Endoscopy and Laparoscopy

Shalby’s Endoscopy & Laparoscopy department provides effective surgical intervention by minimal incisions. Endoscopic surgery is routinely applied for procedures like removal of the gallbladder, fallopian tube ligation etc. Compared to traditional invasive surgery, Laparoscopic treatment involves less post-operative pain, shortened hospital stay, quicker return to normal activities and improved cosmetic results.

Through the operation theatre equipped with high-end systems, our Laparoscopy Unit provides treatments for…

  • Diagnostic Laparoscopy
  • Hiatus Hernia
  • Diaphragmatic Hernia
  • Infected Appendix
  • Gall Stones
  • Peritonitis
  • Intussusceptions
  • Perforations

Diagnostic Laparoscopy

Diagnostic laparoscopy is a surgical procedure that allows close examination of organs inside the patient’s abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder.
Laparoscopy is usually performed in the hospital or outpatient surgical centre under general anesthesia. The surgeon makes a small cut below the navel to insert a needle. A small camera (laparoscope) is placed through the cut and is used to see inside the patient’s pelvis and abdomen. In case of gynecologic laparoscopy, the dye may be injected into the cervix area so the surgeon can have a better view of the fallopian tubes.

Hiatus Hernia

A hiatus hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax due to a tear or weakness in the diaphragm. It is curable through conventional method or laparoscopy as well. Laparoscopic hiatus hernia diagnosis and treatment are very effective and preferred nowadays. In this procedure the surgeon pulls out the sac of a hernia from the chest and repairs the hole in the diaphragm. The mesh repair of a hiatus hernia is also very effective using the laparoscopic method.

Diaphragmatic Hernia
In Diaphragmatic Hernia an unusual opening exists in the diaphragm which separates the chest cavity from the abdominal cavity. It is a birth defect which results in, some organs from the abdomen moving into the chest cavity through this opening. Laparoscopic approach offers functional and cosmetic advantages in the treatment of diaphragmatic hernia. Advanced video technology, laparoscopy instruments, and surgical skills allow Shalby to successfully apply laparoscopy to patch chronic diaphragmatic hernia using minimally invasive techniques.

Infected Appendix

Appendicitis is one of the most common abdominal conditions. One out of every 2,000 people undergoes appendectomy in their lifetime. Treatment of appendicitis requires surgical removal of the infected or inflamed appendix. Traditionally, the appendix is removed through an incision in the lower right abdominal wall, where it is located. In laparoscopic ‘keyhole’ appendectomies, surgeons operate through 3 small incisions (of ¼ to ½ inch size) in the abdomen while monitoring an enlarged image of the internal organs on screen. The appendix is then removed through one of the small ‘keyhole’ incisions.

Removal of Gall Bladder

The cholesterol stones are generally formed when bile contains excessive cholesterol and bilirubin; or when there is lack of bile salts, or when the gallbladder does not empty completely or often enough. In advanced laparoscopy technology, the gallbladder is removed through a tiny incision near the naval. A thin tube carrying the video camera is inserted; the gallbladder is separated and then it is brought out. Normally only three punctures are needed which may leave very minimal scars.

Peritonitis

The peritoneum is the membrane that lines the inner wall of the abdomen and covers the abdominal organs. Inflammation of this membrane is called Peritonitis. Peritonitis may be caused due to various reasons and is categorized as spontaneous, secondary, and dialysis-associated condition.
Spontaneous peritonitis is an infection caused because of the accumulation of fluid in the area that surrounds liver and Kidney in case of liver or kidney failure. Secondary peritonitis is an inflammation of the peritoneum due to the injury or spread of an infection from the digestive organs or bowels. Dialysis-associated Peritonitis is an acute or chronic inflammation of the peritoneum cavity that occurs in people receiving peritoneal dialysis.

Laparoscopy is a safe and efficient diagnosis procedure for peritonitis treatment. In secondary peritonitis, Laparoscopy allows the examination of the peritoneum without dialysis, thus an early laparoscopy should be performed on patients with unresolved peritonitis, else it could lead to severe secondary peritonitis.

Intussusception

Intussusception is a condition of intestinal obstruction in children aged between three months and six years. Intussusception occurs when a portion of the intestine gets entangled with the adjacent organs. This hinders the passage of food being digested through the intestine. This can also occur in older children, teenagers, and adults.
Intussusception conditions can be cured through an enema but in severe conditions, the reduction is insufficient and laparoscopy is the only solution. There are no anesthesiology peculiarities in laparoscopy for intussusception. The operation is performed under general anesthesia with intubation.

Perforations
Perforation is a hole or rupture in the walls or membranes of an organ or structure of the body. Perforations occur when factors such as erosion or infection create a weak spot in the organ and internal pressure causes a rupture. These are some common perforation conditions…

  • Bladder perforation
  • Eardrum perforation
  • Esophageal perforation
  • Intestinal perforation
  • Ulcer perforation

Laparoscopic treatment for perforation offers equal therapeutic efficacy, less perioperative morbidity, smaller incisions, decreased duration of hospitalization, and an overall better results as compared to open surgery methods.
We at Shalby, one of the leading Laparoscopy Hospitals, offer world-class Endoscopy and Laparoscopy surgery treatment options in India.

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