Laparoscopy

HOD Message

We, Dr. C.M. Chaubey (General & Laparoscopic Surgeon) and Dr. Ruchi Jain (Gynaecologist & OBS form an ideal team). We have a well equipped set-up for laparoscopic surgery. We are among the leading specialists in our area, armed with significant experience in our respective fields and are committed to ensuring access to advanced health care services for all our patients. Our department was the first to introduce laparoscopic surgery to Panvel and Raigad district. Laparoscopic surgery encompasses two specialities, one general surgery and the second is Obstetrics and gynecology, and we work in tandem with each other to ensure seamless treatment for all our patients.

Laparoscopic Surgery

Simply put, laparoscopic surgery means abdominal surgery done through keyholes with the help of a telescope, making it minimally invasive. It requires several state of the art pieces of equipment, and the hospital has two sets of surgical and medical equipment, to ensure that laparoscopic surgery need not be converted to an open surgery for instrument failure. We have a state of the art C-ARM, an imaging scanner intensifier which has a C-shaped arm, and is attached to other devices to provide high-resolution X-ray images in real time. We have one operation theatre and one labour room, and have all equipment to monitor patients’ vital parameters which confirms our motto “Patient safety first!” Your safety is our priority, and our department boasts of some of the highest and most advanced equipment in the country. We can handle advanced laparoscopic surgeries with ease, and also perform cancer surgeries laparoscopically.

Laparoscopic Surgery has the following advantages over conventional surgery:

1. Post operative pain is very less.

2. Post operative recovery is very fast.

3. Shorter hospital stay.

4. Early resumption to full work

5. Complications such as wound infection and incisional hernia are virtually eliminated.

6. It can be done as meticulously as open surgery.

On the other hand, laparoscopic surgery tends to be more expensive. However, we at BS HeartCare Centre and Multispeciality Hospital are committed to ensuring that money is not an obstacle for any of our patients. Surgeries are performed at concessional charges, so that expenses are almost the same as conventional surgery. We have several diagnostic services at our department, which can be used to detect undiagnosed chronic abdominal pain, infertility and undiagnosed acute abdominal pain.

The following laparoscopic surgeries are routinely performed at our hospital:

• Tubal ligation
• Cholecystectomy
• Appendicectomy
• Adhesiolysis
• Salpingectomy
• Oophorectomy
• Total Laparoscopic Hysterectomy (TLH)
• Hernia Repair

DIAGNOSTIC LAPAROSCOPY IN CHRONIC ABDOMINAL PAIN

This procedure is carried out to discover the causes behind long-standing abdominal pain in cases where all other investigations did not lead to any defined conclusion. The conditions which may be detected only through a laparoscopy include chronic recurrent appendicitis, adhesions, chronic ectopic, chronic pelvic inflammatory disease, abdominal tuberculosis etc.

With our team of experts and state of the art technology, we can assess tubal patency, and the condition of ovaries and tubes. We can detect several diseases and health conditions such as Subacute appendicitis, blunt abdominal trauma. chronic PID leading to adhesions, and endometriosis. Conditions such as abdominal tuberculosis and genitourinary tuberculosis can also be diagnosed and treated with ease at an early stage. Several of these conditions can be detected and treated Laparoscopically, through the same ports. Some of the conditions, however, c can be treated only through an open surgery, and our team will guide you through all the decisions

LAPAROSCOPIC CHOLECYSTECTOMY

The superiority of laparoscopic cholecystectomy over conventional open cholecystectomy has now been established without a doubt, and several times over as evidence. It can be done finely and precisely, with more comfort to the patient, and also has cosmetically fine results. The recovery period is small, and the patient can resume full work very fast. Surgery can be performed through two 1cm and two 1/2cm incisions, and the patient can be discharged from the hospital within two days.

LAPAROSCOPIC APPENDICECTOMY

This method has also proved superior to open appendicectomy, especially when one considers post operative comfort, wound infection, early resumption to full work and cosmetic results. Laparoscopy is the only method by which appendicitis can be confirmed with certainty. At the same time, the entire abdomen can be visualised, so that co-existing disease (if any) be detected and treated through the same incisions. This ensures that the patient does not suffer any unnecessary pain and discomfort, and leads to efficiency.

LAPAROSCOPIC ADHESIOLYSIS

Means division of adhesions. Adhesions are formed following previous open surgery or previous episodes of intra-abdominal infections. Adhesions are detected either during diagnostic laparoscopy for chronic abdominal pain or infertility or during laparoscopic surgery for some other condition. Adhesiolysis helps to relieve chronic abdominal pain or conceive as the case may be.

LAPAROSCOPIC SALPINGECTOMY

In this surgical procedure, one or both the fallopian tubes, if suffering from conditions such as ectopic pregnancy hydrosalpinx or pyosalpinx, are removed, and eggs will no longer be able to travel through the removed tubes. This surgery is done through one 10mm and two 5mm incisions in the laparoscopic method, thereby avoiding the large incision required in open surgery. This procedure has cosmetically fine results, and the recovery time is also much shorter, making the process easier for the patient.

LAPAROSCOPIC OOPHORECTOMY & OVARIAN CYSTCTOMY

Laparoscopic oophorectomy, or adjuvant therapy in carcinoma of the breast, is performed quite easily and safely. In this case, the surgical removal of an ovary is carried out through keyhole incisions. Removal of ovarian cysts, with or without ovaries, depending upon the patient’s condition, can also be done easily.

TOTAL LAPAROSCOPIC HYSTERECTOMY (TLH)

While vaginal hysterectomy statistically has very low morbidity, that is the case only in cases of a prolapsed, normal sized uterus. When the uterus is bulky and non-prolapsed, several complications arise, making vaginal hysterectomy a difficult process. In that case, abdominal hysterectomy, the procedure is safe but has a much higher morbidity rate. In such cases, if a Total Laparoscopic Hysterectomy is carried out, it will be a safer procedure for the patient, and will carry all the advantages of a vaginal hysterectomy, which include:

• A significant reduction in post-operative pain.
• Quick post operative recovery.
• Brief hospital stay
• Early resumption to full work
• Cosmetic benefits