Procedure

Gallbladder Surgery


The gallbladder is a small, pear-shaped organ positioned under the liver in the upper right portion of the abdomen. Its main purpose is to collect bile, a digestive agent that is produced by the liver. Stones may form in the gallbladder and block the outlet of the gallbladder, causing pain. Sometimes the stones may move into the bile duct, causing jaundice or an inflammation of the pancreas (pancreatitis). Patients who have severe symptoms from gallstones (usually diagnosed on an ultrasound) usually have their gallbladder removed. Symptoms may include sharp abdominal pain, vomiting, and indigestion. Gallbladder pain may start after a meal and it may be a severe, steady pain. If left untreated, symptoms may worsen.

Sometimes gallbladder problems can be managed with medication or adjustments in diet. However, when severe obstruction of the gallbladder occurs, removal is the only option. If surgery is the form of treatment your doctor recommends, surgeons at LAPAROSURGE HOSPITAL who are specialize in this procedure can determine if laparoscopic surgery is appropriate for you.

How is Laparoscopic Gallbladder Surgery Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Three additional small incisions are made near the laparoscope through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to remove the gallbladder. The bile duct is usually examined during surgery to be sure that no stone has migrated and to increase the safety of the surgery. Following the procedure, the small incisions are closed with sutures and covered with Band-Aids. After a few months, they are barely visible.

What Are the Benefits of Laparoscopic Gallbladder Surgery?

• Four tiny scars instead of one large abdominal scar.
• Shorter hospital stay--you may leave the same day or the day after surgery.
• Reduced pain following surgery.
• Shorter recovery time - days, instead of weeks - and quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor’s instructions after surgery. Although many people feel better in just a few days, you may need to take it easy for two to four weeks.

How Safe Is Laparoscopic Gallbladder Surgery? If performed by experts in this field, minimally invasive gallbladder removal is as safe as traditional "open" surgery. It is the gold standard surgery for the gall bladder diseases.

Appendectomy


The appendix is a small, tubular structure located at the right side of the colon. The appendix has no known function, but may become inflamed and require removal - this is called an appendectomy.

How is a Laparoscopic Appendectomy Performed?

Using a laparoscope, the appendix can safely be removed through three tiny incisions in the abdomen. The surgeon inserts the laparoscope (video camera) through one incision and utilizes the other two to move the appendix, using very small, specialized instruments. This can be done during an attack of appendicitis or when the patient has recovered (interval appendectomy).

What Are the Benefits of Laparoscopic Appendectomy?

• Three tiny scars instead of one large abdominal scar.
• Shorter hospital stay--you may leave the day of surgery.
• Reduced pain after surgery.
• Shorter recovery time--days instead of weeks--and quicker return to daily activities, including work.

How Safe Is Laparoscopic Appendectomy?

If performed by experts in this field, laparoscopic appendectomy is as safe as "open" surgery in carefully selected cases.

Hernia Repair


A hernia develops when a portion of the abdominal wall weakens; creating a defect that allows the intestine and other abdominal organs to push through the weakened areas. A loop of intestine or abdominal tissue may slip into the sac or tear, causing severe pain or other potentially serious health problems.

Men, women and children of all ages can develop a hernia. Hernias usually result from a natural weakness in the abdominal wall (congenital), or from excessive strain on the abdominal wall, including strain from heavy lifting, substantial weight gain, persistent coughing, or difficulty with bowel movements or urination (an acquired hernia). This defect is permanent unless surgically repaired. A hernia may be associated with mild discomfort or severe pain.

Sometimes a hernia can cause serious problems. Irreducible hernia is one in which the abdominal contents remain under the skin (as a lump) when the patient lies down and relaxes. It often is accompanied by pain. If the hernia cannot be reduced by gentle pressure, the blood supply to these organs can be compromised, resulting in gangrene (lack of blood supply to a structure) requiring major surgery. This is a potentially life threatening situation. Most hernias require surgical repair. Today most repairs can be performed using minimally invasive techniques. Eighty percent of all hernias are located near the groin. Hernias may also develop below the groin (femoral), through the navel (umbilical), or along a previous surgical incision (incisional). If surgery is the form of treatment your doctor recommends, surgeons at LAPAROSURGE HOSPITAL who are specialize in this procedure can determine if laparoscopic surgery is appropriate for you.

