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Digestive Health Institute Digestive Health Institute

Laparoscopic Surgery

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What is laparoscopic surgery?
Laparoscopy is an advanced surgical technique that allows the surgeon to look into the abdomen via a 5 or 10 mm telescope called a laparoscope. Major abdominal surgery can be performed using laparoscopic techniques, through tiny cuts that are typically 3 to 5 mm in size.

  • What are the advantages of choosing laparoscopy over open surgery?

    In any laparoscopic surgery, there is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

  • What is the scope of laparoscopic surgery?

    Almost all abdominal surgeries can be conducted using laparoscopic techniques. These include common surgeries such as appendectomy, cholecystectomy and hernia repair as well as more complex ones such as splenectomy, pancreatic and colon surgeries as well as metabolic and bariatric surgeries. Most oncologic surgeries for cancer can also be safely performed with laparoscopic techniques.

  • Who can undergo laparoscopic surgery?

    At the Digestive Health Institute, we prefer to perform laparoscopic surgery for abdominal diseases as it has many advantages over open surgery. All laparoscopic surgeries are done under general anesthesia and our team of experts, including surgeons and anesthetists, will evaluate you prior to surgery to ensure your suitability and fitness for these procedures.

  • What is Single Incision Laparoscopic Surgery (SILS) and what are the advantages of choosing it at Digestive Health Institute?

    Single Incision Laparoscopic Surgery, or SILS is an innovative minimally-invasive technique in which the entire surgery is performed through a single cut that is made at the navel. The scar gets hidden deep inside the navel and there are no visible marks after the procedure, making it a “scarless” surgery. Besides the cosmetic benefits of “scarless” surgery, the other advantages are less pain post surgery and quicker recovery.
    We were one of the first centers in Asia to offer the option of SILS, and our surgeons have vast experience and expertise in it. Most surgeries can be performed by this technique, and you can discuss this option with our surgeons during consultation.

TYPES OF LAPAROSCOPIC SURGERIES

FAQs

A hernia is a visible swelling or bulge over the abdomen, which occurs due to a weakness or tear in the abdominal muscles. Hernias commonly occur at the navel (umbilical hernia), in the groin (inguinal hernia) and over previous surgical scars (incisional hernia), but there are several other types of hernia as well. You may experience pain or discomfort at the site of hernia, but just as often, there may be a painless swelling. If left untreated, a hernia may develop complications like obstruction or strangulation, which require emergency surgery..

Most patients who develop a hernia will require surgical treatment. At Digestive Health Institute, you will first be examined by an expert surgeon to confirm the diagnosis of a hernia. Post that, a surgical treatment plan will be chalked out that is suitable for your specific type of hernia. In most hernia surgeries today, a mesh is placed over the weakness or defect in the abdominal wall muscle in order to reinforce and strengthen it, and to prevent the internal organs from bulging out.

In any laparoscopic surgery, there is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

On an average, the surgery may take between 30* to 90* minutes. You will then be observed in the recovery room for a couple of hours, before being transferred back to your own room. You may be discharged the same day or the next day. You will be able to walk and move around on the day of the surgery. You will also be able to resume all daily activities within the next few days, including returning to work.

As the colon and rectum needs to be completely empty before surgery, you will be given medication prior to surgery to cleanse the intestines. You may also need to be on a liquid diet for a few days prior to surgery.

FAQs

Pancreatic surgery is recommended for patients diagnosed with pancreatic cancer and those suffering from diseases of the pancreas, such as chronic pancreatitis, benign tumors and cysts. Laparoscopic pancreatic surgery is an advanced procedure performed by surgeons with vast expertise. It may not be suitable in every case of pancreatic disease.

The advantages of laparoscopic hernia surgery are smaller surgical cuts, better cosmetic outcome, less pain and early recovery.

Pancreatic surgeries, even when done laparoscopically, are complex. As such, the duration of surgery and hospital stay will depend on the disease being treated and each patient’s post-operative condition. On an average, you can resume your normal routine between a week to ten days after surgery.

FAQs

Also known as Video-Assisted Thoracoscopy (VATS), this is a procedure that allows for the the internal examination, biopsy and surgical treatment of diseases of the lungs, the pleura (envelope lining the lungs), esophagus or thymus. The internal examination is done using a telescope attached to a camera.

It is the procedure of choice for conditions that require biopsy of the lung or pleura; or for treating infections of the pleural lining (chronic empyema). VATS is also recommended for removal of esophageal tumors or the thymus in case of enlargement.
However, before surgery is advised, you will require a consultation with our surgical experts and they will advise investigations and tests as required.

Since thoracoscopy is done via cuts no larger than 1 cm, there is much less pain than in open surgery. It is also easier to breathe and cough after undergoing a thoracoscopy, reducing the chances of developing infections such as pneumonia.

The surgery may last 1 to 3 hours, depending on the disease and complexity of the procedure. Post-surgery stay in hospital and recovery will also vary from case to case. While you can move around a day after surgery, the time taken to resume normal routine is different for each patient.

Some patients may require the insertion of an Inter-Costal Drainage (ICD) tube in the chest, which will usually be removed prior to discharge. For every patient that has undergone VATS, it is very important to do the chest exercises recommended by our physiotherapists, as this will help to clear out chest secretions and decrease the risk of infections.

