LAPAROSCOPIC SURGERY

Laparoscopy Surgery in Jalandhar

Kamal Multispecialty Hospital is the best institute for Laparoscopic Surgery in Jalandhar. Get advanced treatments for gallbladder stones, hernias and appendicitis at the best prices.

About laparoscopic treatment

Laparoscopy is an effective procedure to treat hernia, gallbladder stones, appendicitis etc. Surgery using a laparoscope is also known as keyhole surgery because of the tiny incisions. For the surgery, then the surgeon uses a laparoscope, a long, thin instrument for the surgery. The HD camera attached provides live images of the affected organs and tissues in the abdomen. The

the surgeon locates the disease’s epicenter via an external monitor and operates with high precision.

What is a hernia?

A hernia occurs when a weak muscle bulges or protrudes around an internal organ. Hernias most commonly occur in certain body parts, such as the abdomen, groin, belly button or thigh area. It is also possible that the incision from a previous operation is still visible.

Types of hernia

• Inguinal hernia
• Umbilical hernia
• Femoral hernia
• Diaphragmatic hernia
• Epigastric hernia
• Incisional hernia

Causes Chronic constipation Present since birth due to a congenital condition Lifting heavy weights or heavy physical training Chronic cough Overweight or obesity

Symptoms Feeling of a lump or bulge in the affected region Heaviness in the groin or abdomen Pressure in the abdomen or groin Discomfort during bowel movements or urination Difficulty eating with a hiatus hernia

Treatment

Standard diagnostic tests before hernia surgery

Before proposing hernia surgery to the patient, the surgeon must thoroughly diagnose the patient’s body. The following tests are recommended for this purpose

Ultrasound of the abdomen:- Ultrasound examination is performed to obtain images of the abdomen and pelvic organs. This helps in finding the cause of the pain.

CT Scan:- The Doctor may order a CT scan to determine if the organ is inflamed or swollen.

MRI Scan:- This scan is recommended to determine if the organ or tissue is pinched or blocked. 

X-ray:- This exam takes pictures of the abdomen and all organs to find the safest approach to the herniated organ.

Endoscopy:- This exam provides clear images of the internal organs to help the surgeon determine the proper technique for surgery.

Each of the above tests has a distinct meaning. These examinations’ results help find the right way for hernia treatment.

Steps in hernia Surgery

At Kamal Multispeciality Hospital, we offer treatment through advanced laparoscopic hernia surgery, a minimally invasive technique. The steps of the treatment are explained below.

• The patient receives an aesthesia to numb the body.
• Then, depending on the location and type of hernia, 2 or 3 incisions are made in the abdomen or groins area.
• The abdominal cavity is then inflated with gas to create enough space for the procedure without damaging the surrounding tissue. 
• All surgical instruments and the Laparoscope are inserted into the abdominal cavity. It provides clear images of the internal organs on a screen TV.
• The surgeon pushes the protruding organ back to its original position.
• If necessary, a hernia mesh is used to reinforce the muscle wall. It is sutured over the healthy tissue to reinforce and prevent the internal organs from protruding from the muscle wall.
• In the absence of hernia mesh, the healthy tissues got stitched together to close the opening of muscle.
• If necessary, the incisions are closed with the help of staples or surgical glue. Otherwise, they are left open to healing independently. Though to prevent infection and contamination, it is covered with bandages.

The laparoscopic hernia surgery takes around 1-2 hours. After the laparoscopy treatment in Jalandhar, the patient will most likely be discharged a few hrs after the surgery.

What are gallstones?

Gallstones occur when excess cholesterol in the Bile crystallizes. Gallstones prevent the gallbladder from emptying properly. There are different sizes of gallstones, and sometimes inflammation of the gallbladder occurs. Laparoscopic surgery is needed when the gallstones form repeatedly.

Causes When too much cholesterol contains in Bile When too much bilirubin contains in Bile When the gallbladder doesn’t empty properly Weakness of digestive system When osteogeny levels increased due to pregnancy or hormone replacement therapy

Symptoms High fever with chills Clay colour stools or dark colour urine Intense pain from the central abdomen to the right shoulder Heartburn and other digestive problems Vomiting and Nausea

Treatment

Diagnosis

The diagnosis of gallstones by a laparoscopic surgeon entails a discussion of the patient’s medical history, lab and imaging tests and physical examination. The Doctor may ask about your eating routine during a physical exam when you feel pain in the abdomen. 

