Laparoscopic Advantage at the Surgical Clinic at Dr. Khanade Hospital

The Surgical Clinic set-up at Dr. Khanade Hospital, Pune includes advanced laparoscopic surgery for gynecological operations such as Hysterectomy, oophorectomy, adhesiolysis, fibroids, treatment for endometriosis. Our experienced surgeons with dedicated teamwork accomplish these operations in a highly efficient manner.

Laparoscopy Introduction

A True Advantage

Minimally invasive surgery (MIS) or Laparoscopy is characteristically performed through a small incision or no incision, and visualization is provided by endoscopes. Both laparoscopy and hysteroscopy are considered in this category.

 

With technological improvements, almost all major intra-abdominal gynecologic procedures can now be performed with MIS.

The advantages of Laparoscopy are a faster recovery, improved cosmesis, less postoperative pain, diminished adhesion formation, and at least equivalent surgical results (Ellström, 1998; Falcone, 1999; Lundor, 1991; Mais, 1996; Nieboer, 2009 as cited in Williams, 2008).

 

Reference-

Schorge, J. O., & Williams, J. W. (2008). Williams gynecology(No. 618.1). McGraw-Hill,.

 

 

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Laparoscopy team

High functional in-sync team

In addition to the patient, a surgeon must also consider environmental actors. The availability of appropriate anesthesia care, surgical nursing, support staff, and proper instrumentation influences procedure selection. Advanced operative laparoscopy is a coordinated team effort that requires multiple simultaneous activities, overseen and directed by the surgeon.

Reference-

Schorge, J. O., & Williams, J. W. (2008). Williams gynecology(No. 618.1). McGraw-Hill,.

Laparoscopy Operation Theatre

State-of-the-Art Arrangements

Equipment positioning may vary based on surgeon preference. In protocol, the operating room table is centered in the room, and surgical lights lie directly above the operative field. Prior to surgery, the bed is checked to ensure it moves up and down and into steep rendelenburg position. Obese patients may require a larger bariatric operating table.


Video monitors may be fixed to the ceiling with articulating arms or may be placed on portable stands. One monitor may suffice or simple procedures, however, two monitors provide easy viewing by the surgeon and assistant. When operating in the pelvis, the monitor is placed directly in front o the surgeon, and the surgeon, forearm-instrument axis, and video monitor are aligned in a straight line. 

Reference-

Schorge, J. O., & Williams, J. W. (2008). Williams gynecology(No. 618.1). McGraw-Hill,.

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Complications

Complications from Laparoscopy

Minor instead of major complications to laparoscopy occur more frequently.

These may include wound in section or hematoma, subcutaneous emphysema from CO2 in filtration, vulvar edema, and postoperative peritoneal irritation from retained intra abdominal CO2. Irritation stems from conversion of CO2 to carbonic acid, which can be a direct irritant.

Reference-

Schorge, J. O., & Williams, J. W. (2008). Williams gynecology(No. 618.1). McGraw-Hill,.

Treatment of Conditions

A True Advantage

Laparoscopies are now widely used to diagnose and treat many different conditions and investigate certain symptoms. 

  • Pelvic Inflammatory disease (PID)- a bacterial infection of the female upper genital tract, including the womb, fallopian tubes and ovaries 

  • Endometriosis- where small pieces of the womb lining (the endometrium) are found outside the womb 

  • Ectopic pregnancy- a pregnancy that develops outside the womb 

  • Ovarian cyst- a fluid-filled sac that develops on a woman's ovary 

  • Fibroids- non-cancerous tumours that grow in or around the womb (uterus) 

  • Female infertility

  • Unexplained pelvic or abdominal pain

  • Ovarian cancer

  • Removing the womb (hysterectomy) – sometimes used to treat pelvic inflammatory disease (PID), endometriosis, heavy periods or painful periods


Reference-https://www.nhs.uk/conditions/laparoscopy/

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