FAQs

Laparoscopic cholecystectomy is the recommended surgery for those with gallstone disease and its complications such as inflammation (cholecystitis), infections (empyema), perforation, etc.

Cholecystectomy was one of the first surgeries to be done laparoscopically, and now there are very few situations in which an open surgery would be required. In any laparoscopic surgery, there is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

Laparoscopic cholecystectomy can be done as a daycare procedure. However, in case you have an infection of the gall bladder or any other conditions like hypertension, diabetes, etc, you may need to get admitted to the hospital one day prior to surgery, and discharged the day after surgery. You will be able to walk around on the day of surgery itself, and will be on a normal diet from the next day. You will be able to resume your normal routine, including going back to work, within the next few days.

There are no specific precautions required after this surgery.

At the Digestive Health Institute, we also provide laparoscopic treatment for complications of gallstone disease such as rupture of gall bladder, development of fistula with the bile duct or duodenum, stones in the bile duct (choledocholithiasis) or infection (empyema). Our surgical team is also experienced in the treatment of other biliary diseases, such as choledochal cysts, laparoscopically.

FAQs

Foregut diseases include GERD (Gastro-Esophageal Reflux Disease), para-esophageal hernia and achalasia cardia, among others and these conditions usually require surgical treatment. Laparoscopy is the technique of choice.

In any laparoscopic surgery, there is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

The surgery may last 60* to 120* minutes, depending on the condition of the disease and type of surgery being performed. Typically, you will be discharged a day or 2* after surgery, and can resume normal routine over the next few days.

You will be prescribed a specific diet to follow for a few weeks after surgery. This will include a gradual progression from liquid to semi-solid and, finally, a regular diet.

Symptoms such as heartburn, chest pain, difficulty in swallowing, regurgitation of food, acid reflux, etc are usually due to foregut diseases. At the Digestive Health Institute, our team of surgical experts will examine you and recommend some tests that may include an esophago-gastro-endoscopy, manometry, 24 hour pH study, barium swallow, among others. These are necessary for diagnosis as well as for planning treatment.

FAQs

Laparoscopic splenectomy is indicated in cases of splenic cysts and tumors like lymphoma. It might also be recommended for blood-related disorders such as hereditary spherocytosis, idiopathic thrombocytopenia, hyper-splenism, etc.

Laparoscopic splenectomy is done through small cuts on the abdomen; the spleen is removed via a small incision (usually around 5 cm) which is made over the bikini-line. There is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

The procedure lasts about 90* to 120* minutes. You may need to stay in hospital for 2 to 3 days after surgery, depending on your recovery.

It is advisable to avoid vigorous physical activity, and contact sports for 2* to 3* weeks after surgery.

Is there anything else I need to know? Prior to surgery, you will need to be immunized with pneumococcal, influenza and meningococcal vaccines. This is in order to prevent overwhelming post splenectomy infection (OPSI). In case you develop a fever after a splenectomy, always speak to your doctor immediately and never take over-the-counter medication for it.

FAQs

Laparoscopic liver surgery can be conducted in the case of cystic liver diseases like simple liver cysts or hydatid cyst as well as for tumors like hemangiomas and sarcomas.

In any laparoscopic surgery, there is no large cut and no open wounds. Since the entire surgery is performed through tiny cuts, the patient feels very little pain; the recovery period is shorter; and the cosmetic outcome is excellent.

TThe surgery may take 90* to 150* minutes. As such, the duration of surgery and hospital stay will depend on the disease being treated and each patient’s post-operative condition.

It is advisable to avoid vigorous physical activity, and contact sports for 2* to 3* weeks after surgery.

Here’s what others had to say…

Bhavana Sarawal

(Mumbai,India)
PRE-OP WEIGHT

100* Kgs

CURRENT WEIGHT

67* Kgs

SURGERY TYPE

sleeve gastrectomy

SURGERY Date

november 06,2013

The issue with being overweight, other than your clothes not fitting, is how you constantly feel unhealthy. Everything around you is just slow and that eventually has a direct effect on how you think and behave. It affects your entire life.

I can’t thank DHI and the entire team there enough for helping me reduce over 30 Kgs in just a few months.

Truly. Thank you so so so much!

Sarla Sawaiwala

(Aurangabad,India)
PRE-OP WEIGHT

93.4* kgs

CURRENT WEIGHT

59.2* kgs

SURGERY TYPE

Lap Sleeve Gastrectomy

SURGERY Date

28th March 2014

I have not only lost weight , but also do not need to be on insulin anymore. People actually pass by and don’t recognize me. Friends and relatives are very happy and supportive in my new journey.

Her husband adds in jokingly, The shape and size has changed so much that sometimes it’s just difficult to relate and remember that she is my wife

Anil Katara

(Mumbai,India)
PRE-OP WEIGHT

162* kgs

CURRENT WEIGHT

79* kgs

SURGERY TYPE

Lap Sleeve Gastrectomy

SURGERY Date

28th June 2013

I was travelling abroad and the immigration did not believe that I was the same person in the passport photograph it was very tough for me to explain to him that I have lost weight and so look this way. He eventually complimented me and has asked me to change my passport. It was a great feeling.