in Greater Delhi. In the last few years Gurgaon has boomed as the hub of IT and other new-age businesses. Gurgoan is the latest destination for Medical Tourism in India as it is the latest modern upcoming city near Delhi.
Chandigarh - Located near the foothills of Shivalik range of the Himalayas, Chandigarh is one of the most beautiful and happening cities of India. Chandigarh has great potential for Medical tourism as the unpolluted and excellent environs give many opportunities to patients to recover from their illness.