Laparoscopic Videos from World Laparoscopy Hospital

Laparoscopic Surgery for Torsion of Ovarian Cyst

This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion. For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html

Laparoscopic Hysterectomy with Ureteral Stent Placement

Objective Iatrogenic ureteral injury during gynaecological surgery is associated with increased morbidity when not diagnosed during the initial surgery. Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach. ureteral catheterization should be considered for cost savings in women undergoing benign abdominal or radical hysterectomy in whom the risk of ureteral injury exceeds 3%. We believe that each surgeon should assess his or her personal ureteral injury rate and plan for ureteral catheterization accordingly. Universal ureteral catheterization is cost saving when the rate of ureteral injury during benign abdominal hysterectomy or radical hysterectomy is greater than 4%. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

What causes Infertility in women and how can it be treated by Laparoscopy?

In this episode of Doctor's Talk we talk to Dr. R. K. Mishra about what causes infertility in women and how can it be treated using Laparoscopic methods. Infertility in women can be diagnosed by a laparoscopic procedure by checking the tubal patency. Unblocking of the fallopian tube using laparoscopy or infertility causing fibroids can also be removed using laparoscopy. Removal of the ovarian cyst using laparoscopy can also be used to treat infertility. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Ovarian Cystectomy for Endometrioma

This video demonstrates Laparoscopic Ovarian Cystectomy for right-sided ovarian Endometrioma. Laparoscopic Ovarian Cystectomy, a conservative surgical procedure for endometriomas due to the invasive nature of the surgery it should be performed inside endobag. The laparoscopic procedure strips the cyst wall – the portion of the cyst containing the endometrial tissue. The benefits of this procedure include decreased recurrence rates, increased chance of spontaneous pregnancy and a significant reduction in pelvic pain. For more information log on to https://www.laparoscopyhospital.com/

रोबोटिक सर्जरी क्या है और इसके क्या लाभ हैं?

डॉक्टर्स टॉक के इस एपिसोड में हम बात करेंगे दुनिया के प्रसिद्ध लेपेरस्कोपिक और रोबोटिक सर्जन डॉ आर के मिश्रा से रोबाटिक सर्जरी के बारे में। रोबाटिक सर्जरी एक ऐसी आधुनिक तकनीक है जिसके द्वारा सर्जन एक कॉन्सोल से रोबोट का नियंत्रण करता है। रोबोट सर्जरी, या रोबोट-असिस्टेड सर्जरी, डॉक्टरों को पारंपरिक तकनीकों से अधिक सटीक, नम्यता और नियंत्रण के साथ कई प्रकार की मुश्किल प्रक्रियाओं को करने में मदत करता है। डॉ आर के मिश्रा भारत के पहले रोबाटिक सर्जनों में से एक हैं और गुरगाओं में स्थित वर्ल्ड लेपेरोस्कोपी हॉस्पिटल में दुनिया भर से आए हुए चिकित्सकों को लेपेरस्कोपी और रोबाटिक सर्जरी की ट्रैनिंग भी देते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Feedback about Training at World Laparoscopy Hospital

World Laparoscopy Hospital offer one of the most modern facility for minimal access surgery available today in the World by providing advanced minimal access surgery and most advanced da Vinci Robotic Surgery by four arms high definition surgical robot. World Laparoscopy Hospital has its center in Delhi, Dubai and Florida. https://www.laparoscopyhospital.com/

महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपी द्वारा इसका इलाज कैसे किया जा सकता है?

डॉक्टर्स टॉक के इस एपिसोड में हम डॉ. आर. के. मिश्रा से बात करते हैं कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। डॉक्टर्स टॉक के इस एपिसोड में हम डॉ आर. के. मिश्रा से बात करेंगे कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। महिलाओं में बांझपन की पहचान एक लेप्रोस्कोपिक प्रक्रिया द्वारा किया जा सकता है, जो ट्यूबल पेटेन्सी की जांच करता है। लैप्रोस्कोपी की मदत से फलोपियन ट्यूब के रास्ते को खोला जा सकता है या फाइब्रॉएड (जिनके कारण बांझपन की समस्या होती है) को भी निकाला इया सकता है। लेप्रोस्कोपी का उपयोग कर डिम्बग्रंथि पुटी (ओवेरियन सिस्ट) को हटा कर भी भाँझपन का इलाज हो सकता है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter is the most common major gynecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, the lack of surgical training opportunities is impeding its increased adoption. This video will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH). https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator

This video demonstrates Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with Myoma Screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. For more information https://www.laparoscopyhospital.com/youtube/preview.php

How to perform safe Dermoid Ovarian Cystectomy without Spillage

This video demonstrate How to perform safe Ovarian Dermoid Cystectomy without Spillage by Dr. R K Mishra at World Laparoscopy Hospital. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in the management of ovarian dermoid cysts in selected cases. Laparoscopy should be considered as a method of choice for the removal of ovarian dermoid cysts. It should be performed by surgeons with considerable experience in advanced laparoscopic surgery. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. We concluded that the risk of chemical peritonitis can be minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is washed out thoroughly from spillage of cysts contents. In patients whom ovarian dermoid cysts ruptured, the peritoneal cavity should be drained. For more information https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates Laparoscopic Bilateral Inguinal Hernia Repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia. For more detail https://www.laparoscopyhospital.com/

World Laparoscopy Hospital

World Laparoscopy Hospital's training Institute is situated in Gurugram, India, United Arab Emirates, and the United States of America. This institution meets the guidelines as established in the "Framework for Post Residency Surgical Education and Training" and is endorsed at the Gold level by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). This International Institute of Minimal Access Surgery has an outstanding pool of doctors, scientists, and researchers to foster multidisciplinary investigation, inspiring new ideas and discoveries. https://www.laparoscopyhospital.com/index.htm

Prevention and extraction of Gall Bladder stone using Laparoscopic procedures

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Gall Bladder stone extraction using Laparoscopy, also known as Cholecystectomy. More than 10 Million (1 Crore) cases of Gall Bladder stone are observed in India every year. It is caused by hardened deposits of digestive fluids and is treated surgically by removal of the gall bladder. Gallstones can vary in size, number and may or may not cause symptoms in the individual making it harder to detect. For more information visit https://www.laparoscopyhospital.com/

Learn about Fibroid and its treatment by laparoscopy in Simple Language

This video explains in simple language about fibroid. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Pectopexy

Although laparoscopic Sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical uterine prolapse surgery. The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. https://www.laparoscopyhospital.com/

Laparoscopic Heller's Myotomy with Appendectomy

The Laparoscopic Heller myotomy is a laparoscopic (minimally invasive) surgical procedure used to treat achalasia. Achalasia is a disorder of the esophagus that makes it hard for foods and liquids to pass into the stomach. The Laparoscopic Heller myotomy is essentially an esophagomyotomy, the cutting the esophageal sphincter muscle, performed laparoscopically. The Laparoscopic Heller myotomy operation's success rate is very high and usually permanent. In the procedure of Laparoscopic Heller myotomy, several tiny incisions are made and a small scope inserted, through which miniature surgical instruments are passed. The scope is connected to a video camera which then sends a magnified image to a monitor, allowing the surgeon to envision the anatomy and manipulate the instruments. For more information https://www.laparoscopyhospital.com/SERV02.HTM

Laparoscopic Sacrocolpopexy for Vault Prolapse

Post-hysterectomy vaginal vault prolapse has a reported incidence of 0.36 to 3.6 per 1,000 woman years or a cumulative incidence of 0.5%. Laparoscopic sacrocolpopexy was first reported in 1994. Laparoscopic sacrocolpopexy has potential advantages over laparotomy, as morbidity, hospital stay, postoperative pain and recovery are all supposed to be less. Moreover, the aesthetic result is better after minimally invasive sacrocolpopexy. However, the laparoscopic approach is more challenging and the literature reports a long learning curve associated with this technique. More importantly, it is unknown if the laparoscopic mesh fixation to the promontory results in an equal anatomical outcome, as it has been stated that as part of the laparoscopic approach, the fixation point is higher, which could result in a more vertical position of the vagina. https://www.laparoscopyhospital.com/wlhusa.html

Laparoscopic Hernia Repair Large Sac TAPP Repair

This video demonstrates Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair. https://www.laparoscopyhospital.com/SERV02.HTM

लैप्रोस्कोपिक हिस्टेरेक्टॉमी पर चर्चा

डॉक्टर्स टॉक की इस एपिसोड में हम डॉ। आर. के. मिश्रा से हिस्टेरेक्टॉमी के बारे में चर्चा करते हैं। हिस्टेरेक्टॉमी एक महिला के गर्भाशय को हटाने के प्रक्रिया को कहते हैं और कई कारण हैं कि यह प्रक्रिया करना आवश्यक क्यों हो सकता है। हिस्टेरेक्टॉमी करने के कारणों में से कुछ हैं: यूटरिन प्रोलैप्स, गर्भाशय फाइब्रॉएड और गर्भाशय का कैंसर। लैप्रोस्कोपिक हिस्टेरेक्टॉमी पारंपरिक ओपन सर्जरी के मुकाबले कई फायदे प्रदान करता है जैसे तेजी से रिकवरी समय, जटिलता की कम संभावना और छोटे चीरे की ज़रूरत परना।

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/

What is Obesity, its symptoms and cure using Laparoscopy

In this episode of Doctor's talk we discuss one of the leading medical conditions in the world, Obesity, with the world-renowned Laparoscopic Surgeon Dr. R K Mishra. Obesity is one of the leading causes of death in the whole world. It also causes many other problems such as Arthritis, Diabetes, Hypertension along with a number of other diseases which includes the mostly fatal condition of morbid obesity. While it can be treated by lifestyle changes and changes in diet but if due to some reason it is not successful or in emergency situations Laparoscopy is the best way to treat the problem. For more information visit https://www.laparoscopyhospital.com/

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 myomectomy instead of hysteroscopic myomectomy for large submucous fibroid.

This video demonstrates Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids. Laparotomy, laparoscopy, and hysteroscopy are the three main procedures employed by gynecologists to remove uterine fibroids. The abdominal approach (laparotomy and laparoscopy) is used to treat subserousal and intramural lesions, and the vaginal approach (hysteroscopy) is used for submucous fibroids. With the advent of hysteroscopic surgery, operative hysteroscopies can manage most intrauterine surgical problems with fast recovery. However, hysteroscopic myomectomy for large deeply intramural extension submucous fibroid has still deemed a challenge for hysteroscopists. It involves issues of longer operating time, fluid overload, uterine perforation, and incomplete resection in one surgery. In conclusion, even hysteroscopic myomectomy offers several benefits to the patient. We must bear in mind that hysteroscopic removal of large deeply intramural invasion submucous fibroids is still a technically challenging procedure and might be associated with higher surgical morbidity and incidence of additional surgery. To avoid these tough situations, the vaginal approach should be shifted to the abdominal approach with laparoscopy, which can remove fibroids and still meet the principle of minimally invasive surgery; however, this particular approach should be performed only by those surgeons who are skilled in laparoscopic suturing. For more https://www.laparoscopyhospital.com/

Discussion on Laparoscopy and its benefits

In this episode of Doctor's Talk Dr. R K Mishra, one of the leading Laparoscopic Surgeons in the world, discuss the process and benefits of the surgical method known as Laparoscopy. Laparoscopy, aka keyhole surgery, is an alternative to traditional open surgery. In this method rather than cutting open large parts of the abdomen, smalls incisions are made through which a laparoscope (camera) is inserted into the abdominal cavity. This method provides several benefits as compared to traditional open surgery which includes but are not limited to faster recovery time, less chance of complications and less pain. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute, Tampa, Florida, USA

TWorld Laparoscopy Training Institute, Tampa, Florida, USA, is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during Total Laparoscopic Hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.

Entrenamiento en Laparoscopia en USA.

Este video contiene informacion acerca del entrenamiento en Laparoscopia por el World Laparoscopy Training Institute en USA. Es un curso practico de entrenamiento intensivo de 4 dias de duracion. Puedes obtener mas informacion, yendo al siguiente link. https://www.laparoscopyhospital.com/wlhusa.html

What is Ovarian Cyst and how can it be treated?

In this episode of Doctor's Talk we discuss what is an Ovarian Cyst, what are its symptoms and how can we cure it using Laparoscopic measures. Around 10 million cases of Ovarian Cyst are observed in India every year and is one of the leading complications of the female reproductive system. It can be cured through contraceptive pills or by Laparoscopic Surgery. If left untreated menstrual irregularities, pain during intercourse or irregular bowel movements are some of the symptoms that may occur. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Large Deep Intramural Myoma

This video demonstrates Laparoscopic Myomectomy for Large Deep Intramural Myoma which was intending the cavity. Laparoscopic myomectomy using pneumoperitoneum for large myomas like 12 cm or more is now very popular altho it is difficult by several factors, such as the increased operative time, the risk of perioperative bleeding, and the risk of conversion to laparotomy. With the introduction of skilled surgeons in laparoscopy using good suturing skills, this procedure can be performed using laparoscopic surgical instruments introduced through small abdominal incisions. The aim of this video is to evaluate the feasibility, reproducibility, and safety of laparoscopic myomectomy for very large myomas ≥10 cm using three-port. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Difficult Total Laparoscopic Hysterectomy

This video shows a Difficult Total Laparoscopic Hysterectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this video was to investigate the potential different levels of difficulty for laparoscopic hysterectomy. Several factors may influence the estimated level of difficulty of total laparoscopic hysterectomy: uterine size on bimanual palpation, presence of fibroid, patients’ weight and BMI, previous abdominal surgery and surgeon’s experience with the planned approach to hysterectomy. For more videos please log on to https://www.laparoscopyhospital.com/DOWNLOADS.HTM

दूरबीन से ऑपरेशन, पित्त की थैली पथरी के दुष्परिणाम और इलाज

पित्त की थैली में पथरी व सूजन की बीमारी के मरीज आए दिन बढ़ रहे हैं। खासकर महिलाओं में इस तरह की बीमारी ज्यादा देखी जा रही है। यह बीमारी महिलाओं को उम्र के ऐसे पड़ाव में होती जब महिला 40 वर्ष पार कर चुकी होती है। हालांकि डॉक्टरों का कहना है कि इस के होने का कारण अन्य भी हो सकते हैं, जैसे वसा युक्त पदार्थों का अधिक सेवन, मोटापा आदि। हालांकि पुरुषों में भी इस तरह की बीमारी काफी होती है, लेकिन महिलाओं से अपेक्षाकृत कम होती है। Dr. R.K. Mishra का कहना है कि पित की थैली की पथरी को निकालने के लिए सर्जरी ही एकमात्र इलाज होता है। लैप्रोस्कोपी अर्थात दूरबीन विधि से ऑपरेशन करने को लेकर लोगों में भ्रांतियां हैं जबकि चीरा विधि की अपेक्षा दूरबीन विधि में मरीज को ज्यादा लंबे समय तक हॉस्पिटल में भर्ती नहीं रहना पड़ता। इसके साथ ही पेट पर एक या चार छेद कर हार्निया, एपेंडिक्स, ट्यूमर व पथरी का सफल ऑपरेशन किया जा सकता है। इसमें समय कम लगता है और खून की भी जरूरत न के बराबर होती है। दूरबीन विधि का एक अन्य लाभ यह है कि इसमें पेट में चीरा व टांके नहीं लगते और सिर्फ एक छेद नाभि में होने से पेट कटने के कोई निशान भी नहीं आते। https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute - USA

Laparoscopic Training Institute USA provide state of the art Laparoscopic Training. The Laparoscopic surgery training course in Tampa, Florida, USA is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

World Laparoscopy Training Institute Dubai

The Laparoscopic surgery training course at World Laparoscopy Training Institute Dubai in Dubai Healthcare City Dubai is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. For more detail log on to: https://www.laparoscopyhospital.com/dubai.html

Total Laparoscopic Hysterectomy with Indocyanine green

Conventional Total Laparoscopic Hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time. https://www.laparoscopyhospital.com/

Laparoscopic Repair of Subcostal Incisional Hernia

This video demonstrates the Laparoscopic Repair of Subcostal Incisional Hernia. The subcostal incisional hernia, though not very common, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene _ Polyurathane mesh, with less complexity and lower rates of complications and recurrences. https://www.laparoscopyhospital.com/admission.php

अपेंडिक्स का ऑपरेशन क्यों किया जाता है? अपेंडिक्स का ऑपरेशन कैसे होता है?

अपेंडिक्स का ऑपरेशन कैसे होता है | अपेंडिसाइटिस का निदान होने पर आपको इस सर्जरी की आवश्यकता होती है। इस स्थिति में आपका अपेंडिक्स पीड़ादायक, सूजा हुआ और संक्रमित हो जाता है। आगरा आपको अपेंडिसाइटिस है तो, अपेंडिक्स के फटने का गंभीर जोखिम रहता है और ये लक्षण दिखने के 48 से 72 घंटों में हो सकता है। इस स्थिति में आपके पेट में पेरिटोनाइटिस नामक एक गंभीर जानलेवा संक्रमण हो सकता है। अपेंडिक्स का ऑपरेशन (अपेन्डेक्टमी/ एपेन्डेक्टमी; Appendectomy) एक सर्जिकल प्रक्रिया है जिसके ज़रिये संक्रमित अपेंडिक्स (Appendix) को हटाया जाता है। इस स्थिति को अपेंडिसाइटिस (Appendicitis) कहा जाता है। अपेन्डेक्टमी, जिसे अपेंडिसेक्टोमी (Appendisectomy or Appendicectomy) भी कहा जाता है, एक आम आपातकालीन सर्जरी है। अपेंडिक्स बड़ी आंत से जुड़ा एक छोटा पाउच है। यह पेट की निचिले हिस्से में दाँई ओर होता है। अगर आपको अपेंडिसाइटिस है तो आपके अपेंडिक्स को तुरंत निकालने के ज़रूरत होती है। अगर इसका उपचार न किया जाये तो अपेंडिक्स फट सकता है। यह एक मेडिकल एमर्जेन्सी (Emergency; आपातकालीन स्थिति) है। https://www.laparoscopyhospital.com/

Procedure for prolapse and hemorrhoids (PPH)

This video demonstrate This operation is also known as stapled anopexy. A specially designed circular stapling instrument is inserted through the anus (back passage) into the rectum. . The operation pulls the swollen and prolapsing blood vessels of the hemorrhoids (piles) back into their normal position by removing a circumferential section (complete ring) of the internal rectal lining. The wound is inside the rectum causing little pain. Patients usually underwent a one-day surgical procedure, with a preoperative self-administered rectal enema on the evening before and the morning of the operation; no antibiotic prophylaxis was given.

