Laparoscopic Videos from World Laparoscopy Hospital

Laparoscopic Removal of Posterior Cervical Fibroid

This video demonstrate Laparoscopic Myomectomy for Posterior Cervical Fibroid. Fibroid or Myomas are benign tumours composed partly of muscle and fibrous tissue. They seldom develop in the cervix, the lower part of the uterus as in this video. When posterior cervical fibroid grow, they are usually obliterating entire cul de sac. Cervical fibroids grow in the wall of the cervix and are difficult to remove without damaging the surrounding area. Most cervical myomas eventually cause symptoms of GIT or ureteric obstruction. The most common symptom may be irregular or heavy menstrual bleeding . Other symptoms include abdominal pain or pressure, changes in bladder and bowel patterns and, in some cases, infertility. Cervical myomas can block the flow of urine; women may have a hesitant start when urinating; dribble at the end of urination, and retain urine. Urinary tract infections are also more likely to develop. If cervical fibroids cause symptoms, they are surgically removed in a procedure called a Laparoscopic Myomectomy. After removal of fibroid suturing of the raw area is required. Depending upon the size of fibroid a long time is spend in morcellation of myoma. For more information log on to https://www.laparoscopyhospital.com/

Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh

This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.

Uterine Manipulators

The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.

Laparoscopic Hysterectomy By Ligation of Uterine Artery and Simultaneous Appendectomy

This video demonstrates Laparoscopic Hysterectomy By Ligation of Uterine Artery by Mishra's Knot and Vault Closure by Weston Knot. In this procedure, Appendectomy was also performed. Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years. One of the best practice of performing laparoscopic hysterectomy is to ligate the uterine artery. The vascular supply of the uterus is mainly derived from the uterine and ovarian arteries. Because most blood enters the uterus through the uterine arteries, transient uterine ischemia occurs after uterine artery ligation. Bilateral uterine vessel ligation is an efficient method to obliterate the blood flow to the uterus.

Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.

Para-umbilical Hernia IPOM Repair

This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Hysterectomy And Appendectomy Using Illuminated Ureteral Stent Step Step Demonstration

This video demonstrate Total Laparoscopic Hysterectomy step by step using infrared ureter stent together with appendectomy. Combination procedure is very easy to perform by laparoscopy. Laparoscopic Hysterectomy remains a reasonable substitute for abdominal hysterectomy. Laparoscopic hysterectomy together with appendectomy is a cost-effective procedure when done with reusable instruments. Laparoscopic hysterectomy with ureteric stenting with infrared catheter is a safe procedure, even when performed by a variety of gynecologists with different skill levels, and its adoption can decrease abdominal incision hysterectomies.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of difficulties of doing it. Near Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used in for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Linear Cutter Staplers

This video demonstrate Laparoscopic Staplers. Endoscopic Linear Cutter Stapler places two , triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows. The universal handle is available in 3 shaft lengths; 6cm, 16cm and 26cm accommodating 30mm, 45mm and 60mm straight reloading units. Features & Benefits include: Gentle tissue compression before firing minimises tissue trauma and supports repositioning. Cutting knife housed within the reloading unit guarantees even distance between anvil and cartridge as it passes through the tissue for consistent, leak free staple formation.

Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina

This video demonstrate Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina. The average surgical time was 45 min for laparoscopic cholecystectomy and 15 min for hysterectomy and 30 min for hysterectomy. Total blood loss was approximately less than 50ml. Lesson for both, gynecologists and the surgeons, is to combine these two when required and possible. This provides maximum advantages through minimizing risk of anesthesia and time duration, hospital stay, cost-effectiveness.

Robotic Sleeve Gastrectomy Surgery

This Video demonstrate Robotic Sleeve Gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital for a 43 BMI morbid obese patient. World Laparoscopy Hospital is first private hospital of India to start robotic surgery. Robotic Sleeve Gastrectomy also called RSG is very popular surgery all over World. Open sleeve gastrectomy surgery took significantly longer than the laparoscopic technique; whereas robotic sleeves elicited fewer complications. There was no significant difference in hospital length of stay between laparoscopic or robotic techniques.

Laparoscopic IPOM Inguinal Hernia Repair - Skin to Skin

This education video of IPOM is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for inguinal hernia repair. All medical records were reviewed retrospectively. Mean operative time was 45 minutes, and mean postoperative hospital stay was 1 days. There were two cases of postoperative swelling at the groin area due to entrapment of CO2 and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Even though laparoscopic Intraperitoneal Onlay Mesh Repair of Hernia which is popularly called as IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases.

Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction

This Video demonstrates Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction. The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%,3,4 and incisional hernia recurrence after surgical repair is as high as 45%. Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. After Laparoscopic Surgery these recurrences are very less.

Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy

This Video demonstrates right sided Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy. Prophylactic removal of the appendix during a benign gynecologic procedure is known as an elective incidental laparoscopic appendectomy. Incidental appendectomy at the time of cesarean delivery was reported initially in 1959. Subsequent studies of removal of a normal-appearing appendix at the time of gynecologic surgery have met with considerable debate. Proponents argue that the removal of the appendix at the time of abdominal hysterectomy does not increase operative time or postoperative morbidity. More important, it does prevent future appendicitis. Advantages of incidental appendectomy include technical ease, low patient morbidity and mortality, and significant diagnostic and protective value. It also prevents conflicting diagnoses, especially in patients who have chronic pelvic pain, a ruptured ovarian cyst, or endometriosis. Other patients likely to benefit from elective incidental appendectomy are those who are undergoing abdominal radiation or chemotherapy, women unable to communicate health complaints, and those who are planning to undergo complex abdominal or pelvic procedures that are likely to cause extensive adhesions.

Davinci Robotic Adhesiolysis Surgery with Application of Interceed

This video demonstrates Davinci Robotic Adhesiolysis Surgery with Application of Interceed performed by Dr R K Mishra at World Laparoscopy Hospital. Interceed(TC7) is a fabric mechanical adhesive barriar composed of oxidized, regenerated cellulose that was designed to reduce the formation of postsurgical adhesions. Use of Interceed is evaluated Interceed(TC7) in a randomized, multicenter clinical study and proved to be effective. Peritoneal adhesions following pelvic and abdominal surgery are a frequent cause of intestinal obstruction, reduced fertility, and pelvic pain. In gynecology, adhesion formation at the vaginal cuff and pelvic sidewall frequently involves bowel, omentum, and adnexa. Davinci robotic surgery is very effective method of doing adhesiolysis.

Sleeve Gastrectomy Tips and Tricks

Laparoscopic sleeve gastrectomy (LSG) is becoming popular as a stand alone bariatric procedure for morbid obesity. The laparoscopic sleeve gastrectomy technique has evolved over the years towards standardization. Better standardization has minimized complications as leaks, stricture, and weight regain. Adequate posterior dissection up to the hiatus and the linear sleeve without a torque can be safely performed. The video presentation refers to the international consensus document on LSG as well as the expert panel consensus where our centre’s technique is shared. The video demonstrates step by step approach to a safe, standardized technique of LSG. https://www.laparoscopyhospital.com/bariatric-surgery.html

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.

Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy

This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Laparoscopic Management of CBD Stone

This video demonstrate Lecture on Laparoscopic CBD Exploration for CBD Stone. Approximately 8% to 15% of the patients with symptomatic gallstones have simultaneous choledocholithiasis. Historically, in patients with a preoperative diagnosis of CBD stones during the early laparoscopic era, a two-stage surgical approach (ERCP followed by LC) was the preferred treatment for most surgeons but laparoscopic CBD exploration can also be equally effective.

Laparoscopic Inguinal Hernia Repair in Female

A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.

Da Vinci Robotic Hysterectomy

This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.

Robotic Myomectomy

Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.

How Ligasure Works?

This video demonstrate how Ligasure works presented by Dr R K Mishra. Ligasure is a tissue responce generator. Across the range of products and procedures, LigaSure also called as vessel sealer is a technology which delivers a unique combination of pressure and energy to create a consistent seal with each application. Ligasure provides a combination of pressure and energy to create vessel fusion. Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation Average seal cycle is 2 to 4 seconds. Ligasure seals withstand three times normal systolic blood pressure. Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork.

Laparoscopic Port Closure or Fascial Closure Needles

This video demonstrates Laparoscopic Port Closure Needles explained by Dr. R K Mishra at World Laparoscopy Hospital. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. We have reported a novel technique for the closure of the ports after laparoscopic surgery. Using this technique all the ports are closed under vision, thus preventing port herniation. New technical challenges have emerged since the introduction of the laparoscopic approach in surgery. One of these is fascial closure at port sites, which is necessary especially when large trocars are used or after dilation of a port site for organ extraction. New developments, such as single-port laparoscopic surgery, and the need for small esthetic incisions render fascial closure a current issue

Laparoscopic Myomectomy and Ovarian Cystectomy for Multiple Myomas and Paraovarian Cyst

Laparoscopic Ovarian cystectomy and Laparoscopic myomectomy are the two most frequently performed gynecologic operations in reproductive-age women. Benign ovarian cysts mostly occur in reproductive-age women, for whom it is important to have the majority of the ovarian tissue preserved after laparoscopic surgery. In order to preserve the maximum ovarian reserve, laparoscopic ovarian cystectomy is generally preferred. The lifetime incidence of uterine myoma is approximately 20% to 25%, and it is the most common benign tumor in reproductive-age women. Laparoscopic Surgery is performed on women who suffer from menorrhagia, dysmenorrhea, or increase in the size of the fibroid. The utility of laparoscopic myomectomy has been well established among symptomatic reproductive-age women with myoma, and previous studies have found no difference in the duration of surgery, the amount of blood loss during surgery, or the incidence of postoperative adhesion in comparison with open surgery. Likewise, no difference was found between laparoscopic myomectomy or open myomectomy in the rate of postoperative uterine rupture. In infertile patients, myomectomy has been shown to lead to a significant improvement in the pregnancy rate. Currently, single-port access (SPA) laparoscopic myomectomy is performed as a minimally invasive surgical technique. SPA laparoscopic surgery is superior to multi-port laparoscopic surgery in terms of cosmetic outcomes and postoperative pain relief and recovery, but due to the difficulty in the suture technique, hemostasis is more challenging and it generally is more time-consuming.

Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh

This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php

Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent

This video demonstrate Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent performed by Dr R K Mishra at World Laparoscopy Hospital. This is a must watch video for every one to see how nicely illuminated stent look. Despite the skepticism, potential advantages afforded by this minimal access technique motivated the development and evaluation of the laparoscope in an expanding number of surgical applications. Numerous technologic advances were critical to this evolution. During the first half of this century, the development of various lens systems and endoscopes was there. Recently use of Infrared imaging system in laparoscopy has revolutionized the way how we were looking at ureter in past. The infrared lighted ureteral stent or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm.

Skin to Skin Laparoscopic Cholecystectomy in 4K

This video demonstrates Skin to Skin Laparoscopic Cholecystectomy using 4K Camera to improve vision. This year a '4K' laparoscopic system has become commercially available, so-named as it provides a high-resolution 2D image with four times the number of pixels of 2D full high definition. The improved visualization is likely to provide additional depth cues. It is currently unclear to what degree improving the resolution of 2D systems can compensate for binocular depth cues however in coming days 4K laparoscopy will be very popular. 4K UHD enables rich color reproducibility and provides suitable colors for each clinical discipline which uses the laparoscopic camera. Ultra High Definition camera system provides four times more information than conventional Full HD imaging systems.

Laparoscopic Surgery for Left Ovarian Dermoid Cyst

This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.

Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension

This video demonstrate Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension. For fibroids that distort the cavity there is consensus of a negative impact on both the clinical pregnancy rate and delivery rate together with dysfunctional uterine bleeding. Uterine leiomyomas are present in 30-70% of women of reproductive age. In addition to causing menstrual disorders and pain, uterine fibroids negatively affect fertility and pregnancy outcome for patients pursuing assisted reproduction. The two questions that have to be addressed are: which fibroids should be treated, and how they should be treated? Submucosal fibroids are associated with a 70% reduction in delivery rate. Intramural fibroid had a lesser effect and reduced the delivery rate approximately 30%. In contrast, studies on subserosal fibroids did not negatively impact fertility. Furthermore, both submucosal and intramural fibroids were associated with an increased risk of spontaneous miscarriage. Myomectomy is considered the treatment of choice to alleviate these detrimental effects. Further research is needed before alternative treatments can be recommended.

How Harmonic Scalpel Works?

This video demonstrate Harmonic Scalpel presented by Dr R K Mishra. The Harmonic scalpel is basically an ultrasonic generator. Harmonic Scalpel is a surgical instrument used to simultaneously cut and coagulate tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue. Benefits of the Harmonic Scalpel. The Harmonic Scalpel's biggest advantage is the reduced bleeding and recovery time for the patient. Other advantages include the ability for a surgeon to make more precise cuts, and an overall reduction of lateral thermal tissue damage in comparison to other operating devices. A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation.

Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy

Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...

Ruptured Ectopic Pregnancy

This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.

First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy

This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.

Laparoscopic Repair of Recurrent Umbilical Hernia

This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.

Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)

This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM

Sleeve Gastrectomy with Hernia Repair

This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.

Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

This video demonstrate laparoscopic sacrocolpopexy foe vaginal vault prolapse demonstration by Dr R K Mishra at World Laparoscopy Hospital. After a hysterectomy the top of the vagina, where the neck of the womb (cervix) used to be, is called the vault. The vaginal vault can sag down, known as a vault prolapse. A laparoscopic sacrocolpopexy operation involves supporting the vaginal vault using a piece of permanent artificial mesh material. Sacrocolpopexy (sacral colpopexy) is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.

Total Laparoscopic Hysterectomy for Very Large Uterus With Multiple Fibroid

In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

This video demonstrate Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient. Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children. The laparoscopic approach is most frequently used, except for young children. Superficial surgical site infections are more frequent after open surgery only in patients with complicated appendicitis. The normal appendix rate is low, most likely because of routine preoperative imaging.

Safe Way of Performing Laparoscopic Cholecystectomy

CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Repair of Common bile duct (CBD) injury

Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury. In this video, We have demonstrated a method of repair on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. We combined this video with our experience in laparoscopic methods to highlight diagnostic and therapeutic options. Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. Intraoperatively, CBD injury can be prevented in the case of short cystic duct with the use of a loop ligature or transfixing suture, and it can be diagnosed using intraoperative cholangiography or other visualization techniques or by ICG.

Laparoscopic Pledget

This video demonstrate Laparoscopic Pledget. Laparoscopic Pledget is used to compress or small flat mass usually of gauze or absorbent cotton that is laid over a wound or into a cavity to apply medication, exclude air, retain dressings, or absorb the matter discharged.

Basic Demonstration of Da Vinci Robot - How Surgical Robot Works?

This video demonstrates the Basic Demonstration of Da Vinci Robot - How Surgical Robot Works? Compared to traditional techniques of open surgery and laparoscopic surgery, the very small incisions created by robotic surgery drastically reduce patients' time in the hospital and their risk of infections. The use of high-definition 3D cameras allows surgeons close-up views of areas they aren't able to see during open surgery. Fully articulating robotic arms mimic the movement of hands, allowing surgeons to have greater dexterity and control than is possible with conventional laparoscopic instruments.

Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle

This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.

Laparoscopic Ovarian Cystectomy - Aspiration with Transparent Needle

This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm

How to Use Hysteroscopy Instruments?

This video demonstrate how to use various hysteroscopic instruments. Hysteroscopy is a procedure that allows us to look inside the uterus in order to diagnose and treat causes of abnormal bleeding. The procedure can be either diagnostic or operative. Hysteroscopy is a procedure that allows gynecologist to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Intraperitoneal Onlay Mesh Repair of Inguinal Hernia

This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

Robotic Reversal of Tubal Sterilization

This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.

https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy And Appendectomy Using Illuminated Ureteral Stent Step Step Demonstration

This video demonstrate Total Laparoscopic Hysterectomy step by step using infrared ureter stent together with appendectomy. Combination procedure is very easy to perform by laparoscopy. Laparoscopic Hysterectomy remains a reasonable substitute for abdominal hysterectomy. Laparoscopic hysterectomy together with appendectomy is a cost-effective procedure when done with reusable instruments. Laparoscopic hysterectomy with ureteric stenting with infrared catheter is a safe procedure, even when performed by a variety of gynecologists with different skill levels, and its adoption can decrease abdominal incision hysterectomies.

First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy

This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.

Intraperitoneal Onlay Mesh Repair of Inguinal Hernia

This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

Laparoscopic IPOM Inguinal Hernia Repair - Skin to Skin

This education video of IPOM is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for inguinal hernia repair. All medical records were reviewed retrospectively. Mean operative time was 45 minutes, and mean postoperative hospital stay was 1 days. There were two cases of postoperative swelling at the groin area due to entrapment of CO2 and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Even though laparoscopic Intraperitoneal Onlay Mesh Repair of Hernia which is popularly called as IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases.

Total Laparoscopic Hysterectomy for Very Large Uterus With Multiple Fibroid

In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle

This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.

Davinci Robotic Adhesiolysis Surgery with Application of Interceed

This video demonstrates Davinci Robotic Adhesiolysis Surgery with Application of Interceed performed by Dr R K Mishra at World Laparoscopy Hospital. Interceed(TC7) is a fabric mechanical adhesive barriar composed of oxidized, regenerated cellulose that was designed to reduce the formation of postsurgical adhesions. Use of Interceed is evaluated Interceed(TC7) in a randomized, multicenter clinical study and proved to be effective. Peritoneal adhesions following pelvic and abdominal surgery are a frequent cause of intestinal obstruction, reduced fertility, and pelvic pain. In gynecology, adhesion formation at the vaginal cuff and pelvic sidewall frequently involves bowel, omentum, and adnexa. Davinci robotic surgery is very effective method of doing adhesiolysis.

Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction

This Video demonstrates Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction. The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%,3,4 and incisional hernia recurrence after surgical repair is as high as 45%. Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. After Laparoscopic Surgery these recurrences are very less.

Sleeve Gastrectomy with Hernia Repair

This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.

Uterine Manipulators

The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.

How Ligasure Works?

This video demonstrate how Ligasure works presented by Dr R K Mishra. Ligasure is a tissue responce generator. Across the range of products and procedures, LigaSure also called as vessel sealer is a technology which delivers a unique combination of pressure and energy to create a consistent seal with each application. Ligasure provides a combination of pressure and energy to create vessel fusion. Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation Average seal cycle is 2 to 4 seconds. Ligasure seals withstand three times normal systolic blood pressure. Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork.

Laparoscopic Repair of Recurrent Umbilical Hernia

This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

This video demonstrate Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient. Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children. The laparoscopic approach is most frequently used, except for young children. Superficial surgical site infections are more frequent after open surgery only in patients with complicated appendicitis. The normal appendix rate is low, most likely because of routine preoperative imaging.

How to Use Hysteroscopy Instruments?

This video demonstrate how to use various hysteroscopic instruments. Hysteroscopy is a procedure that allows us to look inside the uterus in order to diagnose and treat causes of abnormal bleeding. The procedure can be either diagnostic or operative. Hysteroscopy is a procedure that allows gynecologist to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy

This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Skin to Skin Laparoscopic Cholecystectomy in 4K

This video demonstrates Skin to Skin Laparoscopic Cholecystectomy using 4K Camera to improve vision. This year a '4K' laparoscopic system has become commercially available, so-named as it provides a high-resolution 2D image with four times the number of pixels of 2D full high definition. The improved visualization is likely to provide additional depth cues. It is currently unclear to what degree improving the resolution of 2D systems can compensate for binocular depth cues however in coming days 4K laparoscopy will be very popular. 4K UHD enables rich color reproducibility and provides suitable colors for each clinical discipline which uses the laparoscopic camera. Ultra High Definition camera system provides four times more information than conventional Full HD imaging systems.

How Harmonic Scalpel Works?

This video demonstrate Harmonic Scalpel presented by Dr R K Mishra. The Harmonic scalpel is basically an ultrasonic generator. Harmonic Scalpel is a surgical instrument used to simultaneously cut and coagulate tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue. Benefits of the Harmonic Scalpel. The Harmonic Scalpel's biggest advantage is the reduced bleeding and recovery time for the patient. Other advantages include the ability for a surgeon to make more precise cuts, and an overall reduction of lateral thermal tissue damage in comparison to other operating devices. A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation.

Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

This video demonstrate laparoscopic sacrocolpopexy foe vaginal vault prolapse demonstration by Dr R K Mishra at World Laparoscopy Hospital. After a hysterectomy the top of the vagina, where the neck of the womb (cervix) used to be, is called the vault. The vaginal vault can sag down, known as a vault prolapse. A laparoscopic sacrocolpopexy operation involves supporting the vaginal vault using a piece of permanent artificial mesh material. Sacrocolpopexy (sacral colpopexy) is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.

Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent

This video demonstrate Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent performed by Dr R K Mishra at World Laparoscopy Hospital. This is a must watch video for every one to see how nicely illuminated stent look. Despite the skepticism, potential advantages afforded by this minimal access technique motivated the development and evaluation of the laparoscope in an expanding number of surgical applications. Numerous technologic advances were critical to this evolution. During the first half of this century, the development of various lens systems and endoscopes was there. Recently use of Infrared imaging system in laparoscopy has revolutionized the way how we were looking at ureter in past. The infrared lighted ureteral stent or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm.

Laparoscopic Removal of Posterior Cervical Fibroid

This video demonstrate Laparoscopic Myomectomy for Posterior Cervical Fibroid. Fibroid or Myomas are benign tumours composed partly of muscle and fibrous tissue. They seldom develop in the cervix, the lower part of the uterus as in this video. When posterior cervical fibroid grow, they are usually obliterating entire cul de sac. Cervical fibroids grow in the wall of the cervix and are difficult to remove without damaging the surrounding area. Most cervical myomas eventually cause symptoms of GIT or ureteric obstruction. The most common symptom may be irregular or heavy menstrual bleeding . Other symptoms include abdominal pain or pressure, changes in bladder and bowel patterns and, in some cases, infertility. Cervical myomas can block the flow of urine; women may have a hesitant start when urinating; dribble at the end of urination, and retain urine. Urinary tract infections are also more likely to develop. If cervical fibroids cause symptoms, they are surgically removed in a procedure called a Laparoscopic Myomectomy. After removal of fibroid suturing of the raw area is required. Depending upon the size of fibroid a long time is spend in morcellation of myoma. For more information log on to https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina

This video demonstrate Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina. The average surgical time was 45 min for laparoscopic cholecystectomy and 15 min for hysterectomy and 30 min for hysterectomy. Total blood loss was approximately less than 50ml. Lesson for both, gynecologists and the surgeons, is to combine these two when required and possible. This provides maximum advantages through minimizing risk of anesthesia and time duration, hospital stay, cost-effectiveness.

Ruptured Ectopic Pregnancy

This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.

Safe Way of Performing Laparoscopic Cholecystectomy

CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh

This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php

Laparoscopic Ovarian Cystectomy - Aspiration with Transparent Needle

This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm

Laparoscopic Surgery for Left Ovarian Dermoid Cyst

This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.

Laparoscopic Repair of Common bile duct (CBD) injury

Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury. In this video, We have demonstrated a method of repair on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. We combined this video with our experience in laparoscopic methods to highlight diagnostic and therapeutic options. Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. Intraoperatively, CBD injury can be prevented in the case of short cystic duct with the use of a loop ligature or transfixing suture, and it can be diagnosed using intraoperative cholangiography or other visualization techniques or by ICG.

Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy

Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...

Laparoscopic Inguinal Hernia Repair in Female

A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.

Laparoscopic Linear Cutter Staplers

This video demonstrate Laparoscopic Staplers. Endoscopic Linear Cutter Stapler places two , triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows. The universal handle is available in 3 shaft lengths; 6cm, 16cm and 26cm accommodating 30mm, 45mm and 60mm straight reloading units. Features & Benefits include: Gentle tissue compression before firing minimises tissue trauma and supports repositioning. Cutting knife housed within the reloading unit guarantees even distance between anvil and cartridge as it passes through the tissue for consistent, leak free staple formation.

Para-umbilical Hernia IPOM Repair

This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Hysterectomy By Ligation of Uterine Artery and Simultaneous Appendectomy

This video demonstrates Laparoscopic Hysterectomy By Ligation of Uterine Artery by Mishra's Knot and Vault Closure by Weston Knot. In this procedure, Appendectomy was also performed. Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years. One of the best practice of performing laparoscopic hysterectomy is to ligate the uterine artery. The vascular supply of the uterus is mainly derived from the uterine and ovarian arteries. Because most blood enters the uterus through the uterine arteries, transient uterine ischemia occurs after uterine artery ligation. Bilateral uterine vessel ligation is an efficient method to obliterate the blood flow to the uterus.

Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)

This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Myomectomy and Ovarian Cystectomy for Multiple Myomas and Paraovarian Cyst

Laparoscopic Ovarian cystectomy and Laparoscopic myomectomy are the two most frequently performed gynecologic operations in reproductive-age women. Benign ovarian cysts mostly occur in reproductive-age women, for whom it is important to have the majority of the ovarian tissue preserved after laparoscopic surgery. In order to preserve the maximum ovarian reserve, laparoscopic ovarian cystectomy is generally preferred. The lifetime incidence of uterine myoma is approximately 20% to 25%, and it is the most common benign tumor in reproductive-age women. Laparoscopic Surgery is performed on women who suffer from menorrhagia, dysmenorrhea, or increase in the size of the fibroid. The utility of laparoscopic myomectomy has been well established among symptomatic reproductive-age women with myoma, and previous studies have found no difference in the duration of surgery, the amount of blood loss during surgery, or the incidence of postoperative adhesion in comparison with open surgery. Likewise, no difference was found between laparoscopic myomectomy or open myomectomy in the rate of postoperative uterine rupture. In infertile patients, myomectomy has been shown to lead to a significant improvement in the pregnancy rate. Currently, single-port access (SPA) laparoscopic myomectomy is performed as a minimally invasive surgical technique. SPA laparoscopic surgery is superior to multi-port laparoscopic surgery in terms of cosmetic outcomes and postoperative pain relief and recovery, but due to the difficulty in the suture technique, hemostasis is more challenging and it generally is more time-consuming.

Laparoscopic Port Closure or Fascial Closure Needles

This video demonstrates Laparoscopic Port Closure Needles explained by Dr. R K Mishra at World Laparoscopy Hospital. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. We have reported a novel technique for the closure of the ports after laparoscopic surgery. Using this technique all the ports are closed under vision, thus preventing port herniation. New technical challenges have emerged since the introduction of the laparoscopic approach in surgery. One of these is fascial closure at port sites, which is necessary especially when large trocars are used or after dilation of a port site for organ extraction. New developments, such as single-port laparoscopic surgery, and the need for small esthetic incisions render fascial closure a current issue

Robotic Myomectomy

Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.

Robotic Reversal of Tubal Sterilization

This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.

Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension

This video demonstrate Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension. For fibroids that distort the cavity there is consensus of a negative impact on both the clinical pregnancy rate and delivery rate together with dysfunctional uterine bleeding. Uterine leiomyomas are present in 30-70% of women of reproductive age. In addition to causing menstrual disorders and pain, uterine fibroids negatively affect fertility and pregnancy outcome for patients pursuing assisted reproduction. The two questions that have to be addressed are: which fibroids should be treated, and how they should be treated? Submucosal fibroids are associated with a 70% reduction in delivery rate. Intramural fibroid had a lesser effect and reduced the delivery rate approximately 30%. In contrast, studies on subserosal fibroids did not negatively impact fertility. Furthermore, both submucosal and intramural fibroids were associated with an increased risk of spontaneous miscarriage. Myomectomy is considered the treatment of choice to alleviate these detrimental effects. Further research is needed before alternative treatments can be recommended.

Robotic Sleeve Gastrectomy Surgery

This Video demonstrate Robotic Sleeve Gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital for a 43 BMI morbid obese patient. World Laparoscopy Hospital is first private hospital of India to start robotic surgery. Robotic Sleeve Gastrectomy also called RSG is very popular surgery all over World. Open sleeve gastrectomy surgery took significantly longer than the laparoscopic technique; whereas robotic sleeves elicited fewer complications. There was no significant difference in hospital length of stay between laparoscopic or robotic techniques.

Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh

This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.

Sleeve Gastrectomy Tips and Tricks

Laparoscopic sleeve gastrectomy (LSG) is becoming popular as a stand alone bariatric procedure for morbid obesity. The laparoscopic sleeve gastrectomy technique has evolved over the years towards standardization. Better standardization has minimized complications as leaks, stricture, and weight regain. Adequate posterior dissection up to the hiatus and the linear sleeve without a torque can be safely performed. The video presentation refers to the international consensus document on LSG as well as the expert panel consensus where our centre’s technique is shared. The video demonstrates step by step approach to a safe, standardized technique of LSG. https://www.laparoscopyhospital.com/bariatric-surgery.html

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Basic Demonstration of Da Vinci Robot - How Surgical Robot Works?

This video demonstrates the Basic Demonstration of Da Vinci Robot - How Surgical Robot Works? Compared to traditional techniques of open surgery and laparoscopic surgery, the very small incisions created by robotic surgery drastically reduce patients' time in the hospital and their risk of infections. The use of high-definition 3D cameras allows surgeons close-up views of areas they aren't able to see during open surgery. Fully articulating robotic arms mimic the movement of hands, allowing surgeons to have greater dexterity and control than is possible with conventional laparoscopic instruments.

Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy

This Video demonstrates right sided Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy. Prophylactic removal of the appendix during a benign gynecologic procedure is known as an elective incidental laparoscopic appendectomy. Incidental appendectomy at the time of cesarean delivery was reported initially in 1959. Subsequent studies of removal of a normal-appearing appendix at the time of gynecologic surgery have met with considerable debate. Proponents argue that the removal of the appendix at the time of abdominal hysterectomy does not increase operative time or postoperative morbidity. More important, it does prevent future appendicitis. Advantages of incidental appendectomy include technical ease, low patient morbidity and mortality, and significant diagnostic and protective value. It also prevents conflicting diagnoses, especially in patients who have chronic pelvic pain, a ruptured ovarian cyst, or endometriosis. Other patients likely to benefit from elective incidental appendectomy are those who are undergoing abdominal radiation or chemotherapy, women unable to communicate health complaints, and those who are planning to undergo complex abdominal or pelvic procedures that are likely to cause extensive adhesions.

Laparoscopic Pledget

This video demonstrate Laparoscopic Pledget. Laparoscopic Pledget is used to compress or small flat mass usually of gauze or absorbent cotton that is laid over a wound or into a cavity to apply medication, exclude air, retain dressings, or absorb the matter discharged.

