Minimal Access Surgery

What is Minimal Access Surgery?

Minimal access surgery is completed with one or more small incisions instead of a large incision. The surgeon passes a telescope with a video camera through a small incision (usually only 1/4″ long) into a body cavity. The surgeon then views the surgery on a TV monitor. Surgical instruments are then passed through other similar little incisions. The surgeon examines and operates on the area in question by viewing magnified images on a television. When the telescope is used to operate on the abdomen, the procedure is called laparoscopy. When used in the chest, the procedure is called thoracoscopy, and when used in a joint, it is called arthroscopy. 

ALL SORTS OF DISEASE REQUIRING SURGERY

Minimal Access Surgeries

Gastro Intestinal and Bariatric Surgery
-Laparoscopic Marsupialisation of Retention Cyst
-Laparoscopic Sleeve Gastrectomy
-Laparoscopic Radical Cholecystectomy
-Laparoscopic Liver Cyst Excision
-Laparoscopic Fundoplication
-Laparoscopic Release of Adhesions
-Laparoscopic Splenectomy
-Laparoscopic Hemicolectomy
-Laparoscopic Appendectomy
-Laparoscopic Gastric Bypass

Gynecology and Obstetrics
-Laparoscopic Ureterovaginal Fistula (UVF) Repair
-Laparoscopic Vesicovaginal fistula (VVF) Repair
-Laparoscopic Myomectomy
-Laparoscopic Hysterectomy
-Laparoscopic Tubal Recanalization
-Laparoscopic Bilateral Salpingo Oophorectomy
-Laparoscopic PCOD Drilling
-Laparoscopic Vault Suspension Sacral Fixation
-Laparoscopy Adhesiolysis

Orthopaedics
-Arthroscopic PCL Reconstruction
-Arthroscopic Meniscus Repair (More Than 2 cm)
-Arthroscopic Cartilage Surgery (More Than 2 cm)
-Arthroscopic Slap Repair
-Arthroscopic Supraspinatus Repair
-Arthroscopic Capsular Release for Stiff Shoulder
-Arthroscopic Synovectomy Shoulder
-Operative Arthroscopy of Hip (MAJO Reconstructions)
-Operative Arthroscopy of Ankle (MAJO Reconstructions)
-Operative Arthroscopy of Elbow (MAJO Reconstructions
-Operative Arthroscopy of Wrist (MAJO Reconstructions)
-Arthroscopic Bankart Repair
-Arthroscopic Subacromial Decompression with Rotator Cuff Repair
-Minimally Invasive Spine Surgery

Surgical Oncology
-Thoracoscopic Decortication
-Laparoscopic Total Cystectomy
-Laparoscopic Adrenalectomy: Bilateral Single Stage
-Laparoscopic Radical Prostatectomy
-Laparoscopic Retroperitoneal Lymph Node Dissection (RPLND)
-Laparoscopic Pan Proctocolectomy
-Laparoscopic Radical Nephrectomy

Urology
-Laparoscopic Orchiectomy
-Laparoscopic Orchidopexy Stage 1
-Laparoscopic Orchidopexy Stage 2
-Laparoscopic Orchidopexy: Unilateral
-Laparoscopic Pyelolithotomy
-Laparoscopic Radical Nephrectomy
-Laparoscopic Renal Cyst Marsupialisation
-Laparoscopic Seminal Vesiculectomy
-Laparoscopic Simple Nephrectomy
-Laparoscopic Ureterolithotomy
-Laparoscopic Adrenalectomy: Unilateral
-Laparoscopic Bladder Diverticulectomy
-Laparoscopic Donor Nephrectomy
-Laparoscopic Heminephrectomy
-Laparoscopic Orchidopexy: Bilateral
-Laparoscopic Partial Cystectomy
-Laparoscopic Partial Nephrectomy
-Laparoscopic Pelvic Lymphadenectomy
-Laparoscopic Radical Nephroureterectomy
-Laparoscopic Ureteric Reimplantation
-Laparoscopic Ureteroureterostomy

 

Bariatric Surgery 

-Laparoscopic sleeve gastrectomy

-Laparoscopic gastric banding

-Laparoscopic gastric bypass

-Single incision bariatric procedures

-Diabetes/metabolic surgery

Laparoscope
Surgical scopes are one of the oldest instruments used by medical practitioners since ancient times. Modern surgical laparoscopes used for minimally invasive procedures are a far cry from the simple hollow tubes that gradually developed to include lenses for magnified vision. Today, scopes are more like an apparatus with multiple parts that include a CCD camera, viewing device, lens cleaner, and an energy-supply device.

 

Needle Driver

A needle holder is used by laparoscopic surgeons to hold suturing needles when closing wounds. Forming slip-knots to close wounds and surgical incisions requires precise skills. Suturing can often be tricky to use owing to the property of “memory” which causes tissue to resist deformation. Needle holders have three parts – the jaws, joints, and handles. The instrument is classified as straight or curved depending upon the shape of the jaws.

Trocar

Along with the probe, scalpel, and cannula the trocar is one of the oldest implements used by medical practitioners. A trocar is shaped like a pen and has a sharp triangular point. Trocars are typically placed inside hollow cannulas and introduced inside body cavities to assist in draining fluids. Trocars are now referred to as both the initial entry device as well as the hollow cannula used during the operation. These instruments play an important role in laparoscopic surgery. Instruments such as scissors and graspers are introduced using surgical trocars.

Bowel Grasper

A bowel grasper is used during minimally invasive bowel surgery. The graspers are maneuvered through incisions that are usually no larger than 5 mm. The advantage with using laparoscopic graspers is that they enable the surgeon to grasp and manipulate abdomen tissue with precision without having to cut open the abdomen. The graspers facilitate observation, excision, and biopsy procedures.

Surgical Mesh

Hernia mesh is an implantable device that serves as scaffolding for your natural tissue to grow into and hence reinforce the area. The mesh itself only provides minimal support. It is your own tissue that is ultimately responsible for the repair. There are many different types of surgical mesh that can be used to repair hernias and other defects of the musculoskeletal system.

  • Dr Vivek Kokane
  • Dr Altaf Shaikh
  • Dr Nilesh Bhute
  • Dr Ganesh Rajput
  • Dr Aniruddha Mandhane
  • Dr Vrushali Khedkar