Laparoscopy or keyhole surgery is a type of operation in which doctors use a viewing telescope (laparoscope) to look at the organs inside the abdomen and the pelvis. The image of the organ is magnified many times larger than real life with the help of powerful light source, camera and video monitors. Improved field of vision helps doctors find out the causes for abdominal or pelvic pain, infertility, or the nature of abnormal growths. This is called diagnostic laparoscopy.
Over the past decade, major advances in laparoscopic surgery have made it possible for many conditions to be treated via laparoscopy.
In pelvic surgery, some of these conditions include:
- Ovarian cysts
- Pelvic organ prolapse
- Urinary incontinence
- Repair of tubal damage
- Division of adhesions
- Pelvic infection
- Certain types of cancer
Minimal scarring, less pain, and shorter hospital stay are the main reasons behind the global appeal of this procedure. There has been an enormous improvement in the technique and also in the instruments. The technique has evolved from the stages of simple laparoscopic surgery to advanced levels where more complex procedures are being successfully attempted.
Development of new instruments and innovation in technique is required for widespread use of advanced laparoscopy for the treatment of abdominal disorders. New technologies may overcome many of the limitations of standard laparoscopic techniques.
The new technologies that are particularly promising are:
- Hand access devices: The human hand performs many functions during surgery that are difficult to reproduce with laparoscopic instruments. The loss of the ability to position the hand into the abdomen during traditional laparoscopic surgery has limited the use of laparoscopy for complex abdominal surgery on the pancreas, the liver and the bile duct.
New laparoscopic hand-access devices that allows the surgeon to place a hand into the abdomen during laparoscopic surgery and perform many of the different functions with the hand that were previously possible only during open surgery. This new device has been utilised to develop a variety of laparoscopic pancreatic, liver and biliary operations such as the Whipple operation, liver resection & distal pancreatectomy that were not possible previously by standard laparoscopic techniques.
- Robot-assisted surgery utilizing the Da Vinci computer robot system: Da Vinci� is a computer-assisted robotic system that expands a surgeon's capability to operate within the abdomen in a less invasive way during laparoscopic surgery. The Da Vinci� robotic system allows greater precision and better visualization compared to standard laparoscopic surgery.
The operations with the Da Vinci System are performed with no direct mechanical connection between the surgeon and the patient. The surgeon is away from the patient, operating few feet away from the operating table while seated at a computer console with a three-dimensional view of the operating field. The physician operates two masters (similar to joysticks) that control the two mechanical arms on the robot. The mechanical arms of the robot are equipped with specialized instruments with hand-like movements which carry out the surgery through tiny holes in the patient’s abdomen. The mechanical arms eliminate any hand tremor by the surgeon and offer motion scaling allowing extremely precise movements within the patient.
- New Micro laparoscopic Instruments Made from Titanium: Micro laparoscopy tools are just 2.8 mm in diameter resulting in fewer and smaller incisions. Although micro laparoscopic surgery using very small incisions has been tried in the past, the tools used were not rigid enough to perform advanced laparoscopy. With the introduction of new generations of titanium and ceramic shafts, the laparoscopic instruments have become much more rigid and strong.
Other advantages include cosmesis and pain relief. The standard incision size is around 5 mm to 10 mm for regular ports, and using these tools is 2.8 mm. Consequently, the patients will have lower pain scores after surgery and less narcotic use for the pain after the operation.
For more information:
World Laparoscopy Hospital, Cyber City, DLF Phase II, Gurugram, NCR Delhi, 122 002, India
For Training: +919811416838
For Treatment: +919811912768
For General Enquiry: +91(0)124 - 2351555