Laparoscopic Surgery has Evolved: Know How
Laparoscopic Surgery now involves the usage of 3-D cameras and thin instruments to improve the perception of depth. Commonly known as “Minimally Invasive Surgery”, this procedure requires the surgeon to make ½ inch incisions to place the ports through these incisions.
Laparoscopic surgery has revolutionized the field of surgery over the past few years. It has gained worldwide popularity and acceptance by surgeons and patients alike. Minimal scarring, less pain, and shorter hospital stay are the main reasons behind the global appeal of this novel technique. The recent introduction of robotic surgery is also gaining popularity, in additional to single port laparoscopic surgery (SILS), which can be scar less surgery. Most of the surgical procedures, which were considered contraindication for the laparoscopic approach, have eventually become the most common and acceptable indications today.
How is the procedure performed?
The camera and the instruments, which are inserted through the ports, allow access to the inside of patient. The video camera transmits an image of the organs inside the abdomen on a television monitor. But, the surgeon cannot see directly in the patient without making a traditional large incision. The camera is the surgeon’s eyes, as the surgeon uses the image from the camera positioned inside the patient’s body to perform the procedure.
There were several procedures, which were considered contraindicated for laparoscopic surgeries are now increasingly being performed. Like:
- Peptic Ulcer perforation
- Intestinal Obstruction caused because of adhesions, bands and strictures
- Resection and anastomosis of small and large bowel for a benign and malignant disease
- Complicated procedures like removal of pancreas (Distal pancreatectomy)
- Surgery for pseudo pancreatic cyst (Cysto-gastrostomy)
- Anti-reflux surgery
- Hiatus Hernia
- Diaphragmatic Hernia
