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BIMAST Bhandari Institute of Minimal Access Surgery Training (BIMAST) is a premier training institute in India offering specialized medical training courses and fellowship program to doctors in certain medical disciplines - Top Laparoscopic Surgery in India

Laparoscopic Surgery 

Introduction

One of the most popular laparoscopic procedures performed by general surgeons worldwide is the laparoscopic cholecystectomy (LC). Estimating the risk of conversion or the intricacy of the treatment in advance is just one of many variables that must be taken into account when planning a laparoscopic surgery. The objective of our study was to assess a number of risk factors and use a scoring system to determine the complexity and extent of the operation prior to surgery.

Materials 

The Bhandari Hospital (BIMAST) in Jaipur, India, and the Department of Surgery at Lady Harding Medical College carried out this prospective study. The preoperative scoring procedure took into account the patient's age, gender, history of hospitalizations, obesity, scars from earlier abdominal surgeries, palpable gall bladders, thick gall bladder walls, pericholecystic collections, and impacted stones. In total, 210 participants participated in the trial.

Results

We found that previous hospitalisation, palpable gall bladder, impacted stones, and gall bladder wall thickness statistically significantly influenced the chance of a challenging laparoscopic cholecystectomy. The results showed that the sensitivity and specificity of this preoperative scoring system were 95.74% and 73.68%, respectively. This scoring method obtained 90% and 88% positive prediction scores for simple and difficult examples, respectively. the 0.86 ROC curve's ROC area. It was found that the conversion rate from laparoscopic to open cholecystectomy was 4.28%.

Conclusion

Accurate prediction can help high-risk patients learn in advance how likely they are to convert, giving them the opportunity to make plans accordingly. On the other hand, surgeons may also need to properly plan the operation's time and personnel. The potential complications that can develop in high-risk patients can also be known to surgeons. 

Why Laparoscopic Surgeon Does Laparoscopy Surgery ?

Laparoscopy surgery has many advantages compared to traditional open approach.

(A) The intensity of pain in the post-operative period depends on the length of the surgical incision. As it is very minimal, patient is comfortable and feel less pain even at minimal pain killer dosages.

(B) Patient get mobilized very early, and get back to normal activities sooner. Hospital stay is reduced and the incidence of deep vein thrombosis is reduced.

(C) Less respiratory complications as patient can do deep breath exercises because of less pain.

(D) Gut motility comes earlier resulting in early oral intake.

(E) Smaller, Smooth and Healthy Scar.

(F) Surgical Infection: It has been seen that better preservation of immune system has lead to decreased infectious complications in laparoscopic surgery.

For more info : Best Laparoscopic Surgery in India