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Laparoscopic Surgeries, It’s History and Importance in India. By : Dr Sanjay Kolte (Laparoscopic Surgeon). History of Laparoscopic Surgery. First Laparoscopic Procedure was performed on dogs in 1902 by Georg Kelling (Dresden) .
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Importance in India
By : Dr Sanjay Kolte
History of Laparoscopic Surgery
Elective and emergency diagnostic and staging procedures, cancer surgery as well as emergency procedures such as appendicectomy.
In this procedure, 5–10 mm diameter instruments (graspers, scissors, clip applier)
can be introduced by the surgeon into the abdomen through hollow tube.
Multiple incisions are required for technology, which uses a console located away
from the patient, with the surgeon controlling a camera, vacuum pump, saline cleansing
solution, cutting tools, etc.
The surgeon\'s hands manipulate two haptic grippers which track hand movements
and rotations while relaying haptic sensations back to the surgeon.
Reduce Stress Response : The net effect is of an increased breakdown of carbohydrates,
lipids and protein and reduced peripheral utilization of glucose.
Cytokines : Tissue damage is limited as IL-6 activates the repair process by stimulating the release of acute phase proteins
Less postoperative pain
Briefer hospital stay
More rapid postoperative recovery with comparable efficacy
Fewer wound complications (wound infections, dehiscence, incisional hernias)
Higher rates of postoperative bowel obstruction.
Physiological consequences of pneumoperitoneum
Raised intra-abdominal pressure
Difficulty in evaluating amount of blood loss
Conversion to laparotomy 1% , bowel perforation, CBD injury & haemorrhage
Gynae mortality 1 per 10 000 to 1 per 100 000 cases
Lap chole mortality 0.1 - 1 per 1000
Conversion to laparotomy 2 - 10 per 1000 30-50% intestinal & vascular injuries
DNB, FMAS(AMASI IDIA), F.C.P.S.(Mumbai)
MBBS - OCTOBER 1995-BHARATI VIDYAPEETH\'S MEDICAL COLLEGE, PUNE, INDIA
FCPS (General Surgery) - SEPTEMBER 2000, MUMBAI, INDIA
(FELLOW OF COLLEGE OF PHYSICIANS AND SURGEONS)
DNB (General Surgery) - MAY 2001-KING EDWARD MEMORIAL
HOSPITAL, PUNE, INDIA (DIPLOMATE OF NATIONAL BOARD, NEW DELHI)
MNAMS - MEMBER OF NATIONAL ACADEMY OF MEDICAL SCIENCES, NEW DELHI
Laparoscopic Surgery Clinic, PariharChowk,
Pune, MH 411007Mobile : 91+98 22 00 94 90Email : [email protected]