Discussion on Laparoscopic Hysterectomy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hysterectomy. Hysterectomy is the removal of a women's uterus and there are many reasons why it may be necessary. Some of the reasons why it may become necessary to perform Hysterectomy are Uterine Prolapse, Uterine Fibroids, and cancer of uterus among many others. Laparoscopic Hysterectomy offers many advantages over traditional open surgery which includes faster recovery time, less chance of complication and smaller incisions among many others. For more information visit https://www.laparoscopyhospital.com/

गर्भाशय की रसौली, बच्चेदानी में गांठ होने के लक्षण, कारण, इलाज व बचाव

यूटराइन फाइब्रॉइड गर्भाशय का गैर कैंसरस ट्यूमर है। इसे गर्भाशय की रसौली भी कहा जाता है। गर्भाशय की मांसपेशियों में छोटी-छोटी गोलाकार गांठें बनती हैं, जो किसी महिला में कम बढ़ती हैं और किसी में ज्यादा। यह मटर के दाने के बराबर भी हो सकती हैं और किसी-किसी महिला में यह बढ़ कर फुटबॉल जैसा आकार भी ले सकती हैं। महिलाओं में गर्भाशय से जुड़ी समस्याएं तेजी से बढ़ रही हैं। किसी को अनियमित पीरियड्स की शिकायत है, तो किसी को अत्यधिक रक्तस्राव हो रहा है। वहीं, कुछ महिलाएं ऐसी हैं, जो गर्भाशय फाइब्रॉएड (रसौली) से जूझ रही हैं। हालांकि, इसका उपचार आसान है, लेकिन अनदेखी करने पर बांझपन जैसे गंभीर परिणाम भुगतने पड़ सकते हैं। हैरानी की बात तो यह है कि अधिकतर महिलाओं को फाइब्रॉएड के बारे में पता ही नहीं है। फाइब्राइड उन युवतियों को अधिक होते हैं जो बड़ी उम्र तक अविवाहित रहती हैं। डॉक्टर्स का कहना है कि एक उम्र विशेष पर शरीर के भीतरी अंगों की अपनी जरूरत पनपती है और वह पूरी नहीं होती तो फाइब्राइड की समस्या जन्म लेती है। इसी से जुड़ा यह तथ्य है कि शरीर जब बच्चे को जन्म देने के लिए तैयार होने लगता है तब ढेर सारे हार्मोनल परिवर्तन होते हैं उन परिवर्तनों के अनुसार जब शरीर बच्चे को जन्म नहीं दे पाता है तो इस तरह की परेशानी सामने आती है। मायोमेक्टमी और हिस्टरेक्टमी दोनों ही लैप्रोस्कोपिक (छोटे सुराख से) तरीके से भी की जा सकती हैं। इस प्रक्रिया से सर्जरी करने के बाद ठीक होने का समय कम हो जाता है। लेकिन दोनों ही इनवेसिव तरीके तो हैं ही जिनमें एनैस्थिसिया और सर्जरी के बाद की कुछ जटिलताओं की संभावना हमेशा रहती है। https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Intramural Fibroid

This video demonstrate surgical technique of Laparoscopic Myomectomy for Large. Intramural Myoma. Myomectomy (my-o-MEK-tuh-me) is a surgical procedure to remove uterine fibroids also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery. There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. For more detail: https://www.laparoscopyhospital.com/

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.

Role of Laparoscopy in Cancer Surgery

This video explain the Role of Laparoscopy in Cancer Surgery. The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible. For more information visit https://www.laparoscopyhospital.com/

अंडाशय में पुटी (ओवरिअन सिस्ट) क्या है और इसका इलाज कैसे किया जा सकता है?

डॉक्टर टॉक की इस एपिसोड में हम चर्चा करते हैं कि एक डिम्बग्रंथि पुटी (ओवरिअन सिस्ट) क्या है, इसके लक्षण क्या हैं और हम इसे लेप्रोस्कोपिक का उपयोग करके कैसे ठीक कर सकते हैं। ओवेरियन सिस्ट के लगभग 10 मामले हर साल भारत में देखे जाते हैं और यह महिला प्रजनन प्रणाली की प्रमुख परेशानियों में से एक है। इसे गर्भनिरोधक गोलियों के जरिए या लैप्रोस्कोपिक सर्जरी द्वारा ठीक किया जा सकता है। यदि इसे ठीक ना किया जाए, तो संभोग के दौरान दर्द या अनियमित मल त्याग कुछ ऐसे लक्षण हैं जो हो सकते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

क्या है मोटापा, इसके लक्षण क्या हैं और इसका इलाज लैप्रोस्कोपी द्वारा कैसे होता है

डॉक्टर्स टॉक की इस एपिसोड में हम दुनिया की प्रमुख समस्याओं में से एक ओबेसिटी यानी मोटापा पर चर्चा करते हैं विश्व प्रसिद्ध लेप्रोस्कोपिक सर्जन डॉ। आर. के. मिश्रा के साथ। मोटापा पूरी दुनिया में मौतों के प्रमुख कारणों में से एक है। यह कई अन्य समस्याओं जैसे जोड़ों का प्रदाह, डायबीटीज़, अधिक तनाव के साथ-साथ कई अन्य बीमारियों का कारण बनता है। जबकि इसका इलाज जीवनशैली में बदलाव और आहार में बदलाव से किया जा सकता है लेकिन अगर किसी कारण से सफलता न मिले या आपातकालीन स्थितियों में लैप्रोस्कोपी की मदत से इसका इलाज सबसे उचित तरीका है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

TAPP Hernia Repair by Ipsilateral Port

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity. Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply. Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract. A direct hernia should be reduced if seen, and an indirect dissected from the cord structures. Femoral and obturator hernias can also be visualized and reduced. Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect. For more detail log on to https://www.laparoscopyhospital.com/youtube/preview.php

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury

This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of a female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html

हर्निया क्या है, इसके कारण और लेप्रोस्कोपी द्वारा इसका उपचार कैसेहोटा है

डॉक्टर्स टॉक की इस एपिसोड में हम हर्निया के बारे में डॉ। आर के मिश्रा से चर्चा कर रहें हैं। हर्निया पेट की दीवार में एक दोष है जिसके द्वारा से आंतरिक अंग बाहर उभरने लगते हैं। हर्निया किसी भी लिंग या आयु वर्ग के किसी भी व्यक्ति में हो सकता है। कभी-कभी नवजात शिशुओं में भी हर्निया पाया जाता है जिसे कांगेनिटल हर्निया कहते है। हर साल भारत में हर्निया के 10 लाख से अधिक मामले देखे जाते हैं। इसका इलाज ओपन सर्जरी या लैप्रोस्कोपी द्वारा किया जा सकता है लेकिन लेप्रोस्कोपिक प्रक्रिया पारंपरिक ओपन सर्जरी की तुलना में कई फायदे प्रदान करती है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

What is Appendicitis, its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about appendicitis (inflammation of Appendix) The appendix is a sac-like structure attached to the large intestine that has no known purpose. Appendicitis (inflammation of the Appendix) begins with fever and pain near the belly button and then moves toward the lower-right side of the abdomen. This often causes nausea, vomiting, loss of appetite and fever. Appendicitis is usually treated with antibiotics and surgery is required within 24 hours of its diagnosis. If left untreated, the appendix can rupture and cause an abscess or systemic infection (sepsis). For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid

This video demonstrates Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid. It is not uncommon for a laparoscopic surgeon to be able to perform the entire laparoscopic hysterectomy using a few 10mm and 5-mm ports and then a larger abdominal incision to remove the surgical specimen using morcellator. In conclusion, this video shows that the size of the uterus does not forbid the laparoscopic approach for hysterectomy. https://www.laparoscopyhospital.com/quizinteractive3.htm

What is Hernia? Its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hernia. A hernia is a defect in the abdominal wall through which internal organs protrude. A hernia can occur in anyone of any gender or age group. Sometimes even in newborns a hernia is detected called Congenital Hernia. More than 1 million (10 lakh) cases of hernia are observed in India every year. It can be treated by Open surgery or Laparoscopy but the laparoscopic procedure provides many advantages compared to traditional open surgery. For more information visit https://www.laparoscopyhospital.com/

https://www.laparoscopyhospital.com/

अपेंडिक्स का ऑपरेशन क्यों किया जाता है? अपेंडिक्स का ऑपरेशन कैसे होता है?

अपेंडिक्स का ऑपरेशन कैसे होता है | अपेंडिसाइटिस का निदान होने पर आपको इस सर्जरी की आवश्यकता होती है। इस स्थिति में आपका अपेंडिक्स पीड़ादायक, सूजा हुआ और संक्रमित हो जाता है। आगरा आपको अपेंडिसाइटिस है तो, अपेंडिक्स के फटने का गंभीर जोखिम रहता है और ये लक्षण दिखने के 48 से 72 घंटों में हो सकता है। इस स्थिति में आपके पेट में पेरिटोनाइटिस नामक एक गंभीर जानलेवा संक्रमण हो सकता है। अपेंडिक्स का ऑपरेशन (अपेन्डेक्टमी/ एपेन्डेक्टमी; Appendectomy) एक सर्जिकल प्रक्रिया है जिसके ज़रिये संक्रमित अपेंडिक्स (Appendix) को हटाया जाता है। इस स्थिति को अपेंडिसाइटिस (Appendicitis) कहा जाता है। अपेन्डेक्टमी, जिसे अपेंडिसेक्टोमी (Appendisectomy or Appendicectomy) भी कहा जाता है, एक आम आपातकालीन सर्जरी है। अपेंडिक्स बड़ी आंत से जुड़ा एक छोटा पाउच है। यह पेट की निचिले हिस्से में दाँई ओर होता है। अगर आपको अपेंडिसाइटिस है तो आपके अपेंडिक्स को तुरंत निकालने के ज़रूरत होती है। अगर इसका उपचार न किया जाये तो अपेंडिक्स फट सकता है। यह एक मेडिकल एमर्जेन्सी (Emergency; आपातकालीन स्थिति) है। https://www.laparoscopyhospital.com/

रोबोटिक सर्जरी क्या है और इसके क्या लाभ हैं?

डॉक्टर्स टॉक के इस एपिसोड में हम बात करेंगे दुनिया के प्रसिद्ध लेपेरस्कोपिक और रोबोटिक सर्जन डॉ आर के मिश्रा से रोबाटिक सर्जरी के बारे में। रोबाटिक सर्जरी एक ऐसी आधुनिक तकनीक है जिसके द्वारा सर्जन एक कॉन्सोल से रोबोट का नियंत्रण करता है। रोबोट सर्जरी, या रोबोट-असिस्टेड सर्जरी, डॉक्टरों को पारंपरिक तकनीकों से अधिक सटीक, नम्यता और नियंत्रण के साथ कई प्रकार की मुश्किल प्रक्रियाओं को करने में मदत करता है। डॉ आर के मिश्रा भारत के पहले रोबाटिक सर्जनों में से एक हैं और गुरगाओं में स्थित वर्ल्ड लेपेरोस्कोपी हॉस्पिटल में दुनिया भर से आए हुए चिकित्सकों को लेपेरस्कोपी और रोबाटिक सर्जरी की ट्रैनिंग भी देते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

हर्निया क्या है, इसके कारण और लेप्रोस्कोपी द्वारा इसका उपचार कैसेहोटा है

डॉक्टर्स टॉक की इस एपिसोड में हम हर्निया के बारे में डॉ। आर के मिश्रा से चर्चा कर रहें हैं। हर्निया पेट की दीवार में एक दोष है जिसके द्वारा से आंतरिक अंग बाहर उभरने लगते हैं। हर्निया किसी भी लिंग या आयु वर्ग के किसी भी व्यक्ति में हो सकता है। कभी-कभी नवजात शिशुओं में भी हर्निया पाया जाता है जिसे कांगेनिटल हर्निया कहते है। हर साल भारत में हर्निया के 10 लाख से अधिक मामले देखे जाते हैं। इसका इलाज ओपन सर्जरी या लैप्रोस्कोपी द्वारा किया जा सकता है लेकिन लेप्रोस्कोपिक प्रक्रिया पारंपरिक ओपन सर्जरी की तुलना में कई फायदे प्रदान करती है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

दूरबीन से ऑपरेशन, पित्त की थैली पथरी के दुष्परिणाम और इलाज

पित्त की थैली में पथरी व सूजन की बीमारी के मरीज आए दिन बढ़ रहे हैं। खासकर महिलाओं में इस तरह की बीमारी ज्यादा देखी जा रही है। यह बीमारी महिलाओं को उम्र के ऐसे पड़ाव में होती जब महिला 40 वर्ष पार कर चुकी होती है। हालांकि डॉक्टरों का कहना है कि इस के होने का कारण अन्य भी हो सकते हैं, जैसे वसा युक्त पदार्थों का अधिक सेवन, मोटापा आदि। हालांकि पुरुषों में भी इस तरह की बीमारी काफी होती है, लेकिन महिलाओं से अपेक्षाकृत कम होती है। Dr. R.K. Mishra का कहना है कि पित की थैली की पथरी को निकालने के लिए सर्जरी ही एकमात्र इलाज होता है। लैप्रोस्कोपी अर्थात दूरबीन विधि से ऑपरेशन करने को लेकर लोगों में भ्रांतियां हैं जबकि चीरा विधि की अपेक्षा दूरबीन विधि में मरीज को ज्यादा लंबे समय तक हॉस्पिटल में भर्ती नहीं रहना पड़ता। इसके साथ ही पेट पर एक या चार छेद कर हार्निया, एपेंडिक्स, ट्यूमर व पथरी का सफल ऑपरेशन किया जा सकता है। इसमें समय कम लगता है और खून की भी जरूरत न के बराबर होती है। दूरबीन विधि का एक अन्य लाभ यह है कि इसमें पेट में चीरा व टांके नहीं लगते और सिर्फ एक छेद नाभि में होने से पेट कटने के कोई निशान भी नहीं आते। https://www.laparoscopyhospital.com/

How to perform safe Dermoid Ovarian Cystectomy without Spillage

This video demonstrate How to perform safe Ovarian Dermoid Cystectomy without Spillage by Dr. R K Mishra at World Laparoscopy Hospital. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in the management of ovarian dermoid cysts in selected cases. Laparoscopy should be considered as a method of choice for the removal of ovarian dermoid cysts. It should be performed by surgeons with considerable experience in advanced laparoscopic surgery. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. We concluded that the risk of chemical peritonitis can be minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is washed out thoroughly from spillage of cysts contents. In patients whom ovarian dermoid cysts ruptured, the peritoneal cavity should be drained. For more information https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Pectopexy

Although laparoscopic Sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical uterine prolapse surgery. The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. https://www.laparoscopyhospital.com/

महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपी द्वारा इसका इलाज कैसे किया जा सकता है?

डॉक्टर्स टॉक के इस एपिसोड में हम डॉ. आर. के. मिश्रा से बात करते हैं कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। डॉक्टर्स टॉक के इस एपिसोड में हम डॉ आर. के. मिश्रा से बात करेंगे कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। महिलाओं में बांझपन की पहचान एक लेप्रोस्कोपिक प्रक्रिया द्वारा किया जा सकता है, जो ट्यूबल पेटेन्सी की जांच करता है। लैप्रोस्कोपी की मदत से फलोपियन ट्यूब के रास्ते को खोला जा सकता है या फाइब्रॉएड (जिनके कारण बांझपन की समस्या होती है) को भी निकाला इया सकता है। लेप्रोस्कोपी का उपयोग कर डिम्बग्रंथि पुटी (ओवेरियन सिस्ट) को हटा कर भी भाँझपन का इलाज हो सकता है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Entrenamiento en Laparoscopia en USA.

