Minimally Invasive or Keyhole surgery is a modern technique to cure many problems in the human body that require surgery or operation. The technique uses 2 to 4 small holes of 2.7 to 10 mm diameter, in the abdomen to perform the operation on the body parts inside. No large cuts need to be made on the body as in earlier days that would not only be painful, take days to heal and in the end leave ugly scars.
The magic stick used to perform minimally invasive surgeries is called the Laparoscope… an instrument that is inserted into the body through a small hole. Once inside, the laparoscope does the magic. It lights the inside and has a camera that itself is tiny but magnifies tiny body parts into manifold magnifications that can be seen on a TV monitor by the surgeon. The laparoscope facilitates the artistic hands of the surgeon to perform the operation through highly specialized instruments that are sent inside the body through other keyholes.
Branch of medicine specializing in the disorders of the female reproductive system. Modern gynecology deals with menstrual disorders, menopause, infectious disease and maldevelopment of the reproductive organs, disturbances of the sex hormones, benign and malignant tumor formation, and the prescription of contraceptive devices.
Obstetrics and gynaecology (O&G) is a broad specialty which deals with the many facets of women’s health. Obstetricians are responsible for the health of mother and fetus during the prenatal, intra- and postpartum periods. This role may vary from routine outpatient monitoring of the normal pregnancy, to rapid decision making and intervention in times of obstetric emergencies such as severe pre-eclampsia or life-threatening postpartum haemorrhage.
Endoscopic inspection of the retroperitoneal structures is termed as retroperitoneoscopy. Earlier attempts at retroperitoneal surgery were largely unsuccessful due to inability to create and maintain an adequate working space thus favouring a transperitoneal approach. Undoubtedly, access to retroperitoneum and creation of a working space are the 1:eys to success in retroperitoneal surgery.
At SGRH, we have devised a technique of retroperitoneoscopy which is simple, easily learned and requires no special materials. Initial space for introduction of primary trocar is created using our indigenous balloon trocar technique followed by introduction of secondary ports under vision. We present here our technique of various therapeutic retroperioneoscopic procedures i.e. pyelolithototmy, uretrolithotomy, nephrectomy, sympathectomy etc.