Laparoscopic Gallstone surgery: Why You Should Go for the Surgery?

Overview 

Gallstone though may not among the vital organs, yet it has to be in a right shape in terms of functions and health in order to have a healthy body. These are located at the lower abdomen below the liver. The main function of this organ is to store bile and add concentration in it apart from releasing the digestion. Bile carries several special chemicals in the form of a solution. However, when these organs fail to work properly, it is seen producing gravel kind of particles, which in turn become gallstones. With the formation of the gallstone, you end up getting the gallbladder disease called cholelithaisis, which are supposed to be cured in order to get back your health.

What is Laparoscopic Gallstone surgery? 

It is a surgery, which deals with removing the gallstones that accumulate inside the gallbladder due to its improper functioning and the presence of the above said diseases. These can be treated using this procedure using the laparoscopic approach, which is blessed with a number of benefits for both the surgeon and the patients.

Laparoscopic Gallstone surgery Procedure 

This is one of the recent added procedures for treating the gallstone in human body. This procedure starts with making certain small incisions over the lower abdomen area over the stomach followed by inserting the laparoscope inside the stomach to get a clear picture and accessibility of the gallbladder affected by the gallstones. Though it is called as the standard procedure for dealing with gallstones, however, not all fit for this surgery for certain risks associated with the same.  The recovery takes smaller amount of time considering the laparoscopic approach adopted in this gallstone removal surgery.

Laparoscopic Gallstone surgery in India

India for many reasons has become one of the prominent places for a number of healthcare solutions found in different types of surgeries and treatment and laparoscopic Gallstone surgery is no exception. India has one of the best and high end medical centres and hospitals, which are armed with state of art facilities and amenities. And talking about the surgeons dealing with the low cost laparoscopic Gallstone surgery in India, they are highly competitive and experience in terms of giving successful solutions to the patients. The availability of low cost laparoscopic Gallstone surgery in India with high quality becomes the prime reason for the medical tourists to travel all the way to their country to this place.

Read more about: 

 Laparoscopic Gallbladder Surgery for Gallstones
Gallbladder Disease and Obesity
Gallbladder Disease types and treatment 

 
 

Types of Laparoscopy Surgery

Hysterectomy:
Hysterectomy is a surgery to remove the uterus. It helps prevent future pregnancy as well as reduces fibroid-related bleeding and pressure symptoms.

Laparoscopic removal of endometriosis:
Our medical experience tells us that much better outcomes are got when endometriosis is excised (remove) , rather than cauterized or lasered, whenever there is the slightest hint that the disease goes deeper than the most superficial layers of pelvic tissue.

Laparoscopic removal of ovarian cysts:
Ovarian cysts up to 10 cm (3.5 inches) in diameter are routinely removed laparoscopically in our division.

Laparoscopic removal of adhesions (scar tissue):
When careful evaluation has proven that adhesions may play a role in a person's abdominal or pelvic pain , we sometimes recommend laparoscopic surgery to try to reduce the amount of adhesions present.

Laparoscopic removal of a tube and ovary:
When an ovary is too involved with a disease process to salvage, it is generally easy to cut it away using laparoscopic techniques.

Myomectomy:

Myomectomy is the surgical removal of uterine fibroids without the removal of the uterus.

Laparoscopic uterine suspension:
In about 15-20% of women, the top end of the uterus leans back toward the backbone, instead of leaning forward , toward the bladder.

Laparoscopic bladder support surgery:
Many different surgeries have been produced to deal with "stress incontinence," or loss of urine during coughing, laughing, or any other physical activity.

Endometrial ablation (for heavy periods):
There are now about 8 different approved techniques for applying some form of energy to the lining of the uterus (the endometrium) in order to reduce the amount of menstrual flow for a person who has regular, but quite heavy, periods.

