Medical Services of India,G-8/B sector 39, E Block, Sector 40, Noida, Uttar Pradesh 201301

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Advanced Loparoscopic

Oesophagectomy (Cancer of Oesophagus)

Oesophagus is also called as food pipe. The surgery to remove a part of Oesophagus or complete removal is called Oesophagectomy. We are doing Oesophagectomy by minimally invasive technique. Laparoscopically removal of oesophagus or part of it and using stomach or part of large intestine to reconstruct it depending upon the stage of tumour Oesophagectomy is decided.

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There are 3 types of Oesophagectomy techniques.

  • Open - Use one or more large cuts in neck, chest or abdomen.
  • Done through laparoscopy- where few small cuts in abdomen and surgery is done.
  • Laparoscopic Technique has lots of advantages over open techniques terms of comfort, recovery and duration of Hospital staff.

Laparoscopic Surgery for Hiatus Hernia. (FUNDOPLICATION)

Laparoscopic Hiatus Hernia repair with Nissan's fundophcatious (for Hiatus Hernia and reflux). Hiatus hernia is a disease in which there is a chronic heart burn because of acid reflux from stomach to oesophagus due to in competent lower oesophagus sphincter. In Hiatus Hernia when stomach or its part slides into chest this causes and refluxes. We are doing this procedure very commonly. This procedure is done laparoscopic ally in which Gastroesophageal junction is dissected hiatus is repaired with sutures or Mesh Depending upon the size of detect in crura and a wrap from the top of stomach to the lower end of stomach to treat a artificial value which prevents the refuse..

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Advantages:

  • One hr procedure.
  • Excellent results..
  • Return to work in 4-5days.

Indication:

  • Long term medical treatment with not desired effect.
  • GERD with its complications i.e. Barrette Oesophagus, peptide structure.
  • Patient Wish to stop medical treatment.
  • Mixed Para Oesophageal Hernia.
  • Recurrent reflux or Complication after previous anti reflux surgery.

Laparoscopic Achalasia Cardia Surgery

Achalasia Cardia is disorder in which there is inability of pumping action of wall of food pipe and also there is loss of ability of valve to relax in response to the food these results into affected undigested food and drinks in food pipe. The main cause of achalasia is degeneration of nerve cells in Oesophagus the exact reason of which is not known.

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  • This can be in any age group.
  • It affects both age groups..
  • Pain problem is in swelling solids and liquid food, chest pain and regurgitation.

Cardiomyotomy

Done laparoscopy with 3-4 small holes in abdomen and it is combined with anti- Refluxed procedure also 1.5- 2 hrs duration of surgery. Hospital stays 2-3days.





Whipple's procedure

Pancreatic cancer is the common cancer which is having poor prognosis. Till the time it shows the symptoms it spreads longer before. Whipple's procedure is a complex surgery which extends the life of patient and has the possibility of curing Pancreatic/ Periampullary Cancer as well. The life Expectancy op patient of Pancreatic Cancer depends upon the site and stage of tumour. The Pt. survival definitely increases by Whipple's procedure. Whipple's procedure is routinely performed in an centre. In this procedure Head of Pancreases duodenum (Portion of Common Bile Duct, Gall Bladder and sometimes part of stomach) is removed and reconstruction is done. Very few patients are eligible by laparoscopic Whipple's procedure..

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Liver Resections

Surgically removal of part/segment of liver is called liver resection. This procedure is done in case of liver cancer, metastatic growth from colon, rectal cancers: GB Cancers and Certain Begin tumour of liver.



Laparoscopic Liver Cyst Excision (Hydatid & Simple cyst)

All type of liver cysts,we are dealing by laparoscopy.Most commonly hydatid cyst of liver.



Surgery For Portal Hyper Tension

Whenever there is increase in pressure in portal vein it leads to hypertension of vein which carries blood from digestive organs to liver. This portal Hypertension is caused due to blockage in blood flow passing through liver. This portal Hypertension leads to develop large veins across Oesophagus and stomach to bypass the blockage which leads to vesical Bleed. First step to step bleeding is medical treatment and endoscopic technique like Sclerotherapy, Banding and Balloon Temponade if failed then minimal invasive or surgical shunt procedure is done. Surgical procedure which is commonly used is:

  • DSRS- Distal Splenorenal Shunt.
  • TIPS- Tran's jugular Intrahepatic Porto systemic Shunt.


Laparoscopy For Pancreatic Pseudocyst

Pancreas is very important organ located behind the stomach. It is spongy tad pole shaped organ having function of making enzymes which helps in digestion of the food and hormone to regulate the blood sugar level. In case of pancreatitis or pancreatic injury, pancreatic ducts get blocked which leads to formation of pancreatic pseudo cyst.

