Laparoscopy

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Slideshow of Laparoscopic Surgery by Prof. R.K. Mishra Prof. R.K. Mishra has the distinction of being first Asian who is honoured as Professor of Minimal Access Surgery by legislated University of Govt. of India. He is is currently the most experienced professor of minimal surgery in the world who has alone as a single faculty trained more than 3000 surgeon and gynaecologists from 108 countries. http://www.laparoscopyhospital.com/drrkmishra.htm

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Laparoscopy

  1. 1. Introduction of Minimal Access Surgery<br />R. K. Mishra<br />M.B.B.S; M.S; M.MAS; MRCS; FICS; FACS<br />Director, Laparoscopy Hospital, New Delhi<br />The First Master Minimal Access Surgeon of India<br />Member World Association of Laparoscopic Surgeon (WALS)<br />Member European Association of Endoscopic Surgery (EAES)<br />Member European Association of Transluminal Surgery (EATS)<br />Member Indian Association of Gastrointestinal Endosurgeons (IAGES)<br />Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)<br />Professor and Head of the Department of Minimal Access Surgery TGO University.<br />
  2. 2. Synonym<br />Surgical rose with different names<br />Key Hole Surgery<br />Endoscopic Surgery<br />Button Hole Surgery<br />Minimally Invasive Surgery<br />Minimal Access Surgery<br />Laparoscopy<br />Thoracoscopy<br />Cystoscopy<br />Hysteroscopy<br />1953 by Professor Hopkins <br />World Laparoscopy Hospital<br />
  3. 3. History<br />1901 - Von Ott - First inspection of abdominal cavity using a speculum and candlelight.<br />1983 - First laparoscopic appendicectomy Semm, a German gynaecologist.<br />1985 - First Lap Chole Erich Muhe a German surgeon.<br />1987 - First laparoscopic repair of inguinal hernia by Ger.<br />1989 - First lap hysterectomy, Reich et al.<br />1993 - First Robotic Laparoscopic surgery (Robotic telesurgery) Dan Stoianovici.<br />World Laparoscopy Hospital<br />
  4. 4. Frequently done procedures<br /><ul><li>Urology
  5. 5. Nephrectomy
  6. 6. Adrenalectomy
  7. 7. Stone disease
  8. 8. Prostate
  9. 9. Varicocele
  10. 10. Neck
  11. 11. Thyroid
  12. 12. Parathyroid
  13. 13. Thymus
  14. 14. Axilla &Breast
  15. 15. Axilloscopy
  16. 16. Subcutaneous Mastectomy
  17. 17. Robotics
  18. 18. Chest
  19. 19. Mediastinoscopy
  20. 20. Thymus
  21. 21. Pericardial window
  22. 22. Hilar/ Mediastinal Node
  23. 23. Pleural lesions
  24. 24. Lung biopsy
  25. 25. Lung resections
  26. 26. Empyema
  27. 27. Effusions
  28. 28. Sympathectomy
  29. 29. Spine
  30. 30. Abscess drainage
  31. 31. Discectomy
  32. 32. Biopsy
  33. 33. Scoliosis
  34. 34. Abdomen
  35. 35. Esophagectomy
  36. 36. AchalasiaCardia
  37. 37. Hiatus Hernia
  38. 38. Intestinal resection
  39. 39. Mesenteric nodes
  40. 40. Appendicectomy
  41. 41. Hernia Repair
  42. 42. Gall Bladder
  43. 43. Splenectomy
  44. 44. Sympathectomy
  45. 45. Spinal surgery
  46. 46. Rectal prolapse
  47. 47. Piles
  48. 48. Gynaecology
  49. 49. Ovaries
  50. 50. Uterus
  51. 51. Infertility
  52. 52. Ectopic</li></ul>World Laparoscopy Hospital<br />
  53. 53. Most commonly done MAS <br />Diagnostic laparoscopy<br />Cholecystectomy<br />Appendicectomy<br />Repair of all types of Hernia<br />Hysterectomy<br />Splenectomy<br />Fundoplication<br />Repair of D.U. perforation<br />Piles and Prolapse<br />Nephrectomy<br />World Laparoscopy Hospital<br />
  54. 54. Diagnostic Laparoscopy<br />Kelling 1901<br />Electronic Eye Inside Abdomen<br />World Laparoscopy Hospital<br />
  55. 55. Laparoscopic Cholecystectomy<br />Lap chole is now gold standard for the treatment of gallstone diseases.<br />Most commonly performed Minimal Access Surgery by General surgeons worldwide. <br />In Europe 97% of cholecystectomy is now done laparoscopically.<br />Most commonly done MAS in India.<br />World Laparoscopy Hospital<br />
  56. 56. Laparoscopic Appendicectomy<br />Gold Standard in female of Child Bearing Age Group<br />10 days Post OP<br />World Laparoscopy Hospital<br />
  57. 57. Tubal Surgery<br />Most of the tubal surgeries are possible by MAS<br />Sterilization * Ectopics * Cysts * Recanalization<br />World Laparoscopy Hospital<br />
  58. 58. Uterine Surgery<br />Myomectomy by Minimal Access Surgery<br />World Laparoscopy Hospital<br />
  59. 59. Laparoscopic splenectomy<br />Open<br />Laparoscopic<br />World Laparoscopy Hospital<br />
  60. 60. Splenectomy<br />Gold Standard for Small Spleen<br />
