HAVE A SURGICAL EMERGENCY ?

We provide Laparoscopic / Robotic / Endoscopic Surgery for digestive disorders-diseases, abdominal wall hernias, severe obesity, metabolic syndrome and pelvic floor disorders.  We profile a few commonly performed treatment methods here.

DIAGNOSTIC  LAPAROSCOPY 

Laparoscopy provides a powerful method to diagnose intra-abdominal diseases very accurately. Many diseases maybe missed otherwise on even the latest generation of modern imaging. Diagnostic laparoscopy offers the advantage of real-time visualisation of the abdominal cavity without having to actually open the abdomen through traditional open surgery. This modality also offers the ability to take a sample of tissue for histo-pathological (biopsy) testing at the same time. Last but not the least, a diagnostic laparoscopy also offers the platform to perform a full-fledged laparoscopic / robotic procedure if the need arises.

LAPAROSCOPIC  APPENDECTOMY 

It is said that about 1 in 20 people will get an attack of appendicitis during their life time. It is most common in the age group 10-30 years.  It is a medical emergency that often requires surgery to remove the inflamed appendix. Fortunately, one can live well without it.  Most appendices are removed by minimal access (laparoscopic) surgery these days. This offers a quick recovery and excellent cosmesis in the young.

LAPAROSCOPIC  CHOLECYSTECTOMY

Removal of the gall bladder, most commonly for gall stones is most often performed through the laparoscopic approach. This is usually performed through 4 small incisions and the person can be discharged the same evening or the next morning.  Those undergoing a laparoscopic cholecystectomy may be able to go back to work within a week. This is usually successful in relieving the symptoms associated with the finding of gall stone/s  and preventing problems relating to gall stones (mentioned below). 

• Removal of the gall bladder prevents other possible problems associated with gall stones such as acute inflammation of the gall bladder (Acute Calculous Cholecystitis), which can lead to the devitilisation (Gangrenous Cholecystitis) and rupture of the gall bladder in some or gall stone slippage into the biliary ducts causing either obstructive jaundice, biliary infection (Cholangitis) or inflammation of the pancreas (Acute Pancreatitis). 
• Long-term effects of gall stones include shriveling-thickening of the gall bladder (Chronic Cholecystitis), migration of the gall stone through the wall of the gall bladder into other organs and the risk of gall bladder cancer. 

It will be very useful to discuss with your treating surgeon about the short and long term benefits and effects of the laparoscopic removal of the gall bladder.

LAPAROSCOPIC  HERNIA  REPAIR

Hernias are one the most common surgical problems to affect humans. A hernia occurs when an internal organ or tissue comes out through a defect or area of weakness in the wall of the body. The commonest hernias are groin hernias, umbilical and incisional hernias. Hernia repair surgery returns the displaced organs or tissues to their natural position and seals the defect or weak area. Traditionally, hernia operations and abdominal wall repair was performed by open surgery. For nearly 30 years now, hernia repairs are increasingly repaired by laparoscopic and recently by robotic surgical methods. The benefits of laparoscopic and now robotic surgery in experienced hands are efficient repair, lesser pain, better cosmesis and quicker recovery. Do discuss in detail with your treating surgeon about all issues relating to hernia repair before making any decision about treatment.

LAPAROSCOPIC  /  ROBOTIC  /  ENDOSCOPIC   BARIATRIC  SURGERY

Bariatric procedures offer the best long term weight-loss outcomes and resolution of weight-related diseases for severe obesity. For the last two decades bariatric procedures are largely performed by laparoscopic and lately by robotic surgical techniques. More recently Endoscopic Bariatric Procedures have made an entry into the options available for weight-loss procedures, such as Endoscopic Sleeve Gastroplasty (ESG) and Intra-Gastric Balloon placement. These are gaining the attention with those who do not want conventional (laparoscopic / robotic) surgical options as the first step if intervention in their journey to weight loss. Robotic Bariatric Surgery is especially useful in those who are super-obese as the Robotic Surgical System overcomes the surgical challenges posed by the massive abdominal wall adiposity and excessive fat within the abdominal cavity and internal organs. It will be prudent to discuss in detail with your treating surgeon about these issues before making any decision about treatment.

MINIMAL  ACCESS  CANCER  SURGERY

Cancer treatment is best managed by a multi-disciplinary team. The aim of curative cancer surgery is to achieve the removal of relevant cancer bearing tissue or organs. Laparoscopic Cancer Surgery has been a validated cancer treatment modality for over 2 decades for many digestive tract cancers. Robotic Surgery for Cancer is now increasingly performed for many gastrointestinal tract cancers. Endoscopic surgical modalities such as Endoscopic Submucosal Dissection (ESD),  Trans Anal Minimally Invasive Surgery (TAMIS), Trans-Anal Endoscopic Microsurgery (TEMS) are indicated for earlier stages of gut cancer. Surgical innovations such as  Transanal Total Mesorectal Excision (taTME) are emerging as treatment options for specific indications in Rectal Cancer. It will be very relevant to discuss in depth every issue regarding cancer treatment, and not just surgical treatment with your treating surgeon and management team at every step of treatment. 

*  "This site does not provide medical advice. It is intended for informational purposes only. It It should not be substitute for professional medical advice, diagnosis or treatment. Never ignore professional medical advice in seeking treatment because of something you have read on the Digestive Diseases Surgical Clinics (DDSC) Website. If you think you may have a medical emergency, immediately Contact your Doctor!"