Laparoscopy Hospital - Laparoscopic Treatment http://www.laparoscopyhospital.com/SERV02.HTM Our mandate to excel in patient centered care, scholarly work and research, in conjunction with our educational mission, will be advanced by our focus on bidirectional translational research, and by its pro-active contributions to knowledge of Minimal Access Surgery. Our vision means that we have accepted the challenge to translate new knowledge into the best possible comprehensive and cost effective care to the entire spectrum of patients that we serve en Thu, 18 Sep 2008 02:48:34 +0500 http://blogs.law.harvard.edu/tech/rss Prof.R.K.Mishra Rahul Kumar Health 1440 RSSeditor v0.9.54 (http://www.rss-info.com) http://www.laparoscopyhospital.com/laparoscope1.jpg Laparoscopy Hospital - Laparoscopic Training http://www.laparoscopyhospital.com Experience of initial 200 cases of two-port laparoscopic cholecystectomy http://laparoscopyhospital.com/world/ contact@laparoscopyhospital.com Two-port laparoscopic cholecystectomy has been reported to be safe and feasible. At laparoscopy hospital New Delhi we have performed 200 cases of laparoscopic cholecystectomy within 5 years. Fist two port laparoscopic cholecystectomy was performed by Dr. R.K. Mishra in November 2002 at Laparoscopy Hospital, New Delhi. Laparoscopic two port cholecystectomy offers additional advantages over four port cholecystectomy or not remains controversial. During five year time we compared the clinical outcomes of two-port laparoscopic cholecystectomy versus conventional four-port laparoscopic cholecystectomy. Two-port laparoscopic cholecystectomy resulted in less port-site pain and similar clinical outcomes as four port cholecystectomy. Two port laparoscopic cholecystectomy also offer fewer surgical scars compared to four-port laparoscopic cholecystectomy. Thus, it can be recommended as a routine procedure in elective laparoscopic cholecystectomy.

We have sent this trial to get published in World Journal of Laparoscopic Surgery. We report a prospective randomized controlled trial that compared the clinical outcomes of two-port laparoscopic cholecystectomy versus conventional laparoscopic cholecystectomy. In many previous study of the world Laparoctor were used perform two port cholecysctectomy and retraction of gallbladder was done by the long grasping forceps through the operating telescope, whereas dissection was accomplished through the 5-mm subxyphoid port. Additional 5-mm sub costal ports was used when it was found necessary.

The cystic duct and cystic artery were clipped by a 5-mm multiple clip applicator in previous studies. In our study we have used specially designed Mishra knot to perform two port cholecystectomy. The detail of this technique of performing two port can be seen at http://www.laparoscopyhospital.com/two_port_cholecystectomy.htm . Most of our patients reported high satisfaction for the surgery of two port laparoscopic cholecystectomy and the surgical scars was very much satisfactory. Compared to four port cholecystectomy there was a higher observed satisfaction score for the two-port laparoscopic cholecystectomy group, although this did not reach statistical significance? In the era of laparoscopic surgery, less postoperative pain and early recovery are major goals in order to achieve better patient care and cost-effectiveness. Several studies demonstrated that less postoperative pain was associated with reduction in either size or number of ports.

To conclude, we demonstrated in this study that two-port laparoscopic cholecystectomy is safe and has similar clinical outcomes compared to the conventional four-port laparoscopic cholecystectomy in selective cases. Since two-port laparoscopic cholecystectomy has less surgical scars, it can be recommended as a routine technique.

]]> Dr.R.K.Mishra Master of Minimal Access Surgery http://www.laparoscopyhospital.com/drrkmishra.htm contact@laparoscopyhospital.com R. K. Mishra is world's one of the most endowed professor of Minimal Access Surgery. He is the recipient of Global Medical Education Award by vice-chancellors of eight apex universities during National Open and Distance Education Summit 2007 in the presence of Honourable Shri P.R. Kyndiah, Union Minister for tribal affairs, Government of India. He is recepient of Lord Ashdown award for his valuable teaching contribution in the field of Minimal Access Surgery. ]]> Frequently asked questions about laparoscopic cholecystectomy http://www.laparoscopyhospital.com/frequently_asked_questions_about_laparoscopi_cholecystectomy.htm#What%20is%20gallbladder contact@laparoscopyhospital.com The gall bladder is that part of the digestive system which stores and secretes the bile salts that are used in the process of breaking down food into its adsorptive components. A lack of these salts leads to malabsorption maladies. The gall bladder is located on the right side of the body and is connected to the biliary tract system by the cystic duct.

