1. Routine and advanced Laparoscopic Surgery

Routine and Advanced Laparoscopic surgery is a modern technique in surgery where operations are performed far from their location through small incisions elsewhere in the body. The incisions are usually 0.5–1.5 cm.

Dr. M Vamsi Krishna offers his expertise in Routine and advanced laparoscopic surgeries in Bangalore. Compared to an open procedure, laparoscopic surgeries have many advantages which include lesser pain and blood loss due to smaller incisions, and much faster recovery time. The time one needs to spend in hospital is much lesser, thereby allowing you to bring back to normal life faster.


2. Laparoscopic appendicectomy (Appendix Surgery)

It is a surgical operation in which the appendix is removed through laparoscopic method, which is most popular, most preferred and offers many advantages over open method. Appendicectomy is normally performed as an urgent or emergency procedure to treat acute appendicitis.

Laparoscopic appendicectomy involves removal of appendix by making 3 or 4 small cuts on the abdominal wall. Patients can get discharged the next day following surgery.


3. Laparoscopic Cholecystectomy

A laparoscopic cholecystectomy is a surgery during which the doctor removes your gallbladder. This procedure uses several small cuts instead of one large one.

Taking the gallbladder out is usually the best way to treat gallbladder Stones. You might get some relief from changing your diet. For example, eating less fat can help. But gallstones rarely go away on their own.


4. Umbilical Hernia

Umbilical hernia occurs when the stomach muscles don’t join completely after cutting of the umbilical cord, and tissues bulge through this weak spot around the belly button or navel. These hernias are generally painless and don’t cause any discomfort. Majority cases of umbilical hernias will eventually close on their own. However, they will require surgery if the hernia becomes strangulated or stops blood flow to the intestine. If left untreated gangrene can develop, leading to dangerous infections.

It is best to consult doctor if the hernia bulge becomes painful, is larger than 1.5 inches in diameter and/or doesn’t reduce in size after one year.

The surgery lasts for about an hour on general anaesthesia. The bulged intestine is pushed back through the abdominal wall through an incision and the opening is closed with stitches (for children) or with mesh (for adults).


5. Laparoscopic ventral hernia repair

A ventral hernia is a bulge of tissues through an opening of weakness within your abdominal wall muscles. It can occur at any location on your abdominal wall. There are three types of ventral hernia:

  • Epigastric (stomach area) hernia: Occurs anywhere from just below the breastbone (clavicle) to the navel (belly button).
  • Umbilical (belly button) hernia: Occurs in the area of the belly button.
  • Incisional hernia. Develops at the site of a previous surgery. This is due to weakness at the incision site of a previous abdominal surgery. This type of hernia can occur anytime from months to years after an abdominal surgery.
  • Symptoms include visible lump or swelling, which becomes prominent on coughing/straining. The severity of the disease and surgical management required depends upon the size of the defect, contents of the hernia and the condition of contents. Both open and laparoscopic techniques are available to treat this condition. Laparoscopic surgery is preferred over open surgery due to its well-known advantages.

    6. Laparoscopic inguinal hernia repair

    An inguinal hernia is a weakness in the abdominal wall that is large enough to allow escape of soft body tissue or internal organ, especially a part of the intestine. It usually appears as a lump or swelling in the groin region. Symptoms range from mild pain and discomfort to pain which limits daily activities and the ability to work. If the bowel strangulates or becomes obstructed it can be life-threatening.

    A hernia is repaired generally using a synthetic mesh either with open surgery or laparoscopic surgery. Laparoscopic surgery is increasingly popular because of it less invasiveness, less postoperative discomfort and pain, early return to work and also concurrent repair of bilateral herniae.

    The most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. In TAPP repair, the surgeon goes into the peritoneal cavity and places a mesh in the preperitoneal plane. Whereas in TEP repair, the surgeon places a mesh in the preperitoneal plane without entering the peritoneal cavity. The choice of repair is tailored to the needs of the Individual Patient. Both techniques offer an excellent cure to the patient.


    7. laparoscopic hiatal hernia repair

    A hiatal hernia occurs when part of the stomach moves upwards into the chest. If the hernia causes severe symptoms or is likely to cause complications, then hiatal hernia surgery may be required.

    Not everyone who has a hiatal hernia will require surgery. Many people will be able to treat the condition with medication or lifestyle changes. However, for those who do need surgery, there is a range of procedures available, the most common being Nissen fundoplication.

    However, surgery may be recommended if:

  • symptoms are severe and interfere with quality of life
  • symptoms do not respond to other treatments
  • the hernia is at risk of becoming strangulated, which is where the blood supply to the herniated tissue is cut off — a situation that can be fatal
  • symptoms include bleeding, ulcers, or narrowing of the food pipe (esophagus), which is known as an esophageal stricture
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    8. Laparoscopic Varicocelectomy

    Varicocelectomy is a surgical procedure to repair a varicocele, a vein swelling in the scrotum. This swelling is caused by a back-up of blood in the veins. A varicocele in the scrotum may cause pain or heavy sensation but is generally painless. This may also be causing fertility issues. The swollen veins are removed during this surgery, and the ends are then closed off. Within the groin section, other veins take over holding the blood supply. This procedure can be performed either with a technique called laparoscopy or by open surgery.

    A thin, lighted tube called a laparoscope is used during laparoscopic varicocele repair surgery which helps the doctor to operate through a few small incisions.