2. Dr. Gautam Nadkarni
MBBS, MS, MIS FELLOWSHIP (FRANCE)
GASTROINTESTINAL SURGEON
DR. GAUTAM NADKARNI has done
his MBBS from J J Hospital, Mumbai and Masters in
Surgery (MS) from Sion Hospital (LTMGH) Mumbai.
He has a vast experience of 26 years in the field of Centre of excellence
Laparoscopy and GI surgeries, A dedicated surgeon specialising in
laparoscopy surgeries for removal of gallbladder, appendix, hernia repair,
duodenal ulcer perforation, fundoplication surgery for hiatus hernia,
ovarian cyst, hysterectomy, incisional hernia repair, He has performed
countless laparoscopic procedures since last 26 years with good
postoperative recovery - He has also performed Bariatric surgeries sleeve
Gastrectomy for obesity patients. For hemorrhoids he has used the Stapler
piles gun that reduces postoperative time and pain helps in fast recovery
of patients.
3. What is Laparoscopic surgery ?
Laparoscopic surgery, also known as keyhole
surgery, is a minimally invasive surgical procedure
that allows the surgeon to operate inside the
abdomen or pelvis through small incisions. The
surgery is performed using a laparoscope, a thin
tube-like instrument that contains a camera and a
light source. The laparoscope is inserted through
one of the incisions, allowing the surgeon to view
the internal organs on a monitor.
4. Procedure of Laparoscopic Surgery
During laparoscopic surgery, the surgeon
makes small incisions in the abdomen or pelvis,
and inserts the laparoscope and other
specialized surgical instruments through them.
The surgeon uses the laparoscope to view the
internal organs and perform the surgery with
the help of the surgical instruments. Once the
surgery is complete, the instruments and the
laparoscope are removed, and the incisions are
closed with stitches.
5. Types of Laparoscopic Surgery
Hysterectomy - removal
of the uterus
03
Oophorectomy - removal
of the ovaries
04
Cholecystectomy - removal
of the gallbladder
01
Appendectomy - removal of
the appendix
02
Nissen fundoplication - treatment for gastroesophageal reflux
disease (GERD)
07
Hernia repair - repair of
abdominal wall hernias
05
Bariatric surgery - weight
loss surgery
06
6. Advantages of Laparoscopic Surgery
Reduced risk of infection
04
Less blood loss during surgery
05
Minimal damage to surrounding tissues
06
Less pain and scarring
01
Faster recovery time
02
Shorter hospital stay
03
Improved cosmetic outcomes
07
7. Laparoscopic Surgery Scars
While laparoscopic surgery is less
invasive than open surgery, it does
involve making small incisions in the
skin. These incisions may leave small
scars, which typically fade over time and
are much smaller than the scars from
open surgery.
8. Recovery and Follow-up Care
The recovery time after laparoscopic surgery
is typically shorter than that of open surgery,
with most patients returning to normal
activities within a few days to a few weeks.
However, it is important to follow the post-
operative care instructions provided by the
surgeon, which may include restrictions on
physical activity, pain management, and
follow-up appointments
9. Differences between laparoscopic surgery and open surgery
Incision size: In laparoscopic surgery, the surgeon makes
several small incisions in the abdomen to insert a laparoscope
and other surgical instruments. In open surgery, the surgeon
makes a single, larger incision to access the affected area.
01
Visibility: During laparoscopic surgery, the surgeon uses a
camera and monitor to view the internal organs, while in open
surgery, the surgeon has a direct view of the organs.
02
Tissue damage: Laparoscopic surgery typically involves less
damage to surrounding tissue, since the incisions are smaller
and more targeted. In open surgery, more tissue may be
damaged or cut to access the affected area.
03
Pain and scarring: Patients who undergo laparoscopic surgery
typically experience less pain and scarring than those who
undergo open surgery, since the incisions are smaller and heal
more quickly.
04
10. Differences between laparoscopic surgery and open surgery
Recovery time: Laparoscopic surgery generally has a shorter
recovery time than open surgery, since there is less tissue
damage and a smaller incision size. Patients may be able to
return to normal activities sooner after laparoscopic surgery.
05
Cost: Laparoscopic surgery may be more expensive than open
surgery, since it requires specialised equipment and training.
06
Complications: Both laparoscopic surgery and open surgery
carry some risk of complications, such as bleeding, infection, or
damage to surrounding organs. However, laparoscopic surgery
may carry a slightly lower risk of some complications, such as
wound infections.
07