How Is Laparoscopic Hernia Repair Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a ball pen--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Two additional small incisions are made near the laparoscope through which the surgeon inserts specialized surgical instruments. The surgeon uses these instruments to expose the weakened area. A synthetic mesh is affixed with titanium staples/ sutures and sutures to repair the weakness. Following the procedure, the small incisions are closed with absorbable sutures and covered with a small dressing that allows the patient to shower soon after surgery. After a few months, the tiny scars are barely visible.

What Are the Benefits of Laparoscopic Hernia Surgery?

• Three tiny scars instead of one large abdominal scar.
• Ambulatory surgery--you may leave the same day or the day after surgery.
• Significantly less pain after surgery.
• Shorter recovery time--days, instead of weeks--and quicker return to daily activities, work and exercise.

What Can I Expect after Surgery?

It is important to follow your doctor’s instructions after surgery. Although many people feel better in just a few days, it may take longer in other cases. How Safe Is Laparoscopic Surgery for Hernia Repair? If performed by experts in this field, laparoscopic hernia repair is as safe as traditional "open" hernia surgery in carefully selected cases.

Splenectomy


The spleen is an organ located in the upper left portion of the abdomen, behind the stomach. Its functions are to filter blood, remove bacteria, make blood, and store blood. If your physician diagnoses any of the following diseases, it may be necessary to remove your spleen (splenectomy): acute and chronic leukemia, cysts, primary splenic thrombocytopenia, idiopathic thrombocytopenic purpura (ITP), primary splenic neutropenia, Felty’s syndrome, Banti’s disease, congestive splenomegaly, splenic tumors, splenic artery aneurysms, lymphomas, thrombolytic thrombocytopenic purpura (TTP), HIV splenomegaly, splenomegaly, splenocytosis, or a variety of anemias, SURGEONS at the LAPAROSURGE HOSPITAL can determine if laparoscopic surgery is appropriate for you.

How is a Laparoscopic Splenectomy Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, attached to a video camera, which is inserted through a small incision in the abdomen. The laparoscope is connected to a tiny video camera which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Two or three additional small incisions are made near the laparoscope through which the surgeon inserts very small specialized instruments. The surgeon uses these instruments to remove the spleen. Following the procedure, the small incisions are closed with sutures and covered with Band-Aids. After a few months, they are barely visible.

What Are the Benefits of Laparoscopic Splenectomy?

• Three or four tiny scars instead of one large abdominal scar.
• Lower risk of hernia.
• Shorter hospital stay--you may leave one to two days after surgery.
• Reduced pain after surgery.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor’s instructions after surgery. Although many people feel better in just a few days, you may need to take it easy for two to four weeks.

How Safe Is Laparoscopic Splenectomy?

If performed by experts in this field, laparoscopic splenectomy is as safe as "open" surgery in carefully selected cases.

Laparoscopic Surgery for Achalasia


In patients who have achalasia, the muscle of the esophagus does not move in a coordinated fashion (aperistalsis), and the lower esophageal sphincter muscle does not relax in response to swallowing. Therefore, most patients have difficulty in swallowing both liquids and solid food (dysphagia). Frequently, there is associated weight loss and malnutrition. Regurgitation of undigested food from the esophagus can lead to pulmonary problems, including pneumonia. There are three potential treatments, including injection of Botox into the lower esophageal sphincter, dilation of the lower esophageal sphincter, or surgical division (sero-myotomy) of the sphincter. Your surgeon will help you decide on the proper treatment for you.

What is Laparoscopic Surgery for Achalasia?

Division of the lower esophageal sphincter muscle (Heller myotomy) is the most definitive treatment for this disorder. It can be accomplished using laparoscopic technology. The laparoscope is a fiberoptic telescope that is connected to a high-resolution video camera. The laparoscope is inserted into the abdominal cavity through a small (1/2 inch) incision near the belly button. The image is projected onto a television monitor that your surgeon can view in the operating room. Four other small incisions (1/4 inch) are made to insert the small specialized surgical instruments to perform the procedure. The muscle at the lower end of the esophagus is divided for approximately 3 inches. The top portion of the stomach is wrapped partially around the esophagus to help prevent reflux after the procedure. The small incisions are closed with tape, and they are covered with Band-Aids.