Da Vinci Robotic Hysterectomy

This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of difficulties of doing it. Near Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used in for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

Laparoscopic Management of CBD Stone

This video demonstrate Lecture on Laparoscopic CBD Exploration for CBD Stone. Approximately 8% to 15% of the patients with symptomatic gallstones have simultaneous choledocholithiasis. Historically, in patients with a preoperative diagnosis of CBD stones during the early laparoscopic era, a two-stage surgical approach (ERCP followed by LC) was the preferred treatment for most surgeons but laparoscopic CBD exploration can also be equally effective.

Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.

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Laparoscopic Port Closure or Fascial Closure Needles

This video demonstrates Laparoscopic Port Closure Needles explained by Dr. R K Mishra at World Laparoscopy Hospital. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. We have reported a novel technique for the closure of the ports after laparoscopic surgery. Using this technique all the ports are closed under vision, thus preventing port herniation. New technical challenges have emerged since the introduction of the laparoscopic approach in surgery. One of these is fascial closure at port sites, which is necessary especially when large trocars are used or after dilation of a port site for organ extraction. New developments, such as single-port laparoscopic surgery, and the need for small esthetic incisions render fascial closure a current issue

Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)

This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Linear Cutter Staplers

This video demonstrate Laparoscopic Staplers. Endoscopic Linear Cutter Stapler places two , triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows. The universal handle is available in 3 shaft lengths; 6cm, 16cm and 26cm accommodating 30mm, 45mm and 60mm straight reloading units. Features & Benefits include: Gentle tissue compression before firing minimises tissue trauma and supports repositioning. Cutting knife housed within the reloading unit guarantees even distance between anvil and cartridge as it passes through the tissue for consistent, leak free staple formation.

Laparoscopic Hysterectomy By Ligation of Uterine Artery and Simultaneous Appendectomy

This video demonstrates Laparoscopic Hysterectomy By Ligation of Uterine Artery by Mishra's Knot and Vault Closure by Weston Knot. In this procedure, Appendectomy was also performed. Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years. One of the best practice of performing laparoscopic hysterectomy is to ligate the uterine artery. The vascular supply of the uterus is mainly derived from the uterine and ovarian arteries. Because most blood enters the uterus through the uterine arteries, transient uterine ischemia occurs after uterine artery ligation. Bilateral uterine vessel ligation is an efficient method to obliterate the blood flow to the uterus.

Laparoscopic Management of CBD Stone

This video demonstrate Lecture on Laparoscopic CBD Exploration for CBD Stone. Approximately 8% to 15% of the patients with symptomatic gallstones have simultaneous choledocholithiasis. Historically, in patients with a preoperative diagnosis of CBD stones during the early laparoscopic era, a two-stage surgical approach (ERCP followed by LC) was the preferred treatment for most surgeons but laparoscopic CBD exploration can also be equally effective.

Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction

This Video demonstrates Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction. The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%,3,4 and incisional hernia recurrence after surgical repair is as high as 45%. Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. After Laparoscopic Surgery these recurrences are very less.

Robotic Myomectomy

Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

This video demonstrate Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient. Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children. The laparoscopic approach is most frequently used, except for young children. Superficial surgical site infections are more frequent after open surgery only in patients with complicated appendicitis. The normal appendix rate is low, most likely because of routine preoperative imaging.

Laparoscopic Repair of Common bile duct (CBD) injury

Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury. In this video, We have demonstrated a method of repair on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. We combined this video with our experience in laparoscopic methods to highlight diagnostic and therapeutic options. Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. Intraoperatively, CBD injury can be prevented in the case of short cystic duct with the use of a loop ligature or transfixing suture, and it can be diagnosed using intraoperative cholangiography or other visualization techniques or by ICG.

Uterine Manipulators

The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.

Laparoscopic Inguinal Hernia Repair in Female

A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.

Ruptured Ectopic Pregnancy

This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.

Laparoscopic Pledget

This video demonstrate Laparoscopic Pledget. Laparoscopic Pledget is used to compress or small flat mass usually of gauze or absorbent cotton that is laid over a wound or into a cavity to apply medication, exclude air, retain dressings, or absorb the matter discharged.

Laparoscopic Myomectomy and Ovarian Cystectomy for Multiple Myomas and Paraovarian Cyst

Laparoscopic Ovarian cystectomy and Laparoscopic myomectomy are the two most frequently performed gynecologic operations in reproductive-age women. Benign ovarian cysts mostly occur in reproductive-age women, for whom it is important to have the majority of the ovarian tissue preserved after laparoscopic surgery. In order to preserve the maximum ovarian reserve, laparoscopic ovarian cystectomy is generally preferred. The lifetime incidence of uterine myoma is approximately 20% to 25%, and it is the most common benign tumor in reproductive-age women. Laparoscopic Surgery is performed on women who suffer from menorrhagia, dysmenorrhea, or increase in the size of the fibroid. The utility of laparoscopic myomectomy has been well established among symptomatic reproductive-age women with myoma, and previous studies have found no difference in the duration of surgery, the amount of blood loss during surgery, or the incidence of postoperative adhesion in comparison with open surgery. Likewise, no difference was found between laparoscopic myomectomy or open myomectomy in the rate of postoperative uterine rupture. In infertile patients, myomectomy has been shown to lead to a significant improvement in the pregnancy rate. Currently, single-port access (SPA) laparoscopic myomectomy is performed as a minimally invasive surgical technique. SPA laparoscopic surgery is superior to multi-port laparoscopic surgery in terms of cosmetic outcomes and postoperative pain relief and recovery, but due to the difficulty in the suture technique, hemostasis is more challenging and it generally is more time-consuming.

Sleeve Gastrectomy Tips and Tricks

Laparoscopic sleeve gastrectomy (LSG) is becoming popular as a stand alone bariatric procedure for morbid obesity. The laparoscopic sleeve gastrectomy technique has evolved over the years towards standardization. Better standardization has minimized complications as leaks, stricture, and weight regain. Adequate posterior dissection up to the hiatus and the linear sleeve without a torque can be safely performed. The video presentation refers to the international consensus document on LSG as well as the expert panel consensus where our centre’s technique is shared. The video demonstrates step by step approach to a safe, standardized technique of LSG. https://www.laparoscopyhospital.com/bariatric-surgery.html

How Ligasure Works?

This video demonstrate how Ligasure works presented by Dr R K Mishra. Ligasure is a tissue responce generator. Across the range of products and procedures, LigaSure also called as vessel sealer is a technology which delivers a unique combination of pressure and energy to create a consistent seal with each application. Ligasure provides a combination of pressure and energy to create vessel fusion. Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation Average seal cycle is 2 to 4 seconds. Ligasure seals withstand three times normal systolic blood pressure. Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork.

Davinci Robotic Adhesiolysis Surgery with Application of Interceed

This video demonstrates Davinci Robotic Adhesiolysis Surgery with Application of Interceed performed by Dr R K Mishra at World Laparoscopy Hospital. Interceed(TC7) is a fabric mechanical adhesive barriar composed of oxidized, regenerated cellulose that was designed to reduce the formation of postsurgical adhesions. Use of Interceed is evaluated Interceed(TC7) in a randomized, multicenter clinical study and proved to be effective. Peritoneal adhesions following pelvic and abdominal surgery are a frequent cause of intestinal obstruction, reduced fertility, and pelvic pain. In gynecology, adhesion formation at the vaginal cuff and pelvic sidewall frequently involves bowel, omentum, and adnexa. Davinci robotic surgery is very effective method of doing adhesiolysis.

Para-umbilical Hernia IPOM Repair

This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM

Robotic Reversal of Tubal Sterilization

This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.

Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.

Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension

This video demonstrate Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension. For fibroids that distort the cavity there is consensus of a negative impact on both the clinical pregnancy rate and delivery rate together with dysfunctional uterine bleeding. Uterine leiomyomas are present in 30-70% of women of reproductive age. In addition to causing menstrual disorders and pain, uterine fibroids negatively affect fertility and pregnancy outcome for patients pursuing assisted reproduction. The two questions that have to be addressed are: which fibroids should be treated, and how they should be treated? Submucosal fibroids are associated with a 70% reduction in delivery rate. Intramural fibroid had a lesser effect and reduced the delivery rate approximately 30%. In contrast, studies on subserosal fibroids did not negatively impact fertility. Furthermore, both submucosal and intramural fibroids were associated with an increased risk of spontaneous miscarriage. Myomectomy is considered the treatment of choice to alleviate these detrimental effects. Further research is needed before alternative treatments can be recommended.

Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy

This Video demonstrates right sided Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy. Prophylactic removal of the appendix during a benign gynecologic procedure is known as an elective incidental laparoscopic appendectomy. Incidental appendectomy at the time of cesarean delivery was reported initially in 1959. Subsequent studies of removal of a normal-appearing appendix at the time of gynecologic surgery have met with considerable debate. Proponents argue that the removal of the appendix at the time of abdominal hysterectomy does not increase operative time or postoperative morbidity. More important, it does prevent future appendicitis. Advantages of incidental appendectomy include technical ease, low patient morbidity and mortality, and significant diagnostic and protective value. It also prevents conflicting diagnoses, especially in patients who have chronic pelvic pain, a ruptured ovarian cyst, or endometriosis. Other patients likely to benefit from elective incidental appendectomy are those who are undergoing abdominal radiation or chemotherapy, women unable to communicate health complaints, and those who are planning to undergo complex abdominal or pelvic procedures that are likely to cause extensive adhesions.

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.

Laparoscopic IPOM Inguinal Hernia Repair - Skin to Skin

This education video of IPOM is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for inguinal hernia repair. All medical records were reviewed retrospectively. Mean operative time was 45 minutes, and mean postoperative hospital stay was 1 days. There were two cases of postoperative swelling at the groin area due to entrapment of CO2 and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Even though laparoscopic Intraperitoneal Onlay Mesh Repair of Hernia which is popularly called as IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases.

Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent

This video demonstrate Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent performed by Dr R K Mishra at World Laparoscopy Hospital. This is a must watch video for every one to see how nicely illuminated stent look. Despite the skepticism, potential advantages afforded by this minimal access technique motivated the development and evaluation of the laparoscope in an expanding number of surgical applications. Numerous technologic advances were critical to this evolution. During the first half of this century, the development of various lens systems and endoscopes was there. Recently use of Infrared imaging system in laparoscopy has revolutionized the way how we were looking at ureter in past. The infrared lighted ureteral stent or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm.

Safe Way of Performing Laparoscopic Cholecystectomy

CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh

This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php

Laparoscopic Repair of Recurrent Umbilical Hernia

This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.