Este video contiene informacion acerca del entrenamiento en Laparoscopia por el World Laparoscopy Training Institute en USA. Es un curso practico de entrenamiento intensivo de 4 dias de duracion. Puedes obtener mas informacion, yendo al siguiente link. https://www.laparoscopyhospital.com/wlhusa.html

World Laparoscopy Training Institute - USA

Laparoscopic Training Institute USA provide state of the art Laparoscopic Training. The Laparoscopic surgery training course in Tampa, Florida, USA is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

World Laparoscopy Hospital

World Laparoscopy Hospital's training Institute is situated in Gurugram, India, United Arab Emirates, and the United States of America. This institution meets the guidelines as established in the "Framework for Post Residency Surgical Education and Training" and is endorsed at the Gold level by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). This International Institute of Minimal Access Surgery has an outstanding pool of doctors, scientists, and researchers to foster multidisciplinary investigation, inspiring new ideas and discoveries. https://www.laparoscopyhospital.com/index.htm

Laparoscopic Ovarian Cystectomy for Endometrioma

This video demonstrates Laparoscopic Ovarian Cystectomy for right-sided ovarian Endometrioma. Laparoscopic Ovarian Cystectomy, a conservative surgical procedure for endometriomas due to the invasive nature of the surgery it should be performed inside endobag. The laparoscopic procedure strips the cyst wall – the portion of the cyst containing the endometrial tissue. The benefits of this procedure include decreased recurrence rates, increased chance of spontaneous pregnancy and a significant reduction in pelvic pain. For more information log on to https://www.laparoscopyhospital.com/

Feedback about Training at World Laparoscopy Hospital

World Laparoscopy Hospital offer one of the most modern facility for minimal access surgery available today in the World by providing advanced minimal access surgery and most advanced da Vinci Robotic Surgery by four arms high definition surgical robot. World Laparoscopy Hospital has its center in Delhi, Dubai and Florida. https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy with Ureteral Stent Placement

Objective Iatrogenic ureteral injury during gynaecological surgery is associated with increased morbidity when not diagnosed during the initial surgery. Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach. ureteral catheterization should be considered for cost savings in women undergoing benign abdominal or radical hysterectomy in whom the risk of ureteral injury exceeds 3%. We believe that each surgeon should assess his or her personal ureteral injury rate and plan for ureteral catheterization accordingly. Universal ureteral catheterization is cost saving when the rate of ureteral injury during benign abdominal hysterectomy or radical hysterectomy is greater than 4%. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Learn about Fibroid and its treatment by laparoscopy in Simple Language

This video explains in simple language about fibroid. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon. For more information visit https://www.laparoscopyhospital.com/

Difficult Total Laparoscopic Hysterectomy

This video shows a Difficult Total Laparoscopic Hysterectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this video was to investigate the potential different levels of difficulty for laparoscopic hysterectomy. Several factors may influence the estimated level of difficulty of total laparoscopic hysterectomy: uterine size on bimanual palpation, presence of fibroid, patients’ weight and BMI, previous abdominal surgery and surgeon’s experience with the planned approach to hysterectomy. For more videos please log on to https://www.laparoscopyhospital.com/DOWNLOADS.HTM

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury

This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of a female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html

Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid

This video demonstrates Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid. It is not uncommon for a laparoscopic surgeon to be able to perform the entire laparoscopic hysterectomy using a few 10mm and 5-mm ports and then a larger abdominal incision to remove the surgical specimen using morcellator. In conclusion, this video shows that the size of the uterus does not forbid the laparoscopic approach for hysterectomy. https://www.laparoscopyhospital.com/quizinteractive3.htm

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/

What is Ovarian Cyst and how can it be treated?

In this episode of Doctor's Talk we discuss what is an Ovarian Cyst, what are its symptoms and how can we cure it using Laparoscopic measures. Around 10 million cases of Ovarian Cyst are observed in India every year and is one of the leading complications of the female reproductive system. It can be cured through contraceptive pills or by Laparoscopic Surgery. If left untreated menstrual irregularities, pain during intercourse or irregular bowel movements are some of the symptoms that may occur. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Hernia Repair Large Sac TAPP Repair

This video demonstrates Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair. https://www.laparoscopyhospital.com/SERV02.HTM

Laparoscopic Surgery for Torsion of Ovarian Cyst

This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion. For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html

TAPP Hernia Repair by Ipsilateral Port

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity. Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply. Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract. A direct hernia should be reduced if seen, and an indirect dissected from the cord structures. Femoral and obturator hernias can also be visualized and reduced. Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect. For more detail log on to https://www.laparoscopyhospital.com/youtube/preview.php

क्या है मोटापा, इसके लक्षण क्या हैं और इसका इलाज लैप्रोस्कोपी द्वारा कैसे होता है

डॉक्टर्स टॉक की इस एपिसोड में हम दुनिया की प्रमुख समस्याओं में से एक ओबेसिटी यानी मोटापा पर चर्चा करते हैं विश्व प्रसिद्ध लेप्रोस्कोपिक सर्जन डॉ। आर. के. मिश्रा के साथ। मोटापा पूरी दुनिया में मौतों के प्रमुख कारणों में से एक है। यह कई अन्य समस्याओं जैसे जोड़ों का प्रदाह, डायबीटीज़, अधिक तनाव के साथ-साथ कई अन्य बीमारियों का कारण बनता है। जबकि इसका इलाज जीवनशैली में बदलाव और आहार में बदलाव से किया जा सकता है लेकिन अगर किसी कारण से सफलता न मिले या आपातकालीन स्थितियों में लैप्रोस्कोपी की मदत से इसका इलाज सबसे उचित तरीका है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during Total Laparoscopic Hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.

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

What is Hernia? Its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hernia. A hernia is a defect in the abdominal wall through which internal organs protrude. A hernia can occur in anyone of any gender or age group. Sometimes even in newborns a hernia is detected called Congenital Hernia. More than 1 million (10 lakh) cases of hernia are observed in India every year. It can be treated by Open surgery or Laparoscopy but the laparoscopic procedure provides many advantages compared to traditional open surgery. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Large Deep Intramural Myoma

This video demonstrates Laparoscopic Myomectomy for Large Deep Intramural Myoma which was intending the cavity. Laparoscopic myomectomy using pneumoperitoneum for large myomas like 12 cm or more is now very popular altho it is difficult by several factors, such as the increased operative time, the risk of perioperative bleeding, and the risk of conversion to laparotomy. With the introduction of skilled surgeons in laparoscopy using good suturing skills, this procedure can be performed using laparoscopic surgical instruments introduced through small abdominal incisions. The aim of this video is to evaluate the feasibility, reproducibility, and safety of laparoscopic myomectomy for very large myomas ≥10 cm using three-port. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

What causes Infertility in women and how can it be treated by Laparoscopy?

In this episode of Doctor's Talk we talk to Dr. R. K. Mishra about what causes infertility in women and how can it be treated using Laparoscopic methods. Infertility in women can be diagnosed by a laparoscopic procedure by checking the tubal patency. Unblocking of the fallopian tube using laparoscopy or infertility causing fibroids can also be removed using laparoscopy. Removal of the ovarian cyst using laparoscopy can also be used to treat infertility. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute, Tampa, Florida, USA

TWorld Laparoscopy Training Institute, Tampa, Florida, USA, is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

Procedure for prolapse and hemorrhoids (PPH)

This video demonstrate This operation is also known as stapled anopexy. A specially designed circular stapling instrument is inserted through the anus (back passage) into the rectum. . The operation pulls the swollen and prolapsing blood vessels of the hemorrhoids (piles) back into their normal position by removing a circumferential section (complete ring) of the internal rectal lining. The wound is inside the rectum causing little pain. Patients usually underwent a one-day surgical procedure, with a preoperative self-administered rectal enema on the evening before and the morning of the operation; no antibiotic prophylaxis was given.

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 Heller's Myotomy with Appendectomy

The Laparoscopic Heller myotomy is a laparoscopic (minimally invasive) surgical procedure used to treat achalasia. Achalasia is a disorder of the esophagus that makes it hard for foods and liquids to pass into the stomach. The Laparoscopic Heller myotomy is essentially an esophagomyotomy, the cutting the esophageal sphincter muscle, performed laparoscopically. The Laparoscopic Heller myotomy operation's success rate is very high and usually permanent. In the procedure of Laparoscopic Heller myotomy, several tiny incisions are made and a small scope inserted, through which miniature surgical instruments are passed. The scope is connected to a video camera which then sends a magnified image to a monitor, allowing the surgeon to envision the anatomy and manipulate the instruments. For more information https://www.laparoscopyhospital.com/SERV02.HTM

Laparoscopic Sacrocolpopexy for Vault Prolapse

Post-hysterectomy vaginal vault prolapse has a reported incidence of 0.36 to 3.6 per 1,000 woman years or a cumulative incidence of 0.5%. Laparoscopic sacrocolpopexy was first reported in 1994. Laparoscopic sacrocolpopexy has potential advantages over laparotomy, as morbidity, hospital stay, postoperative pain and recovery are all supposed to be less. Moreover, the aesthetic result is better after minimally invasive sacrocolpopexy. However, the laparoscopic approach is more challenging and the literature reports a long learning curve associated with this technique. More importantly, it is unknown if the laparoscopic mesh fixation to the promontory results in an equal anatomical outcome, as it has been stated that as part of the laparoscopic approach, the fixation point is higher, which could result in a more vertical position of the vagina. https://www.laparoscopyhospital.com/wlhusa.html

Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator

This video demonstrates Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with Myoma Screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. For more information https://www.laparoscopyhospital.com/youtube/preview.php

What is Appendicitis, its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about appendicitis (inflammation of Appendix) The appendix is a sac-like structure attached to the large intestine that has no known purpose. Appendicitis (inflammation of the Appendix) begins with fever and pain near the belly button and then moves toward the lower-right side of the abdomen. This often causes nausea, vomiting, loss of appetite and fever. Appendicitis is usually treated with antibiotics and surgery is required within 24 hours of its diagnosis. If left untreated, the appendix can rupture and cause an abscess or systemic infection (sepsis). For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Repair of Subcostal Incisional Hernia

This video demonstrates the Laparoscopic Repair of Subcostal Incisional Hernia. The subcostal incisional hernia, though not very common, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene _ Polyurathane mesh, with less complexity and lower rates of complications and recurrences. https://www.laparoscopyhospital.com/admission.php

Role of Laparoscopy in Cancer Surgery

This video explain the Role of Laparoscopy in Cancer Surgery. The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible. For more information visit https://www.laparoscopyhospital.com/

अंडाशय में पुटी (ओवरिअन सिस्ट) क्या है और इसका इलाज कैसे किया जा सकता है?

डॉक्टर टॉक की इस एपिसोड में हम चर्चा करते हैं कि एक डिम्बग्रंथि पुटी (ओवरिअन सिस्ट) क्या है, इसके लक्षण क्या हैं और हम इसे लेप्रोस्कोपिक का उपयोग करके कैसे ठीक कर सकते हैं। ओवेरियन सिस्ट के लगभग 10 मामले हर साल भारत में देखे जाते हैं और यह महिला प्रजनन प्रणाली की प्रमुख परेशानियों में से एक है। इसे गर्भनिरोधक गोलियों के जरिए या लैप्रोस्कोपिक सर्जरी द्वारा ठीक किया जा सकता है। यदि इसे ठीक ना किया जाए, तो संभोग के दौरान दर्द या अनियमित मल त्याग कुछ ऐसे लक्षण हैं जो हो सकते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

गर्भाशय की रसौली, बच्चेदानी में गांठ होने के लक्षण, कारण, इलाज व बचाव

यूटराइन फाइब्रॉइड गर्भाशय का गैर कैंसरस ट्यूमर है। इसे गर्भाशय की रसौली भी कहा जाता है। गर्भाशय की मांसपेशियों में छोटी-छोटी गोलाकार गांठें बनती हैं, जो किसी महिला में कम बढ़ती हैं और किसी में ज्यादा। यह मटर के दाने के बराबर भी हो सकती हैं और किसी-किसी महिला में यह बढ़ कर फुटबॉल जैसा आकार भी ले सकती हैं। महिलाओं में गर्भाशय से जुड़ी समस्याएं तेजी से बढ़ रही हैं। किसी को अनियमित पीरियड्स की शिकायत है, तो किसी को अत्यधिक रक्तस्राव हो रहा है। वहीं, कुछ महिलाएं ऐसी हैं, जो गर्भाशय फाइब्रॉएड (रसौली) से जूझ रही हैं। हालांकि, इसका उपचार आसान है, लेकिन अनदेखी करने पर बांझपन जैसे गंभीर परिणाम भुगतने पड़ सकते हैं। हैरानी की बात तो यह है कि अधिकतर महिलाओं को फाइब्रॉएड के बारे में पता ही नहीं है। फाइब्राइड उन युवतियों को अधिक होते हैं जो बड़ी उम्र तक अविवाहित रहती हैं। डॉक्टर्स का कहना है कि एक उम्र विशेष पर शरीर के भीतरी अंगों की अपनी जरूरत पनपती है और वह पूरी नहीं होती तो फाइब्राइड की समस्या जन्म लेती है। इसी से जुड़ा यह तथ्य है कि शरीर जब बच्चे को जन्म देने के लिए तैयार होने लगता है तब ढेर सारे हार्मोनल परिवर्तन होते हैं उन परिवर्तनों के अनुसार जब शरीर बच्चे को जन्म नहीं दे पाता है तो इस तरह की परेशानी सामने आती है। मायोमेक्टमी और हिस्टरेक्टमी दोनों ही लैप्रोस्कोपिक (छोटे सुराख से) तरीके से भी की जा सकती हैं। इस प्रक्रिया से सर्जरी करने के बाद ठीक होने का समय कम हो जाता है। लेकिन दोनों ही इनवेसिव तरीके तो हैं ही जिनमें एनैस्थिसिया और सर्जरी के बाद की कुछ जटिलताओं की संभावना हमेशा रहती है। https://www.laparoscopyhospital.com/

लैप्रोस्कोपिक हिस्टेरेक्टॉमी पर चर्चा

डॉक्टर्स टॉक की इस एपिसोड में हम डॉ। आर. के. मिश्रा से हिस्टेरेक्टॉमी के बारे में चर्चा करते हैं। हिस्टेरेक्टॉमी एक महिला के गर्भाशय को हटाने के प्रक्रिया को कहते हैं और कई कारण हैं कि यह प्रक्रिया करना आवश्यक क्यों हो सकता है। हिस्टेरेक्टॉमी करने के कारणों में से कुछ हैं: यूटरिन प्रोलैप्स, गर्भाशय फाइब्रॉएड और गर्भाशय का कैंसर। लैप्रोस्कोपिक हिस्टेरेक्टॉमी पारंपरिक ओपन सर्जरी के मुकाबले कई फायदे प्रदान करता है जैसे तेजी से रिकवरी समय, जटिलता की कम संभावना और छोटे चीरे की ज़रूरत परना।

Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid.

This video demonstrates Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids. Laparotomy, laparoscopy, and hysteroscopy are the three main procedures employed by gynecologists to remove uterine fibroids. The abdominal approach (laparotomy and laparoscopy) is used to treat subserousal and intramural lesions, and the vaginal approach (hysteroscopy) is used for submucous fibroids. With the advent of hysteroscopic surgery, operative hysteroscopies can manage most intrauterine surgical problems with fast recovery. However, hysteroscopic myomectomy for large deeply intramural extension submucous fibroid has still deemed a challenge for hysteroscopists. It involves issues of longer operating time, fluid overload, uterine perforation, and incomplete resection in one surgery. In conclusion, even hysteroscopic myomectomy offers several benefits to the patient. We must bear in mind that hysteroscopic removal of large deeply intramural invasion submucous fibroids is still a technically challenging procedure and might be associated with higher surgical morbidity and incidence of additional surgery. To avoid these tough situations, the vaginal approach should be shifted to the abdominal approach with laparoscopy, which can remove fibroids and still meet the principle of minimally invasive surgery; however, this particular approach should be performed only by those surgeons who are skilled in laparoscopic suturing. For more https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute Dubai

The Laparoscopic surgery training course at World Laparoscopy Training Institute Dubai in Dubai Healthcare City Dubai is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. For more detail log on to: https://www.laparoscopyhospital.com/dubai.html

What is Obesity, its symptoms and cure using Laparoscopy

In this episode of Doctor's talk we discuss one of the leading medical conditions in the world, Obesity, with the world-renowned Laparoscopic Surgeon Dr. R K Mishra. Obesity is one of the leading causes of death in the whole world. It also causes many other problems such as Arthritis, Diabetes, Hypertension along with a number of other diseases which includes the mostly fatal condition of morbid obesity. While it can be treated by lifestyle changes and changes in diet but if due to some reason it is not successful or in emergency situations Laparoscopy is the best way to treat the problem. For more information visit https://www.laparoscopyhospital.com/

Prevention and extraction of Gall Bladder stone using Laparoscopic procedures

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Gall Bladder stone extraction using Laparoscopy, also known as Cholecystectomy. More than 10 Million (1 Crore) cases of Gall Bladder stone are observed in India every year. It is caused by hardened deposits of digestive fluids and is treated surgically by removal of the gall bladder. Gallstones can vary in size, number and may or may not cause symptoms in the individual making it harder to detect. For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy with Indocyanine green

Conventional Total Laparoscopic Hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time. https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter is the most common major gynecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, the lack of surgical training opportunities is impeding its increased adoption. This video will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH). https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Myomectomy for Intramural Fibroid

This video demonstrate surgical technique of Laparoscopic Myomectomy for Large. Intramural Myoma. Myomectomy (my-o-MEK-tuh-me) is a surgical procedure to remove uterine fibroids also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery. There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. For more detail: https://www.laparoscopyhospital.com/

Discussion on Laparoscopy and its benefits

In this episode of Doctor's Talk Dr. R K Mishra, one of the leading Laparoscopic Surgeons in the world, discuss the process and benefits of the surgical method known as Laparoscopy. Laparoscopy, aka keyhole surgery, is an alternative to traditional open surgery. In this method rather than cutting open large parts of the abdomen, smalls incisions are made through which a laparoscope (camera) is inserted into the abdominal cavity. This method provides several benefits as compared to traditional open surgery which includes but are not limited to faster recovery time, less chance of complications and less pain. For more information visit https://www.laparoscopyhospital.com/

Discussion on Laparoscopic Hysterectomy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hysterectomy. Hysterectomy is the removal of a women's uterus and there are many reasons why it may be necessary. Some of the reasons why it may become necessary to perform Hysterectomy are Uterine Prolapse, Uterine Fibroids, and cancer of uterus among many others. Laparoscopic Hysterectomy offers many advantages over traditional open surgery which includes faster recovery time, less chance of complication and smaller incisions among many others. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates Laparoscopic Bilateral Inguinal Hernia Repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia. For more detail https://www.laparoscopyhospital.com/

https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy with Ureteral Stent Placement

Objective Iatrogenic ureteral injury during gynaecological surgery is associated with increased morbidity when not diagnosed during the initial surgery. Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach. ureteral catheterization should be considered for cost savings in women undergoing benign abdominal or radical hysterectomy in whom the risk of ureteral injury exceeds 3%. We believe that each surgeon should assess his or her personal ureteral injury rate and plan for ureteral catheterization accordingly. Universal ureteral catheterization is cost saving when the rate of ureteral injury during benign abdominal hysterectomy or radical hysterectomy is greater than 4%. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

How to perform safe Dermoid Ovarian Cystectomy without Spillage

This video demonstrate How to perform safe Ovarian Dermoid Cystectomy without Spillage by Dr. R K Mishra at World Laparoscopy Hospital. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in the management of ovarian dermoid cysts in selected cases. Laparoscopy should be considered as a method of choice for the removal of ovarian dermoid cysts. It should be performed by surgeons with considerable experience in advanced laparoscopic surgery. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. We concluded that the risk of chemical peritonitis can be minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is washed out thoroughly from spillage of cysts contents. In patients whom ovarian dermoid cysts ruptured, the peritoneal cavity should be drained. 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

Prevention and extraction of Gall Bladder stone using Laparoscopic procedures

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Gall Bladder stone extraction using Laparoscopy, also known as Cholecystectomy. More than 10 Million (1 Crore) cases of Gall Bladder stone are observed in India every year. It is caused by hardened deposits of digestive fluids and is treated surgically by removal of the gall bladder. Gallstones can vary in size, number and may or may not cause symptoms in the individual making it harder to detect. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates Laparoscopic Bilateral Inguinal Hernia Repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia. For more detail https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Intramural Fibroid

This video demonstrate surgical technique of Laparoscopic Myomectomy for Large. Intramural Myoma. Myomectomy (my-o-MEK-tuh-me) is a surgical procedure to remove uterine fibroids also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery. There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. For more detail: https://www.laparoscopyhospital.com/

अपेंडिक्स का ऑपरेशन क्यों किया जाता है? अपेंडिक्स का ऑपरेशन कैसे होता है?

