LAPAROSCOPIC SURGERY : An Overview
Laparoscoic surgery also known as
minimally invasive surgery or key hole surgery has been the new method of
performing surgeries without making large incisions. In most cases, just a few small cuts are what
is needed to perform such complicated surgeries as gall bladder removal
(cholecystectomy), removal of all or part of the colon (colectomy ) or removal
of the kidney ( nephrectomy).
Laparoscopic surgery has many
advantages over conventional surgery.
Due to the limited number of incisions and their small size, the patient
experiences less pain and recovers faster.
There is also less chance of blood loss (haemorrhanging) and in most
cases, the patient returns home quickly.
Single Incision Laparoscopic Surgery : SILS
Conventionally, 4 separate incisions
are made in the body through which various laparoscopic instruments are
inserted, such as the telescopic camera apparatus ( the laparoscope), and
accessories to provide light and other related devices. A new breakthrough in this regard has been
the introduction of Single incision Laparoscopic Surgery, or SILS, where only a
single incision is made at the umbilicus.
A specially developed synthetic port is introduced through it which has
four openings in it. One opening is used
for insufflations of the abdominal cavity ( which is essentially blowing up the
abdominal cavity like a balloon with carbon dioxide gas ), two are used as operative
ports; the remaining one used as a camera port.
This technology has been recently introduced successfully in US and
Europe.
Providing all the benefits of
conventional laparoscopic surgery, SILS
goes a step forward to make the entire procedure even more painless and
virtually scar-free (because the incision is within the umbilicus) The cost is
marginally more than conventional laparoscopy but the advantages are many.
SIL and DESUN Hospital
DESUN Hospital regularly performs
SILS cases with great success. DESUN HAS
ALWAYS BEEN AT THE CUTTING-EDGE OF MEDICAL TECHNOLOGY, EMPLOYING PRACTICES THAT
ARE REVOLUTIONARY AND PATH-BREAKING. For
example, 99% of all angiograms done at DESUN are done through the latest and
more advanced radial route (through hand) which is a lot less painful than the
femoral route (through leg). Again, DESUN regularly performs a large number of
heart bypass surgeries using the highly sophisticated and advanced ‘beating
heart bypass’ method where the heart is not stopped during the procedure.
With SILS, DESUN has against broken
fresh grounds in providing advanced medical technology in Eastern India and has
lived up to its commitment of providing world-class quality medical services at
affordable cost.
DESUN opts for Valve Repair & Not Replacement !
Mr. Mohammed Younis, aged 72 years
and living in Bangladesh, came to Desun with complaints of frequent chest pain.
Ecocardiogram showd a dilated left ventricle and both Mitral & Tricuspid
Regurgitation. After stabilising his
condition at the ICU with special cardiac procedures and medication, a Coronary
Angiogram was performed on Mr. Younis. It revealed left ventricular function
(LVF) to be less than 25%..
The Mitral & the Tricupid Valves
were repaired instead of replacement (usually, replacement is preferred in most
hospitals). Bypass grafting was also performed during the same surgery in all
the 3 arteries which showed blockage. The patient recovered slowly and stayed in the ICU for 3 days and ws
discharged on Day-9.
Why Valve and Not Valve Replacement ?
In patients with very poor heart
function valve repair will help the hart to recover faster than replacing the
valve which renders the heart much weaker and carries even high risks.
This highly advanced and specialized
surgery involving repair of two Heart Valve3s along with heart bypass during
the same surgery performed by DESUN is unique and the only reported case of
this category in Eastern India so far.
DESUN Successfully Treats and sends Back Home High Risk 80 year Old
Patient.
Mr. Manoj Sharma, aged 80 years and a
resident of South Kolkata was admitted to Desun Hospital last month with
complaints of severe respiratory distress and chest pain. At the time of admission, Mr. Sharma was
already suffering from diabetes and hypertension. His life was at risk
Upon admission to DESUN ICU , Mr.
Sharma underwent advanced diagnostic testing and was diagnosed with further
problems of chronic kidney disease and chest infection. There was also acute deterioration of the
Central Nervous System.
A team of consultant doctors treated
Mr. Sharma. He was put on Ventilator
(DESUN is the only hospital in Kolkata having one ventilator for each ICU
bed). He was also administered 3rd
generation antibiotics with complete nutritional supports. All the clinical parameters were closely
monitored and supported by DESUN’s 24-Hour Diagnostics. After a 5-days stay in the ICU Mr. Sharma’s
critical condition was stabilised and he was then shifted to the ward where he
recovered completely and was released with all vital signs normal, all within
just 2 weeks of ICU admission.
WHY DOCTORS SEND HEART ATTACK PATIENTS DIRECTLY TO DESUN ?
DESUN
has the most advanced medical infrastructure
to handle heart attack patients. Most
importantly the alertness, promptness and attentiveness is the same at 3
o’clock at night as it is at 3 o’clock in the afternoon. This is the first major differentiator.
Within minutes of Admission, through
advanced pathology and Cardiology testing we will know if a HEART ATTACK is in progress, or he has occurred
recently. We can also reasonably predict
the chances of future heart attack. Our
in-house consultant cardiologist will swing into action in case of possible
HEART ATTACK and the following protocols
will be immediately activated (even at 2 o’clock in the night) if required:
●Advanced pathology testing
●Advanced Cardiac Testing : 3D ECHO, TTE, TEE
●7 Parameter Hemodynamic Monitoring
●Medication
●Beside Support in ICU through Temporary Pacemaker, Ventilator
Intra Aortic Balloon Pump (IABP)
●Angioplasty with Stenting
In DESUN the above are completed in a
very hsort time, so that the patient has the best chances of survival and
recovery.
Even if admitted to a nearby Nursing Home doctors still prefer to send
their Heart Attack patients to DESUN
Nursing Homes and other hospitals
have limited infrastructure and; trained medical and paramedical support staff
to handle heart attack cases. It is well
known that a heart attack often comes in waves.
Even if the Nursing Home somehow manages the first wave of heart attack,
the next wave may be the end. DESUN can
organise cardiac ambulances with cardiac monitors, ventilators, defibrillators,
etc. along with doctors and trained staff to transport the patient from any nursing home in the districts or
Kolkata to DESUN hospital.
Why do doctors regularly refer patients to DESUN ?
No consultant doctor or Institution
gives regular feedback like DESUN.
Firstly the consultant doctor does not have the time to give feedback
even if he has the best of intentions.
This something which you have also experienced. In fact on some occasions you may have had
had to constantly call up the consultant doctor you have referred your patient
to regarding feedback. Institutions on
the other hand are most not bothered, except DESUN.
DESUN has a dedicated team who are in
constant touch with your regarding your patient’s condition and in fact, if so
desired will connect you to the patient through the mobile! Firstly, the
patient goes back happy which you know is an extremely important
criterion. Secondly, all patient’s
feedback will reach you without your asking for the same. We have more
than a thousand doctor’s who regularly refer patients to DESUN, being
satisfied with the medical treatment, reasonable prices and timely feedback.
Should you want to know more, Call
99039 96804, 90070 55111
