Laparoscopic or “minimal Access Surgery” is a highly specialized technique for performing surgery of abdomen. In the past, this surgical technique was commonly used only for gynaecologic surgery, for diagnostic laparoscopy in cases of infertility and for gall bladder surgery. Over the last 10 years the use of this specialized surgical technique has expanded into intestinal surgery. In traditional “open” surgery the surgeon uses a single incision to enter into the abdomen. Laparoscopic surgery uses several 0.5-1cm incisions. Each incision is called a “port.”  At each port a tubular instrument known as a trochar and cannulla is inserted.  Specialized instruments and a special telescope known as a laparoscope are passed through the port during the procedure. At the beginning of the procedure, the patient’s abdomen is inflated with carbon dioxide gas to provide a working and viewing space for the laparoscopic surgeon. The laparoscope transmits images from the abdominal cavity to high-resolution video monitors through a digitally advanced camera system in the operating room. During the operation the surgeon watches detailed images of the abdomen on the high resolution monitor. This system allows the surgeon to perform the same operations as traditional surgery but with smaller multiple incisions.However recently single incision laparoscopic surgery is also evolved.

In certain situations a minimal access surgeon may choose to use a special type of port that is large enough to insert a hand known as Hand Port. When a hand port is used the surgical technique is called “hand assisted laparoscopic surgery". The incision required for the hand port is generally 5.5 cm and hence larger than the other laparoscopic incisions, but is usually smaller than the incision required for traditional surgery.

Advantages of laparoscopic surgery?

Compared to traditional open surgery, patients often experience less pain, an earlier recovery, and less scarring with laparoscopic surgery.

Operations which can be performed using laparoscopic surgery?

Most of the abdominal advanced surgeries can be performed using the laparoscopic technique in experienced hand. These include surgery for gallbladder, duodenal perforation, appendicitis, Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation.

In the past there had been concern raised about the safety of laparoscopic surgery for radical cancer operations. But recently several studies involving hundreds of patients have shown that laparoscopic surgery is safe for certain ­colorectal cancers.

How safe is laparoscopic surgery?

Laparoscopic surgery is as very safe as traditional open surgery. At the beginning of a laparoscopic operation the laparoscope is inserted through a small incision near the umbilicus, Either superior crease or inferior crease of umbilicus. The laparoscopic surgeon initially inspects the abdomen by doing diagnostic laparoscopy to determine whether laparoscopic surgery may be safely performed.  If there is a large amount of inflammation or if the surgeon encounters other factors that is risky and prevent a clear view of the structures the surgeon may need to make a larger incision in order to complete the operation safely by converting laparoscopic surgery into open surgery.

Any intestinal or abdominal laparoscopic surgery is associated with certain risks such as complications related anaesthesia and bleeding or infectious complications. The risk of any operation is determined in part by the nature of the specific operation and hidden risk factor within the patient itself. An individual’s general health and other medical conditions are also factors that affect the risk of any operation. Patient should discuss with your surgeon your individual risk for any operation. World Laparoscopy Hospital, Gurgaon is very reach in this concern because for poor and needy patient surgery is completely free at World Laparoscopy Hospital.

Single incision laparoscopic surgery (SILS) or Single port access (SPA) surgery, also known as laparoscopic endoscopic single-site surgery (LESS), umbilical surgery (OPUS) or single port incision less conventional equipment-utilizing surgery (SPICES) or natural orifice transumbilical surgery (NOTUS), or Embryonic Natural Orifice transumbilical surgery (E-NOTES) is an advanced minimally invasive surgical procedure in which the surgeon operates almost exclusively through a single entry point, typically the patient’s navel. SPA surgical procedures are like many laparoscopic surgeries in that the patient is under general anaesthesia, insufflated and laparoscopic visualization is utilized.The World Laparoscopy Hospital in NCR Delhi is the first hospital in Haryana and only the third in the India to perform a single-port, natural orifice gallbladder surgery through the navel for gallbladder stone disease. During the procedure, surgeons use a single opening in the umbilicus as they manipulate a camera and two laparoscopic instruments to separate the gallbladder from its attachments in the abdomen. The gallbladder is then removed through that same opening. Only a tiny bandage is required to close the navel, and there are no scars.

Single-incision laparoscopic surgery employs the same tools and techniques as conventional laparoscopic surgery and can be used in both men and women. The only difference is a specially-designed port that accommodates the tools.

World Laparoscopy Hospital surgeons have always been leaders in minimally invasive surgery,” says Dr R K Mishra, Director of the World Laparoscopy Hospital and professor of TGO University. “This procedure signals another step forward for our nationally single incision surgery and elevates our efforts to provide the best surgical care while improving patient recovery.”

Dr. Mishra says that single incision laparoscopic surgery should not only for simple surgery like cholecystectomy but should also be used for surgery like donor nephrectomy and for donor who have already decided to give the gift of life and are willing to go through surgery to help a person in need, the possibility of coming through the surgery without scars is a secondary benefit.

The first superspecialized hospital in India and the most respected hospital in the World for laparoscopic training, Laparoscopy Hospital continues its tradition of excellence today. The hospital is consistently ranked among the top hospitals in the nation by Indian Express News & World JLS Report. In 2001, Laparoscopy Hospital was redesignated a World Laparoscopy Hospital, the highest honor for surgery excellence awarded by the World Association of Laparoscopic Surgeons.

World-Class Patient Care

Laparoscopic Surgery at Laparoscopy Hospital

Our 100-bed surgical center, located in the heart of New Delhi, offers sophisticated diagnostic and therapeutic care in virtually every field of minimal access surgery. We offer high-quality care and services in our two centers in Delhi and Gurgaon.

Laparoscopy Hospital – known worldwide for innovations in training of minimal access surgery – unite specialists across the hospital to offer patients comprehensive, state-of-the-art endoscopic care and the best possible outcomes.

In addition, through world Laparoscopy Hospital in Gurgaon, we provide a full range of international endoscopic health care services, from primary siple surgeries to cutting-edge treatments of complex and rare diseases.

A Research Powerhouse

Laparoscopy Hospital has long been a leader in successfully bridging innovative science with state-of-the-art laparoscopic surgery. With an annual research budget allocoted by Delhi Laparoscopy Hospital Pvt. Ltd., Laparoscopy Hospital conducts the largest hospital-based research program in the India. This funding drives discoveries and breakthroughs in basic and clinical research, which translate into new and better treatments that transform surgical practice and patient care.

An Emphasis on Teaching

Laparoscopy Hospital is the original and largest teaching hospital of India in Minimal Access Surgery, where nearly all of our staff physicians serve on the faculty. Since the hospital’s founding, Laparoscopy Hospital has been committed to training and mentoring the next generation of international leaders in endoscopic surgery, providing a wealth of opportunities for physicians, nurses, allied health professionals. Till today more than 3000 surgeons and gynecologists from every corner of the globe has been trained. These talented men and women, in turn, lend fresh and innovative perspective on how to treat and care for patients with advanced laparoscopic skill.

Setting the Bar for Quality & Safety

Safety, effectiveness, patient centeredness, timeliness, efficiency and equity – these six tenets established by the Institute of Minimal Access surgery are the foundation of our approach to quality and safety. We measure our performance, set high goals and track our progress toward those goals. We compare ourselves against local and national benchmarks in key quality and safety areas to ensure we deliver the highest quality and safest care possible.

Reaching Out to the Community

Our work has always been guided by the needs of patients and their families. Laparoscopy Hospital and World Laparoscopy Hospital is guided by the needs of patients and their families. This superspecialized hospital aims to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education; and to improve the health and well-being of the diverse communities we serve.

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