अपेंडिक्स का ऑपरेशन कैसे होता है | अपेंडिसाइटिस का निदान होने पर आपको इस सर्जरी की आवश्यकता होती है। इस स्थिति में आपका अपेंडिक्स पीड़ादायक, सूजा हुआ और संक्रमित हो जाता है। आगरा आपको अपेंडिसाइटिस है तो, अपेंडिक्स के फटने का गंभीर जोखिम रहता है और ये लक्षण दिखने के 48 से 72 घंटों में हो सकता है। इस स्थिति में आपके पेट में पेरिटोनाइटिस नामक एक गंभीर जानलेवा संक्रमण हो सकता है। अपेंडिक्स का ऑपरेशन (अपेन्डेक्टमी/ एपेन्डेक्टमी; Appendectomy) एक सर्जिकल प्रक्रिया है जिसके ज़रिये संक्रमित अपेंडिक्स (Appendix) को हटाया जाता है। इस स्थिति को अपेंडिसाइटिस (Appendicitis) कहा जाता है। अपेन्डेक्टमी, जिसे अपेंडिसेक्टोमी (Appendisectomy or Appendicectomy) भी कहा जाता है, एक आम आपातकालीन सर्जरी है। अपेंडिक्स बड़ी आंत से जुड़ा एक छोटा पाउच है। यह पेट की निचिले हिस्से में दाँई ओर होता है। अगर आपको अपेंडिसाइटिस है तो आपके अपेंडिक्स को तुरंत निकालने के ज़रूरत होती है। अगर इसका उपचार न किया जाये तो अपेंडिक्स फट सकता है। यह एक मेडिकल एमर्जेन्सी (Emergency; आपातकालीन स्थिति) है। https://www.laparoscopyhospital.com/

क्या है मोटापा, इसके लक्षण क्या हैं और इसका इलाज लैप्रोस्कोपी द्वारा कैसे होता है

डॉक्टर्स टॉक की इस एपिसोड में हम दुनिया की प्रमुख समस्याओं में से एक ओबेसिटी यानी मोटापा पर चर्चा करते हैं विश्व प्रसिद्ध लेप्रोस्कोपिक सर्जन डॉ। आर. के. मिश्रा के साथ। मोटापा पूरी दुनिया में मौतों के प्रमुख कारणों में से एक है। यह कई अन्य समस्याओं जैसे जोड़ों का प्रदाह, डायबीटीज़, अधिक तनाव के साथ-साथ कई अन्य बीमारियों का कारण बनता है। जबकि इसका इलाज जीवनशैली में बदलाव और आहार में बदलाव से किया जा सकता है लेकिन अगर किसी कारण से सफलता न मिले या आपातकालीन स्थितियों में लैप्रोस्कोपी की मदत से इसका इलाज सबसे उचित तरीका है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Learn about Fibroid and its treatment by laparoscopy in Simple Language

This video explains in simple language about fibroid. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon. For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator

This video demonstrates Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with Myoma Screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. For more information https://www.laparoscopyhospital.com/youtube/preview.php

महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपी द्वारा इसका इलाज कैसे किया जा सकता है?

डॉक्टर्स टॉक के इस एपिसोड में हम डॉ. आर. के. मिश्रा से बात करते हैं कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। डॉक्टर्स टॉक के इस एपिसोड में हम डॉ आर. के. मिश्रा से बात करेंगे कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। महिलाओं में बांझपन की पहचान एक लेप्रोस्कोपिक प्रक्रिया द्वारा किया जा सकता है, जो ट्यूबल पेटेन्सी की जांच करता है। लैप्रोस्कोपी की मदत से फलोपियन ट्यूब के रास्ते को खोला जा सकता है या फाइब्रॉएड (जिनके कारण बांझपन की समस्या होती है) को भी निकाला इया सकता है। लेप्रोस्कोपी का उपयोग कर डिम्बग्रंथि पुटी (ओवेरियन सिस्ट) को हटा कर भी भाँझपन का इलाज हो सकता है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Role of Laparoscopy in Cancer Surgery

This video explain the Role of Laparoscopy in Cancer Surgery. The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible. For more information visit https://www.laparoscopyhospital.com/

अंडाशय में पुटी (ओवरिअन सिस्ट) क्या है और इसका इलाज कैसे किया जा सकता है?

डॉक्टर टॉक की इस एपिसोड में हम चर्चा करते हैं कि एक डिम्बग्रंथि पुटी (ओवरिअन सिस्ट) क्या है, इसके लक्षण क्या हैं और हम इसे लेप्रोस्कोपिक का उपयोग करके कैसे ठीक कर सकते हैं। ओवेरियन सिस्ट के लगभग 10 मामले हर साल भारत में देखे जाते हैं और यह महिला प्रजनन प्रणाली की प्रमुख परेशानियों में से एक है। इसे गर्भनिरोधक गोलियों के जरिए या लैप्रोस्कोपिक सर्जरी द्वारा ठीक किया जा सकता है। यदि इसे ठीक ना किया जाए, तो संभोग के दौरान दर्द या अनियमित मल त्याग कुछ ऐसे लक्षण हैं जो हो सकते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

दूरबीन से ऑपरेशन, पित्त की थैली पथरी के दुष्परिणाम और इलाज

पित्त की थैली में पथरी व सूजन की बीमारी के मरीज आए दिन बढ़ रहे हैं। खासकर महिलाओं में इस तरह की बीमारी ज्यादा देखी जा रही है। यह बीमारी महिलाओं को उम्र के ऐसे पड़ाव में होती जब महिला 40 वर्ष पार कर चुकी होती है। हालांकि डॉक्टरों का कहना है कि इस के होने का कारण अन्य भी हो सकते हैं, जैसे वसा युक्त पदार्थों का अधिक सेवन, मोटापा आदि। हालांकि पुरुषों में भी इस तरह की बीमारी काफी होती है, लेकिन महिलाओं से अपेक्षाकृत कम होती है। Dr. R.K. Mishra का कहना है कि पित की थैली की पथरी को निकालने के लिए सर्जरी ही एकमात्र इलाज होता है। लैप्रोस्कोपी अर्थात दूरबीन विधि से ऑपरेशन करने को लेकर लोगों में भ्रांतियां हैं जबकि चीरा विधि की अपेक्षा दूरबीन विधि में मरीज को ज्यादा लंबे समय तक हॉस्पिटल में भर्ती नहीं रहना पड़ता। इसके साथ ही पेट पर एक या चार छेद कर हार्निया, एपेंडिक्स, ट्यूमर व पथरी का सफल ऑपरेशन किया जा सकता है। इसमें समय कम लगता है और खून की भी जरूरत न के बराबर होती है। दूरबीन विधि का एक अन्य लाभ यह है कि इसमें पेट में चीरा व टांके नहीं लगते और सिर्फ एक छेद नाभि में होने से पेट कटने के कोई निशान भी नहीं आते। https://www.laparoscopyhospital.com/

गर्भाशय की रसौली, बच्चेदानी में गांठ होने के लक्षण, कारण, इलाज व बचाव

यूटराइन फाइब्रॉइड गर्भाशय का गैर कैंसरस ट्यूमर है। इसे गर्भाशय की रसौली भी कहा जाता है। गर्भाशय की मांसपेशियों में छोटी-छोटी गोलाकार गांठें बनती हैं, जो किसी महिला में कम बढ़ती हैं और किसी में ज्यादा। यह मटर के दाने के बराबर भी हो सकती हैं और किसी-किसी महिला में यह बढ़ कर फुटबॉल जैसा आकार भी ले सकती हैं। महिलाओं में गर्भाशय से जुड़ी समस्याएं तेजी से बढ़ रही हैं। किसी को अनियमित पीरियड्स की शिकायत है, तो किसी को अत्यधिक रक्तस्राव हो रहा है। वहीं, कुछ महिलाएं ऐसी हैं, जो गर्भाशय फाइब्रॉएड (रसौली) से जूझ रही हैं। हालांकि, इसका उपचार आसान है, लेकिन अनदेखी करने पर बांझपन जैसे गंभीर परिणाम भुगतने पड़ सकते हैं। हैरानी की बात तो यह है कि अधिकतर महिलाओं को फाइब्रॉएड के बारे में पता ही नहीं है। फाइब्राइड उन युवतियों को अधिक होते हैं जो बड़ी उम्र तक अविवाहित रहती हैं। डॉक्टर्स का कहना है कि एक उम्र विशेष पर शरीर के भीतरी अंगों की अपनी जरूरत पनपती है और वह पूरी नहीं होती तो फाइब्राइड की समस्या जन्म लेती है। इसी से जुड़ा यह तथ्य है कि शरीर जब बच्चे को जन्म देने के लिए तैयार होने लगता है तब ढेर सारे हार्मोनल परिवर्तन होते हैं उन परिवर्तनों के अनुसार जब शरीर बच्चे को जन्म नहीं दे पाता है तो इस तरह की परेशानी सामने आती है। मायोमेक्टमी और हिस्टरेक्टमी दोनों ही लैप्रोस्कोपिक (छोटे सुराख से) तरीके से भी की जा सकती हैं। इस प्रक्रिया से सर्जरी करने के बाद ठीक होने का समय कम हो जाता है। लेकिन दोनों ही इनवेसिव तरीके तो हैं ही जिनमें एनैस्थिसिया और सर्जरी के बाद की कुछ जटिलताओं की संभावना हमेशा रहती है। https://www.laparoscopyhospital.com/

What causes Infertility in women and how can it be treated by Laparoscopy?

In this episode of Doctor's Talk we talk to Dr. R. K. Mishra about what causes infertility in women and how can it be treated using Laparoscopic methods. Infertility in women can be diagnosed by a laparoscopic procedure by checking the tubal patency. Unblocking of the fallopian tube using laparoscopy or infertility causing fibroids can also be removed using laparoscopy. Removal of the ovarian cyst using laparoscopy can also be used to treat infertility. For more information visit https://www.laparoscopyhospital.com/

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.

हर्निया क्या है, इसके कारण और लेप्रोस्कोपी द्वारा इसका उपचार कैसेहोटा है

डॉक्टर्स टॉक की इस एपिसोड में हम हर्निया के बारे में डॉ। आर के मिश्रा से चर्चा कर रहें हैं। हर्निया पेट की दीवार में एक दोष है जिसके द्वारा से आंतरिक अंग बाहर उभरने लगते हैं। हर्निया किसी भी लिंग या आयु वर्ग के किसी भी व्यक्ति में हो सकता है। कभी-कभी नवजात शिशुओं में भी हर्निया पाया जाता है जिसे कांगेनिटल हर्निया कहते है। हर साल भारत में हर्निया के 10 लाख से अधिक मामले देखे जाते हैं। इसका इलाज ओपन सर्जरी या लैप्रोस्कोपी द्वारा किया जा सकता है लेकिन लेप्रोस्कोपिक प्रक्रिया पारंपरिक ओपन सर्जरी की तुलना में कई फायदे प्रदान करती है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during Total Laparoscopic Hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.

Feedback about Training at World Laparoscopy Hospital

World Laparoscopy Hospital offer one of the most modern facility for minimal access surgery available today in the World by providing advanced minimal access surgery and most advanced da Vinci Robotic Surgery by four arms high definition surgical robot. World Laparoscopy Hospital has its center in Delhi, Dubai and Florida. https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute Dubai

The Laparoscopic surgery training course at World Laparoscopy Training Institute Dubai in Dubai Healthcare City Dubai is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. For more detail log on to: https://www.laparoscopyhospital.com/dubai.html

Entrenamiento en Laparoscopia en USA.

Este video contiene informacion acerca del entrenamiento en Laparoscopia por el World Laparoscopy Training Institute en USA. Es un curso practico de entrenamiento intensivo de 4 dias de duracion. Puedes obtener mas informacion, yendo al siguiente link. https://www.laparoscopyhospital.com/wlhusa.html

World Laparoscopy Training Institute - USA

Laparoscopic Training Institute USA provide state of the art Laparoscopic Training. The Laparoscopic surgery training course in Tampa, Florida, USA is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

Laparoscopic Sacrocolpopexy for Vault Prolapse

Post-hysterectomy vaginal vault prolapse has a reported incidence of 0.36 to 3.6 per 1,000 woman years or a cumulative incidence of 0.5%. Laparoscopic sacrocolpopexy was first reported in 1994. Laparoscopic sacrocolpopexy has potential advantages over laparotomy, as morbidity, hospital stay, postoperative pain and recovery are all supposed to be less. Moreover, the aesthetic result is better after minimally invasive sacrocolpopexy. However, the laparoscopic approach is more challenging and the literature reports a long learning curve associated with this technique. More importantly, it is unknown if the laparoscopic mesh fixation to the promontory results in an equal anatomical outcome, as it has been stated that as part of the laparoscopic approach, the fixation point is higher, which could result in a more vertical position of the vagina. https://www.laparoscopyhospital.com/wlhusa.html

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter is the most common major gynecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, the lack of surgical training opportunities is impeding its increased adoption. This video will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH). https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

लैप्रोस्कोपिक हिस्टेरेक्टॉमी पर चर्चा

डॉक्टर्स टॉक की इस एपिसोड में हम डॉ। आर. के. मिश्रा से हिस्टेरेक्टॉमी के बारे में चर्चा करते हैं। हिस्टेरेक्टॉमी एक महिला के गर्भाशय को हटाने के प्रक्रिया को कहते हैं और कई कारण हैं कि यह प्रक्रिया करना आवश्यक क्यों हो सकता है। हिस्टेरेक्टॉमी करने के कारणों में से कुछ हैं: यूटरिन प्रोलैप्स, गर्भाशय फाइब्रॉएड और गर्भाशय का कैंसर। लैप्रोस्कोपिक हिस्टेरेक्टॉमी पारंपरिक ओपन सर्जरी के मुकाबले कई फायदे प्रदान करता है जैसे तेजी से रिकवरी समय, जटिलता की कम संभावना और छोटे चीरे की ज़रूरत परना।

World Laparoscopy Hospital

World Laparoscopy Hospital's training Institute is situated in Gurugram, India, United Arab Emirates, and the United States of America. This institution meets the guidelines as established in the "Framework for Post Residency Surgical Education and Training" and is endorsed at the Gold level by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). This International Institute of Minimal Access Surgery has an outstanding pool of doctors, scientists, and researchers to foster multidisciplinary investigation, inspiring new ideas and discoveries. https://www.laparoscopyhospital.com/index.htm

Laparoscopic Heller's Myotomy with Appendectomy

The Laparoscopic Heller myotomy is a laparoscopic (minimally invasive) surgical procedure used to treat achalasia. Achalasia is a disorder of the esophagus that makes it hard for foods and liquids to pass into the stomach. The Laparoscopic Heller myotomy is essentially an esophagomyotomy, the cutting the esophageal sphincter muscle, performed laparoscopically. The Laparoscopic Heller myotomy operation's success rate is very high and usually permanent. In the procedure of Laparoscopic Heller myotomy, several tiny incisions are made and a small scope inserted, through which miniature surgical instruments are passed. The scope is connected to a video camera which then sends a magnified image to a monitor, allowing the surgeon to envision the anatomy and manipulate the instruments. For more information https://www.laparoscopyhospital.com/SERV02.HTM

Difficult Total Laparoscopic Hysterectomy

This video shows a Difficult Total Laparoscopic Hysterectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this video was to investigate the potential different levels of difficulty for laparoscopic hysterectomy. Several factors may influence the estimated level of difficulty of total laparoscopic hysterectomy: uterine size on bimanual palpation, presence of fibroid, patients’ weight and BMI, previous abdominal surgery and surgeon’s experience with the planned approach to hysterectomy. For more videos please log on to https://www.laparoscopyhospital.com/DOWNLOADS.HTM

What is Hernia? Its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hernia. A hernia is a defect in the abdominal wall through which internal organs protrude. A hernia can occur in anyone of any gender or age group. Sometimes even in newborns a hernia is detected called Congenital Hernia. More than 1 million (10 lakh) cases of hernia are observed in India every year. It can be treated by Open surgery or Laparoscopy but the laparoscopic procedure provides many advantages compared to traditional open surgery. For more information visit https://www.laparoscopyhospital.com/

रोबोटिक सर्जरी क्या है और इसके क्या लाभ हैं?

