The development of laparoscopic surgery in recent years has led to an unprecedented revolution in the history of modern surgery. Given the benefits of laparoscopic cholecystectomy and its use in preference to open surgery, other procedures have been assessed and laparoscopic surgery is becoming the procedure of choice.
The rapid development of this technique and the technology needed to perform it have been boosted by factors such as medical advances to improve the treatment offered to patients and their quality of life after surgery, the demands of the population, the media, and competition between medical professionals and institutions.
We are currently in the process of consolidating these complex techniques, defining their indications and confirming their positive results. These techniques are referred to as advanced laparoscopic surgery and are considered to be better than laparoscopic cholecystectomy.
Some of the interventions that we can now perform by laparoscopy, without having to open the abdomen, are:
1. Laparoscopic treatment of calculi in the gallbladder (cholelithiasis) and common bile duct (choledocolithiasis).
2. Laparoscopic operations for gastro-oesophageal reflux and hiatus hernia.
3. Laparoscopic gastric resection for benign or malignant conditions.
4. Laparoscopic operations for the treatment of refractory gastric and duodenal ulcers.
5. Laparoscopic resection of the large bowel (colon) for benign or malignant conditions.
6. Laparoscopic surgery of inguinal and abdominal wall hernias
7. Surgery for obesity
8. Emergency surgery for acute abdominal conditions: appendicitis, cholecystitis, intestinal obstruction, etc.
Advances in IT, telecommunications, robotics and endoscopic equipment have found their place in medicine, and more specifically in surgery. With the development of new technologies it has become possible for surgeons to perform operations with small incisions (wounds) that in the past would have required large incisions which generally cause significant pain and require a long recovery period.
Laparoscopy is the minimally invasive alternative to conventional open surgery, in which a small camera called a laparoscope is used to see inside the abdomen. The laparoscope transmits the image of the internal organs to a television monitor, thus enabling the surgeon to perform different surgical procedures. The laparoscope magnifies the image to make it several times larger than its actual size, providing a better view of the abdominal organs.
How are laparoscopic procedures performed?
Laparoscopic surgery is minimally invasive, as it only requires 3 or 4 small incisions (0.5 to 1 cm openings) instead of a wound measuring 15 to 20 cm. The surgical instruments are inserted through these small incisions. Advanced laparoscopic surgery can also be performed through a single incision through the belly button.
What conditions can be treated by laparoscopic surgery?
-Hiatal Hernia and Gastroesophageal Reflux Repair by Laparoscopy
-Laparoscopic Cholecystectomy using SILS (Single-Incision Transumbilical Laparoscopic Surgery)
-Conventional or Open Inguinal Hernia Repair
-Laparoscopic Bilateral Inguinal Hernia
-Laparoscopic Inguinal Hernia Repair
-Appendicitis, cholecystitis, bowel obstruction