Laparoscopic Surgery

Minimally Invasive Surgery for Colorectal Diseases
Colorectal Surgery, Laparoscopic Surgery, Robotic Surgery

Minimally Invasive Surgery for Colorectal Diseases

Minimally Invasive Surgery for Colorectal Diseases – It is also known as Key Hole Surgery. Many diseases as well as conditions of the colon and anus are treated surgically. A surgeon may use typical (open) or minimally invasive strategies relying on the specific situation. Minimally invasive colon and also rectal surgical treatment is a consistently evolving field. Each year brings new info based on additional improvements and raising use of these methods. Open versus minimally invasive colon and rectal surgery In typical open abdominal surgical treatments, doctors generally make a cut 6 to 12 inches in length, big sufficient to supply adequate visibility, offer accessibility to the abdominal organs and also allow the use of hand-held surgical instruments. Minimally invasive surgeries have been created to do operations via smaller incisions, minimizing the pain and also healing complications associated with lengthy incisions. Minimally invasive surgery can be made use of to effectively treat a range of common benign and also malignant colon and also anal conditions. All minimally invasive methods require advanced surgical skills as well as customized equipment. Colorectal surgeons have had progressed training in minimally invasive surgical procedure. All minimally invasive surgical procedures are executed with the patient asleep under an aesthetic. All the techniques listed here are considered “minimally invasive,” however might differ somewhat in their total benefits and also negative aspects. Laparoscopic surgery The doctor makes numerous tiny cuts about half inch in dimension. Throughout laparoscopic procedures, an electronic camera is positioned inside one of the cuts, allowing the doctor to check out the within the abdominal area on monitors or tv displays For many colon and also anal operations, 2-4 small cuts are needed. Co2 gas is utilized to blow up the abdominal area in order to give the specialist area to work. To perform the surgical procedure, unique instruments are put via the various ports inserted through these small incisions, permitting the surgeon to operate inside the abdomen by checking out the electronic cameras. For lots of colon and also rectal procedures, one a little larger incision (about 2-4 inches in size) need to be made in order to remove a piece of intestinal tract which has the disease and has been resected. When a part of the surgical treatment is done with this smaller sized laceration this may be called “laparoscopic-assisted surgery.” IT can be effectively used for colon and rectal cancers. Robotic surgical treatment or robotic-assisted surgical procedure This method permits a colorectal surgeon to control a robot that holds the surgical instruments. Similar to laparoscopic surgery, a camera as well as specialized instruments are placed through small incisions. The doctor works from a console in the operating room where they have a 3D sight of the surgical area and also control instruments attached to the robot. An innovative computer system translates the activities of the surgeon’s hands to the robot, which then moves the surgical tools. Robot surgical treatment is gaining popularity primarily for rectal operations since the robotic tools are well equipped to operate in the narrow pelvis where laparoscopic surgery is more difficult. Advantages of minimally invasive surgery. Cuts are a lot smaller sized than those made use of in traditional surgical procedure. Decreased postoperative discomfort. Shorter hospital remains. Lowered requirement for prescription pain drugs. Earlier go back to regular tasks. Much less noticeable scarring. It is very important to note that outcomes are similar between open and minimally invasive procedures. Nevertheless, minimally invasive surgery uses potential advantages in the early post-surgery recuperation period. Dangers of minimally invasive surgery. The danger of complications is similar to that of traditional open surgery. Every surgery, whether minimally invasive or traditional, brings some risk of problems. Risks usual to both open and minimally invasive colon and anal surgical treatment include blood loss, infection, post-operative digestive tract obstruction as well as leak from a intestinal anastomosis (reconnection). Other threats, such as heart problems, pneumonia and embolism exist with any major surgical procedure requiring general anaesthesia. Periodically, a specialist will experience conditions throughout surgery that would certainly make proceeding with minimally invasive surgical treatment dangerous. In this scenario, the incision is enlarged to permit traditional surgical strategies to be made use of to complete the operation. This is referred to as a “conversion” to typical or “open” surgery. Minimally invasive surgical procedure is not appropriate for all clients or problems. Conclusion: Technology has brought about changes in how surgery is done. Laparoscopic surgery has been around for almost 30 years now. Robotic Surgery is a newer modality and been around for almost five years. Considerable training and experience are required for these procedures like for any other surgical experience. Open surgery is still the backbone of any procedure especially when minimally invasive surgery is difficult or not possible. However, majority of cancers of the colon and rectal tumours are nowadays operated with minimally invasive techniques. Also See Colectomy Surgery in Chandigarh Cervical Cancer Surgery in Chandigarh

