Urology Laparoscopic Surgery
GATE Hospital, deaprtment of Kidney and Urology is a unique resource for those suffering from diseases of the urinary system, including the kidneys, bladder and prostate gland. As the major tertiary and quaternary care centre in North East India, we are proud to offer some of the region’s finest experts covering every major urology and nephrology speciality.
Many traditional urologic surgical procedures require large incisions with lengthy hospitalization and recovery. Minimally invasive surgery, also often known as laparoscopic or keyhole surgery to patients, has recently been developed in the field of urologic surgery with the advancement of engineering and computer technologies. Using a small telescope with built-in magnification mechanism and a variety of long, thin surgical instruments placed through approximately 3-5 incisions (each of which is usually no larger than a dime in size), the surgeon is able to perform minimally invasive surgery for a variety of urologic diseases and problems. Patients who have undergone these procedures have enjoyed not only the same diagnostic and therapeutic benefits of traditional open surgery but also greatly reduced postoperative pain, shorter hospitalization, faster recovery, and better cosmetic results.
Laparoscopic surgery, also called minimally invasive surgery (MIS), or keyhole surgery, is a modern surgical technique in which operations in the abdomen are performed through small incisions (usually 0.5–1.5 cm) as opposed to the larger incisions needed in laparotomy. Keyhole surgery makes use of images displayed on TV monitors to magnify the surgical elements. Laparoscopic surgery includes operations within the abdominal or pelvic cavities, whereas keyhole surgery performed on the thoracic or chest cavity is called thoracoscopic surgery.
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There are a number of advantages to the patient with laparoscopic surgery versus an open procedure. These include reduced pain due to smaller incisions and less blood loss, shorter hospital stay, better cosmetic results and shorter recovery time. Patients are able to go back to work within 1-2 weeks.
Minimally invasive surgery has been applied to a multitude of benign (non-cancerous) and malignant (oncologic or cancerous) urologic problems. Furthermore, it has been applied to conditions affecting a variety of urologic organs (including kidney, adrenal gland, ureter, bladder, prostate, lymph nodes).
One application of minimally invasive surgery/laparoscopy is kidney cancer removal. Using only 3 small puncture holes (each of which ranging from 5-12 millimetersÑno larger than a dime in size generally), the entire kidney may be removed (See Pictures 1 and 2, below). This is very different from conventional open surgical removal of the kidney, in which a much larger surgical cut (frequently in excess of 10-15 centimeters or 100 to 150 millimeters) is typically needed.
Powerful Versatility for the Treatment of BPH, Stones, Tumors and Strictures
Our holmium lasers and delivery devices are considered the standard of care in Urology, delivering clinically proven, minimally invasive treatment solutions for BPH, stones, strictures and tumors.
Dr. Debanga Sarma
MBBS, MS (General Surgery), Mch (Urology)
Asst. Prof. Department of Urology and Renal Transplantation (GMCH)
Consultant Urologist, GATE Hospital (Guwahati)