Tuesday, March 23, 2021

Complicated Gallbladder stones, umbilical Hernia and Ovarian Cyst treated by single laparoscopic surgery on 70 year old female

Mumbai - Laparoscopic or “minimally invasive” surgery is a specialized technique of performing surgery. In the past, this technique was commonly used for gynecologic surgery and for gallbladder surgery. 

Over the last 10 years the use of this technique has expanded into intestinal and hernia surgery. In traditional “open” surgery the surgeon uses a single big incision (cut) to enter into the abdomen. Laparoscopic surgery uses several 0.5-1cm incisions and operations are done through advanced laparoscopic technology.

 In Starcity Multispeciality Hospital in Kalyan Dr. Rohit Paryani, a laparoscopic surgeon has treated 3 complications and 2 other illnesses with one surgery.  A 70 year old lady was admitted in Star City Multispeciality Hospital in kalyan with an emergency condition due to a lot of stomach pain. 

After all medical checkups & diagnosis she was diagnosed to have gallbladder stones that have blocked the duct where bile moves out from the gallbladder, it can cause inflammation and infection in the gallbladder. This is known as acute cholecystitis and it is a medical emergency.

 Gall bladder stones if not treated in time can give rise to many complications like Gallbladder  Stone moving ahead and causing Jaundice and infection (cholangitis), in Gall bladder infection( cholecystitis), swelling in Pancreas (PANCREATITIS). This patient had multiple complications due to gall bladder stone like jaundice with life threatening infection (cholangitis) and infection in gallbladder (acute cholecystitis). She also had a large cyst in her right ovary and hernia in umbilicus. All the problems were tackled in one sitting she underwent endoscopy and stone removal followed by a single laparoscopic surgery for all the problems. 

Dr. Rohit Paryani, laproscopic surgeon and specialist in minimal access surgery from Star City Multispeciality Hospital from Kalyan said, “Laparoscopic surgery and "minimally invasive" procedures can now be commonly used to treat diseases of the gastrointestinal tract and hernias. 

Unlike traditional surgery on the colon or other parts of the intestines where a long incision down the center of the stomach is required, laparoscopic surgery requires only small "keyhole" incisions in the abdomen. Blood loss in laparoscopic surgery is negligible due to minimal incision.

 All these advantages lead to significantly less/ minimal pain, faster postoperative recovery, and a short hospital stay. Laparoscopy is a boon for the surgeon as tissue visualization is under magnification and advanced instrumentation helps in better tissue dissection. 

In this special case we treated on complex Complicated Gallbladder stones, umbilical Hernia and Ovarian Cyst at one sitting through keyhole surgery,  Patient was discharged with 48 hours of surgery. At the same time Star City hospital is equipped with advanced laparoscopic surgery machines and very advanced Operation Theater with high end anaesthesia machines which gave the best result. Our doctor Dr. Pradeep Shelar physician and Intensivist, Dr. Vineet Chaudhari Gastroenterologist  has played an important role in the treatment of this patient." 

Surgical methods have evolved extremely in India over time and much newer safer and improved surgical methods have arrived which have increased the quality of life for a surgical patient; laparoscopic surgery is one of them. It is also known as minimally invasive surgery. Laparoscopic surgery is performed for the operations of the stomach with 6 to 12 inch long cuts. That’s why; it’s sometimes called keyhole surgery. With traditional methods, you might spend a week or more in the hospital for intestinal surgery, and your total recovery might take 4 to 8 weeks. If you have laparoscopic surgery, you might stay only 2 nights in the hospital and recover in 2 or 3 weeks. And a shorter hospital stay generally costs a smaller amount added by Dr. Rohit Paryani, laproscopic surgeon and specialist in minimal access surgery from Star City Multispeciality Hospital. 

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