Laparoscopic Suturing And Knotting Mob: 7289915430, www.drpradeepgarg

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The document discusses laparoscopic suturing techniques. It recommends ipsilateral suturing as it is less fatiguing and more useful for procedures requiring many sutures, like myomectomy. Contralateral suturing is more fatiguing and can obstruct the camera and assistant. The document also provides recommendations for needle holders and suture materials used for laparoscopic suturing. It suggests box trainers are effective for teaching laparoscopic suturing skills as they provide realistic practice at a lower cost.

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Laparoscopic Suturing And Knotting Dr. Pradeep Kumar Garg Assistant Professor Department of Obstetrics & Gynaecology AIIMS, New Delhi Email:pkgarg_in2004@yahoo.com

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This presentation of introduction of laparoscopic surgery made by Dr. R.K. Mishra Director and chief surgeon World Laparoscopy Hospital. Dr. Mishra in this presentation has explained present pas and future of laparoscopic surgery. Laparoscopy is a surgical procedure which uses a special surgical instrument called a laparoscope to look inside the body, or to perform certain operations. World Laparoscopy Hospital is the center of excellence for laparoscopic and da vinci robotic surgery training and considered as one of the best institute in the world. For more detail about laparoscopic surgery please visit: http://www.laparoscopyhospital.com

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What is MIS? A minimally invasive medical procedure is defined as one that is carried out by entering the body through the skin or through a body cavity or anatomical opening, but with the smallest damage possible to these structuresIncludes laparoscopic, endoscopic, and other approaches. Why MIS? Decreased patient pain Decreased patient recovery period Possible decrease in inflammatory response in the patient which may prove to have a better outcome in oncologic operations. Distant future In the distant future, there will be a para- digm shift with the development of non-invasive surgical techniques in combination with nanotechnologies and a new era in the development of surgery, and subsequently in surgical techniques, will be opened. Nanotechnology is an umbrella term for materials and devices that operate at the nanoskill (1 billionth of a meter). In terms of scale, a nanometer is approximately one 1/8000 of a human hair or 10 times the diameter of a hydrogen atom. The size of the device can vary but starts from a ten thou- sand-logic element system that will occupy a cube of no more than one hundred nanome- ters. This is a volume slightly larger than 0.001 cubic microns. This would be sufficient to hold a small computer. For example, if red blood cells are approximately eight microns in diameter, the 100 nanomicroprocessor will be 80 times smaller than a red blood cell. Devices this size could easily fit into the circulatory system and could even conceivably enter indi- vidual cells.

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It has not changed the nature of disease The basic principles of good surgery still apply,including appropriate case selection, excellent exposure,adequate retraction and a high level technical expertise If a procedure makes no sense with conventional access, it will make no sense with a minimal access approach The cleaner and gentler the act of operation, the less the patient suffers, the smoother and quicker his convalescence,the more exquisite his healed wound. We actually do not know what is there stored for us, but we believe that laparoscopy is trending towards advancement and nano and robotic technology is going to replace in future. 3D cameras have come into existence and various newer technologies are being invented.

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Laparoscopic suturing is an advanced stage in the management of surgeries .In this presentation I have shown practical points of learning how master in it step by step to all the learning surgeons. Laparoscopic suturing should start at the early stages of a surgeons practice starting from a basic laparoscopic procedure .Laparoscopic hernia surgeries,hernia surgeries needs suturing skills .The suturing should be as equal to a open procedure with it's firmness atthe knot and the security for the tissue approximation.The learners also need a good quality endotrainer along with the needle holder,sutures.

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