]]> Frequently asked questions about laparoscopic appendectomy http://www.laparoscopyhospital.com/frequently_asked_question_about_appendicitis.htm contact@laparoscopyhospital.com Appendix is a small worm like pouch attached to the cecum, the beginning of the colon, on the lower right side of the abdomen. It was useful in herbivorous animal for digestion of cellulose but the appendix is not necessary for human life. Sometime it can become diseased and give rise surgical emergency.

]]> Frequently asked questions about laparoscopic hernia http://www.laparoscopyhospital.com/frequently_asked_questions_about_hernia.htm contact@laparoscopyhospital.com Hernia result from a hole or defect in the layers of abdominal wall, through which the peritoneum protrudes, forming the sac. The content of intestine can pulled inside the sac and sometime give rise to serious problems, like, strangulation, obstruction.

]]> Frequently Asked Questions about laparoscopy http://www.laparoscopyhospital.com/TABLE_OF_CONTENTS.HTM contact@laparoscopyhospital.com Laparoscopy is direct visualization of the peritoneal cavity, and organ inside peritoneal cavity. The laparoscope is an instrument somewhat like a miniature telescope with a fiber optic system which brings light into the abdomen. It is about as big around as a fountain pen and twice as long.

An instrument to move the uterus during surgery will be placed in the vagina. Carbon dioxide (CO2) is put into the abdomen through a special needle that is inserted just below the navel. This gas helps to separate the organs inside the abdominal cavity, making it easier for the physician to see the reproductive organs during laparoscopy. The gas is removed at the end of the procedure.

Micro Laparoscopy is new minimally invasive diagnostic surgical procedure uses telescopes and instruments that are much smaller than normal. If this procedure is appropriate for your condition, smaller incisions will be made and postoperative abdominal tenderness may be reduced.

Laparoscopy (lap-a-ros-cope) is an examination of the interior of the abdomen by means of an instrument called a laparoscope (lap-a-ros-cope). A laparoscope is a small telescope-like instrument with a light on one end which is passed through a small incision below the navel. This allows the physician to view and examine the organs in the abdominal cavity.

]]> Online appointment http://www.laparoscopyhospital.com/app.htm contact@laparoscopyhospital.com Please fill up the form below carefully. We always maintain privacy of any medical problem of our patients. Try to make your appointment in advance to get your date of choice confirmed. Please remember to always mention your correct email address so we can reply you promptly. Thank you

]]> Discussion about Laparoscopic Treatment http://www.laparoscopyhospital.com/laparoscopic_patient_discussion_board.htm contact@laparoscopyhospital.com The recovery time in the immediate post operative period is quicker. Patients often go home after only 23 hours to recover in the comfort of their own home. The small incisions tend to be less painful and patients often need less postoperative pain medication as a result. Fewer wound infections occur. The cosmetic results are also appealing as the scar is limited to three or four skin incisions that are less than one half inch long.

]]> Free Medical Advice http://www.laparoscopyhospital.com/FORM.HTM contact@laparoscopyhospital.com We provide free medical advice for the people who want to undergo laparoscopic surgery or who recently underwent laparoscopic surgery by any surgeon and have any problem related to surgery. All the question will be answered by our panel of expert.

]]> Free laparoscopy Surgery http://www.laparoscopyhospital.com/free_laparoscopic_operation.htm contact@laparoscopyhospital.com To decrease the impact of high cost of Laparoscopic surgery on the financial status of poor people of developing country, there is a trend toward developing affordable treatment models for complex conditions on a fully modern operation theatre. Laparoscopy Hospital is only institution in the world which provide free laparoscopic surgery for poor and needy patients. We have done a retrospective study of the initial experience of advanced laparoscopic procedures performed in the Laparoscopy Hospital. Over 6 years, 550 patients underwent free laparoscopic surgery. Data on the nursing postoperative telephone follow-up were available for 100 patients; 62% were successfully contacted. 70% had no complaint.

]]> Free Surgical Laparoscopic Videos http://www.laparoscopyhospital.com/DOWNLOADS.HTM contact@laparoscopyhospital.com These are only few sample free laparoscopic videos. We have largest collection of laparoscopic study material on the web free for our member surgeons. Member can view and download hundreds of high resolution laparoscopic videos, pictures, articles and PowerPoint from password protected secure private member area. The access to private member area is only to the surgeons, gynaecologists, urologists and paediatric surgeons who has taken training at laparoscopy hospital, New Delhi.

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