World Laparoscopy Hospital Blog

March 26th, 2017

The dermoid cyst is a benign cystic teratoma which is located on the ovary and occurs in 10-15% of the cases. The dermoid cysts can be diagnosed while a pelvic examination or ultrasounds since there are no clinical symptoms of the condition. After the diagnosis, the best alternative for removing the dermoid cyst is the surgery, because there is a risk of chemical peritonitis or a rupture. Whichever the approach is, it has to be applied adequately in order to avoid any consequences afterwards. The dermoid cyst can be managed easily, applying some techniques.
  How the dermoid cyst is managed?
- The laparoscopic approach of the dermoid cysts brings some disadvantages, as a method for managing the cyst. A three-puncture technique is ...   Read more...
January 20th, 2017
 
At present we are in the era of minimal access surgery, Laparoscopy has become widely popular for small childrens world wide.The anaesthetic management in these small patient poses special problems due to pneumoperitoneum created and extremes of pressure is the fact that paediatric anaesthesia itself is a challenge. This video demonstrate laparoscopic cholecystectomy and appendicectomy performed by Dr R K Mishra by two ports.
Laparoscopic ѕurgеrу іn children are not new. Paediatric ѕurgеоnѕ were аmоng the ріоnееrѕ оf lараrоѕсоріс ѕurgеrу іn thе early 1970s,1 but thе vаѕt роtеntіаl оf this “mіnіmаllу іnvаѕіvе” аррrоасh tо treat сhіldrеn wіth ѕurgісаl соndіtіоnѕ has оnlу rесеntlу begun tо be rеаlіzеd. 
  Fоr over two ...   Read more...
January 7th, 2017

Laparoscopic hernia repair is similar to other laparoscopic operative procedures. General anesthesia is given to the patient, and a small cut is made in or just below the navel. The abdomen is inflated with CO2 so that the surgeon can see the abdominal organs.

A pantaloon hernia which also called as dual hernia or Romberg's hernia or saddle bag hernia is defined as ipsilateral, concurrent direct and indirect inguinal hernias. Hernial sacs are present on both sides of the inferior epigastric vessels, and separated by the posterior wall of the inguinal canal brought down by the direct hernia.   Laparoscopic hernia repair is different from open surgery in the following ways:   A laparoscopic repair requires several small incisions instead of a single larger cut. If hernias are on both sides, both ...   Read more...
January 4th, 2017

Laparoscopic surgery is clearly a wonder of modern era of surgical care. Who would have thought that such a wide variety of minimally invasive surgical procedures could be performed with the assistance of a video camera as the surgeon’s “eyes”, several thin instruments, and only tiny incisions needed on the patient?   Hysterectomy, Ovarian cystectomy, Gall bladder removal, appendicitis, bariatric surgery like gastric bypass, hernia repair, or GERD treatment are some of the most common reasons for using laparoscopic surgery today. The benefits for patients are many including a faster recovery, less pain, shorter hospital stay, and smaller invisible scars both internally and externally.   Although laparoscopic and robotic surgery is overwhelmingly successful, the laparoscopic surgery experience ...   Read more...
December 24th, 2016

For almost all the procedures of tube laparoscopy is considered as gold standard. most of tubal procedures can be done using microsurgical techniques using stryker mini aligators, using laparoscopy through a small incision. The laparoscopic surgeon must have special training and expertise in microsurgery techniques and/or laparoscopy. This general overview lecture describes the most common tubal procedures.

Laparoscopic Salpingectomy, or removal of part of a fallopian tube, is done very commonly for ectopic pregnancy or to improve in vitro fertilization (IVF) success when a tube has developed a buildup of fluid (hydrosalpinx). Hydrosalpinx makes it half as likely that an IVF procedure will succeed. Laparoscopic Salpingectomy is preferred over salpingostomy for treating a hydrosalpinx before IVF.

Sometime Laparoscopic Fimbrioplasty may be ...   Read more...
December 23rd, 2016


Laparoscopic tubal ligation is a surgical family planning sterilization procedure in which a woman's fallopian tubes are either clamped and blocked or severed and sealed. There are two type of tubal sterilization procedure. Disadvantages of laparoscopic tubal ligation include the need for anesthesia and cost of laparoscopic equipment. The laparoscopic tubal sterilization procedure is usually performed under general anesthesia, which has its own risks. There is inherent risk with any minimal access surgery in which the peritoneal cavity is entered, including the rare risks of bowel injury, hemorrhage through great vessels, transfusion, and, with some sterilization methods, thermal injury. All sterilization methods have risks of failure and regret.

1. Destructive

December 22nd, 2016


Mature cystic teratomas is one of the common ovarian pathology is female of reproductive age group. Ovarian teratoma is often referred to as dermoid cysts. Dermoid cyst are the most common germ cell tumors of the ovary. Histologically, dermoid cysts contain different tissues developed from one or all three germinative layers. The most commonly observed are tumors of ectodermic tissue.

In the recent years of new diagnostic modalities, transvaginal sonographic diagnosis of ovarian dermoid cysts together with laparoscopic approach have greatly improved the treatment of this benign lesion. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. 

In most of the cases laparoscopic management of dermoid cysts is a safe and ...   Read more...
December 20th, 2016


Laparoscopic Appendectomy has many apparant advantage over traditional open appendectomy including less pain faster recovery, early return to work and minimum pain. Undoubtedly it is considered as gold standard for female of reproductive age group because of added advantage of improved diagnosis but it is also having many real advantages in male and paediatric age group patient. The possibility for training in the laparoscopic field is great opportunity especially for young surgeons. In this era of Minimal Access Surgery there is stated, that the majority should consider laparoscopic appendectomy as an important step to the advanced procedures. The broad acceptance is recommended.   Despite an apparent consensus on some aspects of appendicitis for acute appendicitis among surgeons, significant inconsistency ...   Read more...
December 17th, 2016


Laparoscopic inguinal hernia repair "IPOM" with Dual-Mesh is an ideal technique for small inguinal hernia. It is easy technique and in our experience has an excellent result. Intraperitoneal Onlay mesh repair is already Worldwide accepted technique foe ventral hernia but its use in direct and indirect inguinal hernia is limited. We have started this surgery first time in 2005. Previously we were performing it with fibrin glue. Bur recently Dr R K Mishra at World Laparoscopy Hospital has started performing IPOM inguinal hernia surgery with the help of tacker and suturing technique.   The IPOM technique focused on the placement of an intra-abdominal piece of a prosthetic biomaterial usually a polypropylene or expanded polytetrafluoroethylene fixed with some type of stapling device which may be tacker or suture; the repair ...   Read more...
December 15th, 2016

This surgical video demostrate da Vinci Robotic surgery for severe intra abdominal adhesion in a patient who has undergone multiple laparostomies in the past. She was suffering from severe pain abdomen. The da Vinci Robotic Surgical System speaks to the most recent in surgical and apply autonomy in minimal access surgical advancements. Surgeon has 100% control of the da Vinci System at all circumstances and this is the surgeon who is actually doing the surgery. da Vinci innovation interprets surgeons hand developments into littler, exact developments of modest instruments inside patient body.

In case of severe abdominal adhesion it has great advantage and it can be used as an important tool to perform adhesiolysis. In da Vinci robotic surgery precision of the surgery is better but complication is also possible. Serious complications may occur in any ...   Read more...

 

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World Laparoscopy Hospital
Cyber City
Gurgaon, NCR Delhi, 122002
India

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