Minimal Access Surgery: Improved Patient Care
In traditional “open” surgery, the surgeon uses a single incision to enter into the abdomen. While laparoscopic surgery uses several 0.5-1cm incisions; each incision is called a “port.” At each port, a tubular instrument known as a trochar and cannula is inserted. Specialized instruments and a special telescope known as a laparoscope are passed through the port during the procedure. At the beginning of the procedure, the patient’s abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the laparoscopic surgeon. The laparoscope transmits images from the abdominal cavity to high-resolution video monitors through a digitally advanced camera system in the operating room. This system allows the surgeon to perform the same operations as traditional surgery but with higher precision. Recently, single incision laparoscopic surgery has also evolved for certain routine procedures. This incision is done only in the umbilical area so that the scar will practically not show later on.
As every surgery, also minimally invasive surgery is associated with certain risks such as complications related to anesthesia and bleeding or infectious complications. The risk of any operation is determined in part by the nature of the specific operation and hidden risk factors within the patient itself. Your surgeon will discuss about the risk and benefits for any operation beforehand.
Areas of excellence
• Cholecystectomy (removal of the gallbladder)
• Appendectomy (removal of the appendix)
• Repair of hernia (inguinal, umbilical, abdominal and femoral)
• Surgery on the small and large intestine, stomach and liver, including cancer surgery
• Surgery on the kidney (including removal of the kidney for cancer)
• Surgery on the uterus and ovaries (including repair of fallopian tube for extra-uterine gravidity, removal of the uterus, removal of fibroids)
• Thoracoscopic surgery (surgery in the chest)
• Pediatric surgery (hernia, Hirschprung’s disease)
• Bariatric surgery (weight-loss surgery)