what is laprascopy?
It is a type of surgery wbere the surgeon uses very slim instuments and camera introduced into your body after insufflating carbon dioxide gas to perform surgery.
What are advantages of laprascopic surgery?
Because of opening through the body wall being minimal and magnification of surgical site manifold and the surgeon needed to have more self demanding surgical skills & precision in laprascopy– the patient gets a bloodless,almost scarless and relatively very painless post operative period and hence a shorter stay with getting back to work early( a week to 10 days mostly).
What are the complications of lap surgery?
With a well experienced laprascopic surgeon and state of art equipment and a good anaesthetist—complications are even lesser than open surgery.
How costly is laprascopic surgery compared to open surgery?
It is equal or even less costly than open surgery if you account for the lesser days of stay at hospital and faster return to work.
Can it be perfomed on all types of individuals?
Yes,every type of human is capalble of undergoing laprascopic surgery. Anyone who is not fit for lap surgery is unfit for even open surgery.
How are large tumours taken out with very small incisions?
We bring them out through natural orifices like vagina or microchop them using an inhouse morcellator device(makes the tumours very semisoilid to be sucked out).
Can caeseraean surgery for child birth be done with laprascopy?
No. we cant afford to take the live baby piecemeal.
Is open surgery indicated for any surgically removable disease including cancer?
No, Open surgery has been replaced by laprascopy for any disease including cancer from any part of the body(cancer of skin and superficial tissue-don’t require laprascopy anyway).
What are other specialties that use these minimum access techniques?
Gynaecology for hysterectomy.ovarian pathology removal,fibroid removal -urology for stone retrieval and prostate removal—oncolgy for cancer removal etc.
Is it true that the chances of post operative long term abdominal pain due to bowel adhesions are almost nil in laparoscopy compared to open surgery?
Yes. After open surgery many patients complain of abdominal pain for a long time-this is due to abdominal adhesions of intestines and secondary pulling pain. But after laparoscopy this is almost nil since we make only key holes to which the intestines cant stick easily. Infact we operate on patients with long-term abdominal pain caused by open surgery (especially caesarean) technique and release the adhesions by laparoscopy.
Can poor patients afford to get laparoscopy done at noble?
Yes, our initial training started in the only poor catering madras medical college and hence we believe in cutting costs for them as a payback measure. We conduct camps, seminars and anniversary weeks where we do it free for them. At other times we do it at 50% of the normal fee.
Why should I get it done at noble?
We have started early in the field of laparoscopy (since 1997) and done atleast 2000 lap procedures so far successfully without any complications. After seeing its benefits we have left open surgery very far behind though we are good at it too and do it for a selected patients. Economically it makes us attractive because we are not a corporate trying to repay its investors but a family setting where the primary surgeon is in direct and personal touch with the patient. Generating Goodwill & not only profit is our pride.
What type of anaesthesia is preferred in noble for laprascopic surgery?
Only general anaesthesia is preferred as this gives greater quality of painlessness and unconsiousness while avoiding pain in spine secondry to spinal anaesthesia.