डॉक्टर्स टॉक के इस एपिसोड में हम बात करेंगे दुनिया के प्रसिद्ध लेपेरस्कोपिक और रोबोटिक सर्जन डॉ आर के मिश्रा से रोबाटिक सर्जरी के बारे में। रोबाटिक सर्जरी एक ऐसी आधुनिक तकनीक है जिसके द्वारा सर्जन एक कॉन्सोल से रोबोट का नियंत्रण करता है। रोबोट सर्जरी, या रोबोट-असिस्टेड सर्जरी, डॉक्टरों को पारंपरिक तकनीकों से अधिक सटीक, नम्यता और नियंत्रण के साथ कई प्रकार की मुश्किल प्रक्रियाओं को करने में मदत करता है। डॉ आर के मिश्रा भारत के पहले रोबाटिक सर्जनों में से एक हैं और गुरगाओं में स्थित वर्ल्ड लेपेरोस्कोपी हॉस्पिटल में दुनिया भर से आए हुए चिकित्सकों को लेपेरस्कोपी और रोबाटिक सर्जरी की ट्रैनिंग भी देते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Discussion on Laparoscopy and its benefits

In this episode of Doctor's Talk Dr. R K Mishra, one of the leading Laparoscopic Surgeons in the world, discuss the process and benefits of the surgical method known as Laparoscopy. Laparoscopy, aka keyhole surgery, is an alternative to traditional open surgery. In this method rather than cutting open large parts of the abdomen, smalls incisions are made through which a laparoscope (camera) is inserted into the abdominal cavity. This method provides several benefits as compared to traditional open surgery which includes but are not limited to faster recovery time, less chance of complications and less pain. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute, Tampa, Florida, USA

TWorld Laparoscopy Training Institute, Tampa, Florida, USA, is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.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/

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury

This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of a female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html

Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid

This video demonstrates Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid. It is not uncommon for a laparoscopic surgeon to be able to perform the entire laparoscopic hysterectomy using a few 10mm and 5-mm ports and then a larger abdominal incision to remove the surgical specimen using morcellator. In conclusion, this video shows that the size of the uterus does not forbid the laparoscopic approach for hysterectomy. https://www.laparoscopyhospital.com/quizinteractive3.htm

Laparoscopic Hernia Repair Large Sac TAPP Repair

This video demonstrates Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair. https://www.laparoscopyhospital.com/SERV02.HTM

What is Appendicitis, its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about appendicitis (inflammation of Appendix) The appendix is a sac-like structure attached to the large intestine that has no known purpose. Appendicitis (inflammation of the Appendix) begins with fever and pain near the belly button and then moves toward the lower-right side of the abdomen. This often causes nausea, vomiting, loss of appetite and fever. Appendicitis is usually treated with antibiotics and surgery is required within 24 hours of its diagnosis. If left untreated, the appendix can rupture and cause an abscess or systemic infection (sepsis). For more information visit https://www.laparoscopyhospital.com/

What is Ovarian Cyst and how can it be treated?

In this episode of Doctor's Talk we discuss what is an Ovarian Cyst, what are its symptoms and how can we cure it using Laparoscopic measures. Around 10 million cases of Ovarian Cyst are observed in India every year and is one of the leading complications of the female reproductive system. It can be cured through contraceptive pills or by Laparoscopic Surgery. If left untreated menstrual irregularities, pain during intercourse or irregular bowel movements are some of the symptoms that may occur. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Surgery for Torsion of Ovarian Cyst

This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion. For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html

TAPP Hernia Repair by Ipsilateral Port

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity. Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply. Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract. A direct hernia should be reduced if seen, and an indirect dissected from the cord structures. Femoral and obturator hernias can also be visualized and reduced. Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect. For more detail log on to https://www.laparoscopyhospital.com/youtube/preview.php

Discussion on Laparoscopic Hysterectomy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hysterectomy. Hysterectomy is the removal of a women's uterus and there are many reasons why it may be necessary. Some of the reasons why it may become necessary to perform Hysterectomy are Uterine Prolapse, Uterine Fibroids, and cancer of uterus among many others. Laparoscopic Hysterectomy offers many advantages over traditional open surgery which includes faster recovery time, less chance of complication and smaller incisions among many others. For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy with Indocyanine green

Conventional Total Laparoscopic Hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time. https://www.laparoscopyhospital.com/

Laparoscopic Ovarian Cystectomy for Endometrioma

This video demonstrates Laparoscopic Ovarian Cystectomy for right-sided ovarian Endometrioma. Laparoscopic Ovarian Cystectomy, a conservative surgical procedure for endometriomas due to the invasive nature of the surgery it should be performed inside endobag. The laparoscopic procedure strips the cyst wall – the portion of the cyst containing the endometrial tissue. The benefits of this procedure include decreased recurrence rates, increased chance of spontaneous pregnancy and a significant reduction in pelvic pain. For more information log on to https://www.laparoscopyhospital.com/

Laparoscopic Repair of Subcostal Incisional Hernia

This video demonstrates the Laparoscopic Repair of Subcostal Incisional Hernia. The subcostal incisional hernia, though not very common, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene _ Polyurathane mesh, with less complexity and lower rates of complications and recurrences. https://www.laparoscopyhospital.com/admission.php

Laparoscopic Pectopexy

Although laparoscopic Sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical uterine prolapse surgery. The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Large Deep Intramural Myoma

This video demonstrates Laparoscopic Myomectomy for Large Deep Intramural Myoma which was intending the cavity. Laparoscopic myomectomy using pneumoperitoneum for large myomas like 12 cm or more is now very popular altho it is difficult by several factors, such as the increased operative time, the risk of perioperative bleeding, and the risk of conversion to laparotomy. With the introduction of skilled surgeons in laparoscopy using good suturing skills, this procedure can be performed using laparoscopic surgical instruments introduced through small abdominal incisions. The aim of this video is to evaluate the feasibility, reproducibility, and safety of laparoscopic myomectomy for very large myomas ≥10 cm using three-port. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Procedure for prolapse and hemorrhoids (PPH)

This video demonstrate This operation is also known as stapled anopexy. A specially designed circular stapling instrument is inserted through the anus (back passage) into the rectum. . The operation pulls the swollen and prolapsing blood vessels of the hemorrhoids (piles) back into their normal position by removing a circumferential section (complete ring) of the internal rectal lining. The wound is inside the rectum causing little pain. Patients usually underwent a one-day surgical procedure, with a preoperative self-administered rectal enema on the evening before and the morning of the operation; no antibiotic prophylaxis was given.

What is Obesity, its symptoms and cure using Laparoscopy

In this episode of Doctor's talk we discuss one of the leading medical conditions in the world, Obesity, with the world-renowned Laparoscopic Surgeon Dr. R K Mishra. Obesity is one of the leading causes of death in the whole world. It also causes many other problems such as Arthritis, Diabetes, Hypertension along with a number of other diseases which includes the mostly fatal condition of morbid obesity. While it can be treated by lifestyle changes and changes in diet but if due to some reason it is not successful or in emergency situations Laparoscopy is the best way to treat the problem. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid.

This video demonstrates Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids. Laparotomy, laparoscopy, and hysteroscopy are the three main procedures employed by gynecologists to remove uterine fibroids. The abdominal approach (laparotomy and laparoscopy) is used to treat subserousal and intramural lesions, and the vaginal approach (hysteroscopy) is used for submucous fibroids. With the advent of hysteroscopic surgery, operative hysteroscopies can manage most intrauterine surgical problems with fast recovery. However, hysteroscopic myomectomy for large deeply intramural extension submucous fibroid has still deemed a challenge for hysteroscopists. It involves issues of longer operating time, fluid overload, uterine perforation, and incomplete resection in one surgery. In conclusion, even hysteroscopic myomectomy offers several benefits to the patient. We must bear in mind that hysteroscopic removal of large deeply intramural invasion submucous fibroids is still a technically challenging procedure and might be associated with higher surgical morbidity and incidence of additional surgery. To avoid these tough situations, the vaginal approach should be shifted to the abdominal approach with laparoscopy, which can remove fibroids and still meet the principle of minimally invasive surgery; however, this particular approach should be performed only by those surgeons who are skilled in laparoscopic suturing. For more https://www.laparoscopyhospital.com/

https://www.laparoscopyhospital.com/

Prevention and extraction of Gall Bladder stone using Laparoscopic procedures

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Gall Bladder stone extraction using Laparoscopy, also known as Cholecystectomy. More than 10 Million (1 Crore) cases of Gall Bladder stone are observed in India every year. It is caused by hardened deposits of digestive fluids and is treated surgically by removal of the gall bladder. Gallstones can vary in size, number and may or may not cause symptoms in the individual making it harder to detect. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute, Tampa, Florida, USA

TWorld Laparoscopy Training Institute, Tampa, Florida, USA, is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

Laparoscopic Hernia Repair Large Sac TAPP Repair

This video demonstrates Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair. https://www.laparoscopyhospital.com/SERV02.HTM

Total Laparoscopic Hysterectomy with Indocyanine green

Conventional Total Laparoscopic Hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time. https://www.laparoscopyhospital.com/

What is Appendicitis, its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about appendicitis (inflammation of Appendix) The appendix is a sac-like structure attached to the large intestine that has no known purpose. Appendicitis (inflammation of the Appendix) begins with fever and pain near the belly button and then moves toward the lower-right side of the abdomen. This often causes nausea, vomiting, loss of appetite and fever. Appendicitis is usually treated with antibiotics and surgery is required within 24 hours of its diagnosis. If left untreated, the appendix can rupture and cause an abscess or systemic infection (sepsis). For more information visit https://www.laparoscopyhospital.com/

What is Ovarian Cyst and how can it be treated?

In this episode of Doctor's Talk we discuss what is an Ovarian Cyst, what are its symptoms and how can we cure it using Laparoscopic measures. Around 10 million cases of Ovarian Cyst are observed in India every year and is one of the leading complications of the female reproductive system. It can be cured through contraceptive pills or by Laparoscopic Surgery. If left untreated menstrual irregularities, pain during intercourse or irregular bowel movements are some of the symptoms that may occur. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Hospital

World Laparoscopy Hospital's training Institute is situated in Gurugram, India, United Arab Emirates, and the United States of America. This institution meets the guidelines as established in the "Framework for Post Residency Surgical Education and Training" and is endorsed at the Gold level by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). This International Institute of Minimal Access Surgery has an outstanding pool of doctors, scientists, and researchers to foster multidisciplinary investigation, inspiring new ideas and discoveries. https://www.laparoscopyhospital.com/index.htm

Feedback about Training at World Laparoscopy Hospital

World Laparoscopy Hospital offer one of the most modern facility for minimal access surgery available today in the World by providing advanced minimal access surgery and most advanced da Vinci Robotic Surgery by four arms high definition surgical robot. World Laparoscopy Hospital has its center in Delhi, Dubai and Florida. https://www.laparoscopyhospital.com/

लैप्रोस्कोपिक हिस्टेरेक्टॉमी पर चर्चा

डॉक्टर्स टॉक की इस एपिसोड में हम डॉ। आर. के. मिश्रा से हिस्टेरेक्टॉमी के बारे में चर्चा करते हैं। हिस्टेरेक्टॉमी एक महिला के गर्भाशय को हटाने के प्रक्रिया को कहते हैं और कई कारण हैं कि यह प्रक्रिया करना आवश्यक क्यों हो सकता है। हिस्टेरेक्टॉमी करने के कारणों में से कुछ हैं: यूटरिन प्रोलैप्स, गर्भाशय फाइब्रॉएड और गर्भाशय का कैंसर। लैप्रोस्कोपिक हिस्टेरेक्टॉमी पारंपरिक ओपन सर्जरी के मुकाबले कई फायदे प्रदान करता है जैसे तेजी से रिकवरी समय, जटिलता की कम संभावना और छोटे चीरे की ज़रूरत परना।

दूरबीन से ऑपरेशन, पित्त की थैली पथरी के दुष्परिणाम और इलाज

पित्त की थैली में पथरी व सूजन की बीमारी के मरीज आए दिन बढ़ रहे हैं। खासकर महिलाओं में इस तरह की बीमारी ज्यादा देखी जा रही है। यह बीमारी महिलाओं को उम्र के ऐसे पड़ाव में होती जब महिला 40 वर्ष पार कर चुकी होती है। हालांकि डॉक्टरों का कहना है कि इस के होने का कारण अन्य भी हो सकते हैं, जैसे वसा युक्त पदार्थों का अधिक सेवन, मोटापा आदि। हालांकि पुरुषों में भी इस तरह की बीमारी काफी होती है, लेकिन महिलाओं से अपेक्षाकृत कम होती है। Dr. R.K. Mishra का कहना है कि पित की थैली की पथरी को निकालने के लिए सर्जरी ही एकमात्र इलाज होता है। लैप्रोस्कोपी अर्थात दूरबीन विधि से ऑपरेशन करने को लेकर लोगों में भ्रांतियां हैं जबकि चीरा विधि की अपेक्षा दूरबीन विधि में मरीज को ज्यादा लंबे समय तक हॉस्पिटल में भर्ती नहीं रहना पड़ता। इसके साथ ही पेट पर एक या चार छेद कर हार्निया, एपेंडिक्स, ट्यूमर व पथरी का सफल ऑपरेशन किया जा सकता है। इसमें समय कम लगता है और खून की भी जरूरत न के बराबर होती है। दूरबीन विधि का एक अन्य लाभ यह है कि इसमें पेट में चीरा व टांके नहीं लगते और सिर्फ एक छेद नाभि में होने से पेट कटने के कोई निशान भी नहीं आते। https://www.laparoscopyhospital.com/

अंडाशय में पुटी (ओवरिअन सिस्ट) क्या है और इसका इलाज कैसे किया जा सकता है?

डॉक्टर टॉक की इस एपिसोड में हम चर्चा करते हैं कि एक डिम्बग्रंथि पुटी (ओवरिअन सिस्ट) क्या है, इसके लक्षण क्या हैं और हम इसे लेप्रोस्कोपिक का उपयोग करके कैसे ठीक कर सकते हैं। ओवेरियन सिस्ट के लगभग 10 मामले हर साल भारत में देखे जाते हैं और यह महिला प्रजनन प्रणाली की प्रमुख परेशानियों में से एक है। इसे गर्भनिरोधक गोलियों के जरिए या लैप्रोस्कोपिक सर्जरी द्वारा ठीक किया जा सकता है। यदि इसे ठीक ना किया जाए, तो संभोग के दौरान दर्द या अनियमित मल त्याग कुछ ऐसे लक्षण हैं जो हो सकते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Role of Laparoscopy in Cancer Surgery

This video explain the Role of Laparoscopy in Cancer Surgery. The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible. For more information visit https://www.laparoscopyhospital.com/

What causes Infertility in women and how can it be treated by Laparoscopy?

In this episode of Doctor's Talk we talk to Dr. R. K. Mishra about what causes infertility in women and how can it be treated using Laparoscopic methods. Infertility in women can be diagnosed by a laparoscopic procedure by checking the tubal patency. Unblocking of the fallopian tube using laparoscopy or infertility causing fibroids can also be removed using laparoscopy. Removal of the ovarian cyst using laparoscopy can also be used to treat infertility. For more information visit https://www.laparoscopyhospital.com/

Entrenamiento en Laparoscopia en USA.

Este video contiene informacion acerca del entrenamiento en Laparoscopia por el World Laparoscopy Training Institute en USA. Es un curso practico de entrenamiento intensivo de 4 dias de duracion. Puedes obtener mas informacion, yendo al siguiente link. https://www.laparoscopyhospital.com/wlhusa.html

What is Obesity, its symptoms and cure using Laparoscopy

In this episode of Doctor's talk we discuss one of the leading medical conditions in the world, Obesity, with the world-renowned Laparoscopic Surgeon Dr. R K Mishra. Obesity is one of the leading causes of death in the whole world. It also causes many other problems such as Arthritis, Diabetes, Hypertension along with a number of other diseases which includes the mostly fatal condition of morbid obesity. While it can be treated by lifestyle changes and changes in diet but if due to some reason it is not successful or in emergency situations Laparoscopy is the best way to treat the problem. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Sacrocolpopexy for Vault Prolapse

Post-hysterectomy vaginal vault prolapse has a reported incidence of 0.36 to 3.6 per 1,000 woman years or a cumulative incidence of 0.5%. Laparoscopic sacrocolpopexy was first reported in 1994. Laparoscopic sacrocolpopexy has potential advantages over laparotomy, as morbidity, hospital stay, postoperative pain and recovery are all supposed to be less. Moreover, the aesthetic result is better after minimally invasive sacrocolpopexy. However, the laparoscopic approach is more challenging and the literature reports a long learning curve associated with this technique. More importantly, it is unknown if the laparoscopic mesh fixation to the promontory results in an equal anatomical outcome, as it has been stated that as part of the laparoscopic approach, the fixation point is higher, which could result in a more vertical position of the vagina. https://www.laparoscopyhospital.com/wlhusa.html

Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates Laparoscopic Bilateral Inguinal Hernia Repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia. For more detail https://www.laparoscopyhospital.com/

Learn about Fibroid and its treatment by laparoscopy in Simple Language

This video explains in simple language about fibroid. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid.