Gall Bladder Diseases, General Surgery, Laparoscopic Surgery

Myths and Misunderstandings regarding Gallstones and Surgery

Lets clear some doubts and wrong impressions about gallstones. Gallbladder diseases are a relatively common problem in a many parts of the globe. The overall occurrence of the gallstone illness in the United States and much of the Western Europe is in between 10 and 20 percent. In India as well, the gallstone condition is fairly usual with a total frequency was found to in between 6 to 20% in the adult populace. In either sex, the occurrence raises with age.  There are lots of misconceptions and mistaken beliefs about gallstones and exactly how they ought to be treated. Right here, we clear up some more common ones so that you are educated of what to expect about gallstones. Myth: Excess dietary fat is the culprit in gall bladder stone illness. This a wrong notion that needs to be laid to rest. While it’s true that nutritional fat causes the gall bladder to contract, creating pain if you already have gallstones, studies do not sustain the concept that a high-fat diet creates gallstones, particularly if carbs are restricted. There’s a high-concordance in between fatty liver, metabolic syndrome/insulin resistance, excessive weight as well as gall bladder troubles. All these are now recognized to be more closely related to excess dietary carbohydrates, not fats. Also See Gallstone Removal Surgeon in Chandigarh Myth: Gallstones can be ‘FLUSHED’ away Numerous alternate therapies are available on the web with ‘assurance’ to remove your gallstones using ‘natural solutions’ such as olive oil, lemon juice or some concoction. None of these are sustained by any kind of clinical evidence and also are best avoided. Gallstones come in all shapes and sizes. If gallstones are present, the most effective area for them to continue to be is within the gallbladder, as troubles develop when the stones are pushed out the gallbladder and gets stuck along the neck of the gallbladder and/or block essential ducts such as the bile duct or the pancreatic duct or even the intestinal tracts if the gallstone is large sufficient (gallstone ileus). Even if it was feasible to flush away gallstones, the root of the issue stays, a damaged gallbladder and the vulnerability to create more stones continues to be. Gallstones can additionally bring about long-term (persistent) irritation of the gallbladder, triggering it to be at higher threat of gallbladder cancer cells as well as persistent infections. Myth: Gallstones can be broken up using shockwaves Extracorporeal Shock Wave Lithotripsy (ESWL) has actually been used to treat kidney stones effectively. Many perplex this as treatment for gallstones as well. Although, it can separate the rocks in smaller sized fragments, the problem continues to be that the stone pieces may still block the gallbladder, bile air duct or pancreatic air duct. Myth: You cannot live a normal typical life without a gallbladder This is a totally wrong concept. One leads a normal life without a gallbladder. Majority of individuals have no worry following the removal by surgery of their gallbladder very glad that the root cause of gallstones is out of the way. An extremely small percentage of people may have gastrointestinal issues in the short-term however most instances settle without the demand for treatment; majority of these are medication related. Myth: Surgery for gallstones is high-risk and unpleasant Whilst no procedure is safe, surgery for gallstones is really risk-free and also very reliable. Complications rates are really low as well as occur in less than 1%. Keyhole surgical treatment to remove your gallbladder (laparoscopic cholecystectomy) can be done in one night admission with minimal discomfort and downtime. The gallbladder’s feature is to store a portion of bile created by the liver as well as release it in a controlled way throughout meals. Bile then help digest the fat helping absorption. After the gallbladder is removed by a surgical procedure, bile trickles constantly into the intestines. For a small team of patients ranging less than 1%, this can bring about loosened stools throughout oily/fatty dishes; and also in others the bile can take a trip back right into the stomach creating heartburn-type signs (bile reflux). Most of the times, these symptoms settle within a few months after surgery. Majority of patients join work within the first week of surgery. Myth: All gallstones need to be dealt with Gallstones are commonly discovered ‘by the way’ on scans when your medical professional is exploring various other problems. In the many of these cases, these gallstones can be left alone without concern if they do not create symptoms or has not in the past. Even if the gall bladder surgery is to be done, it can planned electively. It is, nonetheless, vital to keep in mind that you have gallstones in case they start to trigger issues in the future. However, many other factors may be considered like age, other comorbidities, diabetes mellitus etc and then patients are advised surgery for asymptomatic stones. Myth: It is alright as well as better to simply eliminate the gallstones alone and keep the gallbladder If gallstones are present and surgery is being done, they must be dealt with by getting rid of the gallbladder and also the stones within together. Removal of the gallstones without the gallbladder does not address the issue as the root of the issue remains, an unhealthy gallbladder and its sensitivity to form even more rocks in the future. Additionally, the removal of the gallstones without the gallbladder is a lot more complicated and riskier than eliminating the gallbladder and the stones within together. Hence, it is not recommended. Myth: Gall bladder disease is rare in non-whites We were educated the “4 Fs” in our medical colleges. The common gall bladder patient is fat, fair, female as well as fertile (the latter pertains to the capacity for estrogen to promote gallstones). Gall bladder illness, while much less typical in is widespread in non white races. Myth: Gallstones are mostly a hereditary problem.  While roughly 30 percent people are in danger for getting afflicted with gallstones due to

