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...
December 12th, 2016
Radio imaging has a key role in the diagnosis of the acute appendicitis in the patients who do not show classic symptoms of the diseases. The early confirmation through radio imaging can avoid serious complications like gangrene and perforation. It improves diagnostic accuracy and also avoids unnecessary surgeries. This article focuses on the role of diagnostic imaging in the acute appendicitis in children. Appendicitis is a common condition in children which often require emergency surgical intervention. Radio imaging is an important tool in such emergency situation to confirm the diagnosis or to avoid unnecessary surgeries. The present article emphasizes on the role of radio imaging in the diagnosis of the acute appendicitis. When is radio imaging needed? The decision of radio imaging is based on following conditions. It is not ... Read more...
October 3rd, 2016
Laparascopic hysterectomy is a surgical process aimed at removing the uterus; in which a very small incision is made directly in the navel by inserting a tiny camera. After this, the surgeon in charge looks from the camera on a monitoring TV, the image and monitor the procedure. Very carefully and professionally, some special instruments are inserted and used to remove the process. During hysterectomy, most women are believed to not have their ovaries removed. After the surgery, some of the women can decide to keep the cervix in place or totally remove the whole uterus- a process called "total laparoscopic hysterectomy". Basically, the woman needs no hormones after the surgery as long as the ovaries remain inside.
The idea of keeping the cervix in place makes the operation both faster and safer. While some people think the idea is better ... Read more...
September 4th, 2016
This video demonstrates a technique that can be used at total laparoscopic hysterectomy to facilitate removal of a bulky uterus. This 51 year old patient presented with back pain and dyspareunia and medically uncontrolled Dysfunctional uterine bleeding (DUB). During diagnostic imaging, an 3 cm posterior wall fibroid was identified and endometrium thickness was 12mm. She was treated with a total laparoscopic hysterectomy.
Dysfunctional uterine bleeding (DUB) or abnormal uterine bleeding (AUB) is abnormal genital tract bleeding based in the uterus and found in the absence of demonstrable structural or organic disease.
A Total laparoscopic hysterectomy is a minimally invasive surgical procedure to remove the uterus. A small incision is made in the navel through a telescope is inserted. It can be performed by ... Read more...
September 3rd, 2016
Hysteroscopic Myomectomy is an ART. (Admirable Rewarding Technology). It has revolutionized the process of endoscopic viewing of uterine cavity with less invasive treatment . Operative hysteroscopic procedures have boosted the therapeutic aspect of uterine surgeries. Today hysteroscopy ranks as one the most reliable modalities.
Hysteroscopic myomectomy is an endoscopic technique that can be performed only if fibroids are submucosal. This procedure is performed as outpatient surgery without any incisions and virtually no postoperative discomfort. Along with visualization of uterine cavity we can take the biopsy or treat the benign intrauterine pathologies as a routine office procedure without anesthesia. In uterine pathologies like myoma, polyps, uterine malformations, intrauterine adhesions, intrauterine foreign bodies it plays instrumental ... Read more...
August 14th, 2016
Laparoscopy is endoscopic visualization of the peritoneal cavity usually assisted by a pneumoperitoneum that distends and separates the abdominal wall from its contents. Visual clarity, space to perform diagnostic and therapeutic procedures and maintenance of a normal physiologic state is required for safe effective surgery. To perform laparoscopic procedures the abdominal cavity is inflated with gas to create the pneumoperitoneum.
Factors that determine the most appropriate gas for pneumoperitoneum are type of anesthesia, physiologic compatibility, toxicity, ease of use, safety, delivery method, cost, and non-combustibility. Gases used for pneumoperitoneum include carbon dioxide (CO2), air, oxygen, nitrous oxide (N2O), argon, helium and mixtures of these gases.
CO2 gas insufflation is preferred by most ... Read more...
August 13th, 2016
There are a variety of diseases and conditions of the surgical intervention for which minimal access surgery is recommended. Many times patient need mutiple surgery at the same time at same session. In addition to the decision to undergo any kind of multiple surgery, patients are often faced with a choice of traditional or minimally invasive surgical techniques. In order to participate fully in the decision-making process, patients need information about the following issues:
- How is traditional “open” surgery performed for multiple pathology.
- What is “minimally invasive multiorgan surgery”?
- A description of the minimally invasive surgery techniques available
- The benefits and risks of mutiple minimally invasive surgery at the same time ... Read more...
August 2nd, 2016
A hysterectomy is largely a low-risk surgical procedure. The most common complications of hysterectomy may be classified as follows: Infections These are the most common, and vary with the type of hysterectomy. Thus a vaginal hysterectomy is followed by some kind of infectious complication in up to 13 percent of patients, but only 9 percent after a keyhole surgery. Venous thromboembolism Though laboratory tests show that up to 12 percent of patients have a clotting episode, clinical symptoms occur in only 1 percent. Early ambulation and prophylactic anticoagulants are associated with ... Read more...
August 1st, 2016
Introduction
Laparoscopic cholecystectomy has substituted not only open cholecystectomies as the preferred method of removing the gallbladder, but also inspired by the surgeon for the implementation of laparoscopic techniques to treat many other conditions. Laparoscope gives a superb view of the complete belly, opens up the possibility of combining two or more operations in a single operation.
The combination of procedures cause more surgery period, more anesthesia and the risk of increase bleeding. Minimal access surgery has the advantage of a shorter hospital stay, less postoperative pain and morbidity, early return to work and a better aesthetic result. Then evaluate the safety and effectiveness of a number of ... Read more...