What Can I Expect After the Surgery?

After about two hours in the recovery room, the patient is transferred to the surgical floor. The patient is given clear fluids when awake and encouraged to walk as soon as possible. Patients notice an immediate improvement in swallowing the night of surgery. Pain medication by mouth is given as needed. A limited barium swallow x-ray is taken after surgery to ensure the proper positioning of the procedure. Solid food is begun the day after the barium swallow. Discharge is also on the first postoperative day, and most patients return to normal activities within 10 days of the surgery.

What Can I Expect After the Surgery?

• There are five small incisions instead of a large abdominal incision and scar.
• Significantly less pain following surgery.
• Shorter hospital stay.
• Quicker return to normal activities.

Am I a Candidate for Laparoscopic Surgery for Achalasia?

Your surgeon can best advise you of the appropriate treatment for this disease. However, if surgery is recommended, it is preferable to use laparoscopic technology. The results of laparoscopic treatment are the same as for traditional surgery, if an experienced laparoscopic surgeon performs this complex procedure.

OUR OTHER AREAS OF WORK


At “LAPAROSURGE HOSPITAL” we are also performing following procedures,

• TOTAL LAPAROSCOPIC HYSTERECTOMY
• LAPAROSCOPIC ASSISTED VAGINAL HYSTERECTOMY
• LAPAROSCOPIC MYOMECTOMY
• LAPAROSCOPIC SURGERY FOR BLUNT ABDOMINAL TRAUMA
• LAPAROSCOPIC SURGERY FOR ECTOPIC PREGNANCY
• LAPAROSCOPIC SURGERY FOR ENTERIC/PEPTIC PERFORATIONS
• UMBILLICAL AND INSCISIONAL HERINAS
• THYROID SURGERY
• RADICAL PROSTATECTOMY
• RADICAL NEPHRECTOMY
• NEPHRECTOMY
• RENAL STONES /URETERIC STONES
• BARIATRIC SURGERY (WEIGHT REDUCTION SURGERY)

(If needed, we have full back up of our gynecological, urological and oncological, other associates.)

Laparoscopic Colon Resection


Colon resection is the removal of a portion of the large intestine. This may be necessary due to benign or malignant tumors, diverticulitis, Crohn's disease, and volvulus. In the majority of patients, this procedure can be performed using laparoscopic technology.

What is Laparoscopic Surgery?

The laparoscope is a fiberoptic telescope that is connected to a high-resolution video camera. Four or five small incisions (1/4 inch) are made in the abdominal wall, one of which is usually just below the umbilical (belly button). The images from the laparoscope are projected onto a television monitor to be viewed by the surgeon in the operating room. Small specialized surgical instruments are inserted into the abdomen to perform the surgery. The abdomen is inflated with carbon dioxide gas in order to allow the surgeon to see the abdominal structures. The gas is removed from the abdomen before the patient awakens from general anesthesia (the patient will be asleep for the entire procedure). A portion of the colon is removed using a small incision. The size and placement of the incision is dependent on which side of the colon is removed and the exact reason for removing it. The same amount of colon is removed as would be done in traditional surgery.

What Can I Expect After the Surgery?

Most patients stay in the recovery room for two hours after the surgery and take oral pain relievers for a few days. Patients are out of bed the day of surgery. Discharge from the hospital is usually on the fourth day following surgery, and the majority of patients are back to normal activity in 10 to 14 days.

Are There Benefits to Laparoscopic Colon Resection?

• As there are small incisions, the amount of pain following surgery is reduced.
• The length of stay in the hospital is shorter than with traditional surgery.
• Return to normal activity is more rapid.
• There is evidence that the incidence of infectious complications is lower than with traditional surgery.

Am I a Candidate for Laparoscopic Surgery?

Most patients with diverticulitis, benign or malignant tumors, or Crohn's disease are candidates for laparoscopic colon resection. However, some patients are not. It is important to consult with your surgeon beforehand. If performed by a qualified surgeon experienced in laparoscopic techniques, laparoscopic colon resection is as safe as the traditional operation.

