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 for Very Large Uterus With Multiple Fibroid
In this video, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uterus weighing more than 9500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform an efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number, and location of the myomas. Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas. https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html
Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac
This video demonstrates Laparoscopic Ablation and Fulguration of Endometriosis of Cul-De-Sac and application of interceed which act as a mechanical adhesive barrier. Ablation/fulguration of ovarian tissue during laparoscopy isn't recommended. Surgical excision is the most common and effective treatment for endometriosis of the ovary (endometrioma cyst). Surgical removal at the time of laparoscopy has been shown to improve pain without damaging the ovaries. A laparoscopy is a surgical procedure that may be used to diagnose and treat various conditions, including endometriosis. By laparoscopic surgery, it is also possible to remove cysts, implants, and scar tissue caused by endometriosis. Laparoscopy for endometriosis is a low-risk and minimally invasive procedure.
Laparoscopic 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
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
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.
The uterine manipulators in use for various gynecological laparoscopic surgeries including laparoscopic hysterectomy or laparoscopic pelvic endometriosis have to achieve many different tasks in order to arrive at a safe and successful outcome in gynecological and pelvic surgery. The most obvious function of Uterine Manipulators is to suitably mobilize the uterus.
Laparoscopic 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 Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis (4 K Video)
This video demonstrates Laparoscopic Myomectomy for Posterior Wall Fibroid Uterus with Endometriosis. Laparoscopic myomectomy is only appropriate when indi- cations for surgery have been met. Pelvic pain, pressure, and abnormal uterine bleeding are the most common symptoms that lead women to seek surgery for fibroids. This patient has fibroid uterus which is adhered with Rectum. She has mild endometriosis of cul de sac as well. Up to 50% of uterine fibroids cause symptoms severe enough to warrant therapy. In this patient for endometriosis electrosurgical fulgration is done and Interceed is also used. The surgical therapy, depending on the type of myoma, may consist of myomectomy and hysterectomy (by abdominal, laparoscopic, or vaginal route), myolysis, or hysteroscopic resection. For more detail https://www.laparoscopyhospital.com/SERV01.HTM
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 - Aspiration with Transparent Needle
This video demonstrates laparoscopic ovarian cystectomy. An ovarian cystectomy is a laparoscopic surgery to remove a cyst from your ovary. Laparoscopic surgery is a minimally invasive surgical technique that only uses a few small incisions in your lower abdomen. https://www.laparoscopyhospital.com/mmas.htm
Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility
This video demonstrates Diagnostic Laparoscopy, Hysteroscopy and Dye Test for Infertility. A laparoscopy, Hysteroscopy, and dye test is an operation to help find out why any female is having difficulty becoming pregnant. The dye test will show if your fallopian tubes are blocked. The laparoscopy will help find out if a patient has endometriosis, pelvic infection, adhesions, ovarian cysts or fibroids. Some minor treatments can be performed at the same time. A laparoscopy and dye test is usually performed under a general anesthetic. The operation usually takes about fifteen minutes. The gynecologist will make only two small cuts on the abdomen. Surgical instruments, along with a telescope will be introduced inside the abdomen to perform the operation. A gynecologist will inject a dye, which passes down the fallopian tubes. For more information: https://www.laparoscopyhospital.com/gynaecological-laparoscopy.html
Laparoscopic Surgery for Left Ovarian Dermoid Cyst
This video demonstrates Laparoscopic Surgery for Left Ovarian Dermoid Cyst. These dermoid cysts can be removed with either conventional surgery or laparoscopy (surgery that uses small incisions and specially designed instruments to enter the abdomen or pelvis). Laparoscopic management of dermoid cysts is a safe and beneficial method in selected patients when performed by an experienced laparoscopic surgeon.
First in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder & Appendix removed by Laparoscopy
This Video demonstrates First time in the World 3.5 Kg Fibroid, Ovarian Cyst, Gallbladder and Appendix removed by Laparoscopy in the Same Patient. The patient has torsion of Myoma giving severe pain, She had multiple episodes of appendicitis in the past. She had Cholelithiasis and one paraovarian cyst. All were removed by laparoscopy. The surgery took 6 hour time. Only 4 ports were used to remove all these pathologies. She was also having hydronephrosis due to the pressure of fibroid on the ureter.
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
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
Para-umbilical Hernia IPOM Repair
This video demonstrates laparoscopic repair of a paraumbilical hernia. A paraumbilical hernia is an area of weakness around your umbilicus that adults are more likely to develop. An umbilical hernia is an area of weakness in your umbilicus (naval) that often develops in children. A paraumbilical or umbilical hernia is a common type of abdominal hernia. Paraumbilical hernias usually develop later in life and are often caused by acquired abdomen openings linked to intra-abdominal pressure from carrying excess body weight, ascites, cancer or other intra-abdominal malignancy, or multiple pregnancies. Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years but there is always a chance of incarceration. For more information: https://www.laparoscopyhospital.com/SERV01.HTM
How to 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
Safest Way to Perform Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy
Risk-Reducing Bilateral Salpingo-oophorectomy: Surgery to remove both healthy fallopian tubes and both healthy ovaries. The surgery is done to reduce the risk of cancer. Salpingectomy: Surgery to remove one or both of the fallopian tubes. the side effects of laparoscopic hysterectomy? These risks include major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots. infection. anesthesia side effects. bowel blockage. The side effects of laparoscopic hysterectomy are major blood loss. damage to surrounding tissues, including the bladder, urethra, blood vessels, and nerves. blood clots...