There are some other tests doctors may ask to be done:

Blood Test

To check the amount of bilirubin in the blood and liver functioning, the Doctor may ask for a blood test.

Endoscopic Retrograde cholangiopancreatography (ERCP)

A tiny camera is inserted for this procedure in the gastrointestinal tract to help the Doctor check the bile duct for the presence of gallstones. 

Abdominal Ultrasound and CT scan

To better analyze the symptoms and signs of gallstones, abdominal ultrasound and CT scan can provide better imaging and pictures of the gallbladder.

Procedure

The modern laparoscopic procedure is an advanced surgical method performed with a Laparoscope. By making a minor incision, gallbladder surgery is performed. The surgical tool, which has the tube, camera, & tools passed in through the incision, is called the Laparoscope. The camera helps the surgeon better imagine the body parts and removes the gallstones, as the Laparoscope provides excellent imaging. If all goes well, the patients may return home the same day after the surgery, but in some rare cases, a one-night stay in the hospital is needed. You can generally expect to go home once you can eat and drink without pain and can walk unaided. To get fully recover, it takes about a week.

Some of the benefits of laparoscopic gallbladder removal surgery are:

• A smaller incision causes less pain
• Recovery is much faster
• Healed incision will leave no scar
• Get back to your everyday routine quickly

What is Inguinal Hernia?

This is known as the most common type of hernia. It occurs when tissues or intestines protrude through a weak point in the muscle wall around the inguinal canal or groin. Around 70% of hernia cases are associated with inguinal hernia, mainly in males. You cannot feel much pain at the beginning of the inguinal hernia. Still, a bulge will appear that may occasionally hurt during your cough, lift heavy things or usually bend over.

An inguinal hernia is not known as dangerous because it doesn’t improve on its own. In rare occasions, it could be life-threatening, and we may suggest repairing an inguinal hernia. You can contact Kamal Multispeciality Hospital and talk to the best hernia doctors in Jalandhar, where the experts will diagnose the condition and suggest a plausible treatment method accordingly.

Risks of inguinal hernia

• Strangulation
• Death of tissue
• Gangrene

Treatment

Diagnosis

When an individual feels pain in the groin region, they usually go to a primary care provider (PCP). After the PCP, the patient may be advised to visit a general surgeon or gastroenterologist for further evaluation who will perform a general physical exam to diagnose a hernia properly. The Doctor will check the bulge in the groin area and ask you to cough while standing. This method makes the hernia more prominent and can be easily detected. No conclusive evidence was revealed by physical examination. The Doctor may recommend an abdominal ultrasound, CT scan, or MRI to get better images.

Procedure

Suppose the inguinal hernia does not bother. Also, it doesn’t have severe symptoms, so the Doctor may recommend waiting for more signs. Sometimes, to alleviate the symptoms, a supportive truss is suggested by doctors. 

The Doctor will recommend surgical treatment for large and painful inguinal hernia; the patient can undergo open hernia surgery or minimally invasive hernia surgery. At Kamal Multispeciality Hospital, we provide advanced medicine and use minimally invasive techniques to repair a hernia.

For this surgery, laparoscopic hernia repair surgery is performed. The steps involved in the procedure are explained below-

• The Doctor gives general anesthesia to the patients to numb the body and ensure that the patient doesn’t feel any pain or discomfort.
• Once the anesthesia takes effect, the surgeon doing the laser laparoscopy in Jalandhar will insert the laparoscopic instruments to repair the hernia. A particular gas inflates the abdomen and provides ample space to perform the surgery.
• Multiple incisions (usually 2 or 3) are made around the abdomen to insert the surgical instruments.
• The herniated part is pushed back to the original position; if needed, a hernia mesh is placed to support the muscles and keep the organ in its place.
• After hernia repair, the gas is deflated, and the incisions are closed with stitches if required.
• The observation time for the patient after the surgery is 2-3 hours until the anesthesia wears off and then transferred to the room.

Hernia surgery is an effective procedure; a minimum of 24 hours of hospitalization is necessary. Once the Doctor ensures that the surgery is successful and the patient is well, they will be discharged.

What is Umbilical Hernia?

This occurs when an internal organ protrudes or bulges or through the weak muscle, which is situated near the navel. An umbilical hernia is more common in small children and infants, but it can develop in adults also. These may enlarge while coughing, laughing, crying or passing stool and shrink when you relax.