Laparoscopic Surgery for Gastroesophageal Reflux Disease


Heartburn is a common condition. In the pure medical sense, it is caused by stomach contents going back up into the esophagus (GERD). The stomach contains acid and enzymes which cause inflammation to the lining of the esophagus. Other symptoms can be chest pain, vomiting, hoarseness, chronic cough (especially at night) and asthma. Some patients have a hiatal hernia, as well. Treatments include lifestyle changes, medication, or surgery. The patient should consult his or her physician to determine the best treatment. If an operation is recommended, laparoscopic surgery is the treatment of choice for this illness.

What Causes GERD?

The most common reason for patients to develop heartburn or other symptoms of GERD is a defective lower esophageal sphincter (LES). The LES is a complex valve system at the lower end of the esophagus which, when functioning properly, prevents the acid and enzymes of the stomach from going up into the esophagus. There are other reasons for reflux that must be identified before having laparoscopic surgery. In general, symptoms are directly related to the amount of reflux present. This can be measured by preoperative tests. A hiatal hernia is frequently present in patients with GERD, and, if present, is repaired at the same time.

How is Laparoscopic Surgery for GERD Performed?

The laparoscope is a fiber optic telescope that is connected to a high-resolution video camera. The images from the laparoscope are projected onto a television monitor viewed by the surgeon in the operating room. There are five small incisions made in order to complete the surgery. The abdomen is inflated with carbon dioxide gas to allow the surgeon an optimal view of the abdominal cavity and the area to be repaired. The gas is removed at the end of the procedure. The top part of the stomach is wrapped around the lower end of the esophagus (fundoplication). This produces an effective valve mechanism that stops the reflux of gastric contents into the esophagus. The small incisions are closed with either tape or absorbable sutures. If a hiatal hernia is present, it is repaired at the same time.

What Can I Expect After Laparoscopic Surgery for GERD?

Patients are able to drink clear fluids within four hours of surgery, and they will be out of bed walking the same evening. The majority of patients get pain relief with oral medication. A limited barium swallow x-ray is obtained the first day after surgery to ensure the proper position of fundoplication. The patient is usually discharged from the hospital the day after surgery, and is able to eat soft foods.

What Are The Benefits of Laparoscopic Surgery for GERD

• Five small incisions (1/4 to 1/2 inch) cause less pain than a large abdominal incision.
• The patient is discharged the day after surgery 99% of the time.
• Most patients are back to normal activity within 10 days to two weeks.
• The operation is effective in relieving symptoms in approximately 95% of patients.

Am I a Candidate for Laparoscopic Surgery for GERD?

If your physician recommends surgery to relieve your symptoms, it is preferable to perform the operation using laparoscopic technology. A qualified laparoscopic surgeon should perform the surgery. Certain preoperative tests will be required to determine if you are a candidate for this procedure.

Minimally Invasive Gastrectomy and Surgery for Peptic Ulcer Disease


Laparoscopic gastrectomy is removal of all or part of the stomach. This procedure is performed to treat recurrent peptic ulcer disease, to remove a chronic gastric ulcer, to stop hemorrhage in a perforated ulcer, or to remove a malignancy. The nerves that control acid secretion in the stomach - the vagus nerves - can be cut through the laparoscope for reduction of acid in the stomach. If surgery is the form of treatment your doctor recommends, SURGEONS at the LAPAROSURGE HOSPITAL, who are specialize in this procedure can determine if laparoscopic surgery is appropriate for you.

How is Laparoscopic Gastrectomy Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Two or three additional small incisions are made near the laparoscope through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to remove all or a portion of the stomach and to attach any remaining portion of the stomach to the small intestine. Following the procedure, the small incisions are closed with sutures and covered with Band-Aids. After a few months, they are barely visible.

What Are the Benefits?

• Three or four tiny scars instead of one large abdominal scar.
• Shorter hospital stay - you may leave the same day or the day after surgery.
• Reduced postoperative pain.
• Shorter recovery time - days, instead of weeks - and quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor’s instructions after surgery. Although many people feel better in just a few days, you may need to take it easy for two to four weeks.

How Safe Is Laparoscopic Gastrectomy?