Lap Band Weight Loss Surgeon, Laparoscopic Overweight

                                 

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Benefits of Laparoscopy vs. Open Surgery

The progress of technology has helped medical sciences in a big way. With the technological changes, the idea of Laparoscopy has given the surgeons and doctors to get the view of the organ operated over the monitor apart from reaping a couple of other benefits as compared to open surgery. The idea of open surgery has been in the lives of people since ages, however, with the advent of smarter technologies, the idea of laparoscopic techniques have embarked, which is seen in different forums while comparing it with open surgery. But the fact is straight and simple, laparoscopy can render a wide range of benefits as compared to the open surgery, let us explore the same as under:  

Laparoscopic Surgery Vs. Open Surgery- Understanding the difference

Laparoscopic surgery or call it a keyhole surgery falls under the minimally invasive surgery, which is related with a number of benefits as compared to the open surgery. The open surgery is straight and simple, which has a procedure carried over the large abdominal incision that is made just to expose the structures and tissues to carry out the surgery. On the other hand, the laparoscopic procedure, small incision of 1.5 cm in length is carried out over the affected area like abdominal walls inserting a camera, which helps in getting a clear view of affected organ to the surgeon thus giving a clear picture to do the needful. 

Benefits of Laparoscopic Surgery Vs. Open Surgery

As discussed above, the laparoscopic surgery has several benefits over the open surgery, let’s discuss as under:

• Reduced Amount of Bleeding: In laparoscopic surgery, the risk of bleeding during the surgery is reduced to a great extent owing to the small size of incision as compared to the open surgery. This in turn helps in reducing the probability of having blood transfusion that is being required in order to compensate for the blood loss

• Smaller Incision Size: In laparoscopic surgery, the incision size is always smaller, which has its own benefits as compared to the bigger ones in open surgery. When one makes a big size incision, the patients would need a long term pain relief medication and thus stitch line takes much time to heal. However, with laparoscopic surgery, the post surgical would as are much smaller, which in turn give a faster kind of healing without much pain and discomfort.   

• No scars: During the Laparoscopic surgery, the smaller incision can help in getting small amount of scar formation after the surgery. In cases like the open surgery wherein the surgical wounds are big in size the scar tissue forming simply become infected apart from becoming more vulnerable to issues like herniation especially in the cases of overweight patients. 

• Fewer Post Operative Risks: In laparoscopic procedures, the exposure to internal organs is less as compared to the external contaminants as compared to the open surgery. This in turn simply helps in reducing the risk of having much of the post operative infection. 

•  Smaller Hospital Stay: The duration of hospital stay you need is significantly shorter as compared to the laparoscopic surgery as the healing process comes out to be very much faster. A majority of patients are seen getting the same day or the next day discharge and thus are seen getting back to normal life very soon, which is not the case with the open surgical procedures. 

Conclusion 

Thus once you explore the number of benefits one can enjoy while opting laparoscopic approach for any surgery, you can easily settle down in the debate between this and the open surgery method. Right from the result to healing, post operative infections and other things, laparoscopic has an edge over the open surgery provided the patient has no other complication, which leaves the latter option open for him or her.

Learn more about

 LAPAROSCOPIC Vs OPEN Surgery

LAPAROSCOPIC Vs OPEN Gallbladder Surgery

Laparoscopy Hysterectomy Surgery

Two California Women File A Power Morcellator Lawsuit

2 females throughout Los angeles tend to be alleging a Karl Storz morcellator distributed their own uterine cancer malignancy. 2 females include filled out case towards power morcellator maker Karl Storz Endoscopy. With equally instances, the plaintiffs have any laparoscopic supracervical hysterectomy and also their own doctors utilised any 12-mm power morcellator.

The initial plaintiff undergo the woman hysterectomy about December 18th, 2010. Before the woman procedure, the woman pre-anesthetic workup didn't provide doctors any sign that will she ended up being harboring uterine melanoma. Right after the woman surgical treatment, the woman medical doctor advised the woman that will one of the uterine fibroids he minimize using the morcellator included a kind of uterine melanoma named endometrial stromal sarcoma (ESS).

Your second plaintiff comes with a virtually the exact same tale. On Drive 6, 2012 your woman in addition undergo any laparoscopic hysterectomy to treat uterine fibroids. Pathologists found ESS in the woman shredded fibroids too.

Power Morcellator Lawsuits

These women of all ages became a member of an expanding band of plaintiffs whose litigation most allege the same thing: that will the use of an electric morcellator throughout their gynecological medical procedures distribute undetected uterine melanoma to help additional areas of the body. 