This video demonstrates Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids. Laparotomy, laparoscopy, and hysteroscopy are the three main procedures employed by gynecologists to remove uterine fibroids. The abdominal approach (laparotomy and laparoscopy) is used to treat subserousal and intramural lesions, and the vaginal approach (hysteroscopy) is used for submucous fibroids. With the advent of hysteroscopic surgery, operative hysteroscopies can manage most intrauterine surgical problems with fast recovery. However, hysteroscopic myomectomy for large deeply intramural extension submucous fibroid has still deemed a challenge for hysteroscopists. It involves issues of longer operating time, fluid overload, uterine perforation, and incomplete resection in one surgery. In conclusion, even hysteroscopic myomectomy offers several benefits to the patient. We must bear in mind that hysteroscopic removal of large deeply intramural invasion submucous fibroids is still a technically challenging procedure and might be associated with higher surgical morbidity and incidence of additional surgery. To avoid these tough situations, the vaginal approach should be shifted to the abdominal approach with laparoscopy, which can remove fibroids and still meet the principle of minimally invasive surgery; however, this particular approach should be performed only by those surgeons who are skilled in laparoscopic suturing. For more https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator

This video demonstrates Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with Myoma Screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. For more information https://www.laparoscopyhospital.com/youtube/preview.php

Laparoscopic Heller's Myotomy with Appendectomy

The Laparoscopic Heller myotomy is a laparoscopic (minimally invasive) surgical procedure used to treat achalasia. Achalasia is a disorder of the esophagus that makes it hard for foods and liquids to pass into the stomach. The Laparoscopic Heller myotomy is essentially an esophagomyotomy, the cutting the esophageal sphincter muscle, performed laparoscopically. The Laparoscopic Heller myotomy operation's success rate is very high and usually permanent. In the procedure of Laparoscopic Heller myotomy, several tiny incisions are made and a small scope inserted, through which miniature surgical instruments are passed. The scope is connected to a video camera which then sends a magnified image to a monitor, allowing the surgeon to envision the anatomy and manipulate the instruments. For more information https://www.laparoscopyhospital.com/SERV02.HTM

What is Hernia? Its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hernia. A hernia is a defect in the abdominal wall through which internal organs protrude. A hernia can occur in anyone of any gender or age group. Sometimes even in newborns a hernia is detected called Congenital Hernia. More than 1 million (10 lakh) cases of hernia are observed in India every year. It can be treated by Open surgery or Laparoscopy but the laparoscopic procedure provides many advantages compared to traditional open surgery. For more information visit https://www.laparoscopyhospital.com/

अपेंडिक्स का ऑपरेशन क्यों किया जाता है? अपेंडिक्स का ऑपरेशन कैसे होता है?

अपेंडिक्स का ऑपरेशन कैसे होता है | अपेंडिसाइटिस का निदान होने पर आपको इस सर्जरी की आवश्यकता होती है। इस स्थिति में आपका अपेंडिक्स पीड़ादायक, सूजा हुआ और संक्रमित हो जाता है। आगरा आपको अपेंडिसाइटिस है तो, अपेंडिक्स के फटने का गंभीर जोखिम रहता है और ये लक्षण दिखने के 48 से 72 घंटों में हो सकता है। इस स्थिति में आपके पेट में पेरिटोनाइटिस नामक एक गंभीर जानलेवा संक्रमण हो सकता है। अपेंडिक्स का ऑपरेशन (अपेन्डेक्टमी/ एपेन्डेक्टमी; Appendectomy) एक सर्जिकल प्रक्रिया है जिसके ज़रिये संक्रमित अपेंडिक्स (Appendix) को हटाया जाता है। इस स्थिति को अपेंडिसाइटिस (Appendicitis) कहा जाता है। अपेन्डेक्टमी, जिसे अपेंडिसेक्टोमी (Appendisectomy or Appendicectomy) भी कहा जाता है, एक आम आपातकालीन सर्जरी है। अपेंडिक्स बड़ी आंत से जुड़ा एक छोटा पाउच है। यह पेट की निचिले हिस्से में दाँई ओर होता है। अगर आपको अपेंडिसाइटिस है तो आपके अपेंडिक्स को तुरंत निकालने के ज़रूरत होती है। अगर इसका उपचार न किया जाये तो अपेंडिक्स फट सकता है। यह एक मेडिकल एमर्जेन्सी (Emergency; आपातकालीन स्थिति) है। https://www.laparoscopyhospital.com/

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.

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

Procedure for prolapse and hemorrhoids (PPH)

This video demonstrate This operation is also known as stapled anopexy. A specially designed circular stapling instrument is inserted through the anus (back passage) into the rectum. . The operation pulls the swollen and prolapsing blood vessels of the hemorrhoids (piles) back into their normal position by removing a circumferential section (complete ring) of the internal rectal lining. The wound is inside the rectum causing little pain. Patients usually underwent a one-day surgical procedure, with a preoperative self-administered rectal enema on the evening before and the morning of the operation; no antibiotic prophylaxis was given.

गर्भाशय की रसौली, बच्चेदानी में गांठ होने के लक्षण, कारण, इलाज व बचाव

यूटराइन फाइब्रॉइड गर्भाशय का गैर कैंसरस ट्यूमर है। इसे गर्भाशय की रसौली भी कहा जाता है। गर्भाशय की मांसपेशियों में छोटी-छोटी गोलाकार गांठें बनती हैं, जो किसी महिला में कम बढ़ती हैं और किसी में ज्यादा। यह मटर के दाने के बराबर भी हो सकती हैं और किसी-किसी महिला में यह बढ़ कर फुटबॉल जैसा आकार भी ले सकती हैं। महिलाओं में गर्भाशय से जुड़ी समस्याएं तेजी से बढ़ रही हैं। किसी को अनियमित पीरियड्स की शिकायत है, तो किसी को अत्यधिक रक्तस्राव हो रहा है। वहीं, कुछ महिलाएं ऐसी हैं, जो गर्भाशय फाइब्रॉएड (रसौली) से जूझ रही हैं। हालांकि, इसका उपचार आसान है, लेकिन अनदेखी करने पर बांझपन जैसे गंभीर परिणाम भुगतने पड़ सकते हैं। हैरानी की बात तो यह है कि अधिकतर महिलाओं को फाइब्रॉएड के बारे में पता ही नहीं है। फाइब्राइड उन युवतियों को अधिक होते हैं जो बड़ी उम्र तक अविवाहित रहती हैं। डॉक्टर्स का कहना है कि एक उम्र विशेष पर शरीर के भीतरी अंगों की अपनी जरूरत पनपती है और वह पूरी नहीं होती तो फाइब्राइड की समस्या जन्म लेती है। इसी से जुड़ा यह तथ्य है कि शरीर जब बच्चे को जन्म देने के लिए तैयार होने लगता है तब ढेर सारे हार्मोनल परिवर्तन होते हैं उन परिवर्तनों के अनुसार जब शरीर बच्चे को जन्म नहीं दे पाता है तो इस तरह की परेशानी सामने आती है। मायोमेक्टमी और हिस्टरेक्टमी दोनों ही लैप्रोस्कोपिक (छोटे सुराख से) तरीके से भी की जा सकती हैं। इस प्रक्रिया से सर्जरी करने के बाद ठीक होने का समय कम हो जाता है। लेकिन दोनों ही इनवेसिव तरीके तो हैं ही जिनमें एनैस्थिसिया और सर्जरी के बाद की कुछ जटिलताओं की संभावना हमेशा रहती है। https://www.laparoscopyhospital.com/

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/

World Laparoscopy Training Institute - USA

Laparoscopic Training Institute USA provide state of the art Laparoscopic Training. The Laparoscopic surgery training course in Tampa, Florida, USA is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

Difficult Total Laparoscopic Hysterectomy

This video shows a Difficult Total Laparoscopic Hysterectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this video was to investigate the potential different levels of difficulty for laparoscopic hysterectomy. Several factors may influence the estimated level of difficulty of total laparoscopic hysterectomy: uterine size on bimanual palpation, presence of fibroid, patients’ weight and BMI, previous abdominal surgery and surgeon’s experience with the planned approach to hysterectomy. For more videos please log on to https://www.laparoscopyhospital.com/DOWNLOADS.HTM

Laparoscopic Surgery for Torsion of Ovarian Cyst

This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion. For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html

How to perform safe Dermoid Ovarian Cystectomy without Spillage

This video demonstrate How to perform safe Ovarian Dermoid Cystectomy without Spillage by Dr. R K Mishra at World Laparoscopy Hospital. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in the management of ovarian dermoid cysts in selected cases. Laparoscopy should be considered as a method of choice for the removal of ovarian dermoid cysts. It should be performed by surgeons with considerable experience in advanced laparoscopic surgery. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. We concluded that the risk of chemical peritonitis can be minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is washed out thoroughly from spillage of cysts contents. In patients whom ovarian dermoid cysts ruptured, the peritoneal cavity should be drained. For more information https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Discussion on Laparoscopy and its benefits

In this episode of Doctor's Talk Dr. R K Mishra, one of the leading Laparoscopic Surgeons in the world, discuss the process and benefits of the surgical method known as Laparoscopy. Laparoscopy, aka keyhole surgery, is an alternative to traditional open surgery. In this method rather than cutting open large parts of the abdomen, smalls incisions are made through which a laparoscope (camera) is inserted into the abdominal cavity. This method provides several benefits as compared to traditional open surgery which includes but are not limited to faster recovery time, less chance of complications and less pain. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Intramural Fibroid

This video demonstrate surgical technique of Laparoscopic Myomectomy for Large. Intramural Myoma. Myomectomy (my-o-MEK-tuh-me) is a surgical procedure to remove uterine fibroids also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery. There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. For more detail: https://www.laparoscopyhospital.com/

Laparoscopic Repair of Subcostal Incisional Hernia

This video demonstrates the Laparoscopic Repair of Subcostal Incisional Hernia. The subcostal incisional hernia, though not very common, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene _ Polyurathane mesh, with less complexity and lower rates of complications and recurrences. https://www.laparoscopyhospital.com/admission.php

TAPP Hernia Repair by Ipsilateral Port

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity. Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply. Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract. A direct hernia should be reduced if seen, and an indirect dissected from the cord structures. Femoral and obturator hernias can also be visualized and reduced. Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect. For more detail log on to https://www.laparoscopyhospital.com/youtube/preview.php

क्या है मोटापा, इसके लक्षण क्या हैं और इसका इलाज लैप्रोस्कोपी द्वारा कैसे होता है

डॉक्टर्स टॉक की इस एपिसोड में हम दुनिया की प्रमुख समस्याओं में से एक ओबेसिटी यानी मोटापा पर चर्चा करते हैं विश्व प्रसिद्ध लेप्रोस्कोपिक सर्जन डॉ। आर. के. मिश्रा के साथ। मोटापा पूरी दुनिया में मौतों के प्रमुख कारणों में से एक है। यह कई अन्य समस्याओं जैसे जोड़ों का प्रदाह, डायबीटीज़, अधिक तनाव के साथ-साथ कई अन्य बीमारियों का कारण बनता है। जबकि इसका इलाज जीवनशैली में बदलाव और आहार में बदलाव से किया जा सकता है लेकिन अगर किसी कारण से सफलता न मिले या आपातकालीन स्थितियों में लैप्रोस्कोपी की मदत से इसका इलाज सबसे उचित तरीका है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury

This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of a female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter is the most common major gynecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, the lack of surgical training opportunities is impeding its increased adoption. This video will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH). https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Discussion on Laparoscopic Hysterectomy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hysterectomy. Hysterectomy is the removal of a women's uterus and there are many reasons why it may be necessary. Some of the reasons why it may become necessary to perform Hysterectomy are Uterine Prolapse, Uterine Fibroids, and cancer of uterus among many others. Laparoscopic Hysterectomy offers many advantages over traditional open surgery which includes faster recovery time, less chance of complication and smaller incisions among many others. For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid

This video demonstrates Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid. It is not uncommon for a laparoscopic surgeon to be able to perform the entire laparoscopic hysterectomy using a few 10mm and 5-mm ports and then a larger abdominal incision to remove the surgical specimen using morcellator. In conclusion, this video shows that the size of the uterus does not forbid the laparoscopic approach for hysterectomy. https://www.laparoscopyhospital.com/quizinteractive3.htm

हर्निया क्या है, इसके कारण और लेप्रोस्कोपी द्वारा इसका उपचार कैसेहोटा है

डॉक्टर्स टॉक की इस एपिसोड में हम हर्निया के बारे में डॉ। आर के मिश्रा से चर्चा कर रहें हैं। हर्निया पेट की दीवार में एक दोष है जिसके द्वारा से आंतरिक अंग बाहर उभरने लगते हैं। हर्निया किसी भी लिंग या आयु वर्ग के किसी भी व्यक्ति में हो सकता है। कभी-कभी नवजात शिशुओं में भी हर्निया पाया जाता है जिसे कांगेनिटल हर्निया कहते है। हर साल भारत में हर्निया के 10 लाख से अधिक मामले देखे जाते हैं। इसका इलाज ओपन सर्जरी या लैप्रोस्कोपी द्वारा किया जा सकता है लेकिन लेप्रोस्कोपिक प्रक्रिया पारंपरिक ओपन सर्जरी की तुलना में कई फायदे प्रदान करती है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Laparoscopic Ovarian Cystectomy for Endometrioma

This video demonstrates Laparoscopic Ovarian Cystectomy for right-sided ovarian Endometrioma. Laparoscopic Ovarian Cystectomy, a conservative surgical procedure for endometriomas due to the invasive nature of the surgery it should be performed inside endobag. The laparoscopic procedure strips the cyst wall – the portion of the cyst containing the endometrial tissue. The benefits of this procedure include decreased recurrence rates, increased chance of spontaneous pregnancy and a significant reduction in pelvic pain. For more information log on to https://www.laparoscopyhospital.com/

रोबोटिक सर्जरी क्या है और इसके क्या लाभ हैं?

डॉक्टर्स टॉक के इस एपिसोड में हम बात करेंगे दुनिया के प्रसिद्ध लेपेरस्कोपिक और रोबोटिक सर्जन डॉ आर के मिश्रा से रोबाटिक सर्जरी के बारे में। रोबाटिक सर्जरी एक ऐसी आधुनिक तकनीक है जिसके द्वारा सर्जन एक कॉन्सोल से रोबोट का नियंत्रण करता है। रोबोट सर्जरी, या रोबोट-असिस्टेड सर्जरी, डॉक्टरों को पारंपरिक तकनीकों से अधिक सटीक, नम्यता और नियंत्रण के साथ कई प्रकार की मुश्किल प्रक्रियाओं को करने में मदत करता है। डॉ आर के मिश्रा भारत के पहले रोबाटिक सर्जनों में से एक हैं और गुरगाओं में स्थित वर्ल्ड लेपेरोस्कोपी हॉस्पिटल में दुनिया भर से आए हुए चिकित्सकों को लेपेरस्कोपी और रोबाटिक सर्जरी की ट्रैनिंग भी देते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during Total Laparoscopic Hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.

Laparoscopic Pectopexy

Although laparoscopic Sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical uterine prolapse surgery. The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. https://www.laparoscopyhospital.com/

Laparoscopic Hysterectomy with Ureteral Stent Placement

Objective Iatrogenic ureteral injury during gynaecological surgery is associated with increased morbidity when not diagnosed during the initial surgery. Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach. ureteral catheterization should be considered for cost savings in women undergoing benign abdominal or radical hysterectomy in whom the risk of ureteral injury exceeds 3%. We believe that each surgeon should assess his or her personal ureteral injury rate and plan for ureteral catheterization accordingly. Universal ureteral catheterization is cost saving when the rate of ureteral injury during benign abdominal hysterectomy or radical hysterectomy is greater than 4%. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

Laparoscopic Myomectomy for Large Deep Intramural Myoma

This video demonstrates Laparoscopic Myomectomy for Large Deep Intramural Myoma which was intending the cavity. Laparoscopic myomectomy using pneumoperitoneum for large myomas like 12 cm or more is now very popular altho it is difficult by several factors, such as the increased operative time, the risk of perioperative bleeding, and the risk of conversion to laparotomy. With the introduction of skilled surgeons in laparoscopy using good suturing skills, this procedure can be performed using laparoscopic surgical instruments introduced through small abdominal incisions. The aim of this video is to evaluate the feasibility, reproducibility, and safety of laparoscopic myomectomy for very large myomas ≥10 cm using three-port. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपी द्वारा इसका इलाज कैसे किया जा सकता है?

