Experienced Laparoscopic Surgeon in Andheri

Laparoscopy is a way of doing surgery. The organs and tissues inside the body are accessed via small incisions on the skin. It is also known as keyhole surgery or minimally invasive surgery.
Large incisions can be avoided during laparoscopy because the surgeon uses a specialised instrument called laparoscope. This is a long narrow tubular instrument. It gets attached to a light source and a high definition camera. The images are relayed to a medical grade monitor in the operation theatre. Seeing this image surgeon operates. Special laparoscopic hand instruments are used to do the surgery.

Laparoscopy can be used to diagnose as well as treat a wide range of diseases. In scenarios where doctor is not getting a clear picture of the ailment affecting the patient despite investigations like Ultrasound, CT Scan etc, visualizing the inside of tummy with laparoscope helps. A small tissue sample of diseased area (biopsy) can be taken and sent for evaluation.
Laparoscopy is also extensively used for treatment. Today it is the standard of care for a wide range of commonly performed surgeries.

After surgery, when should you consult a doctor?

After laparoscopy once patient is comfortable, usually he or she is discharged home in a day or two. Follow up visits are typically scheduled at day 7 and day 14 of surgery. Overall recovery of patient and also the wounds are assessed.

Patients should get in touch with doctor earlier in case they experience any signs that point to a problem. Some red flags are:

• Fever with or without chills.
• Vomiting with or without stomach pain.
• Excessive bloating of abdomen.
• Redness, pain, swelling, bleeding, or discharge around the wounds./li>
• Pain and swelling in one of your legs.
• Difficulty breathing, feeling uneasy.

Laparoscopy is done under regional or general anaesthesia. Medicines are given to ensure that patient doesnt feel any pain during surgery.

• Before scheduling the surgery, a complete comprehensive evaluation is done to ensure that the patient if fit enough to tolerate anaesthesia and surgery.
• Typically, on the day of surgery patient is asked to stay fasting for 6 to 8 hours.
• If the patient has been taking any blood thinner medicines, they are stopped few days before surgery to decrease the risk of bleeding.
  Once the paperwork for admission and surgery is completed, presurgery medicines are administered and patient is wheeled into operation theatre for surgery.

• After the patient is wheeled inside the operation theatre, all the team members introduce themselves by name. Identity of patient and the planned surgical procedure is confirmed.
• Medicines are given to induce sleep and patient is given appropriate anaesthesia.
• A small cut in made and a tubular instrument called Laparoscopic trochar (canula) is inserted into the tummy. Through this carbon dioxide gas is introduced inside the abdomen thus lifting up the anterior abdominal wall and creating space for surgeon to carry out the planned surgery.Via this trochar, a laparoscope is introduced. The surgeon has a clear view of the entire area thanks to the laparoscope, which transmits images to a television monitor in the operating room in real time.
• Depending on the surgery planned, additional two or more instruments are introduced through same (SILS) or different skin incisions (Traditional laparoscopy).

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• he surgeon uses image transmitted by laparoscope to direct the laparoscopic hand instruments to the proper location and perform the necessary treatment.
• After the needful is done, surgeon inspects the area again to make sure there is no ongoing bleeding from any site. The carbon dioxide is then released and the incisions are closed in layers.
• After dressings are applied, the anaesthesiologist gets the patient out of anaesthesia and the patient is wheeled out of operation theatre.

After laparoscopy, you may feel groggy and disoriented as you recover from the effects of the anaesthetic. Some people feel sick or vomit. These are common side effects of the anaesthetic and should pass off quickly.
You’ll be monitored by a nurse for a few hours until you’re fully awake and will then be shifted to your bed in the ward. On duty doctor will assess if you are comfortable to eat, drink and pass urine.
Depending on the surgery performed and your recovery, you will be discharged home in a day or two. Before you leave the hospital, you’ll be told how to take care of your wounds and when to return for a follow-up appointment.
For a few days after the procedure, you’re likely to feel some pain and discomfort where the incisions were made, and you may also have a sore throat if a breathing tube was used. You’ll be given pain killing medication to help ease the pain.
Some of the gas used to inflate your abdomen can remain inside your abdomen after the procedure, which can cause bloating and shoulder tip pain. These symptoms are nothing to worry about and should resolve in a day or two. The gas gets absorbed by the body.

Recovery after laparoscopic surgery is quick. For an individual patient, numerous factors like kind of surgery performed, overall general health and resilience of patient, presence or absence of any postoperative complications, will have a bearing on the postoperative recovery.

For routine laparoscopic surgeries like Single incision laparoscopic cholecystectomy, patient is usually comfortable and fit to resume his / her desk job in 5 to 6 days. If the job involves lifting of heavy weights or lot of travel, time to resumption of work is longer.