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Our Specialities

Laparoscopic Surgery

Laparoscopic Surgery


Laparoscopy is a type of surgical procedure that allows a surgeon to access the inside of the abdomen (tummy) and pelvis without having to make large incisions in the skin. This procedure is also known as keyhole surgery or minimally invasive surgery.

Surgery

Why Koshys ?

Koshys Hospitals skilled surgeon’s are experts in the field of minimally invasive surgeries and laparoscopic surgeries. Our surgeon’s are working round-the-clock by using new technologies to find out the cause of pain in the pelvic and abdominal regions, examine a tissue mass, confirm endometriosis or pelvic inflammatory disease and look for blockage of the fallopian tubes or for other causes of infertility.

Types of Laparoscopic Surgeries


  • Laparoscopy for Emergency Admissions
  • Lap appendectomy is a minimally invasive surgery to remove the appendix through several small incisions, rather than through one large one. Recovery time from the lap appendectomy is short.
    Inguinal hernia repairs are one of the most common general surgical operations performed in the world. Diagnosis of inguinal hernias is typical performed using a thorough history, and physical and is typically signified by a bulge in the groin. There are many treatment options for patients with inguinal hernias including watchful waiting, open primary repair, open tension-free repairs with the use of mesh prosthetics, and laparoscopic repairs which are typically performed with mesh prosthetics.
    Laparoscopic cholecystectomy, also known as minimally invasive cholecystectomy, is performed through 4 small incisions with use of a camera to visualize the inside of the abdomen and long tools to remove the gallbladder. Surgery is done under anesthesia, and patients are asleep throughout the entire procedure.
    During the operation, there was less blood loss and less need for a wound drain in the laparoscopic group.
    A hiatal hernia tends to make the antireflux barrier more open and weaker. Consequently, it allows acid reflux to occur more easily. The hiatal hernia itself usually does not cause symptoms unless it is very large. The procedure can nearly always be done laparoscopically, using very small incisions. Typically, patients will spend the next one to two days in the hospital and 2–4 weeks at home recovering. Ideally, within a few weeks, patients will no longer have heartburn, and no longer need to take heartburn medication.
    Laparoscopic gastric bypass (GBP) surgery is a surgical procedure that involves the creation of a gastric pouch and is performed to yield significant and long-lasting weight loss in patients who are severely obese.
    Adjustable gastric banding (also known as “Lap Band” or “Realize band”) is considered by many to be the least invasive surgery for weight loss. The procedure involves placing an implant, a soft silicone ring with an expandable balloon in the center, around the top part of the stomach. It effectively creates a two-compartment stomach, with a much smaller top part above the band. A person eats enough food only to fill the top part of the stomach. Over time, after the meal, the food passes through the opening of the band into the remainder of the stomach, and digestion occurs normally.
During the laparoscopic sleeve gastrectomy (LSG), about 75% of the stomach is removed leaving a narrow gastric “tube” or “sleeve”. No intestines are removed or bypassed during the sleeve gastrectomy. The LSG takes one to two hours to complete.
A colectomy procedure to remove one side of the colon is called hemicolectomy. A right hemicolectomy, involves removing the right side of the colon and attaching the small intestine to the remaining portion of the colon.
Left colectomy is performed under general anesthesia
  • In this procedure, a surgeon usually removes the descending colon before reattaching the transverse colon.
  • The surgeon makes small incisions in the abdominal wall and inserts a thin scope. The scope has a lens and light for viewing purposes.
  • The surgeon then inserts surgical instruments through the small cuts in the abdomen and removes the diseased part of the colon and reattaches the healthy colon.
  • The instruments are removed and incisions are stitched with absorbable stitches. This type of procedure is also known as keyhole surgery.
  • Left colectomy usually lasts less than three hours.
Laparoscopic low anterior resection (Lap LAR) is an ideal, minimally invasive surgical procedure for mid- and distal rectal cancer.
A laparoscopic total abdominal colectomy is an operation that removes the large intestine. Doctors use it to treat conditions including:
  • Inflammatory conditions of the intestine, such as Crohn's disease and ulcerative colitis
  • Familial polyposis, an inherited condition in which hundreds to thousands of polyps (small growths) form along all of the large intestine
Laparoscopic rectopexy is one of the surgeries that is used to repair a rectal prolapse. In this surgery, the rectum is restored to its normal position in the pelvis, so that it no longer protrudes through the anus. Usually, stitches are used to secure the rectum, often along with mesh.
Laparoscopic distal gastrectomy with D1+ dissection is generally prescribed for clinical stage IA cancer that was diagnosed prior to surgery. However, the procedure can also be used for cancers that have progressed to a later stage, if dissection cannot be performed because of a patient's clinical parameters.
This is a minimally invasive surgical procedure that is performed to remove benign \ or malignant (cancerous) tumors in the body or the tail of the pancreas.
General Medicine

FAQ's


The smaller incisions are less painful. As a result, we see a decreased need for pain medication, shorter recovery time and better cosmetic result. Patients are able to eat when they feel ready, and there is less internal scarring.

The risks are similar for laparoscopic, open and vaginal surgery. There is always a possibility that the surgeon cannot complete the procedure laparoscopically and a larger incision may be needed. This risk is small, as are the risks of bleeding, infection, damage to the bladder, bowel, blood vessels and ureters.

In Diagnostic hysteroscopy we check the cavity of the uterus through hysteroscope to find out any abnormality. Asherman’s syndrome, fibroid, polyp and septum etc can be treated at the same time. In diagnostic laparoscopy we can check ovaries for cysts, dermoids, the fallopian tubes for patency, uterus for adhesions and submucous fibroids....





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