डॉक्टर्स टॉक के इस एपिसोड में हम डॉ. आर. के. मिश्रा से बात करते हैं कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। डॉक्टर्स टॉक के इस एपिसोड में हम डॉ आर. के. मिश्रा से बात करेंगे कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। महिलाओं में बांझपन की पहचान एक लेप्रोस्कोपिक प्रक्रिया द्वारा किया जा सकता है, जो ट्यूबल पेटेन्सी की जांच करता है। लैप्रोस्कोपी की मदत से फलोपियन ट्यूब के रास्ते को खोला जा सकता है या फाइब्रॉएड (जिनके कारण बांझपन की समस्या होती है) को भी निकाला इया सकता है। लेप्रोस्कोपी का उपयोग कर डिम्बग्रंथि पुटी (ओवेरियन सिस्ट) को हटा कर भी भाँझपन का इलाज हो सकता है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

World Laparoscopy Training Institute Dubai

The Laparoscopic surgery training course at World Laparoscopy Training Institute Dubai in Dubai Healthcare City Dubai is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. For more detail log on to: https://www.laparoscopyhospital.com/dubai.html

https://www.laparoscopyhospital.com/

क्या है मोटापा, इसके लक्षण क्या हैं और इसका इलाज लैप्रोस्कोपी द्वारा कैसे होता है

डॉक्टर्स टॉक की इस एपिसोड में हम दुनिया की प्रमुख समस्याओं में से एक ओबेसिटी यानी मोटापा पर चर्चा करते हैं विश्व प्रसिद्ध लेप्रोस्कोपिक सर्जन डॉ। आर. के. मिश्रा के साथ। मोटापा पूरी दुनिया में मौतों के प्रमुख कारणों में से एक है। यह कई अन्य समस्याओं जैसे जोड़ों का प्रदाह, डायबीटीज़, अधिक तनाव के साथ-साथ कई अन्य बीमारियों का कारण बनता है। जबकि इसका इलाज जीवनशैली में बदलाव और आहार में बदलाव से किया जा सकता है लेकिन अगर किसी कारण से सफलता न मिले या आपातकालीन स्थितियों में लैप्रोस्कोपी की मदत से इसका इलाज सबसे उचित तरीका है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Laparoscopic Ovarian Cystectomy for Endometrioma

This video demonstrates Laparoscopic Ovarian Cystectomy for right-sided ovarian Endometrioma. Laparoscopic Ovarian Cystectomy, a conservative surgical procedure for endometriomas due to the invasive nature of the surgery it should be performed inside endobag. The laparoscopic procedure strips the cyst wall – the portion of the cyst containing the endometrial tissue. The benefits of this procedure include decreased recurrence rates, increased chance of spontaneous pregnancy and a significant reduction in pelvic pain. For more information log on to https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG

This video demonstrate Total Laparoscopic Hysterectomy and Bilateral Salpingectomy with Ureteric Mapping using ICG. Indocyanine green (ICG) represents a feasible alternative to the more traditional methods of ureteric mapping during Total Laparoscopic Hysterectomy, and interest in this promising tracer is growing. This video outlines our experience with ICG in a minimally invasive laparoscopic approach in women with DUB using the STRYKER ICG near-infrared fluorescence imaging technology. All patients had undergone simple or laparoscopic hysterectomy with ureteric mapping by means of an intraureteric injection of ICG dye with locations of ureter after the induction of general anesthesia. The detection rate of ICG in ureter was 100 %. All procedures were successfully completed without conversion to open laparotomy, and no intraoperative or postoperative complications occurred. In our preliminary experience, ICG showed a high overall detection rate, and bilateral mapping appears to be a feasible alternative to the more traditional methods of ureteric mapping with a positive impact on patient management.

World Laparoscopy Hospital

World Laparoscopy Hospital's training Institute is situated in Gurugram, India, United Arab Emirates, and the United States of America. This institution meets the guidelines as established in the "Framework for Post Residency Surgical Education and Training" and is endorsed at the Gold level by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). This International Institute of Minimal Access Surgery has an outstanding pool of doctors, scientists, and researchers to foster multidisciplinary investigation, inspiring new ideas and discoveries. https://www.laparoscopyhospital.com/index.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.

Entrenamiento en Laparoscopia en USA.

Este video contiene informacion acerca del entrenamiento en Laparoscopia por el World Laparoscopy Training Institute en USA. Es un curso practico de entrenamiento intensivo de 4 dias de duracion. Puedes obtener mas informacion, yendo al siguiente link. https://www.laparoscopyhospital.com/wlhusa.html

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter

Total Laparoscopic Hysterectomy (TLH) by Three Port and Infrared Ureteric Catheter is the most common major gynecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, the lack of surgical training opportunities is impeding its increased adoption. This video will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH). https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

अंडाशय में पुटी (ओवरिअन सिस्ट) क्या है और इसका इलाज कैसे किया जा सकता है?

डॉक्टर टॉक की इस एपिसोड में हम चर्चा करते हैं कि एक डिम्बग्रंथि पुटी (ओवरिअन सिस्ट) क्या है, इसके लक्षण क्या हैं और हम इसे लेप्रोस्कोपिक का उपयोग करके कैसे ठीक कर सकते हैं। ओवेरियन सिस्ट के लगभग 10 मामले हर साल भारत में देखे जाते हैं और यह महिला प्रजनन प्रणाली की प्रमुख परेशानियों में से एक है। इसे गर्भनिरोधक गोलियों के जरिए या लैप्रोस्कोपिक सर्जरी द्वारा ठीक किया जा सकता है। यदि इसे ठीक ना किया जाए, तो संभोग के दौरान दर्द या अनियमित मल त्याग कुछ ऐसे लक्षण हैं जो हो सकते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Laparoscopic Myomectomy for Large Deep Intramural Myoma

This video demonstrates Laparoscopic Myomectomy for Large Deep Intramural Myoma which was intending the cavity. Laparoscopic myomectomy using pneumoperitoneum for large myomas like 12 cm or more is now very popular altho it is difficult by several factors, such as the increased operative time, the risk of perioperative bleeding, and the risk of conversion to laparotomy. With the introduction of skilled surgeons in laparoscopy using good suturing skills, this procedure can be performed using laparoscopic surgical instruments introduced through small abdominal incisions. The aim of this video is to evaluate the feasibility, reproducibility, and safety of laparoscopic myomectomy for very large myomas ≥10 cm using three-port. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

What is Hernia? Its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hernia. A hernia is a defect in the abdominal wall through which internal organs protrude. A hernia can occur in anyone of any gender or age group. Sometimes even in newborns a hernia is detected called Congenital Hernia. More than 1 million (10 lakh) cases of hernia are observed in India every year. It can be treated by Open surgery or Laparoscopy but the laparoscopic procedure provides many advantages compared to traditional open surgery. For more information visit https://www.laparoscopyhospital.com/

Learn about Fibroid and its treatment by laparoscopy in Simple Language

This video explains in simple language about fibroid. Fibroids are benign tumors made of smooth muscle cells and fibrous connective tissue. They develop in the uterus. It is estimated that 70-80% of women will develop fibroids in their lifetime—however, not everyone will develop symptoms or require treatment. The most important characteristic of fibroids is that they are not cancer, and they do not have the potential to become cancer. Because of that, it is reasonable for women without symptoms to opt for observation rather than treatment. Studies show us that fibroids grow at different rates, even in the same woman, and can range from the size of a pea to the size of a watermelon. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Myomectomy for Intramural Fibroid

This video demonstrate surgical technique of Laparoscopic Myomectomy for Large. Intramural Myoma. Myomectomy (my-o-MEK-tuh-me) is a surgical procedure to remove uterine fibroids also called leiomyomas (lie-o-my-O-muhs). These common noncancerous growths appear in the uterus. Uterine fibroids usually develop during childbearing years, but they can occur at any age. Compared with women who have a laparotomy, women who undergo laparoscopy have less blood loss, shorter hospital stays and recovery, and lower rates of complications and adhesion formation after surgery. There are limited comparisons between laparoscopic and robotic myomectomy. Robotic surgery may take longer and be more costly, but otherwise few differences in outcomes are reported. For more detail: https://www.laparoscopyhospital.com/

Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroid.

This video demonstrates Laparoscopic myomectomy instead of hysteroscopic myomectomy for large submucous fibroids. Laparotomy, laparoscopy, and hysteroscopy are the three main procedures employed by gynecologists to remove uterine fibroids. The abdominal approach (laparotomy and laparoscopy) is used to treat subserousal and intramural lesions, and the vaginal approach (hysteroscopy) is used for submucous fibroids. With the advent of hysteroscopic surgery, operative hysteroscopies can manage most intrauterine surgical problems with fast recovery. However, hysteroscopic myomectomy for large deeply intramural extension submucous fibroid has still deemed a challenge for hysteroscopists. It involves issues of longer operating time, fluid overload, uterine perforation, and incomplete resection in one surgery. In conclusion, even hysteroscopic myomectomy offers several benefits to the patient. We must bear in mind that hysteroscopic removal of large deeply intramural invasion submucous fibroids is still a technically challenging procedure and might be associated with higher surgical morbidity and incidence of additional surgery. To avoid these tough situations, the vaginal approach should be shifted to the abdominal approach with laparoscopy, which can remove fibroids and still meet the principle of minimally invasive surgery; however, this particular approach should be performed only by those surgeons who are skilled in laparoscopic suturing. For more https://www.laparoscopyhospital.com/

Laparoscopic Surgery for Torsion of Ovarian Cyst

This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion. For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html

Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid

This video demonstrates Total Laparoscopic Hysterectomy for Very Large Uterus with Huge Fibroid. It is not uncommon for a laparoscopic surgeon to be able to perform the entire laparoscopic hysterectomy using a few 10mm and 5-mm ports and then a larger abdominal incision to remove the surgical specimen using morcellator. In conclusion, this video shows that the size of the uterus does not forbid the laparoscopic approach for hysterectomy. https://www.laparoscopyhospital.com/quizinteractive3.htm

Feedback about Training at World Laparoscopy Hospital

World Laparoscopy Hospital offer one of the most modern facility for minimal access surgery available today in the World by providing advanced minimal access surgery and most advanced da Vinci Robotic Surgery by four arms high definition surgical robot. World Laparoscopy Hospital has its center in Delhi, Dubai and Florida. https://www.laparoscopyhospital.com/

Discussion on Laparoscopy and its benefits

In this episode of Doctor's Talk Dr. R K Mishra, one of the leading Laparoscopic Surgeons in the world, discuss the process and benefits of the surgical method known as Laparoscopy. Laparoscopy, aka keyhole surgery, is an alternative to traditional open surgery. In this method rather than cutting open large parts of the abdomen, smalls incisions are made through which a laparoscope (camera) is inserted into the abdominal cavity. This method provides several benefits as compared to traditional open surgery which includes but are not limited to faster recovery time, less chance of complications and less pain. For more information visit https://www.laparoscopyhospital.com/

गर्भाशय की रसौली, बच्चेदानी में गांठ होने के लक्षण, कारण, इलाज व बचाव

यूटराइन फाइब्रॉइड गर्भाशय का गैर कैंसरस ट्यूमर है। इसे गर्भाशय की रसौली भी कहा जाता है। गर्भाशय की मांसपेशियों में छोटी-छोटी गोलाकार गांठें बनती हैं, जो किसी महिला में कम बढ़ती हैं और किसी में ज्यादा। यह मटर के दाने के बराबर भी हो सकती हैं और किसी-किसी महिला में यह बढ़ कर फुटबॉल जैसा आकार भी ले सकती हैं। महिलाओं में गर्भाशय से जुड़ी समस्याएं तेजी से बढ़ रही हैं। किसी को अनियमित पीरियड्स की शिकायत है, तो किसी को अत्यधिक रक्तस्राव हो रहा है। वहीं, कुछ महिलाएं ऐसी हैं, जो गर्भाशय फाइब्रॉएड (रसौली) से जूझ रही हैं। हालांकि, इसका उपचार आसान है, लेकिन अनदेखी करने पर बांझपन जैसे गंभीर परिणाम भुगतने पड़ सकते हैं। हैरानी की बात तो यह है कि अधिकतर महिलाओं को फाइब्रॉएड के बारे में पता ही नहीं है। फाइब्राइड उन युवतियों को अधिक होते हैं जो बड़ी उम्र तक अविवाहित रहती हैं। डॉक्टर्स का कहना है कि एक उम्र विशेष पर शरीर के भीतरी अंगों की अपनी जरूरत पनपती है और वह पूरी नहीं होती तो फाइब्राइड की समस्या जन्म लेती है। इसी से जुड़ा यह तथ्य है कि शरीर जब बच्चे को जन्म देने के लिए तैयार होने लगता है तब ढेर सारे हार्मोनल परिवर्तन होते हैं उन परिवर्तनों के अनुसार जब शरीर बच्चे को जन्म नहीं दे पाता है तो इस तरह की परेशानी सामने आती है। मायोमेक्टमी और हिस्टरेक्टमी दोनों ही लैप्रोस्कोपिक (छोटे सुराख से) तरीके से भी की जा सकती हैं। इस प्रक्रिया से सर्जरी करने के बाद ठीक होने का समय कम हो जाता है। लेकिन दोनों ही इनवेसिव तरीके तो हैं ही जिनमें एनैस्थिसिया और सर्जरी के बाद की कुछ जटिलताओं की संभावना हमेशा रहती है। https://www.laparoscopyhospital.com/

Role of Laparoscopy in Cancer Surgery

This video explain the Role of Laparoscopy in Cancer Surgery. The role of laparoscopy for cancer has expanded to include diagnosing, staging, treating, monitoring, and palliating many types of malignancies. A laparoscopic guided biopsy allows the confirmation of malignancy by providing tissue specimens, especially in cases where other means of biopsy are not feasible. For more information visit https://www.laparoscopyhospital.com/

What is Ovarian Cyst and how can it be treated?

In this episode of Doctor's Talk we discuss what is an Ovarian Cyst, what are its symptoms and how can we cure it using Laparoscopic measures. Around 10 million cases of Ovarian Cyst are observed in India every year and is one of the leading complications of the female reproductive system. It can be cured through contraceptive pills or by Laparoscopic Surgery. If left untreated menstrual irregularities, pain during intercourse or irregular bowel movements are some of the symptoms that may occur. For more information visit https://www.laparoscopyhospital.com/

Laparoscopic Pectopexy

Although laparoscopic Sacrocolpopexy has shown excellent anatomical and functional long-term results, laparoscopic pectopexy offers a feasible, safe, and comfortable alternative for apical prolapse surgery. Pectopexy may increase a surgeon's technical perspective for apical uterine prolapse surgery. The laparoscopic pectopexy procedures were successfully performed, without intraoperative and postoperative complications. De novo apical prolapse, de novo urgency, de novo constipation, stress urinary incontinence, anterior and lateral defect cystoceles, and rectoceles did not occur in any of the patients during a 6-month follow-up period. https://www.laparoscopyhospital.com/

अपेंडिक्स का ऑपरेशन क्यों किया जाता है? अपेंडिक्स का ऑपरेशन कैसे होता है?

अपेंडिक्स का ऑपरेशन कैसे होता है | अपेंडिसाइटिस का निदान होने पर आपको इस सर्जरी की आवश्यकता होती है। इस स्थिति में आपका अपेंडिक्स पीड़ादायक, सूजा हुआ और संक्रमित हो जाता है। आगरा आपको अपेंडिसाइटिस है तो, अपेंडिक्स के फटने का गंभीर जोखिम रहता है और ये लक्षण दिखने के 48 से 72 घंटों में हो सकता है। इस स्थिति में आपके पेट में पेरिटोनाइटिस नामक एक गंभीर जानलेवा संक्रमण हो सकता है। अपेंडिक्स का ऑपरेशन (अपेन्डेक्टमी/ एपेन्डेक्टमी; Appendectomy) एक सर्जिकल प्रक्रिया है जिसके ज़रिये संक्रमित अपेंडिक्स (Appendix) को हटाया जाता है। इस स्थिति को अपेंडिसाइटिस (Appendicitis) कहा जाता है। अपेन्डेक्टमी, जिसे अपेंडिसेक्टोमी (Appendisectomy or Appendicectomy) भी कहा जाता है, एक आम आपातकालीन सर्जरी है। अपेंडिक्स बड़ी आंत से जुड़ा एक छोटा पाउच है। यह पेट की निचिले हिस्से में दाँई ओर होता है। अगर आपको अपेंडिसाइटिस है तो आपके अपेंडिक्स को तुरंत निकालने के ज़रूरत होती है। अगर इसका उपचार न किया जाये तो अपेंडिक्स फट सकता है। यह एक मेडिकल एमर्जेन्सी (Emergency; आपातकालीन स्थिति) है। https://www.laparoscopyhospital.com/

What is Obesity, its symptoms and cure using Laparoscopy

In this episode of Doctor's talk we discuss one of the leading medical conditions in the world, Obesity, with the world-renowned Laparoscopic Surgeon Dr. R K Mishra. Obesity is one of the leading causes of death in the whole world. It also causes many other problems such as Arthritis, Diabetes, Hypertension along with a number of other diseases which includes the mostly fatal condition of morbid obesity. While it can be treated by lifestyle changes and changes in diet but if due to some reason it is not successful or in emergency situations Laparoscopy is the best way to treat the problem. For more information visit https://www.laparoscopyhospital.com/

World Laparoscopy Training Institute, Tampa, Florida, USA

TWorld Laparoscopy Training Institute, Tampa, Florida, USA, is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

हर्निया क्या है, इसके कारण और लेप्रोस्कोपी द्वारा इसका उपचार कैसेहोटा है

डॉक्टर्स टॉक की इस एपिसोड में हम हर्निया के बारे में डॉ। आर के मिश्रा से चर्चा कर रहें हैं। हर्निया पेट की दीवार में एक दोष है जिसके द्वारा से आंतरिक अंग बाहर उभरने लगते हैं। हर्निया किसी भी लिंग या आयु वर्ग के किसी भी व्यक्ति में हो सकता है। कभी-कभी नवजात शिशुओं में भी हर्निया पाया जाता है जिसे कांगेनिटल हर्निया कहते है। हर साल भारत में हर्निया के 10 लाख से अधिक मामले देखे जाते हैं। इसका इलाज ओपन सर्जरी या लैप्रोस्कोपी द्वारा किया जा सकता है लेकिन लेप्रोस्कोपिक प्रक्रिया पारंपरिक ओपन सर्जरी की तुलना में कई फायदे प्रदान करती है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

रोबोटिक सर्जरी क्या है और इसके क्या लाभ हैं?