Intraperitoneal Onlay Mesh Repair of Inguinal Hernia
This video demonstrates Intraperitoneal Onlay Mesh Repair of Inguinal Hernia. Our study at World Laparoscopy hospital as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). These data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However, the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.
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, 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
Da Vinci Robotic Hysterectomy
This video demonstrates Da Vinci Robotic Hysterectomy performed by Dr R K Mishra at World Laparoscopy Hospital. Vaginal hysterectomy removes the uterus through an incision in your vagina. Doctors perform minimally invasive laparoscopic or robotic-assisted surgeries through a few small incisions or a single small incision near the belly button. Recovery after robotic hysterectomy is shorter and less painful than after an abdominal hysterectomy. Full recovery might take three to four weeks. During robotic surgery, your doctor performs the hysterectomy with instruments that are passed through small abdominal cuts (incisions). The magnified, 3D view makes possible great precision, flexibility, and control.
Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy
This video demonstrates Step by Step demonstration of Inguinal Hernia Surgery by Laparoscopy performed by Dr. R K Mishra at World Laparoscopy Hospital. Laparoscopic inguinal hernia repair is performed with general anesthesia. Two 5mm and one 10mm incision are made in the lower part of the abdomen. In laparoscopic inguinal hernia repair, a camera called a laparoscope is inserted into the abdomen to visualize the hernia defect on a monitor. The image on the monitor is used to guide the surgeon’s movements. The inguinal hernia sac is removed from the defect in the abdominal wall, and a prosthetic mesh is then placed to cover the hernia defect. While doing this, surgeons are careful to avoid injuring the nerves that are near the hernia that can cause chronic pain if injured, blood vessels that can bleed, or the vas deferens. The small incisions are closed with suturing that dissolve on their own over time. You should discuss all hernia repair options with your surgeon to determine which approach is best for you. The hernia is repaired by a different technique like TAPP, TEP or IPOM. The majority of patients undergoing elective or nonemergent groin hernia repair go home the same day as the surgery once their pain is under control, they have urinated, and they are able to tolerate food or liquids without nausea or vomiting.
Difficult Laparoscopic Cholecystectomy performed by Pledget Dissection of Calot's triangle
This video demonstrates Difficult Laparoscopic Cholecystectomy with Pledget and Mishra's Knot. Laparoscopic cholecystectomy is the treatment of choice for gall bladder stone disease. Difficult laparoscopic cholecystectomy is associated with serious complications and a high conversion rate. The aim of this video is to show the video of difficult laparoscopic cholecystectomy to give information about the current strategies to manage difficult cholecystectomy. No consensus is found among laparoscopic surgeons on how to manage difficult laparoscopic cholecystectomy. Iatrogenic injuries and conversion rate can be reduced depending on the surgeon's experience, special techniques, and intraoperative investigations, and using blunt dissection with the help of pledget and tying an extracorporeal knot. Subtotal cholecystectomy, antegrade or fundus first techniques and intra-operative cholangiogram using ICG can significantly reduce the complications and conversion rate of laparoscopic cholecystectomy.
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 Repair of Recurrent Umbilical Hernia
This video demonstrates laparoscopic repair of Umbilical recurrent hernia. An umbilical hernia is a rather common surgical problem. Elective repair after diagnosis is advised by the laparoscopic technique. Suture repairs have high recurrence rates; therefore, mesh reinforcement is recommended. Mesh can be placed through either an open or laparoscopic approach with good clinical results. We are performing at World Laparoscopy Hospital for more than 20 years. Laparoscopic umbilical hernia repair has been practiced at World Laparoscopy Hospital since the late 1990s. Newer bilayer prosthetic devices are designed for open intraperitoneal inlay placement. They have two sides, one is polypropylene and the other side is a non-adherent material to face viscera. Bilayer polypropylene or partially reabsorbable meshes have also been used for umbilical hernias. They comprised one sublay and one overlay patch with a connector to eliminate migration. However, clinical outcomes after repairs with these devices have not been widely documented.