Risks of umbilical hernia

• Strangulation
• Death of tissue
• Gangrene

Treatment

Umbilical hernia treatment for Children & infants

Usually, umbilical hernia in children resolves independently without any treatment. An umbilical hernia often closes when a child is 12 months old. In some rare cases, the doctor of Laparoscopic Surgery in Jalandhar may have to push the abdominal lump back into the abdomen when it does not happen.

Recommendation for surgery for children is needed only when

• The child is 2 years old, and the hernia does not close.
• During the age of 4 years, the swelling persists.
• When the hernia becomes trapped between
• The hernia sac trapped the intestines

Surgical repairs in adults generally treat umbilical hernia treatment in adults

This surgery is quick and effortless; the surgeon strengthens the abdominal wall by pushing the bulge back into place. Surgery can be done in two ways:

Open surgery:- In this surgery, the surgeon repairs the umbilical hernia by making open incisions in the hernia site and pushing in the bulge with a mesh. Then the Doctor stitches the muscles together.

Laparoscopic surgery:- This is the more effective and advanced form of hernia repair. In this surgery, the surgeon makes a keyhole, through which the surgeon inserts hernia mesh to seal the abdominal wall.

Tests for Umbilical Hernia Diagnosis

It is often possible to diagnose an umbilical hernia with just a physical examination by a hernia specialist.  Looking at the signs, symptoms, and outlook of the hernia, the Doctor, in most cases, can identify an umbilical hernia without any other diagnostic tests. If there are no symptoms of umbilical hernia, the Doctor may recommend imaging tests such as ultrasound, blood tests, X-rays or CT scans.

What is Appendicitis?

The appendix is a small 3.5-inch-long pouch joined to the large intestine on the lower right side of your abdomen. This is the inflammation of the organ. In the early stage, the pain occurs around the navel and right side of the abdomen, but the pain increases when the rash gets worse. When it is not removed, the appendix can burst. 

Appendicitis can develop at any age to anybody. Usually, it occurs in people between the ages of 10 and 30. You can contact Kamal Multispeciality Hospital to undergo a laparoscopic appendectomy in Jalandhar.

Causes When the opening of the appendix got blocked Stool passes in the hard, rock-like form Due to trauma or any abdomen injury Swollen lymph nodes in the intestines or infection in the gastrointestinal tract Cancerous tumors or parasites

Symptoms Dull pain near the navel Pain increases when taking deep breaths, sneeze or coughing Inability to pass gas, vomiting and nausea Loss of appetite Low-grade fever

Treatment

Diagnosis

During the initial checkups, the Doctor will ask about the history of symptoms and signs to identify the exact cause of abdominal pain. Some tests will be done for an accurate diagnosis; these are:

Physical Exam:- To assess the pain, the Doctor will gently apply pressure on the painful abdomen area. When pressure is released, you may feel a surge in pain, indicating that the adjacent peritoneum is inflamed.

The Doctor may also look for hardness or stiffening in the abdominal muscles when the pressure is applied to the area above the appendix.

Blood Test:- It is done to see the infection in the appendix by checking the excessive amounts of white blood cells.

Urine Test:- To track the infection or a kidney stone as the potential cause of abdominal pain, a urinalysis is done to eliminate the urinary tract.

Imaging Tests:- To confirm appendicitis or find other causes of abdominal pain, an abdominal X-ray, CT scan, ultrasound or MRI is done.

Procedure

Antibiotics can sometimes treat infectious appendixes, but surgery is the most common treatment. Appendicitis must be treated, taking it as a medical emergency. It is also suggested that it must be treated between 36-72 hours before it gets bursts. There are two surgical procedures to treat the appendix

Open Appendix Removal Surgery:- This is the most preferred procedure for those who have already undergone abdominal surgery or have a perforated appendix is open appendix Removal Surgery. The surgeon removes the appendix by simply making a large incision in the abdomen. After removing the appendix, the wound is closed with stitches.

Laparoscopic Appendix Removal Surgery:- Laparoscopic appendicitis surgery is the best treatment for adults and obese people. A surgeon removes the appendix through the incisions in the abdomen. The stomach is inflated with carbon dioxide during the surgery so the surgeon can see inside. A thin tube-like instrument with a camera called the Laparoscope is attached so the surgeon can view the abdomen. After removal of the appendix, the small incisions are cleaned and closed with adhesive glue.

The Advantages of laparoscopic surgery

• Small incisions and minimum scarring
• Short surgery that takes 30-40 minutes
• Less postoperative pain
• Short hospital stay
• Quick return to normal activities
• Better cosmetic results
• Fewer complications