Skin to Skin Laparoscopic Cholecystectomy in 4K

This video demonstrates Skin to Skin Laparoscopic Cholecystectomy using 4K Camera to improve vision. This year a '4K' laparoscopic system has become commercially available, so-named as it provides a high-resolution 2D image with four times the number of pixels of 2D full high definition. The improved visualization is likely to provide additional depth cues. It is currently unclear to what degree improving the resolution of 2D systems can compensate for binocular depth cues however in coming days 4K laparoscopy will be very popular. 4K UHD enables rich color reproducibility and provides suitable colors for each clinical discipline which uses the laparoscopic camera. Ultra High Definition camera system provides four times more information than conventional Full HD imaging systems.

Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy

This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Robotic Sleeve Gastrectomy Surgery

This Video demonstrate Robotic Sleeve Gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital for a 43 BMI morbid obese patient. World Laparoscopy Hospital is first private hospital of India to start robotic surgery. Robotic Sleeve Gastrectomy also called RSG is very popular surgery all over World. Open sleeve gastrectomy surgery took significantly longer than the laparoscopic technique; whereas robotic sleeves elicited fewer complications. There was no significant difference in hospital length of stay between laparoscopic or robotic techniques.

Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh

This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.

Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina

This video demonstrate Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina. The average surgical time was 45 min for laparoscopic cholecystectomy and 15 min for hysterectomy and 30 min for hysterectomy. Total blood loss was approximately less than 50ml. Lesson for both, gynecologists and the surgeons, is to combine these two when required and possible. This provides maximum advantages through minimizing risk of anesthesia and time duration, hospital stay, cost-effectiveness.

Total Laparoscopic Hysterectomy for Very Large Uterus With Multiple Fibroid

In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Hysterectomy And Appendectomy Using Illuminated Ureteral Stent Step Step Demonstration

This video demonstrate Total Laparoscopic Hysterectomy step by step using infrared ureter stent together with appendectomy. Combination procedure is very easy to perform by laparoscopy. Laparoscopic Hysterectomy remains a reasonable substitute for abdominal hysterectomy. Laparoscopic hysterectomy together with appendectomy is a cost-effective procedure when done with reusable instruments. Laparoscopic hysterectomy with ureteric stenting with infrared catheter is a safe procedure, even when performed by a variety of gynecologists with different skill levels, and its adoption can decrease abdominal incision hysterectomies.

Basic Demonstration of Da Vinci Robot - How Surgical Robot Works?

This video demonstrates the Basic Demonstration of Da Vinci Robot - How Surgical Robot Works? Compared to traditional techniques of open surgery and laparoscopic surgery, the very small incisions created by robotic surgery drastically reduce patients' time in the hospital and their risk of infections. The use of high-definition 3D cameras allows surgeons close-up views of areas they aren't able to see during open surgery. Fully articulating robotic arms mimic the movement of hands, allowing surgeons to have greater dexterity and control than is possible with conventional laparoscopic instruments.

Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle

This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.

Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

This video demonstrate laparoscopic sacrocolpopexy foe vaginal vault prolapse demonstration by Dr R K Mishra at World Laparoscopy Hospital. After a hysterectomy the top of the vagina, where the neck of the womb (cervix) used to be, is called the vault. The vaginal vault can sag down, known as a vault prolapse. A laparoscopic sacrocolpopexy operation involves supporting the vaginal vault using a piece of permanent artificial mesh material. Sacrocolpopexy (sacral colpopexy) is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.

Intraperitoneal Onlay Mesh Repair of Inguinal Hernia

This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

Da Vinci Robotic Hysterectomy

This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.

Laparoscopic Ovarian Cystectomy - Aspiration with Transparent Needle

This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm

First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy

This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.

Laparoscopic Surgery for Left Ovarian Dermoid Cyst

This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Removal of Posterior Cervical Fibroid

This video demonstrate Laparoscopic Myomectomy for Posterior Cervical Fibroid. Fibroid or Myomas are benign tumours composed partly of muscle and fibrous tissue. They seldom develop in the cervix, the lower part of the uterus as in this video. When posterior cervical fibroid grow, they are usually obliterating entire cul de sac. Cervical fibroids grow in the wall of the cervix and are difficult to remove without damaging the surrounding area. Most cervical myomas eventually cause symptoms of GIT or ureteric obstruction. The most common symptom may be irregular or heavy menstrual bleeding . Other symptoms include abdominal pain or pressure, changes in bladder and bowel patterns and, in some cases, infertility. Cervical myomas can block the flow of urine; women may have a hesitant start when urinating; dribble at the end of urination, and retain urine. Urinary tract infections are also more likely to develop. If cervical fibroids cause symptoms, they are surgically removed in a procedure called a Laparoscopic Myomectomy. After removal of fibroid suturing of the raw area is required. Depending upon the size of fibroid a long time is spend in morcellation of myoma. For more information log on to https://www.laparoscopyhospital.com/

How to Use Hysteroscopy Instruments?

This video demonstrate how to use various hysteroscopic instruments. Hysteroscopy is a procedure that allows us to look inside the uterus in order to diagnose and treat causes of abnormal bleeding. The procedure can be either diagnostic or operative. Hysteroscopy is a procedure that allows gynecologist to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of difficulties of doing it. Near Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used in for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy

Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...

Sleeve Gastrectomy with Hernia Repair

This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.

How Harmonic Scalpel Works?

This video demonstrate Harmonic Scalpel presented by Dr R K Mishra. The Harmonic scalpel is basically an ultrasonic generator. Harmonic Scalpel is a surgical instrument used to simultaneously cut and coagulate tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue. Benefits of the Harmonic Scalpel. The Harmonic Scalpel's biggest advantage is the reduced bleeding and recovery time for the patient. Other advantages include the ability for a surgeon to make more precise cuts, and an overall reduction of lateral thermal tissue damage in comparison to other operating devices. A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation.

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How Ligasure Works?

This video demonstrate how Ligasure works presented by Dr R K Mishra. Ligasure is a tissue responce generator. Across the range of products and procedures, LigaSure also called as vessel sealer is a technology which delivers a unique combination of pressure and energy to create a consistent seal with each application. Ligasure provides a combination of pressure and energy to create vessel fusion. Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation Average seal cycle is 2 to 4 seconds. Ligasure seals withstand three times normal systolic blood pressure. Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork.

Laparoscopic Hysterectomy And Appendectomy Using Illuminated Ureteral Stent Step Step Demonstration

This video demonstrate Total Laparoscopic Hysterectomy step by step using infrared ureter stent together with appendectomy. Combination procedure is very easy to perform by laparoscopy. Laparoscopic Hysterectomy remains a reasonable substitute for abdominal hysterectomy. Laparoscopic hysterectomy together with appendectomy is a cost-effective procedure when done with reusable instruments. Laparoscopic hysterectomy with ureteric stenting with infrared catheter is a safe procedure, even when performed by a variety of gynecologists with different skill levels, and its adoption can decrease abdominal incision hysterectomies.

Uterine Manipulators

The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.

How Harmonic Scalpel Works?

This video demonstrate Harmonic Scalpel presented by Dr R K Mishra. The Harmonic scalpel is basically an ultrasonic generator. Harmonic Scalpel is a surgical instrument used to simultaneously cut and coagulate tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue. Benefits of the Harmonic Scalpel. The Harmonic Scalpel's biggest advantage is the reduced bleeding and recovery time for the patient. Other advantages include the ability for a surgeon to make more precise cuts, and an overall reduction of lateral thermal tissue damage in comparison to other operating devices. A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation.

Robotic Myomectomy

Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.

Laparoscopic IPOM Inguinal Hernia Repair - Skin to Skin

This education video of IPOM is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for inguinal hernia repair. All medical records were reviewed retrospectively. Mean operative time was 45 minutes, and mean postoperative hospital stay was 1 days. There were two cases of postoperative swelling at the groin area due to entrapment of CO2 and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Even though laparoscopic Intraperitoneal Onlay Mesh Repair of Hernia which is popularly called as IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases.

How to Use Hysteroscopy Instruments?

This video demonstrate how to use various hysteroscopic instruments. Hysteroscopy is a procedure that allows us to look inside the uterus in order to diagnose and treat causes of abnormal bleeding. The procedure can be either diagnostic or operative. Hysteroscopy is a procedure that allows gynecologist to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension

This video demonstrate Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension. For fibroids that distort the cavity there is consensus of a negative impact on both the clinical pregnancy rate and delivery rate together with dysfunctional uterine bleeding. Uterine leiomyomas are present in 30-70% of women of reproductive age. In addition to causing menstrual disorders and pain, uterine fibroids negatively affect fertility and pregnancy outcome for patients pursuing assisted reproduction. The two questions that have to be addressed are: which fibroids should be treated, and how they should be treated? Submucosal fibroids are associated with a 70% reduction in delivery rate. Intramural fibroid had a lesser effect and reduced the delivery rate approximately 30%. In contrast, studies on subserosal fibroids did not negatively impact fertility. Furthermore, both submucosal and intramural fibroids were associated with an increased risk of spontaneous miscarriage. Myomectomy is considered the treatment of choice to alleviate these detrimental effects. Further research is needed before alternative treatments can be recommended.

Laparoscopic Surgery for Left Ovarian Dermoid Cyst

This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.

Laparoscopic Linear Cutter Staplers

This video demonstrate Laparoscopic Staplers. Endoscopic Linear Cutter Stapler places two , triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows. The universal handle is available in 3 shaft lengths; 6cm, 16cm and 26cm accommodating 30mm, 45mm and 60mm straight reloading units. Features & Benefits include: Gentle tissue compression before firing minimises tissue trauma and supports repositioning. Cutting knife housed within the reloading unit guarantees even distance between anvil and cartridge as it passes through the tissue for consistent, leak free staple formation.

Laparoscopic Port Closure or Fascial Closure Needles

This video demonstrates Laparoscopic Port Closure Needles explained by Dr. R K Mishra at World Laparoscopy Hospital. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. We have reported a novel technique for the closure of the ports after laparoscopic surgery. Using this technique all the ports are closed under vision, thus preventing port herniation. New technical challenges have emerged since the introduction of the laparoscopic approach in surgery. One of these is fascial closure at port sites, which is necessary especially when large trocars are used or after dilation of a port site for organ extraction. New developments, such as single-port laparoscopic surgery, and the need for small esthetic incisions render fascial closure a current issue

Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy

This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.

First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy

This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.