Easiest Way of Performing Laparoscopic Inguinal Hernia Repair Using Less Expensive Mesh
This video demonstrates Laparoscopic Inguinal Hernia Repair with Cheaper Mesh. It has been clearly demonstrated in developed countries that the modern standard of care for inguinal hernia is mesh repair, either through an open repair, namely the Lichtenstein procedure. Compared to non-mesh repairs, the use of a mesh in inguinal hernia surgery provides better results in terms of recurrence and decreased early and late postoperative pain. However, the fact that mesh repairs are the modern standard procedures for inguinal hernia poses several issues in developing countries.
Laparoscopic 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
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/
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
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 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
Robotic Reversal of Tubal Sterilization
This video demonstrates Robotic Reversal of Tubal Sterilization surgery performed by Dr R K Mishra at World Laparoscopy Hospital. Although tubal sterilization procedures are considered to be permanent, requests for reversal of the procedure (re-canalization) are not infrequent. The reversal procedure can be done either by open laparotomy or by minimally invasive surgery (laparoscopic or robotic approach). Patients going through tubal reversal will go to the outpatient surgery center and have a small incision made through which your surgeon will repair your fallopian tubes. The surgery usually takes 1 hour to complete.
Laparoscopic Inguinal Hernia Repair in Female
A groin hernia is relatively uncommon in females. The laparoscopic surgery is an attractive approach in female groin hernia repair as it offers reduced surgical trauma, faster recovery and it has the added advantage of intra-operative diagnosis and treatment of incidental synchronous hernia which are mostly femoral hernia. TAPP approach can be identified as the preferred surgical modality for groin hernia repair in females due to low complication rate and recurrence and concurrently help in diagnoses of missed hernia.
Laparoscopic 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/
Robotic myomectomy is a minimally invasive way for ROBOTIC surgeons to remove uterine fibroids. The DAVINCI ROBOT provides 7 degrees of freedom: 3 degrees provided by the robotic arms (insertion, pitch, yaw) and 4 degrees from the “wristed” instruments (pitch, yaw, roll, and grip). This improves dexterity and enables the DaVinci robotic surgeon to manipulate and dissect tissue in a delicate, controlled fashion. Robotic surgical technology used in uterine myoma improves efficiency, accuracy, ease, and comfort associated with the performance. Advantages of robotic myomectomy over conventional laparoscopy include the absence of tremor, a 3-dimensional image, superior instrument articulation, downscaling of movements, and comfort for the surgeon.
Laparoscopic 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 Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh
This video demonstrates Laparoscopic Incisional Hernia Repair by IPOM Plus Technique and Titanized Mesh. For large incisional hernia repair, IPOM-Plus seems to be more effective than sIPOM in terms of reducing mesh bulging. Laparoscopic repair of hernia is the method of choice for all type of hernia. The laparoscopic repair of incarcerated incisional hernias is still debated in the literature. The recent EAES/EHS guidelines state that laparoscopic surgery is not contraindicated in most of the hernia and may be considered in selected patients with an incarcerated hernia. For more information: https://www.laparoscopyhospital.com/admission.php
Sleeve Gastrectomy with Hernia Repair
This video demonstrates laparoscopic sleeve gastrectomy together with hernia repair inpatient of morbid obesity. In morbidly obese patients with any hernia with or without GERD undergoing LSG, repair of the hernia helps in amelioration of morbidity due to hernia and prevents any new onset improving quality of life. Obesity is associated with multiple comorbidities including diabetes mellitus, hypertension, obstructive sleep apnoea and gastro-oesophageal reflux disease (GERD). Thus, the presence of any ventral hernia should not be considered as a contraindication for laparoscopic sleeve gastrectomy surgery and both the procedure can effectively be performed together.
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
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/
Safe Way of Performing Laparoscopic Cholecystectomy
CBD injury is one of the most common injuries during laparoscopic cholecystectomy. It is very important to minimize CBD injury for a laparoscopic surgeon. This video demonstrates Safe Way of Performing Laparoscopic Cholecystectomy. The incidence of biliary injury after laparoscopic cholecystectomy (LC) has shown a declining trend though it may still be twice that as with open cholecystectomy. A safe cholecystectomy is one that is “safe for both the patient no bile duct/hollow viscus/vascular injury and for the operating surgeon no or minimal scope for litigation. In addition, a surgeon should be able to anticipate the operative difficulty based on various preoperative predictors, should adhere to basic principles of surgery including safe use of energy devices and use of fluorescence cholangiography using ICG. https://www.laparoscopyhospital.com/SERV01.HTM
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 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/
Ruptured Ectopic Pregnancy
This video demonstrates Laparoscopic management of Ruptured Ectopic Pregnancy. A ruptured ectopic pregnancy or tubal pregnancy is a surgical emergency in which a fertilized egg implants itself outside the uterus. Usually, an ectopic pregnancy is situated in one of the fallopian tubes. As it grows, it can cause the tube to tear or burst. This results in dangerous internal bleeding which may be fatal if immediate surgery is not being performed. Laparoscopic Surgery Offer a very good treatment of ruptured ectopic pregnancy. Salpingectomy can be performed to cure this ectopic pregnancy.
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/
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