In keyhole surgery the latest miniaturized technology attached to Probes/Laparoscope (Pen like structure), gives the Best-ever view to Surgeons. This means the Gynaec Organs can be viewed and accurately operated upon without the damaging the surrounding vital organs.
All the persons (Assistants, Nurse, O.T.Assitants, Anesthetist, Residents, Attending other doctors etc.) in the Operating team in the operation theatre can suggest and contribute during operation in best way.
There’s no need to cut through muscles and tissues. So your stay in the hospital is far shorter (only overnight) and you can return to your work faster. You walk on the Same Day and your scar will be barely visible. Requirement of post-operative analgesia (pain-reliving tablets) is less. Chances of future pain in abdomen will be less if the same Gynaec Surgery is done laparoscopically as compared to old open method. Even Fertility Enhancing is much better after Laparoscopic as compared to outdated open method in cases with Endometriosis, Fibroid, PID, PCOD etc. Video helps in judging the quality of surgical Expertise/Skill and keeping live Operative File/Record for follow up & designing future protocols in Infertility patients. Recorded videos Laparoscopic Surgeries help in Learning & Teaching & Medico-legal purpose.
Different Probes like Hysteroscope or Laparoscope are introduced through very small incision like 5mm/10mm inside abdomen and attached to CCD Camera & visualized on Monitor and procedures (Diagnostic/Therapeutic) are carried out, so the essential incisions are very small on abdomen for big operation.
For most of the Diagnostic procedures stay in hospital is only about 4-6 hours. For Operative procedures the stay is only about one day in the hospital. Very rarely in few Advanced Laparoscopic Surgeries patients are kept for two days.
Return to your work
In most of the Diagnostic procedures she can return to her work on the same day... In most of the operative cases, she can start her routine work/job/ can fly from 3rd day onwards.
Patient is discharged on the same day in most of the operative cases and so our centre has come to be called a “Day Care Surgery Unit”.
Original scars are onlt 2-3. One of these is of 10/5 mm and the another two are of 5 /3 mm only . After 6 wks to 6 months they are hardly noticeable on abdomen. So laparoscopic Surgery is also cosmetically appealing to all patients.
When any Gynaec surgery is done by open method there 50% chances that adhesions will be formed between abdominal wall and omentum/intestine and will produce pain in abdomen in future. When we do redo surgery i.e. Laparoscopic Surgery for pain in for previous Laparotomy for Gynaec Surgery, patient or her relatives always ask that why my previous surgery had not been advised/tried/recommended by Laparoscopic approach?
So in this consumer era we need to give “better option” to our patients about Laparoscopic approach for any Gynaec condition
Many scientific reviews and Meta analysis have clearly shown the superiority of Fertility enhancing in Laparoscopic/Hysteroscopic approach over open methods i.e. in Endometriosis, PID-Adhesiolysis, Septum, Fibroid, PCOD, Proximal Tubal Block, Ovarian Cysts etc.
Endoscopic Surgeries are recorded as video during surgery can be stored in video cassette/CD/DVD for future reference.
Is the most essential part of Laparoscopic surgery as this is carried our by very few Gynaecologist successfully and developed in last few years only. Chances of complications and incomplete surgery are much more for Surgeon in their initial learning curve. So today video of the live surgery during operation and afterwards are the most important means of understanding the completeness and satisfactory work in give case.
Video as live operative File is the most authentic way of operative record for deciding future treatment in Infertility protocol or even better kind of document to understand further treatment protocol in event of recurrence or persistent symptoms for given condition. Video recording is the best way of evaluating Laparoscopic Suturing after fibroid removal for the future rupture uterus during pregnancy after fibroid removal. For laparoscopic Surgeon it also helps in improving his surgical skills by seeing her past recorded video of different surgery.
Video as live operative File is the most authentic way of operative record for deciding future treatment in Infertility protocol or even better kind of document to understand further treatment protocol in event of recurrence or persistent symptoms for given condition. Video recording is the best way of evaluating Laparoscopic Suturing after fibroid removal for the future rupture uterus during pregnancy after fibroid removal.
Studying recorded video of different surgeries helps Laparoscopic Surgeon in improving his surgical skills. Seeing recorded videos of few of the very rare surgery also helps laparoscopic Surgeon in trying the same surgery confidently in future. Studying rare recorded videos of complication also helps in learning and avoiding complication. Learning process has also become easier because of audio-visual effect of video for beginner. In fact today Computerized Laparoscopic Simulators are commonly used at many places during Endoscopic training and actually they are judging the skill of the student and giving its feedback immediately to improve the learning process on pelvic trainer.
Recorded videos are the real asset of all Teachers of Endoscopic Surgeon for teaching Laparoscopic surgery at different platform. Power point presentation along with video and text in the slide is the best kind of teaching tool in most of the Endoscopic Training modules.
Today in consumer forum era recorded video during surgery and even afterwards in court of law helps lot in justifying your intentions, experience/skills & complications and your affords/efficiency to overcome the complications during surgery.