Home # Minimal Access Surgery

Minimal Access Surgery

What is Minimal access Surgery?

Minimal access Surgery is an established advanced technique for doing all types of surgical procedures. This technique also known as 'Keyhole Surgery' or Laparoscopic Surgery. It uses a thin telescope known as laparoscope, which is inserted through small incisions. The laparoscope is connected to a tiny video camera which projects the inside view of patient's body to a high resolution monitors in the operating room.

Small surgical instruments are then passed through one or more additional 3-5mm incisions, through which the surgery is done. These incisions are usually covered with surgical glue and after a few weeks are scarcely visible thus avoiding any follow up visit for suture removal..

What are the Advantages of Minimal Access Surgery?

The major advantages of this technique over conventional open surgery are:

Minimal access Surgery by improving vision and providing magnification up to 20 times makes surgery more precise and accurate with minimal collateral damage. This provides faster recovery and minimal complication after surgery.

In Minimal access Surgery a small hole is made through the abdominal muscles to permit access to the abdominal cavity by the surgeon. This leads to minimal tissue damage and less pain. In a conventional surgery, all the muscles are cut to gain the access.

The operative scar in Minimal access Surgery consists of one or more small scars measuring up to 0.5-1.5 cms versus a single large long scar of conventional surgery

How I get benefited with Minimal Access Surgery?

There are numerous benefits of MAS, vis-à-vis open surgery:

Quicker and accurate diagnosis

Faster recovery with shorter hospital stay

Minimal tissue damage, hence less pain

Minimal post-operative infections

Minimal scarring.

Can all patients with surgical problems benefit from this technique?

MAS may not be indicated for a few selected patients. Each patient is evaluated in dividually and advised accordingly. You should educate yourself about all the surgical options available to you and discuss these options with your surgeon and then rely on him to choose the best option for you.

When is MAS mostly used?

All type of Hernia (Inguinal, umbilical, Incisional, Hiatus hernia etc)

Removal of appendix

All colorectal diseases and tumors/ Cancer

Surgeries for Oesophagus and Stomach

Weight loss/Metabolic surgeries

Liver, Bile duct and Pancreatic surgeries

Endocrine Surgery: Adrenal Gland, Parathyroid gland surgery

Surgery for Abdominal Trauma

And many of procedures have been already described above.

When can I get back to work?

You are usually allowed to go home the same day (Ambulatory Surgical Services) or next day, except in cases of more advanced procedures that may require three or four days of hospital stay. You can get back to routine activities in 3 days and to work in 5 days

What are the benefits of MAS?

Minimal Access surgery produces less operative trauma to the patient than an equivalent procedure, done by the traditional methods.

Surgery is done more accurately as about 15-20times enlarged view of internal organs/blood vessels and tissues is obtained.

As MAS involves use of special long instruments, the organs/parts which are other wise difficult to reach in open surgery, can be easily operated upon, using small cuts and with greater precision.

Less post-operative pain

The total dose of post-operative medication is reduced.

Benefits

Early mobility & speedy recovery, results in early resumption of work.

Hospitalization time is shorter.

Reduced incidence of post-surgical complications, such as wound infection

Less chance of adhesion formation, a common sequel of open surgery.

Reduced or almost negligible possibility of hernia in operative scars.

Incisions being very small, there are fine scars, which are hardly visible after few months of surgery.

Are there any risks with MAS?

Like any other surgical intervention, Minimal Access procedures also carry some risk, but the incidence is very low in expert hands. Risks and complications include the following:

Anesthetic complications

Bleeding

Infection

Injury to the internal organs or blood vessels

Vein or lung blood clotting.

Most of these risks are present also in open surgery.

How long do I need to rest after MAS?

Most of the surgeries are done on a daycare basis. Less pain leads to early mobility. Light work can be started within 1-2days of surgery. Full activity can be resumed within 5-7 days.
Resting Position

List of Services and surgery

Basic Surgery

      Laparoscopic Appendicectomy
      Laparoscopic Cholesystectomy
      Laparoscopic Hernioplasty – Ventral / Inguinal
      Diagnostic Laparoscopy
      Diagnostic Retroperitoneoscopy and Biopsy
      Laparoscopic Spleenectomy
      Excision of Meckle's Deverticulum

Advanced Surgery

      Cholecystectomy with CBD Explorations
      Closure of Bowel perforations
      Fundoplication for gastro-esophageal reflux disease
      Gastojejunostomy/Feeding Gastrostomy
      Surgery for Pancreatic tumors/ Whipple's procedure
      Drainage procedures for Pseudo pancreatic Cyst
      All Colo-Rectal Surgeries-
          Partial/Total colectomy for Ulcerative colitis/All Colon/Rectal Cancers
      Rectopexy- For Rectal Prolapse
      Repair of Diaphragm/ Diaphragmatic Hernias
      Rare Hernia Repair

Bariatric Surgery/Weight Loss Surgery

      Sleeve Gastrectomy
      Lap Gastric Banding
      Biliopancreatic diversion
      Duodenal Switch