General Surgery, Hernia Surgery, Laparoscopic Surgery

Inguinal (Groin) Hernia: Management and Treatment

Know everything about groin hernia What is a hernia? A hernia is a typical problem that happens when part of an indoor body organ or intestinal tract protrudes via a muscle out as a bulge. Hernias can occur around the belly button, by means of a medical scar (incisional hernia), in the diaphragm, or in the groin (the location in between the abdomen as well as the upper leg on both sides of the body). Also See: Hernia Surgeon in Chandigarh What is an inguinal hernia? An inguinal hernia occurs when a part of the intestinal tract  or fat from the abdominal cavity protrude out as a lump via the weak abdominal wall surface area into the inguinal, or groin region. It could be unilateral or bilateral. Age: It can occur at any age. In children it could be a congenital in origin. Heavy exercise can cause it in adulthood. Elder can have it and actually it is common after the age of 40. Male over age 40 are much more most likely to get direct inguinal hernias than women. Relating to 25% of males, in addition to simply around 2% of ladies, will certainly develop an inguinal hernia in their life time. Predisposing factors: A family history of having an inguinal hernia, smoking cigarettes, and also people that have had previous abdominal surgical procedure are at greater risk for obtaining an inguinal hernia. What is a incarcerated or strangulated inguinal hernia? Incarcerated or strangulation of inguinal hernias is unusual, yet severe concerns can produce if a hernia is left ignored. Incarceration happens when part of the fat or digestive system from inside the abdominal area gets stuck in the groin or scrotum as well as cannot be returned or pushed back into the abdominal area. Strangulation can occur when incarcerated hernia is not treated and the part inside the hernia gets gangrenous. Strangulated hernia is an emergency situation and also may result in some loss of intestinal tract. The main symptoms include pain, redness, inability to be able to reduce the hernia and tender to touch. Also See: Robotic Surgeon in Chandigarh What are the signs of an inguinal hernia? A lump on one or both sides of the groin that disappears when lying down. Discomfort in the groin, specifically when training, coughing or exercising. An experience of weak point, thickness or burning in the groin. A puffy scrotum (the sac-like a part of the male genitalia below the penis). Do all inguinal hernias call for surgical procedure? Yes. All inguinal hernia need surgical procedure. It will certainly not get better or disappear on its own. Just how is an inguinal hernia repaired? Inguinal hernia fixing is a common surgery, which is called herniorrhaphy or hernioplasty. It is done laparoscopically or by open method.  Treatment of Inguinal Hernia Open hernia repair: This is an operation in which a cut is made in the groin, the components are pushed back into the abdominal area and the abdominal wall surface is strengthened with mesh as well as stitches. Minimally invasive or laparoscopic hernia repair: It is a much less invasive procedure in which tiny, half-inch cuts are made in the in the lower abdominal area as well as a slim tube with a tiny camera affixed is placed inside. This is called a laparoscope. The laparoscope sends out pictures to a monitor or a tv screen display and then surgery of the hernia is done with these little incisions. Mesh is used in this surgery as well. Robotic hernia repair: It’s similar to laparoscopic surgical treatment. Robot surgical procedure uses a laparoscope, as well as surgical procedure is carried out in the same manner (tiny lacerations, a tiny video camera and forecasting the within the abdominal area on tv). Right here the surgeon is seated at a console in the operating room, and also manages the surgical tools from the console. It’s similar to laparoscopic surgery, but more expensive. What is the healing after inguinal hernia repair surgery? Healing from both minimally invasive and open surgical treatment typically requires some medication to deal with postoperative discomfort. Individuals are recommended to not lift anything heavy or engage in strenuous task. One night admission is required. Minimally intrusive hernia surgical procedure has a shorter recovery time. Minimally invasive surgery might not be a choice for individuals with larger hernias or those who have actually had previous hernia surgical procedure and have a recurrence.  Conclusion Groin or inguinal hernia when discovered should be shown to a surgeon. Surgery is recommended as the treatment; though the surgery can be planned in the next few weeks or months. However, waiting longer would mean that the hernia will become larger or more difficult to deal with. Symptomatic hernia should be treated earlier than later. If it is a painful lump or hernia becomes irreducible, then emergency consultation should be sought the same day; emergent surgery may be required. Laparoscopic repair is the best way to treat inguinal hernia. Hernia in both the groins can be handled through the same small incisions while performing laparoscopic surgery. Postoperative recovery is quicker and return to work is faster with laparoscopic surgery. Postoperative pain is lesser than open surgery.

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