These completely new complaints state that “The Defendants received genuine expertise as well as helpful observe of as well as understood, or even inside exercising of realistic treatment really should have acknowledged, in the chance of comprehending as well as seeding undiagnosed uterine cancers with the usual as well as normal using the Storz Morcellator as well as did not appropriately communicate these challenges to be able to health professionals and/or affected individuals.

The actual Ough. S. Foodstuff in addition to Medication Administration authorized electrical power morcellators various many years before, underneath what's known as a 501(k). 501(k)’s ought to show that your instrument is considerably equivalent to a earlier authorized device. This technique will allow firms for you to avoid the usual protection examining in addition to promptly place their own product or service out there. In Apr seventeenth, 2014, this FDA unveiled a protection notice of which told health professionals for you to reexamine the usage of this morcellator during hysterectomies in addition to myomectomies due to recent discovering which in turn recommended how the morcellator may well distributed uterine most cancers tissues through the entire physique as it minimize.

Next notice, a single firm, Ethicon, declared about This summer thirtieth, 2014, some sort of non-reflex disengagement of most morcellator products. Any notice, which has been deliver to an incredible number of medical doctors throughout the region, expressed, “We believe Ethicon Morcellation Gadgets perform as planned and also you can find affected individuals who are able to take advantage of processes applying laparoscopic power morcellators, but the risk-benefit examination connected with the use of the unit with hysterectomy and also myomectomy processes for eliminating fibroids remains unstable. Because of this uncertainness, Ethicon feels which a market disengagement connected with Ethicon Morcellation Gadgets could be the ideal strategy at this time till further health-related rules are generally proven and/or brand-new technological know-how are generally developed to help mitigate raise the risk.

Other companies have taken some other strategy, and still have maintained which their particular merchandise aren't defective, possibly heading so far as to be able to warned legitimate activity next to doctors who communicate out next to the application of energy morcellators.

Reference:

 http://www.webmd.com/women/features/fresh-look-hysterectomy
http://www.exactrelease.org/best-laparoscopic-hysterectomy-link-901805.html
emedicine.medscape.com/article/1839957-overview

Myths about Weight Loss Surgery

• Surgery is the “easy solution.”

Even if you agree to get weight loss surgery, successfully reducing your weight – and also keeping it off – will need lots of hard work. You’ll desire to make changes in your eating routine and activity level. You’ll have to attend educational courses and assistance groups to focus on creating new, lifelong healthy habits as well as behaviors. Above all, you’ll have to maintain a commitment to achieve and even maintain a weight that will keep you healthy.

• You have to weigh over 300 lbs. to qualify.

It’s not only about your weight. Your health problems are also an important factor. Many recent research has shown that even moderately overweight people who have significant health problems can show marked health enhancements after going through weight loss surgical treatment.

• You need to be in perfect health to qualify.

A lot of people get weight problems related health issues. Some have mild options the problems; others have more serious health problem. An expert bariatric surgeon should examine you to decide whether surgical treatment is correct for yourself.

• You need to be a certain age to get surgery.

While most surgical weight loss centers include age as a criterion, the ages of the people they treat usually cover a wide range, from 18 to over 65.

• Weight loss surgery requires an inpatient hospital stay.

Most weight-loss surgeries can be positively performed on an outpatient basis. Laparoscopic  adjustable gastric band surgery is often executed as an outpatient procedure. Gastric Bypass Surgery can be carried out with a short, two-night hospital stay.

• There is a long recovery time after weight-loss surgery.

Many people recover from weight loss surgery within 1 to 2 weeks. Some people can go back to work and their regular routines just in a few days, especially if they’ve had Laparoscopic Adjustable Gastric Banding.

• Weight loss surgery has high risks.

In the 1970s and 80s, weight-loss surgery was considered a high risk treatment. A huge, open incision was needed. Most people had serious co-morbidities. And many surgeons had comparatively little knowledge about the surgery. Things have changed. Today, weight-loss surgery is commonly carried out, using low-risk minimally invasive techniques. While any surgery involves some risk, if you are morbidly overweight, it may be riskier to stay away from weight-loss surgery than to get 1 of the proven procedures.

