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TESTIMONIALS |
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Elaine James |
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During my work at the Bariatric Surgery, I had the opportunity to observe firsthand ... |
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LAPROSCOPIC SURGERIES |
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Basic Laparoscopic Surgeries |
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1. Laparoscopic Chloecystectomy :
Removal of gall bladder is usually done for gall stones but some times other conditions like acalculus cholecystitis, porcelain gall bladder, gall bladder polyp, trauma to gall bladder may also warrant for removal of gall bladder. |
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2. Laparoscopic Appendicectomy :
Removal of appendix is mostly done for acute appendicitis but may be done in other conditions like cyst of appendix, tumor of appendix etc and requires removal. |
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Advanced Laparoscopic Surgeries |
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1. Laparoscopic Hernioplasty :
Protrusion of contents of a cavity through the area of weakness in the wall of the cavity is known as hernia. It can occur in any cavity like abdominal cavity, chest cavity, or cranial cavity. Most commonly it occurs in the abdominal cavity. Hernia of abdominal cavity can be inguinal hernia, femoral hernia, umbilical hernia, incisional hernia etc. |
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2. Upper Gastrointestinal Surgery :
Fundoplication: Abnormal regurgitation of ingested food, heart burn, and sour eructation are the symptom complex commonly known as gastroesophageal reflux disease (GERD). Surgical treatment of this condition is known as fundoplication.
Cardiomyotomy : A condition in which lower esophageal sphincter fails to relax to allow smooth passage of food from the food pipe to the stomach. The division of this circular sphincter is cardiomyotomy which facilitate food passage from food pipe to stomach.
Vagotomy and
Gastro-Jejunostomy :This procedure is occasionally done these days because of availability of better medication for ulcer disease. In this procedure nerve supplying the stomach is divided to decrease the acid secretion and stomach is joined to the small intestine to facilitate emptying of food from the stomach.
Gastrectomy : It is the removal of stomach and this can be done for various conditions but most commonly for cancer of stomach. Stomach can be removed partially or completely depending upon the location of the tumor.
Oesophagectomy :It is the removal of food pipe and is usually done for the cancer of esophagus. Removal of esophagus requires creation of neoesophagus which is a technically demanding procedure and should be done only by well trained and experienced surgeons. |
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3. Intestinal Surgery
Adhesiolysis : Adhesions are the most common cause of the intestinal obstruction. Treatment of the intestinal obstruction is to remove the cause and the surgical procedure is called Adhesiolysis.
Mesh Rectopexy : Rectopexy is the procedure in which lax ligaments of the rectum are restored to their normal position.
Colectomy : Removal of the large intestine (colon) is called colectomy and it is usually done for cancer of the colon, but is also performed for tuberculosis of intestine, ulcerative colitis, diverticulitis, gangrene of colon, volvulus etc.
Anterior Resection : Removal of the rectum, mostly for cancer of the rectum and the bowel continuity is restored by joining proximal and distal segments. This will require special instrument and training. Normal defecation pathway is maintained.
Abdominoperineal Operation : Removal of the rectum and anal canal with sphincter complex. This operation is done for low lying rectal cancers and cancers of anal canal. After operation patient will have an opening on the abdominal wall (colostomy) through which all the fecal matter will come out and collect in an appliance stuck to the abdominal wall.
Restorative Proctocolectomy (IPAA) : This operation entails removal of the whole of the large intestine and rectum. Intestinal continuity will be restored by creating a neorectum using small intestine known as pouch. This pouch is joined to the anal canal. Pouch-anal anastomosis is protected by creating a temporary fecal diversion i.e. ileostomy which will be closed, once anastomotic integrity is tested. |
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4. LaparoscopicLiver, Biliary and Pancreatic Surgery
Biliary Stricture Management : Biliary stricture is a condition resulting from trauma to the bile duct which is most commonly after removal of the gall bladder.
Pancreatico-Jejunostomy : This surgical procedure is done for chronic pancreatitis. Surgery is indicated for those who are having intractable pain, complication related to pancreatitis e.g. pseudocyst formation, persistent vomiting, jaundice, and bleeding, or malignancy and can not be ruled out. In this operation all the stones from the pancreatic duct are removed and then the longitudinally opened duct is joined to the small intestine.
Pancreatic Necrosectomy : This operation is performed for the patients who have severe acute pancreatitis and developed complication. Non viable pancreatic tissues (necrosis) get infected and require operative removal. It’s a dreaded condition and requires highly specialized care. Surgical treatment carries high morbidity and mortality. |
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