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Symptoms of Pancreatic Pseudo cyst:

  • Nausea vomiting
  • Diarrhoea, fever.
  • Tender mass in abdomen.
  • Jaundice.

Small Pseudo cyst can be treated consecutively. However when big it refuse follow up treatment.

  • Endoscopic Trans gastrin drainage.
  • Imaging percutaneous drainage.
  • Laparoscopic/open/cyst to gastrectomy or cyst jejuonostomy.


Laparoscopic For Splenectomy

Laparoscopic splenectomy is a key hole surgery to remove all or a part of your spleen. The spleen is a bean-shaped organ found under the ribs on the left upper side of stomach. The function of spleen is to remove old and damaged blood cells as blood passes through it and also makes immune system cells, known as lymphocytes, which help to fight germs and infections.

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Laparoscopic For Rectal Prolapse

In rectal prolapsed, the lower end of the colon which located just above the anus is called rectum, becomes stretched out and protrudes out of the anus. This condition of rectum is the weakness of the anal sphincter muscle and most of times associated with rectal prolapse, leading to holding stool, leakage of stool or mucus. This condition can be seen in both males and females: however, it has been observed that the incidents rectal prolapse are most common in women than men. We are, having vast experience to managing & treating complex case of rectal prolapse & we are one of the best Laparoscopic Surgeons in India. After seeing case of Rectal Prolapse. The Rectal Prolapse procedure is aim to repair the prolapse using "keyhole" surgery or minimal access surgery (laparoscopic ally) using state-of-the-art technology our team of doctors perform delicate and complex operations..

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Benefits:

  • Less blood loss.
  • Faster return to bowel function
  • Faster return to diet.
  • Shorter hospital stay.


Laparoscopic Colorectal Surgery

We are proud to offer Laparoscopic surgery (surgery through small incisions with the help of special instruments and cameras) for many colorectal disorders. Laparoscopic surgery offers lower rates of wound complications with benefits of less pain and shorter postoperative.



Laparoscopic lleocecectomy

For patients with Crohn's Disease or other conditions, the end of the small intestine (ileum) and the first portion of the colon (cecum0 can be removed to excise a diseased segment. This can often be performed laparoscopic ally with several small incision..



Laparoscopic Right Colectomy

This procedure may be done for a cancer or tumours of the first portion of the colon or for some disease of the appendix. The small intestine is reconnected to the colon after a segment has been excised.



Laparoscopic Left hemi Colectomy

This may be performed for cancers of the tumours of the colon or for diverticulitis. A segment of the colon is removed and the ends reconnected..



Laparoscopic Sigmoid Colectomy

The sigmoid colon is most frequently involved in diverticulitis. Removal of this portion of the colon involves reconnection of the colon to the rectum. The sigmoid may also be removed for cancer or tumours.



Laparoscopic Low Anterior Resection

Removal of some or all of the rectum using Laparoscopic approach is now offered to many patients with rectal cancer or tumours. At times, these procedures require a temporary diverting "protective" ileostomy to allow for healing of these low connections without stool moving through this area..



Laparoscopic Total Proctocolectomy

For some patients with Ulcerative colitis, the entire colon and rectum may be removed laparoscopic ally. Following removal, creation of a pouch using the small intestine may allow one to avoid a permanent end ileostomy..



Laparoscopic Colostomy or IIoestomy

There are situations when diversion of the fecal stream is required. During this procedure, a portion of the intestine is brought out to the skin level so that the stool can be diverted away from bowel downstream..



Laparoscopic Rectopexy

Rectal prolapse is a condition where the rectum bulges out of the anal opening. Repair of rectal prolapse can be accomplishes laparoscopic ally in many cases. The goal of ECU surgeon is to provide safe and effective treatment for each patient.At times, it may be advantageous or safest to have a somewhat larger incision to have a particular procedure. In this case, each of the above operations may be accomplished with open techniques.



Other Procedures

Combined Laparoscopic/ Endoscopic Resections
For benign tumours, which may not able to be removed with colonoscopy alone, at times surgeons may combine colonoscopy with Laparoscopic techniques to remove an advanced polyp or benign tumour.

Trans- Anal Excision
For benign tumours of the middle and lower rectum, excision using instruments through the anus may be offered. This avoids all scars on the skin and allows for a very fast recovery following surgery.

Recovery
This depends on the type of surgery performed. Discharge may be on the day of surgery or up to a week after surgery depending on each patient's particular situation. With Laparoscopic techniques, discharge within 3 days of surgery is common even with major operations. Patients are expected to be out of bed and walking in the first day after surgery. This early mobility helps make early discharge possible.