• You need to have advanced, serious health conditions to qualify.

Every candidate for weight loss surgery must be evaluated depending on his or her particular health conditions and Body Mass Index (calculate your BMI). It is widely agreed that anyone with a BMI over 40 qualifies, even though they do not have significant health issues. People with a BMI over 35, plus one or more obesity-related health problems are considered people for surgical treatment.

• After surgery, you won’t be able to consume anything good.

A lot of people can consume a wide variety of all types of food items. Some people who’ve had Gastric Bypass Surgery experience nasty sensation when they consume very sweet foods. However, many people can consume almost any type of food in very little amounts.

•  You can’t have surgery if you have diabetes.

Weight loss surgery has become a primary treatment for diabetes, especially for people with Type II Diabetes, due to the high rate of cure after surgery.

Laparoscopy Gastric Bypass weight loss surgery

Within a research of a little too heavy East Asian individuals along with sort 3 diabetes, 64% of individuals whom received bariatric surgical treatment attained total or part diabetes remission which survived 5 a long time, and they also managed some sort of imply fat loss of 21%. In contrast, under 3% of individuals within a comparability medical-care team received diabetes remission, in addition to the imply entire body muscle size index (BMI) had been essentially unchanged.

As a result, "for mildly too heavy sufferers together with [type 2 diabetes], your enhancement inside glycemic management from metabolic surgical procedure lasts a minimum of 5 decades, inches Dr Chih-Cheng Hsu (China Medical School, Taichung, Taiwan) and acquaintances record into their study, publicized on the net Sept 07 inside JAMA Surgical procedures.

"Weight loss for sure would be the foundation regarding diabetes remission immediately after surgical procedure, " senior writer Doctor Wei-Jei Shelter (Min-Sheng Standard Medical center, Taoyuan, Taiwan) told Medscape Healthcare Announcement in the mail.

Although 5-year tactical hasn't been greater throughout patients that underwent surgical procedures. "What we are not aware of is actually no matter if [bariatric surgery] can bring [a] decrease of mortality and prevent end-organ damage on this group of patients, " Doctor Lee claimed. "We imagine it may take ten years to find out the distinction [in survival]. ".

"The dilemma remains: ought to [metabolic as well as bariatric surgery] you have to be generally implemented? inches Dr The boy wonder G Blackstone (University involving Arizona University involving Treatments, Phoenix) asks rhetorically in a associating periodical. "The long-term means to fix the actual managing involving obesity…awaits development, [and] added solutions must be urgently searched for as well as analyzed, inches he / she ends.

At the same time, "we ought to carefully produce this treatment substitute for gently overweight variety 2 diabetes sufferers having not well-controlled illness, " Dr Shelter retains. "The exercise ought to be performed below a new clinical-trial setting having comprehensive supervising. We'd like a lot more research in addition to reviews before a new summary can be made [about which often sufferers profit almost all in addition to which sort of surgery can be best]. ".

Metabolic Complications with a Reduce BMI with Asians

Under half almost all people with type only two diabetes may retain any therapeutic target of an HbA1c underneath 7% with healthcare therapy, Medical professional Hsu in addition to fellow workers compose. Bariatric surgery may productively treat type only two diabetes with morbidly too heavy people with a BMI previously mentioned 30.

Nevertheless, simply no printed reports include looked over glycemic management inside sufferers that has a BMI underneath 30 exactly who experienced bariatric surgical procedure and also had been followed intended for over three years. Hence, Medical professional Hsu and also colleagues aimed to research this kind of.

"Taiwanese, seeing that additional Asians, …tend to have obesity-related metabolic problems for a decrease BMI [than non-Asians], inches Medical professional Shelter defined. The actual occurrence involving being overweight is additionally reduced Taiwan as compared to in america, although the occurrence involving form a couple of diabetes is comparable (around 10% from the population), he or she added in.

Diverse BMI reduce factors are used to establish being overweight inside Asians: BMI > twenty-four is usually obese, BMI > 27 is usually mildly over weight, and also BMI > 34 is usually slightly over weight, Medical professional Shelter defined.

