Laparoscopic or minimal access surgery is a specialized technique for performing surgery. In the past, this technique was commonly used for gynecologic surgery and only for gallbladder stone surgery. Laparoscopic surgery includes operations within the abdominal or pelvic cavities. Laparoscopic and thoracoscopic surgery fit in with the broader field of endoscopy. During the last 10 years the use of this method has expanded into intestinal surgery bariatric surgery and colorectal surgery. In traditional “open” surgery choices uses a single incision to enter into the abdomen. Laparoscopic surgery uses several 0.5-1cm incisions.
Each incision is used for port and at each port a tubular instrument known as a trocar and cannula is inserted. Specialized instruments along with a special camera known as a laparoscope are passed through the trocars during the procedure. At the beginning of the process, the abdomen is inflated with co2 gas to supply a working and viewing space for that surgeon. The laparoscope transmits images from the abdominal cavity to high-resolution video monitors within the operating room. Throughout the operation choices watches detailed pictures of the abdomen on the monitor. This technique permits the surgeon to do exactly the same operations as traditional surgery however with smaller incisions.
Most intestinal surgeries nowadays can be carried out while using laparoscopic minimal access technique. Included in this are surgery for Crohn’s disease, ulcerative colitis, diverticulitis, cancer, rectal prolapse and severe constipation. It is equally popular for gynecological procedures like hysterectomy, myomectomy, and ovarian cyst surgery and infertility cases.
In many cases laparoscopy can be achieved instead of laparotomy surgery that utilizes a bigger incision in the belly. Laparoscopy could be much easier and may have less problems minimizing costs than laparotomy for minor surgeries. It can often be refrained from having to stay overnight within the hospital. Previously there had been concern raised about the safety of laparoscopic surgery for cancer operations. Recently several studies involving hundreds of patients have shown that laparoscopic surgery is safe for certain colorectal cancers.
A good training in laparoscopic surgery is essential. World Laparoscopy Hospital is Centre of excellence in laparoscopic surgery training. The history of minimally Invasive Surgical Research and Education in World Laparoscopy Hospital back more than twenty years to the pioneering days of laparoscopic surgery and the influence of the World Laparoscopy Hospital is be seen widely across the World and beyond as a large number of surgeons have benefitted from the training provided. The World Laparoscopy Hospital Centre now acts as a focus for surgical and gynecological laparoscopic research and training throughout the World in conjunction with our partner hospitals within the Asian medical community.