  61. 61. Laparoscopic Splenectomy<br />Cosmetically better outcome compared to open surgery<br />World Laparoscopy Hospital<br />
  62. 62. Ambiguous genitalia<br /><ul><li>Palpable gonad in right ? hemiscrotum
  63. 63. Labio-scrotal fold on left
  64. 64. Severe hypospadias</li></ul>World Laparoscopy Hospital<br />
  65. 65. Ambiguous genitalia<br />Can be corrected by MAS<br />World Laparoscopy Hospital<br />
  66. 66. Pull Through for Hirschsprng’s<br />Mobilization of Colon is better by MAS<br />World Laparoscopy Hospital<br />
  67. 67. Pull Through for Hirschsprung’s Disease<br />Mobilization of Colon<br />World Laparoscopy Hospital<br />
  68. 68. Pull Through for Hirschsprung’s<br />1 hour<br />1 month<br />World Laparoscopy Hospital<br />
  69. 69. Fundoplication<br />Commonly Required in Cerebral Palsy Patient<br />World Laparoscopy Hospital<br />
  70. 70. Phaeochromocytoma<br />Laparoscopy has good outcome<br />World Laparoscopy Hospital<br />
  71. 71. Obesity Surgery<br />Gastric Banding<br />World Laparoscopy Hospital<br />
  72. 72. <ul><li>No rib resection
  73. 73. No Sternotomy
  74. 74. Minimal morbidity
  75. 75. Advantage of Thoracoscopy is >> than Laparoscopy
  76. 76. Anaesthesia with double lumen tube
  77. 77. Lateral position</li></ul>Thoracoscopy<br />World Laparoscopy Hospital<br />
  78. 78. Oesophageal atresia<br />Open<br />Morbity can be reduced with MAS<br />World Laparoscopy Hospital<br />
  79. 79. Oesophageal Atresia<br />Minimal Access Surgery for OesophagealAtresia<br />World Laparoscopy Hospital<br />
  80. 80. Oesophageal Atresia<br />Rapid Recovery after OesophagealAtresia Minimal Access Surgery<br />World Laparoscopy Hospital<br />
  81. 81. Nephrectomy<br />Laparoscopic Living Donor Nephrectomy For Kidney Transplantation <br />The University of Maryland & Dundee has the world’s largest experience with this technique<br />World Laparoscopy Hospital<br />
  82. 82. Axilloscopy<br /> After<br />Minimal Access Breast Augmentation<br />World Laparoscopy Hospital<br />
  83. 83. Right Lobectomy of Thyroid Axillary-Breast Approach <br />World Laparoscopy Hospital<br />
  84. 84. HALS<br />Hand Assisted Laparoscopic Surgery<br />World Laparoscopy Hospital<br />
  85. 85. HALS<br />Hand is the best instrument<br />World Laparoscopy Hospital<br />
  86. 86. HALS (Hand Assisted Laparoscopic Surgery)<br />Extraction of Tumors with HALS<br />World Laparoscopy Hospital<br />
  87. 87. HALS (Hand Assisted Laparoscopic Surgery)<br />Omniport can accommodate Hand as well as Instruments<br />World Laparoscopy Hospital<br />
  88. 88. HALS (Hand Assisted Laparoscopic Surgery)<br />Hemicolectomy by HALS<br />World Laparoscopy Hospital<br />
  89. 89. HALS (Hand Assisted Laparoscopic Surgery)<br />World Laparoscopy Hospital<br />
  90. 90. Gasless Laparoscopic Surgery<br />Abdolift can replace the pneumoperitoneum<br />World Laparoscopy Hospital<br />
  91. 91. Gasless Laparoscopic Surgery<br />Added advantage if patient is at high risk to pneumoperitoneum<br />Abdolift<br />World Laparoscopy Hospital<br />
  92. 92. Mini & Micro Laparoscopy<br />Good Approach for Beauty Conscious Female<br />World Laparoscopy Hospital<br />
  93. 93. Present status in world<br />Coronary bypass surgery on beating heart<br />Cardiac Valve Surgery<br />Cardiac Tumor Surgery<br />Surgery without sternotomy<br />World Laparoscopy Hospital<br />
  94. 94. Future of Minimal Access Surgery<br />Now surgeons can operate exclusively via a computer interface controlling a master–slave manipulator through Internet.<br />World Laparoscopy Hospital<br />
  95. 95. Trans Atlantic MAS<br />Globalization of Surgery<br />World Laparoscopy Hospital<br />
  96. 96. Master slave manipulator<br />Robotic Surgery <br />World Laparoscopy Hospital<br />
  97. 97. Robotic arm<br />ROBODOC®<br />DaVinci<br />CASPAR®<br />World Laparoscopy Hospital<br />
  98. 98. Robotic console<br />ZEUS™ console <br />AESOP® console<br />World Laparoscopy Hospital<br />
  99. 99. Single Incision Laparoscopic Surgery (SILS)<br />World Laparoscopy Hospital<br />
  100. 100. Magnetic Surgery (MALS)<br />World Laparoscopy Hospital<br />
  101. 101. NOTES (Natural Orifices Transluminal Endoscopic Surgery)<br />Trans Vaginal Cholecystectomy<br />World Laparoscopy Hospital<br />
  102. 102. Future is Minimal Access Surgery<br />Surgical Procedure of New Millennium<br />Thank You !<br />Welcome to <br />World Laparoscopy Hospital<br />World Laparoscopy Hospital<br />

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