"The BMI range is acceptable, seeing that Far east Oriental sufferers and also residents involving Oriental ancestral roots in america are affected by diabetes for a far lower BMI as compared to additional groupings, inches Medical professional Blackstone said.

The actual scientists determined several grouped 33 sufferers (63. 5%) exactly who underwent gastric get around and also 19 sufferers (36. 5%) exactly who underwent laparoscopic sleeve gastrectomy throughout 2007 or even 08 for a local clinic and also had been followed until 2013. The actual sufferers experienced HbA1c greater than 6. 5% along with a BMI involving below 30 and also had been older 18 to 67.

Read our expert's article

 Side Effects Of Gastric Bypass Surgery 
Gastric Bypass Surgery and Pregnancy - You should know about it! 
 Laparoscopic Gastric Bypass Surgery in India – Procedure, Costs, Side Effects & Recovery
 

Types of Hysterectomy Surgery

All hysterectomies involve removal of the uterus, but the type of method used generally depends upon the problem being treated: 

In partial or supracervical hysterectomy, the higher part of the uterus is removed, leaving the cervix intact.
Total or even complete hysterectomy is made of the elimination of both the uterus as well as the cervix. This is the best known type of hysterectomy done.
Hysterectomy with bilateral salpingo-oophorectomy is the removal of the uterus, cervix, fallopian tubes, and ovaries. 

Radical hysterectomy is an extensive surgical technique in which the uterus, cervix, ovaries, fallopian tubes, upper vagina, some surrounding tissue, and lymph nodes are removed.

Hysterectomy Surgical Treatments

Traditionally, hysterectomies have been carried out by using a procedure well-known as total abdominal hysterectomy (TAH). However, in recent times, 2 less-invasive methods have been created: vaginal hysterectomy and also laparoscopic hysterectomy.

In a total abdominal hysterectomy (TAH), the surgeon makes an incision approximately 5 ins long in the stomach wall, cutting though skin and connective tissue to get to the uterus. The cut can be either vertical3running from just under the navel to just above the pubic bone, or horizontal—running across the top of the public bone (called a bikini-line incision).

One benefit of total abdominal hysterectomy is that the surgeon can get a total, unobstructed look at the uterus and surrounding places. There is more room in which to make the surgery. This kind of operation is mainly helpful if there are large fibroids or in case of cancer is suspected. Drawbacks can include more pain and a longer recovery time than various other surgeries, and a bigger scar.

A vaginal hysterectomy is performed through a tiny incision near the top of the vagina. Through the incision, the uterus (and cervix, if necessary) is separated or divorced from its connecting tissue and blood supply and removed through the vagina. If the cervix is not being removed, the incision is created around the cervix, which is then reattached when the procedure is over.

This surgery is often used for problems just like uterine prolapse. However, the surgeon has less room in which to manage and is unable to notice some other internal organs in the pelvic area. Vaginal hysterectomy heals quicker than abdominal hysterectomy, results in less pain, and in general does not cause external scarring.

In laparoscopic hysterectomy, special surgical equipment is used to conduct through tiny incisions in the stomach as well as vagina. There are 2 different types of laparoscopic hysterectomy: laparoscopically helped vaginal hysterectomy (LAVH) and laparoscopic supracervical hysterectomy (LSH).

LAVH is similar to vaginal hysterectomy, and the uterus and cervix are removed through an incision near the top of the vagina; but, the surgeon also uses a laparoscope (small camera) inserted into the stomach to check the uterus and surrounding internal organs. Other laparoscopic tools are put into stomach incisions to detach the uterus before removing it.

LSH is conducted completely through tiny abdominal incisions, using laparoscopic equipment to remove just the uterus. Because the cervix is not removed, the uterus is detached and removed in compact pieces through the incisions. No incision was created at the top of the vagina.

Both types of laparoscopic hysterectomy make less pain and have quicker recovery times as compared to TAH as well as create small scarring.

Keep reading to find out more about:

Hysterectomy: Know Your Surgical Options

Urin Cancer spread after Hysterectomy?