डॉक्टर्स टॉक के इस एपिसोड में हम बात करेंगे दुनिया के प्रसिद्ध लेपेरस्कोपिक और रोबोटिक सर्जन डॉ आर के मिश्रा से रोबाटिक सर्जरी के बारे में। रोबाटिक सर्जरी एक ऐसी आधुनिक तकनीक है जिसके द्वारा सर्जन एक कॉन्सोल से रोबोट का नियंत्रण करता है। रोबोट सर्जरी, या रोबोट-असिस्टेड सर्जरी, डॉक्टरों को पारंपरिक तकनीकों से अधिक सटीक, नम्यता और नियंत्रण के साथ कई प्रकार की मुश्किल प्रक्रियाओं को करने में मदत करता है। डॉ आर के मिश्रा भारत के पहले रोबाटिक सर्जनों में से एक हैं और गुरगाओं में स्थित वर्ल्ड लेपेरोस्कोपी हॉस्पिटल में दुनिया भर से आए हुए चिकित्सकों को लेपेरस्कोपी और रोबाटिक सर्जरी की ट्रैनिंग भी देते हैं। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

Laparoscopic Hernia Repair Large Sac TAPP Repair

This video demonstrates Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair. https://www.laparoscopyhospital.com/SERV02.HTM

Prevention and extraction of Gall Bladder stone using Laparoscopic procedures

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Gall Bladder stone extraction using Laparoscopy, also known as Cholecystectomy. More than 10 Million (1 Crore) cases of Gall Bladder stone are observed in India every year. It is caused by hardened deposits of digestive fluids and is treated surgically by removal of the gall bladder. Gallstones can vary in size, number and may or may not cause symptoms in the individual making it harder to detect. For more information visit https://www.laparoscopyhospital.com/

दूरबीन से ऑपरेशन, पित्त की थैली पथरी के दुष्परिणाम और इलाज

पित्त की थैली में पथरी व सूजन की बीमारी के मरीज आए दिन बढ़ रहे हैं। खासकर महिलाओं में इस तरह की बीमारी ज्यादा देखी जा रही है। यह बीमारी महिलाओं को उम्र के ऐसे पड़ाव में होती जब महिला 40 वर्ष पार कर चुकी होती है। हालांकि डॉक्टरों का कहना है कि इस के होने का कारण अन्य भी हो सकते हैं, जैसे वसा युक्त पदार्थों का अधिक सेवन, मोटापा आदि। हालांकि पुरुषों में भी इस तरह की बीमारी काफी होती है, लेकिन महिलाओं से अपेक्षाकृत कम होती है। Dr. R.K. Mishra का कहना है कि पित की थैली की पथरी को निकालने के लिए सर्जरी ही एकमात्र इलाज होता है। लैप्रोस्कोपी अर्थात दूरबीन विधि से ऑपरेशन करने को लेकर लोगों में भ्रांतियां हैं जबकि चीरा विधि की अपेक्षा दूरबीन विधि में मरीज को ज्यादा लंबे समय तक हॉस्पिटल में भर्ती नहीं रहना पड़ता। इसके साथ ही पेट पर एक या चार छेद कर हार्निया, एपेंडिक्स, ट्यूमर व पथरी का सफल ऑपरेशन किया जा सकता है। इसमें समय कम लगता है और खून की भी जरूरत न के बराबर होती है। दूरबीन विधि का एक अन्य लाभ यह है कि इसमें पेट में चीरा व टांके नहीं लगते और सिर्फ एक छेद नाभि में होने से पेट कटने के कोई निशान भी नहीं आते। https://www.laparoscopyhospital.com/

Laparoscopic Bilateral Inguinal Hernia Repair

This video demonstrates Laparoscopic Bilateral Inguinal Hernia Repair. Laparoscopy is gold standard for bilateral inguinal hernia repair. In this surgery, the abdomen of the patient is inflated with a harmless CO2 gas. This gives the surgeon a better look at abdominal organs. He’ll make a few small incisions in the abdomen, usually three. He’ll insert a thin instrument with a tiny camera on the end (laparoscope). The surgeon uses images from the laparoscope as a guide to repairing the hernia with mesh. For laparoscopic surgery, you’ll receive general anesthesia. The TAPP may be a better option for bilateral inguinal hernia repair in the setting of an incarcerated hernia as it provides better visualization and space for manipulation of viscera. A low threshold for conversion should always be maintained when attempting a laparoscopic repair for an incarcerated hernia. For more detail https://www.laparoscopyhospital.com/

What is Appendicitis, its causes and treatment using Laparoscopy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about appendicitis (inflammation of Appendix) The appendix is a sac-like structure attached to the large intestine that has no known purpose. Appendicitis (inflammation of the Appendix) begins with fever and pain near the belly button and then moves toward the lower-right side of the abdomen. This often causes nausea, vomiting, loss of appetite and fever. Appendicitis is usually treated with antibiotics and surgery is required within 24 hours of its diagnosis. If left untreated, the appendix can rupture and cause an abscess or systemic infection (sepsis). For more information visit https://www.laparoscopyhospital.com/

Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury

This video demonstrates Robotic Roux-en-Y Hepaticojejunostomy in a Post-cholecystectomy Bile Duct Injury. Roux-en-Y hepaticojejunostomy anastomosis is the treatment of choice for common hepatic duct injury type E2. It has been performed laparoscopically with the advancement of laparoscopic skill. Recently, a robotic surgical system was introduced, providing laparoscopic instruments with wrist-arm technology and 3-dimensional visualization of the operative field. We present a case of a female patient who had undergone elective cholecystectomy 2 mo ago for gall stones and had a common bile duct injury during surgery. As the stricture was old and complete it could not be tackled endoscopically. We did a robotic adhesiolysis followed by robotic Roux-en-Y hepaticojejunostomy. No intraoperative complications or technical problems were encountered. Postoperative period was uneventful and she was discharged on the 4th postoperative day. At follow-up, she is doing well without evidence of jaundice or cholangitis. This is the first reported case of robotic hepaticojejunostomy following common bile duct injury. For more detail log on to: https://www.laparoscopyhospital.com/robotic-surgery.html

Laparoscopic Heller's Myotomy with Appendectomy

The Laparoscopic Heller myotomy is a laparoscopic (minimally invasive) surgical procedure used to treat achalasia. Achalasia is a disorder of the esophagus that makes it hard for foods and liquids to pass into the stomach. The Laparoscopic Heller myotomy is essentially an esophagomyotomy, the cutting the esophageal sphincter muscle, performed laparoscopically. The Laparoscopic Heller myotomy operation's success rate is very high and usually permanent. In the procedure of Laparoscopic Heller myotomy, several tiny incisions are made and a small scope inserted, through which miniature surgical instruments are passed. The scope is connected to a video camera which then sends a magnified image to a monitor, allowing the surgeon to envision the anatomy and manipulate the instruments. For more information https://www.laparoscopyhospital.com/SERV02.HTM

Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator

This video demonstrates Total Laparoscopic Hysterectomy by Myoma Screw Without Uterine Manipulator. In this technique, the uterus was bound from the uterine corpus and fundus like a bridle with Myoma Screw, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 90% of cases. The mean application time was 30 min. The vaginal manipulator was not required in any of the cases. There were no intraoperative complications. In conclusion, this method has the advantages of not requiring any vaginal manipulator, reducing the number of people required during operation, permitting a near-maximum manipulation of the uterus in all three dimensions, and giving the control of these manipulations directly to the surgeon. For more information https://www.laparoscopyhospital.com/youtube/preview.php

Difficult Total Laparoscopic Hysterectomy

This video shows a Difficult Total Laparoscopic Hysterectomy performed by Dr. R.K. Mishra at World Laparoscopy Hospital. The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this video was to investigate the potential different levels of difficulty for laparoscopic hysterectomy. Several factors may influence the estimated level of difficulty of total laparoscopic hysterectomy: uterine size on bimanual palpation, presence of fibroid, patients’ weight and BMI, previous abdominal surgery and surgeon’s experience with the planned approach to hysterectomy. For more videos please log on to https://www.laparoscopyhospital.com/DOWNLOADS.HTM

Laparoscopic Hysterectomy with Ureteral Stent Placement

Objective Iatrogenic ureteral injury during gynaecological surgery is associated with increased morbidity when not diagnosed during the initial surgery. Preoperative insertion of ureteral catheters may enhance intraoperative recognition of injury and repair, but it is controversial. We sought to analyze the costs of this approach. ureteral catheterization should be considered for cost savings in women undergoing benign abdominal or radical hysterectomy in whom the risk of ureteral injury exceeds 3%. We believe that each surgeon should assess his or her personal ureteral injury rate and plan for ureteral catheterization accordingly. Universal ureteral catheterization is cost saving when the rate of ureteral injury during benign abdominal hysterectomy or radical hysterectomy is greater than 4%. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

लैप्रोस्कोपिक हिस्टेरेक्टॉमी पर चर्चा

डॉक्टर्स टॉक की इस एपिसोड में हम डॉ। आर. के. मिश्रा से हिस्टेरेक्टॉमी के बारे में चर्चा करते हैं। हिस्टेरेक्टॉमी एक महिला के गर्भाशय को हटाने के प्रक्रिया को कहते हैं और कई कारण हैं कि यह प्रक्रिया करना आवश्यक क्यों हो सकता है। हिस्टेरेक्टॉमी करने के कारणों में से कुछ हैं: यूटरिन प्रोलैप्स, गर्भाशय फाइब्रॉएड और गर्भाशय का कैंसर। लैप्रोस्कोपिक हिस्टेरेक्टॉमी पारंपरिक ओपन सर्जरी के मुकाबले कई फायदे प्रदान करता है जैसे तेजी से रिकवरी समय, जटिलता की कम संभावना और छोटे चीरे की ज़रूरत परना।

Laparoscopic Repair of Subcostal Incisional Hernia

This video demonstrates the Laparoscopic Repair of Subcostal Incisional Hernia. The subcostal incisional hernia, though not very common, requires adequate surgical treatment. Its surgical correction involves rebuilding the muscle-aponeurotic defect, supra-aponeurotic fixation of polypropylene _ Polyurathane mesh, with less complexity and lower rates of complications and recurrences. https://www.laparoscopyhospital.com/admission.php

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 Sacrocolpopexy for Vault Prolapse

Post-hysterectomy vaginal vault prolapse has a reported incidence of 0.36 to 3.6 per 1,000 woman years or a cumulative incidence of 0.5%. Laparoscopic sacrocolpopexy was first reported in 1994. Laparoscopic sacrocolpopexy has potential advantages over laparotomy, as morbidity, hospital stay, postoperative pain and recovery are all supposed to be less. Moreover, the aesthetic result is better after minimally invasive sacrocolpopexy. However, the laparoscopic approach is more challenging and the literature reports a long learning curve associated with this technique. More importantly, it is unknown if the laparoscopic mesh fixation to the promontory results in an equal anatomical outcome, as it has been stated that as part of the laparoscopic approach, the fixation point is higher, which could result in a more vertical position of the vagina. https://www.laparoscopyhospital.com/wlhusa.html

महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपी द्वारा इसका इलाज कैसे किया जा सकता है?

डॉक्टर्स टॉक के इस एपिसोड में हम डॉ. आर. के. मिश्रा से बात करते हैं कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। डॉक्टर्स टॉक के इस एपिसोड में हम डॉ आर. के. मिश्रा से बात करेंगे कि महिलाओं में बांझपन का क्या कारण है और लैप्रोस्कोपिक विधियों का उपयोग करके इसका इलाज कैसे किया जा सकता है। महिलाओं में बांझपन की पहचान एक लेप्रोस्कोपिक प्रक्रिया द्वारा किया जा सकता है, जो ट्यूबल पेटेन्सी की जांच करता है। लैप्रोस्कोपी की मदत से फलोपियन ट्यूब के रास्ते को खोला जा सकता है या फाइब्रॉएड (जिनके कारण बांझपन की समस्या होती है) को भी निकाला इया सकता है। लेप्रोस्कोपी का उपयोग कर डिम्बग्रंथि पुटी (ओवेरियन सिस्ट) को हटा कर भी भाँझपन का इलाज हो सकता है। अधिक जानकारी के लिए https://www.laparoscopyhospital.com/ पर जाएं

World Laparoscopy Training Institute Dubai

The Laparoscopic surgery training course at World Laparoscopy Training Institute Dubai in Dubai Healthcare City Dubai is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. For more detail log on to: https://www.laparoscopyhospital.com/dubai.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/

TAPP Hernia Repair by Ipsilateral Port

This video demonstrate TAPP (Transabdominal Preperitoneal Inguinal Hernia) Repair by Ipsilateral Port. The indications for laparoscopic inguinal hernia repair, TAPP or TEP, are the same for open inguinal hernia repair. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. For young, active males with primary hernias, it may ofter decrease pain and an earlier return to activity. Prior to lower abdominal surgery or pelvic radiation is strong relative contraindications, as these may make access to the preperitoneal space difficult. The hernia is visualized, and the peritoneum overlying it incised sharply. Blunt dissection can be used to peel the peritoneal flaps inferiorly, exposing the inferior epigastric vessels, the pubic symphysis and the Cooper’s ligament, and the iliopubic tract. A direct hernia should be reduced if seen, and an indirect dissected from the cord structures. Femoral and obturator hernias can also be visualized and reduced. Care is taken to avoid the “Triangle of Doom” containing the external iliac vessels bordered by the vas deferens medially and the gonadal vessels laterally. A mesh ranging from 10 to 15 cm in diameter of polypropylene or polyester is introduced through the optical trocar and positioned anterior along the pelvic wall with the center over of the primary hernia defect. For more detail log on to https://www.laparoscopyhospital.com/youtube/preview.php

Procedure for prolapse and hemorrhoids (PPH)

This video demonstrate This operation is also known as stapled anopexy. A specially designed circular stapling instrument is inserted through the anus (back passage) into the rectum. . The operation pulls the swollen and prolapsing blood vessels of the hemorrhoids (piles) back into their normal position by removing a circumferential section (complete ring) of the internal rectal lining. The wound is inside the rectum causing little pain. Patients usually underwent a one-day surgical procedure, with a preoperative self-administered rectal enema on the evening before and the morning of the operation; no antibiotic prophylaxis was given.

World Laparoscopy Training Institute - USA

Laparoscopic Training Institute USA provide state of the art Laparoscopic Training. The Laparoscopic surgery training course in Tampa, Florida, USA is created and designed in such a scientific manner that after this laparoscopic surgery training program surgeons, gynecologists will be able to do all the taught laparoscopic surgery their own on their patients. https://www.laparoscopyhospital.com/wlhusa.html

How to perform safe Dermoid Ovarian Cystectomy without Spillage

This video demonstrate How to perform safe Ovarian Dermoid Cystectomy without Spillage by Dr. R K Mishra at World Laparoscopy Hospital. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in the management of ovarian dermoid cysts in selected cases. Laparoscopy should be considered as a method of choice for the removal of ovarian dermoid cysts. It should be performed by surgeons with considerable experience in advanced laparoscopic surgery. Experienced laparoscopic surgeons should consider laparoscopy as an alternative to laparotomy in management of ovarian dermoid cysts in selected cases. We concluded that the risk of chemical peritonitis can be minimized when undertaking the laparoscopic removal of ovarian dermoid cysts and if the peritoneal cavity is washed out thoroughly from spillage of cysts contents. In patients whom ovarian dermoid cysts ruptured, the peritoneal cavity should be drained. For more information https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html

What causes Infertility in women and how can it be treated by Laparoscopy?

In this episode of Doctor's Talk we talk to Dr. R. K. Mishra about what causes infertility in women and how can it be treated using Laparoscopic methods. Infertility in women can be diagnosed by a laparoscopic procedure by checking the tubal patency. Unblocking of the fallopian tube using laparoscopy or infertility causing fibroids can also be removed using laparoscopy. Removal of the ovarian cyst using laparoscopy can also be used to treat infertility. For more information visit https://www.laparoscopyhospital.com/

Discussion on Laparoscopic Hysterectomy

In this episode of Doctor's Talk we discuss with Dr. R K Mishra about Hysterectomy. Hysterectomy is the removal of a women's uterus and there are many reasons why it may be necessary. Some of the reasons why it may become necessary to perform Hysterectomy are Uterine Prolapse, Uterine Fibroids, and cancer of uterus among many others. Laparoscopic Hysterectomy offers many advantages over traditional open surgery which includes faster recovery time, less chance of complication and smaller incisions among many others. For more information visit https://www.laparoscopyhospital.com/

Total Laparoscopic Hysterectomy with Indocyanine green

Conventional Total Laparoscopic Hysterectomy is the standard surgical procedure for treating uterine diseases. The procedure involves removal of the uterus and the surgery involves cutting the uterine artery, separating the ureter tunnel, and performing bladder separation and colpotomy. The procedure is frequently associated with postoperative insufficiency of ureteral blood supply and repair problems. This can lead to significant ureteral complications, such as postoperative ischemic necrosis, urinary fistula, stenosis, etc. ICG 25 mg was mixed with 10 mL sterile water, and 5 ml of the dilution was injected in both the ureter. The dye was tracked intraoperatively in real-time using an infrared fluorescence laparoscopic system (Endoscope Camera Fluorescent System; Stryker 1688 in order to reveal ureteral branch, bladder, and the ureter. The fluorescent signals were processed by a digital video system and displayed on a TV monitor in real time. https://www.laparoscopyhospital.com/

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