Laparoscopic Management of CBD Stone

This video demonstrate Lecture on Laparoscopic CBD Exploration for CBD Stone. Approximately 8% to 15% of the patients with symptomatic gallstones have simultaneous choledocholithiasis. Historically, in patients with a preoperative diagnosis of CBD stones during the early laparoscopic era, a two-stage surgical approach (ERCP followed by LC) was the preferred treatment for most surgeons but laparoscopic CBD exploration can also be equally effective.

Total Laparoscopic Hysterectomy for Very Large Uterus With Multiple Fibroid

In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle

This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.

Robotic Reversal of Tubal Sterilization

This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.

Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)

This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM

Robotic Sleeve Gastrectomy Surgery

This Video demonstrate Robotic Sleeve Gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital for a 43 BMI morbid obese patient. World Laparoscopy Hospital is first private hospital of India to start robotic surgery. Robotic Sleeve Gastrectomy also called RSG is very popular surgery all over World. Open sleeve gastrectomy surgery took significantly longer than the laparoscopic technique; whereas robotic sleeves elicited fewer complications. There was no significant difference in hospital length of stay between laparoscopic or robotic techniques.

Laparoscopic Inguinal Hernia Repair in Female

A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.

Laparoscopic Ovarian Cystectomy - Aspiration with Transparent Needle

This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm

Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.

Para-umbilical Hernia IPOM Repair

This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Myomectomy and Ovarian Cystectomy for Multiple Myomas and Paraovarian Cyst

Laparoscopic Ovarian cystectomy and Laparoscopic myomectomy are the two most frequently performed gynecologic operations in reproductive-age women. Benign ovarian cysts mostly occur in reproductive-age women, for whom it is important to have the majority of the ovarian tissue preserved after laparoscopic surgery. In order to preserve the maximum ovarian reserve, laparoscopic ovarian cystectomy is generally preferred. The lifetime incidence of uterine myoma is approximately 20% to 25%, and it is the most common benign tumor in reproductive-age women. Laparoscopic Surgery is performed on women who suffer from menorrhagia, dysmenorrhea, or increase in the size of the fibroid. The utility of laparoscopic myomectomy has been well established among symptomatic reproductive-age women with myoma, and previous studies have found no difference in the duration of surgery, the amount of blood loss during surgery, or the incidence of postoperative adhesion in comparison with open surgery. Likewise, no difference was found between laparoscopic myomectomy or open myomectomy in the rate of postoperative uterine rupture. In infertile patients, myomectomy has been shown to lead to a significant improvement in the pregnancy rate. Currently, single-port access (SPA) laparoscopic myomectomy is performed as a minimally invasive surgical technique. SPA laparoscopic surgery is superior to multi-port laparoscopic surgery in terms of cosmetic outcomes and postoperative pain relief and recovery, but due to the difficulty in the suture technique, hemostasis is more challenging and it generally is more time-consuming.

Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy

Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Sleeve Gastrectomy Tips and Tricks

Laparoscopic sleeve gastrectomy (LSG) is becoming popular as a stand alone bariatric procedure for morbid obesity. The laparoscopic sleeve gastrectomy technique has evolved over the years towards standardization. Better standardization has minimized complications as leaks, stricture, and weight regain. Adequate posterior dissection up to the hiatus and the linear sleeve without a torque can be safely performed. The video presentation refers to the international consensus document on LSG as well as the expert panel consensus where our centre’s technique is shared. The video demonstrates step by step approach to a safe, standardized technique of LSG. https://www.laparoscopyhospital.com/bariatric-surgery.html

Skin to Skin Laparoscopic Cholecystectomy in 4K

This video demonstrates Skin to Skin Laparoscopic Cholecystectomy using 4K Camera to improve vision. This year a '4K' laparoscopic system has become commercially available, so-named as it provides a high-resolution 2D image with four times the number of pixels of 2D full high definition. The improved visualization is likely to provide additional depth cues. It is currently unclear to what degree improving the resolution of 2D systems can compensate for binocular depth cues however in coming days 4K laparoscopy will be very popular. 4K UHD enables rich color reproducibility and provides suitable colors for each clinical discipline which uses the laparoscopic camera. Ultra High Definition camera system provides four times more information than conventional Full HD imaging systems.

Safe Way of Performing Laparoscopic Cholecystectomy

CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM

Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent

This video demonstrate Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent performed by Dr R K Mishra at World Laparoscopy Hospital. This is a must watch video for every one to see how nicely illuminated stent look. Despite the skepticism, potential advantages afforded by this minimal access technique motivated the development and evaluation of the laparoscope in an expanding number of surgical applications. Numerous technologic advances were critical to this evolution. During the first half of this century, the development of various lens systems and endoscopes was there. Recently use of Infrared imaging system in laparoscopy has revolutionized the way how we were looking at ureter in past. The infrared lighted ureteral stent or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm.

Intraperitoneal Onlay Mesh Repair of Inguinal Hernia

This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

Ruptured Ectopic Pregnancy

This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.

Basic Demonstration of Da Vinci Robot - How Surgical Robot Works?

This video demonstrates the Basic Demonstration of Da Vinci Robot - How Surgical Robot Works? Compared to traditional techniques of open surgery and laparoscopic surgery, the very small incisions created by robotic surgery drastically reduce patients' time in the hospital and their risk of infections. The use of high-definition 3D cameras allows surgeons close-up views of areas they aren't able to see during open surgery. Fully articulating robotic arms mimic the movement of hands, allowing surgeons to have greater dexterity and control than is possible with conventional laparoscopic instruments.

Sleeve Gastrectomy with Hernia Repair

This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.

Laparoscopic Hysterectomy By Ligation of Uterine Artery and Simultaneous Appendectomy

This video demonstrates Laparoscopic Hysterectomy By Ligation of Uterine Artery by Mishra's Knot and Vault Closure by Weston Knot. In this procedure, Appendectomy was also performed. Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years. One of the best practice of performing laparoscopic hysterectomy is to ligate the uterine artery. The vascular supply of the uterus is mainly derived from the uterine and ovarian arteries. Because most blood enters the uterus through the uterine arteries, transient uterine ischemia occurs after uterine artery ligation. Bilateral uterine vessel ligation is an efficient method to obliterate the blood flow to the uterus.

Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina

This video demonstrate Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina. The average surgical time was 45 min for laparoscopic cholecystectomy and 15 min for hysterectomy and 30 min for hysterectomy. Total blood loss was approximately less than 50ml. Lesson for both, gynecologists and the surgeons, is to combine these two when required and possible. This provides maximum advantages through minimizing risk of anesthesia and time duration, hospital stay, cost-effectiveness.

Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy

This Video demonstrates right sided Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy. Prophylactic removal of the appendix during a benign gynecologic procedure is known as an elective incidental laparoscopic appendectomy. Incidental appendectomy at the time of cesarean delivery was reported initially in 1959. Subsequent studies of removal of a normal-appearing appendix at the time of gynecologic surgery have met with considerable debate. Proponents argue that the removal of the appendix at the time of abdominal hysterectomy does not increase operative time or postoperative morbidity. More important, it does prevent future appendicitis. Advantages of incidental appendectomy include technical ease, low patient morbidity and mortality, and significant diagnostic and protective value. It also prevents conflicting diagnoses, especially in patients who have chronic pelvic pain, a ruptured ovarian cyst, or endometriosis. Other patients likely to benefit from elective incidental appendectomy are those who are undergoing abdominal radiation or chemotherapy, women unable to communicate health complaints, and those who are planning to undergo complex abdominal or pelvic procedures that are likely to cause extensive adhesions.

Da Vinci Robotic Hysterectomy

This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.

Davinci Robotic Adhesiolysis Surgery with Application of Interceed

This video demonstrates Davinci Robotic Adhesiolysis Surgery with Application of Interceed performed by Dr R K Mishra at World Laparoscopy Hospital. Interceed(TC7) is a fabric mechanical adhesive barriar composed of oxidized, regenerated cellulose that was designed to reduce the formation of postsurgical adhesions. Use of Interceed is evaluated Interceed(TC7) in a randomized, multicenter clinical study and proved to be effective. Peritoneal adhesions following pelvic and abdominal surgery are a frequent cause of intestinal obstruction, reduced fertility, and pelvic pain. In gynecology, adhesion formation at the vaginal cuff and pelvic sidewall frequently involves bowel, omentum, and adnexa. Davinci robotic surgery is very effective method of doing adhesiolysis.

Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction

This Video demonstrates Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction. The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%,3,4 and incisional hernia recurrence after surgical repair is as high as 45%. Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. After Laparoscopic Surgery these recurrences are very less.

Laparoscopic Repair of Recurrent Umbilical Hernia

This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

This video demonstrate Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient. Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children. The laparoscopic approach is most frequently used, except for young children. Superficial surgical site infections are more frequent after open surgery only in patients with complicated appendicitis. The normal appendix rate is low, most likely because of routine preoperative imaging.

Laparoscopic Removal of Posterior Cervical Fibroid

This video demonstrate Laparoscopic Myomectomy for Posterior Cervical Fibroid. Fibroid or Myomas are benign tumours composed partly of muscle and fibrous tissue. They seldom develop in the cervix, the lower part of the uterus as in this video. When posterior cervical fibroid grow, they are usually obliterating entire cul de sac. Cervical fibroids grow in the wall of the cervix and are difficult to remove without damaging the surrounding area. Most cervical myomas eventually cause symptoms of GIT or ureteric obstruction. The most common symptom may be irregular or heavy menstrual bleeding . Other symptoms include abdominal pain or pressure, changes in bladder and bowel patterns and, in some cases, infertility. Cervical myomas can block the flow of urine; women may have a hesitant start when urinating; dribble at the end of urination, and retain urine. Urinary tract infections are also more likely to develop. If cervical fibroids cause symptoms, they are surgically removed in a procedure called a Laparoscopic Myomectomy. After removal of fibroid suturing of the raw area is required. Depending upon the size of fibroid a long time is spend in morcellation of myoma. For more information log on to https://www.laparoscopyhospital.com/

Laparoscopic Pledget

This video demonstrate Laparoscopic Pledget. Laparoscopic Pledget is used to compress or small flat mass usually of gauze or absorbent cotton that is laid over a wound or into a cavity to apply medication, exclude air, retain dressings, or absorb the matter discharged.

Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh

This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of difficulties of doing it. Near Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used in for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh

This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php

Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

This video demonstrate laparoscopic sacrocolpopexy foe vaginal vault prolapse demonstration by Dr R K Mishra at World Laparoscopy Hospital. After a hysterectomy the top of the vagina, where the neck of the womb (cervix) used to be, is called the vault. The vaginal vault can sag down, known as a vault prolapse. A laparoscopic sacrocolpopexy operation involves supporting the vaginal vault using a piece of permanent artificial mesh material. Sacrocolpopexy (sacral colpopexy) is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.

Laparoscopic Repair of Common bile duct (CBD) injury

Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury. In this video, We have demonstrated a method of repair on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. We combined this video with our experience in laparoscopic methods to highlight diagnostic and therapeutic options. Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. Intraoperatively, CBD injury can be prevented in the case of short cystic duct with the use of a loop ligature or transfixing suture, and it can be diagnosed using intraoperative cholangiography or other visualization techniques or by ICG.

https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina

This video demonstrate Laparoscopic Hysterectomy and Cholecystectomy together with Removal of Gallbladder though Vagina. The average surgical time was 45 min for laparoscopic cholecystectomy and 15 min for hysterectomy and 30 min for hysterectomy. Total blood loss was approximately less than 50ml. Lesson for both, gynecologists and the surgeons, is to combine these two when required and possible. This provides maximum advantages through minimizing risk of anesthesia and time duration, hospital stay, cost-effectiveness.

Laparoscopic Myomectomy and Ovarian Cystectomy for Multiple Myomas and Paraovarian Cyst

Laparoscopic Ovarian cystectomy and Laparoscopic myomectomy are the two most frequently performed gynecologic operations in reproductive-age women. Benign ovarian cysts mostly occur in reproductive-age women, for whom it is important to have the majority of the ovarian tissue preserved after laparoscopic surgery. In order to preserve the maximum ovarian reserve, laparoscopic ovarian cystectomy is generally preferred. The lifetime incidence of uterine myoma is approximately 20% to 25%, and it is the most common benign tumor in reproductive-age women. Laparoscopic Surgery is performed on women who suffer from menorrhagia, dysmenorrhea, or increase in the size of the fibroid. The utility of laparoscopic myomectomy has been well established among symptomatic reproductive-age women with myoma, and previous studies have found no difference in the duration of surgery, the amount of blood loss during surgery, or the incidence of postoperative adhesion in comparison with open surgery. Likewise, no difference was found between laparoscopic myomectomy or open myomectomy in the rate of postoperative uterine rupture. In infertile patients, myomectomy has been shown to lead to a significant improvement in the pregnancy rate. Currently, single-port access (SPA) laparoscopic myomectomy is performed as a minimally invasive surgical technique. SPA laparoscopic surgery is superior to multi-port laparoscopic surgery in terms of cosmetic outcomes and postoperative pain relief and recovery, but due to the difficulty in the suture technique, hemostasis is more challenging and it generally is more time-consuming.

Da Vinci Robotic Hysterectomy

This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.

Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy

Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...

Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility

This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)

This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM

Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh

This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.

Laparoscopic Surgery for Left Ovarian Dermoid Cyst

This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.

Robotic Sleeve Gastrectomy Surgery

This Video demonstrate Robotic Sleeve Gastrectomy performed by Dr R K Mishra at World Laparoscopy Hospital for a 43 BMI morbid obese patient. World Laparoscopy Hospital is first private hospital of India to start robotic surgery. Robotic Sleeve Gastrectomy also called RSG is very popular surgery all over World. Open sleeve gastrectomy surgery took significantly longer than the laparoscopic technique; whereas robotic sleeves elicited fewer complications. There was no significant difference in hospital length of stay between laparoscopic or robotic techniques.

Robotic Cerclage for Cervical insufficiency

Cervical insufficiency is a difficult condition to diagnose and can lead to preterm birth, miscarriage, or perinatal infant morbidity and mortality. We have demonstrated in this video Robotic abdomina cerclage to evaluate the safety and efficacy of robot-assisted abdominal cerclage during pregnancy. Laparoscopic abdominal cerclage during pregnancy has been shown to be advantageous over laparotomy when comparing success rates and recognizing the well-known benefits of minimally invasive surgery, such as decreased blood loss, shorter hospital stay, decreased pain, and faster recovery time. Robot-assisted abdominal cerclage is a relatively new minimally invasive technique that facilitates less invasive procedures when compared to the open approach, and it has the advantages of 3-dimensional visualization and endowristed instrumentation when compared to traditional laparoscopy. Since the da Vinci surgical system (Intuitive Surgical, Sunnyvale, California, USA) was approved by the FDA for gynecologic procedures in 2005, there have been only a few robotic abdominal cerclages performed; the first robotic cerclage in India was performed by us at World Laparoscopy Hospital was in 2010.

Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac

This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.

Sleeve Gastrectomy with Hernia Repair

This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.

Laparoscopic Pledget

This video demonstrate Laparoscopic Pledget. Laparoscopic Pledget is used to compress or small flat mass usually of gauze or absorbent cotton that is laid over a wound or into a cavity to apply medication, exclude air, retain dressings, or absorb the matter discharged.

Laparoscopic Repair of Common bile duct (CBD) injury

Common bile duct (CBD) injury is the most serious complication of laparoscopic cholecystectomy. Recently, laparoscopic techniques have been used in the management of postoperative bile leak and CBD injury. In this video, We have demonstrated a method of repair on CBD injury, the approach to its diagnosis and management, and reports of laparoscopic management techniques. We combined this video with our experience in laparoscopic methods to highlight diagnostic and therapeutic options. Laparoscopic techniques can be used to prevent, diagnose and treat CBD injuries. Intraoperatively, CBD injury can be prevented in the case of short cystic duct with the use of a loop ligature or transfixing suture, and it can be diagnosed using intraoperative cholangiography or other visualization techniques or by ICG.

Uterine Manipulators

The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.

Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent

This video demonstrate Skin to Skin Total Laparoscopic Hysterectomy with Infrared Ureteric Stent performed by Dr R K Mishra at World Laparoscopy Hospital. This is a must watch video for every one to see how nicely illuminated stent look. Despite the skepticism, potential advantages afforded by this minimal access technique motivated the development and evaluation of the laparoscope in an expanding number of surgical applications. Numerous technologic advances were critical to this evolution. During the first half of this century, the development of various lens systems and endoscopes was there. Recently use of Infrared imaging system in laparoscopy has revolutionized the way how we were looking at ureter in past. The infrared lighted ureteral stent or ureteric stent, is a thin tube inserted into the ureter to prevent or treat obstruction of the urine flow from the kidney. The length of the stents used in adult patients varies between 24 and 30 cm.

Laparoscopic Hysterectomy And Appendectomy Using Illuminated Ureteral Stent Step Step Demonstration

This video demonstrate Total Laparoscopic Hysterectomy step by step using infrared ureter stent together with appendectomy. Combination procedure is very easy to perform by laparoscopy. Laparoscopic Hysterectomy remains a reasonable substitute for abdominal hysterectomy. Laparoscopic hysterectomy together with appendectomy is a cost-effective procedure when done with reusable instruments. Laparoscopic hysterectomy with ureteric stenting with infrared catheter is a safe procedure, even when performed by a variety of gynecologists with different skill levels, and its adoption can decrease abdominal incision hysterectomies.

Ruptured Ectopic Pregnancy

This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.

Davinci Robotic Adhesiolysis Surgery with Application of Interceed

This video demonstrates Davinci Robotic Adhesiolysis Surgery with Application of Interceed performed by Dr R K Mishra at World Laparoscopy Hospital. Interceed(TC7) is a fabric mechanical adhesive barriar composed of oxidized, regenerated cellulose that was designed to reduce the formation of postsurgical adhesions. Use of Interceed is evaluated Interceed(TC7) in a randomized, multicenter clinical study and proved to be effective. Peritoneal adhesions following pelvic and abdominal surgery are a frequent cause of intestinal obstruction, reduced fertility, and pelvic pain. In gynecology, adhesion formation at the vaginal cuff and pelvic sidewall frequently involves bowel, omentum, and adnexa. Davinci robotic surgery is very effective method of doing adhesiolysis.

Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle

This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.

Laparoscopic Removal of Posterior Cervical Fibroid

This video demonstrate Laparoscopic Myomectomy for Posterior Cervical Fibroid. Fibroid or Myomas are benign tumours composed partly of muscle and fibrous tissue. They seldom develop in the cervix, the lower part of the uterus as in this video. When posterior cervical fibroid grow, they are usually obliterating entire cul de sac. Cervical fibroids grow in the wall of the cervix and are difficult to remove without damaging the surrounding area. Most cervical myomas eventually cause symptoms of GIT or ureteric obstruction. The most common symptom may be irregular or heavy menstrual bleeding . Other symptoms include abdominal pain or pressure, changes in bladder and bowel patterns and, in some cases, infertility. Cervical myomas can block the flow of urine; women may have a hesitant start when urinating; dribble at the end of urination, and retain urine. Urinary tract infections are also more likely to develop. If cervical fibroids cause symptoms, they are surgically removed in a procedure called a Laparoscopic Myomectomy. After removal of fibroid suturing of the raw area is required. Depending upon the size of fibroid a long time is spend in morcellation of myoma. For more information log on to https://www.laparoscopyhospital.com/

Skin to Skin Laparoscopic Cholecystectomy in 4K

This video demonstrates Skin to Skin Laparoscopic Cholecystectomy using 4K Camera to improve vision. This year a '4K' laparoscopic system has become commercially available, so-named as it provides a high-resolution 2D image with four times the number of pixels of 2D full high definition. The improved visualization is likely to provide additional depth cues. It is currently unclear to what degree improving the resolution of 2D systems can compensate for binocular depth cues however in coming days 4K laparoscopy will be very popular. 4K UHD enables rich color reproducibility and provides suitable colors for each clinical discipline which uses the laparoscopic camera. Ultra High Definition camera system provides four times more information than conventional Full HD imaging systems.

How Ligasure Works?

This video demonstrate how Ligasure works presented by Dr R K Mishra. Ligasure is a tissue responce generator. Across the range of products and procedures, LigaSure also called as vessel sealer is a technology which delivers a unique combination of pressure and energy to create a consistent seal with each application. Ligasure provides a combination of pressure and energy to create vessel fusion. Permanently fuses vessels up to and including 7 mm in diameter and tissue bundles without dissection or isolation Average seal cycle is 2 to 4 seconds. Ligasure seals withstand three times normal systolic blood pressure. Feedback-controlled response system automatically discontinues energy delivery when the seal cycle is complete, eliminating the guesswork.

Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction

This Video demonstrates Recurrent Incisional Hernia with Severe Small Bowel Adhesion with Subacute Obstruction. The prevalence of incisional hernia after laparotomy is reported to be between 11% and 20%,3,4 and incisional hernia recurrence after surgical repair is as high as 45%. Incisional hernias cause pain and other more serious problems, such as bowel obstruction, incarceration, and strangulation. After Laparoscopic Surgery these recurrences are very less.

Laparoscopic IPOM Inguinal Hernia Repair - Skin to Skin

This education video of IPOM is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for inguinal hernia repair. All medical records were reviewed retrospectively. Mean operative time was 45 minutes, and mean postoperative hospital stay was 1 days. There were two cases of postoperative swelling at the groin area due to entrapment of CO2 and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Even though laparoscopic Intraperitoneal Onlay Mesh Repair of Hernia which is popularly called as IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases.

Laparoscopic Inguinal Hernia Repair in Female

A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.

How Harmonic Scalpel Works?

This video demonstrate Harmonic Scalpel presented by Dr R K Mishra. The Harmonic scalpel is basically an ultrasonic generator. Harmonic Scalpel is a surgical instrument used to simultaneously cut and coagulate tissue. Unlike Electrosurgery, the harmonic uses ultrasonic vibrations instead of electric current to cut and cauterize tissue. Benefits of the Harmonic Scalpel. The Harmonic Scalpel's biggest advantage is the reduced bleeding and recovery time for the patient. Other advantages include the ability for a surgeon to make more precise cuts, and an overall reduction of lateral thermal tissue damage in comparison to other operating devices. A Harmonic scalpel cuts via vibration. The scalpel surface itself cuts through tissue by vibrating in the range of 55,500 Hz. The high frequency vibration of tissue molecules generates stress and friction in tissue, which generates heat and causes protein denaturation.

Para-umbilical Hernia IPOM Repair

This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM

How to Use Hysteroscopy Instruments?

This video demonstrate how to use various hysteroscopic instruments. Hysteroscopy is a procedure that allows us to look inside the uterus in order to diagnose and treat causes of abnormal bleeding. The procedure can be either diagnostic or operative. Hysteroscopy is a procedure that allows gynecologist to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

Laparoscopic Sacrocolpopexy for Vaginal Vault Prolapse

This video demonstrate laparoscopic sacrocolpopexy foe vaginal vault prolapse demonstration by Dr R K Mishra at World Laparoscopy Hospital. After a hysterectomy the top of the vagina, where the neck of the womb (cervix) used to be, is called the vault. The vaginal vault can sag down, known as a vault prolapse. A laparoscopic sacrocolpopexy operation involves supporting the vaginal vault using a piece of permanent artificial mesh material. Sacrocolpopexy (sacral colpopexy) is a surgical technique for repairing pelvic organ prolapse. Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques.

Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy

This Video demonstrates right sided Salpingo Oophorectomy with Appendectomy and Extraction Through Colpotomy. Prophylactic removal of the appendix during a benign gynecologic procedure is known as an elective incidental laparoscopic appendectomy. Incidental appendectomy at the time of cesarean delivery was reported initially in 1959. Subsequent studies of removal of a normal-appearing appendix at the time of gynecologic surgery have met with considerable debate. Proponents argue that the removal of the appendix at the time of abdominal hysterectomy does not increase operative time or postoperative morbidity. More important, it does prevent future appendicitis. Advantages of incidental appendectomy include technical ease, low patient morbidity and mortality, and significant diagnostic and protective value. It also prevents conflicting diagnoses, especially in patients who have chronic pelvic pain, a ruptured ovarian cyst, or endometriosis. Other patients likely to benefit from elective incidental appendectomy are those who are undergoing abdominal radiation or chemotherapy, women unable to communicate health complaints, and those who are planning to undergo complex abdominal or pelvic procedures that are likely to cause extensive adhesions.

Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Near Infrared Cholangiography

This video demonstrate Laparoscopic Cholecystectomy Full Length Skin to Skin Video with Infrared Cholangiography performed by Dr R K Mishra at World Laparoscopy Hospital. Infrared Cholegiography is performed by using Indocyanine Green during laparoscopic cholecystectomy surgery for gallbladder removal. Bile duct injury remains the most feared complication of laparoscopic cholecystectomy. Intraoperative cholangiography (IOC) is the current gold standard for biliary imaging and may reduce injury, but is not widely used because of difficulties of doing it. Near Infrared Fluorescence Cholangiography (NIRF-C) is a novel non-invasive method for real-time, radiation free, intra-operative biliary mapping during laparoscopic cholecystectomy. We have experienced that NIRF-C is a safe and effective method for identifying biliary anatomy during laparoscopic cholecystectomy. Indocyanine green is a cyanine dye is very popular and used in for many years in medical diagnostics. It is used for determining cardiac output, hepatic function, liver and gastric blood flow, and for ophthalmic angiography. Now the use of this dye in lap chole has improved the safety of this surgery by NEAR INFRARED FLUORESCENT CHOLANGIOGRAPHY.

Robotic Myomectomy

Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.

Laparoscopic Repair of Recurrent Umbilical Hernia

This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.

Sleeve Gastrectomy Tips and Tricks

Laparoscopic sleeve gastrectomy (LSG) is becoming popular as a stand alone bariatric procedure for morbid obesity. The laparoscopic sleeve gastrectomy technique has evolved over the years towards standardization. Better standardization has minimized complications as leaks, stricture, and weight regain. Adequate posterior dissection up to the hiatus and the linear sleeve without a torque can be safely performed. The video presentation refers to the international consensus document on LSG as well as the expert panel consensus where our centre’s technique is shared. The video demonstrates step by step approach to a safe, standardized technique of LSG. https://www.laparoscopyhospital.com/bariatric-surgery.html

Laparoscopic Management of CBD Stone

This video demonstrate Lecture on Laparoscopic CBD Exploration for CBD Stone. Approximately 8% to 15% of the patients with symptomatic gallstones have simultaneous choledocholithiasis. Historically, in patients with a preoperative diagnosis of CBD stones during the early laparoscopic era, a two-stage surgical approach (ERCP followed by LC) was the preferred treatment for most surgeons but laparoscopic CBD exploration can also be equally effective.

Robotic Reversal of Tubal Sterilization

This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.

First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy

This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.

Total Laparoscopic Hysterectomy for Very Large Uterus With Multiple Fibroid

In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient

This video demonstrate Laparoscopic Appendectomy for Acute Appendicitis in Pediatric Patient. Laparoscopic technique seems to be safer than open appendectomy for acute appendicitis in children. The laparoscopic approach is most frequently used, except for young children. Superficial surgical site infections are more frequent after open surgery only in patients with complicated appendicitis. The normal appendix rate is low, most likely because of routine preoperative imaging.

Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy

This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.

Basic Demonstration of Da Vinci Robot - How Surgical Robot Works?

This video demonstrates the Basic Demonstration of Da Vinci Robot - How Surgical Robot Works? Compared to traditional techniques of open surgery and laparoscopic surgery, the very small incisions created by robotic surgery drastically reduce patients' time in the hospital and their risk of infections. The use of high-definition 3D cameras allows surgeons close-up views of areas they aren't able to see during open surgery. Fully articulating robotic arms mimic the movement of hands, allowing surgeons to have greater dexterity and control than is possible with conventional laparoscopic instruments.

Laparoscopic Linear Cutter Staplers

This video demonstrate Laparoscopic Staplers. Endoscopic Linear Cutter Stapler places two , triple staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two rows. The universal handle is available in 3 shaft lengths; 6cm, 16cm and 26cm accommodating 30mm, 45mm and 60mm straight reloading units. Features & Benefits include: Gentle tissue compression before firing minimises tissue trauma and supports repositioning. Cutting knife housed within the reloading unit guarantees even distance between anvil and cartridge as it passes through the tissue for consistent, leak free staple formation.

Intraperitoneal Onlay Mesh Repair of Inguinal Hernia

This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension

This video demonstrate Laparoscopic Myomectomy for Intramural Myoma with Submucosal Extension. For fibroids that distort the cavity there is consensus of a negative impact on both the clinical pregnancy rate and delivery rate together with dysfunctional uterine bleeding. Uterine leiomyomas are present in 30-70% of women of reproductive age. In addition to causing menstrual disorders and pain, uterine fibroids negatively affect fertility and pregnancy outcome for patients pursuing assisted reproduction. The two questions that have to be addressed are: which fibroids should be treated, and how they should be treated? Submucosal fibroids are associated with a 70% reduction in delivery rate. Intramural fibroid had a lesser effect and reduced the delivery rate approximately 30%. In contrast, studies on subserosal fibroids did not negatively impact fertility. Furthermore, both submucosal and intramural fibroids were associated with an increased risk of spontaneous miscarriage. Myomectomy is considered the treatment of choice to alleviate these detrimental effects. Further research is needed before alternative treatments can be recommended.

Laparoscopic Port Closure or Fascial Closure Needles

This video demonstrates Laparoscopic Port Closure Needles explained by Dr. R K Mishra at World Laparoscopy Hospital. Fascial closure of port sites represents a challenging issue in laparoscopic surgery. We have reported a novel technique for the closure of the ports after laparoscopic surgery. Using this technique all the ports are closed under vision, thus preventing port herniation. New technical challenges have emerged since the introduction of the laparoscopic approach in surgery. One of these is fascial closure at port sites, which is necessary especially when large trocars are used or after dilation of a port site for organ extraction. New developments, such as single-port laparoscopic surgery, and the need for small esthetic incisions render fascial closure a current issue

Laparoscopic Ovarian Cystectomy - Aspiration with Transparent Needle

This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm

Safe Way of Performing Laparoscopic Cholecystectomy

CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM

Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh

This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php

Laparoscopic Hysterectomy By Ligation of Uterine Artery and Simultaneous Appendectomy

This video demonstrates Laparoscopic Hysterectomy By Ligation of Uterine Artery by Mishra's Knot and Vault Closure by Weston Knot. In this procedure, Appendectomy was also performed. Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years. One of the best practice of performing laparoscopic hysterectomy is to ligate the uterine artery. The vascular supply of the uterus is mainly derived from the uterine and ovarian arteries. Because most blood enters the uterus through the uterine arteries, transient uterine ischemia occurs after uterine artery ligation. Bilateral uterine vessel ligation is an efficient method to obliterate the blood flow to the uterus.

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