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Latest Laparoscopic Operations
Laparoscopic Operations
Dr. Ram Kumar Sharma is an experienced surgeon specializing in laparoscopic operations. With expertise in cholecystectomy, hernia repair, appendectomy, and intestinal surgeries. He ensures minimal invasiveness and optimal outcomes for his patients.
Laparoscopic operation for Gall Stones - Laparoscopic cholecystectomy
Laparoscopic cholecystectomy is a minimally invasive procedure for gallbladder removal. Small incisions are made in the abdomen to insert a laparoscope, a thin tube with a camera, and surgical tools. This method offers benefits such as less pain, shorter hospital stays, faster recovery, and minimal scarring compared to open surgery. The surgeon disconnects the gallbladder from the liver and bile ducts and removes it through one of the small incisions. This procedure is commonly used to address gallstones, gallbladder inflammation, or other gallbladder conditions, including rupture.
Hernia
A hernia is a condition characterized by the protrusion of an organ or fatty tissue through a weakened area in the muscle or connective tissue of the abdomen. The most common type is the inguinal hernia, which occurs in the groin region. Other types include umbilical hernia, paraumbilical hernia, epigastric hernia, incisional hernia and femoral hernia. Hernias can cause discomfort, pain, or a noticeable bulge, especially during activities such as coughing or heavy lifting. The gold standard treatment for hernias involves laparoscopic or open surgery with mesh placement. Temporary options may include watchful waiting, lifestyle modifications, or supportive devices like trusses. Hernia surgery aims to repair the weakened area and prevent future protrusions by closing the opening or reinforcing the muscle wall with a specialized mesh.
Laparoscopic operation for Inguinal Hernia - TEP & TAPP
TEP (Totally Extraperitoneal) and TAPP (Transabdominal Preperitoneal) are two laparoscopic techniques used for repairing inguinal-scrotal hernias in the genital area. Both procedures are minimally invasive and share similarities, but they differ in terms of their approach to the peritoneum. In TEP, the repair is performed entirely outside the peritoneal cavity, while in TAPP, the surgeon enters the peritoneal cavity to complete the operation. As a result, TAPP requires an incision in the peritoneum and subsequent closure. The choice between TEP and TAPP depends on various factors, including the surgeon's preference, patient characteristics, and the specific hernia being treated.
Laparoscopic operation for Abdominal Hernia (Umbilical hernia, Ventral hernia, Epigastric hernia)
IPOM (Intra Peritoneal Onlay Mesh repair)
Intra Peritoneal Onlay Mesh repair (IPOM) is a frequently performed surgical procedure for abdominal hernia repair. It involves using a composite mesh to bridge the defect on the inner side of the peritoneum. This technique requires a special and relatively expensive mesh to minimize mesh-related complications. IPOM offers numerous advantages over open surgeries, such as smaller incisions, decreased post-operative pain, and faster recovery times. These benefits make IPOM an attractive option for patients seeking a less invasive hernia repair procedure.
SCOLA
The Sub-Cutaneous Onlay Laparoscopic Approach (SCOLA) is a minimally invasive surgical technique for repairing umbilical hernias, paraumbilical hernias, and ventral abdominal hernias. It involves making small incisions in the abdominal wall, through which a laparoscope is inserted to visualize the hernia. The hernia sac is then reduced, and a mesh implant is placed over the hernia defect from the outside of the abdominal cavity. SCOLA offers several advantages, including smaller incisions, avoidance of disturbance to intraabdominal organs, no requirement for a special mesh, reduced post-operative pain, faster recovery, and lower complication rates compared to traditional laparoscopic and open surgeries. This approach enables precise mesh placement and improves patient outcomes, making it a valuable option for hernia repair.
Complicated Laparoscopic Surgeries like Laparoscopic Completion Cholecystectomy
Post-cholecystectomy syndrome (PCS) is a condition characterized by symptoms like abdominal pain, bloating, indigestion, and diarrhea, which may occur after the surgical removal of the gallbladder. The exact cause is often unclear, but it can be related to incomplete surgery, such as retained calculi in the cystic duct remnant or common bile duct. Treatment options for PCS vary based on the specific symptoms and underlying pathology and may include Completion Laparoscopic or open cholecystectomy, dietary modifications, medication, and lifestyle changes. If experiencing these symptoms, individuals should seek proper diagnosis and management from their healthcare provider.
Laparoscopic or open appendicectomy
Appendicectomy, also known as appendectomy, is a surgical procedure performed to remove the appendix, a small organ located most commonly in the lower right side of the abdomen. The primary reason for this surgery is appendicitis, characterized by intense abdominal pain, nausea, vomiting, and fever. During the operation, a small incision is made in the abdomen, or a minimally invasive approach called laparoscopic appendicectomy may be employed. The inflamed appendix is then identified and extracted to prevent the risk of rupture, which can lead to severe complications. Appendicectomy is a commonly performed procedure with a high success rate and a relatively short recovery period.
Intestinal Surgeries
Intestinal surgeries encompass a range of procedures performed on the intestines, part of the digestive system, to address conditions like intestinal perforation, bowel obstruction, inflammatory bowel disease, diverticulitis, colorectal cancer, and intestinal hernias. Common surgeries include repairing intestinal perforations, relieving obstructions, and removing gangrenous sections through bowel resection. Additionally, colostomy or ileostomy procedures create abdominal openings to redirect waste. These surgeries may be conducted using open surgery or minimally invasive techniques like laparoscopy. Precise surgical techniques, careful planning, and postoperative care are crucial for proper healing and restoration of normal bowel function.
Operation for Breast Enlargement, Lumps, Nodules
Gynecomastia refers to the condition of breast enlargement in males, while fibroadenomas are characterized by the presence of lumps and nodules in young females. Surgical procedures are often necessary to address these diagnoses. To minimize future scarring and maintain cosmetic appeal, the operations typically involve making circular incisions along the margin of the dark areolar part of the breast. This approach aims to ensure the best possible cosmetic outcome for patients undergoing these procedures.
Operations for Male Genital part
Hydrocele, the enlargement of the testes within the scrotum, and phimosis, the tightening of the foreskin of the penis, can both pose challenges during sexual activities. Traditionally, surgical intervention through open incisions has been the standard approach to address these issues. However, advancements in medical techniques have introduced a novel method known as circumcision by stapler for phimosis. This modern approach aims to reduce postoperative pain, accelerate recovery time, and minimize hospital stays. By utilizing the stapler technique, surgeons can provide a more efficient and less invasive procedure, offering patients a quicker return to normal sexual function.
