Please wait loading VIdeo Lecture of Prof. R.K. Mishra about Safe Psychology of Minimal Access Surgery...
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Psychological aspect of Minimal Access Surgery is extremely interesting. It's well highlighted the interchangeability of the phrase minimal access surgery(MAS) and minimally invasive surgery (MIS). This equation is fundamental within the sense the new or "revolutionary" method of performing surgery may be the mere change in access rather than the actual treatment of the lesion that's demanded through the pathology. It is said that Minimal Access Surgery is Surgical Rose with different name.
The concept of structural intervention to alter the morbid pathophysiological processes remains similar to the current paradigm of drugs which is solidly depending on pure science and evidence based. As a result the modification in access in surgical approaches may very well be a peripheral change in the whole concept of surgery and it is psychology. It's to become expected that since the knowledge in technical approaches in life increases, the same technical skills can be put on laparoscopic surgery.
This philosophically mundane alternation in the peripheral idea of surgery is testified by the authors' own description of a shift towards laparoscopic cholecystectomy like a "cultural change" rather than radically new surgery altogether. Actually the implicit virtue of MAS or MIS is within reducing the "mismatch" between the trauma of access and the disturbances engendered through the actual minimally invasive surgery on the lesion itself. Bearing this in your mind, their email list of MAS techniques seems incomplete without the mention of laparoscopic intrabdominal cysts extirpations, Video-assisted Thoracoscopic surgery in pulmonary biopsy and excision, Staging Laparoscopy for gastrointestinal malignancies, Lapaorscopic Varicocoelectomy etc.