If performed by experts in this field, laparoscopic gastrectomy is as safe as "open" surgery in carefully selected cases.

Minimally Invasive Surgery for Rectal Prolapse


Rectal prolapse occurs when the support around the rectum no longer functions properly. The rectum itself then protrudes from the anus. Patients feel a mass coming out of the anus. It often "prolapses" during bowel movements, and in severe cases, it can occur while standing. Rectal prolapse is repaired surgically by suturing the rectum to supporting structures within the abdominal cavity. In many cases, this surgery can be accomplished laparoscopically. If surgery is the form of treatment your doctor recommends, physicians at the LAPAROSURGE HOSPITAL can determine if you are a candidate for laparoscopic surgery.

What is Laparoscopic Surgery?

The laparoscope is a fiberoptic telescope that is connected to a high-resolution video camera. Four or five small incisions (1/4 inch to 1/2 inch) are made in the abdominal wall, one of which is usually just below the umbilicus (belly button). The images from the laparoscope are projected onto a television monitor to be viewed by the surgeon in the operating room. Small surgical instruments are inserted into the abdomen to perform the surgery. The abdomen is inflated with carbon dioxide gas in order to allow your surgeon to see the abdominal structures. The gas is removed from the abdomen before you wake from general anesthesia (you will be asleep for the entire procedure).

What Can I Expect After Surgery?

Most patients stay in the recovery room for two hours after the surgery and are given oral pain relievers for a few days. Patients are out of bed the day of the surgery. Discharge from the hospital is usually on the third day following surgery, and the majority of patients are back to normal activities in 10 days.

Are There Benefits of Laparoscopic Rectopexy?

• As there are small incisions, the amount of pain following surgery is reduced.
• Hospital stay is shorter than for traditional surgery
• Return to normal activity is more rapid.

Am I a Candidate for Laparoscopic Surgery?

Most patients with rectal prolapse are candidates for laparoscopic sutured rectopexy. However, some patients are not; therefore, it is important to consult with your surgeon beforehand. If performed by a qualified surgeon, laparoscopic rectopexy is as safe as the traditional operation.

Intestinal Surgery


Traditional surgical treatment for many intestinal disorders requires a long abdominal incision and a lengthy recovery period. Laparoscopic surgery has been used for several years to treat gallbladder and gynecologic problems. LAPAROSURGE HOSPITAL is now using laparoscopic techniques to perform intestinal surgery for many patients.

Who Is a Candidate for Laparoscopic Intestinal Surgery?

Anyone with a condition that requires removal of a large part of the intestine, including Tuberculosis, diverticulitis, Crohn's disease, some colorectal cancers, and rectal prolapse, may be a candidate for laparoscopic intestinal surgery.
If surgery is the form of treatment your doctor recommends, surgeons at the LAPAROSURGE HOSPITAL’ who are specialized in this procedure, can determine if laparoscopic surgery is appropriate for you.

How Is Laparoscopic Intestinal Surgery Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a coin of quarter rupee--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the area he or she is operating on. Two or three additional small incisions are made near the laparoscope through which the surgeon inserts very small specialized surgical instruments. The surgeon manipulates these instruments to perform the operation. Following the procedure, the small incisions are closed with sutures and covered with surgical tape.

What Are the Benefits of Laparoscopic Intestinal Surgery?

• Three or four tiny scars instead of one large abdominal scar.
• Shorter hospital stay--many patients leave less than a week after surgery.
• Reduced pain after the operation.
• Shorter recovery time and a quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor's instructions after surgery. You will need to take it easy for two to four weeks.

Small Bowel Resection


Inflammatory conditions of the small intestine, including KOCH’S disease (tuberculosis), Crohn's disease, or the formation of strictures, or narrowed areas of the small intestine may require the removal of the portion of the small intestine that is affected. A small bowel resection is the removal of one or more segments of the small intestine. If surgery is the form of treatment your doctor recommends, SURGONS AT LAPAROSURGE HOSPITAL can determine if laparoscopic surgery is appropriate for you.

How Is Laparoscopic Small Bowel Resection Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the area he or she is operating on. Additional small incisions are made in the abdomen through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to perform the operation. Following the procedure, the small incisions are closed with sutures or surgical tape.

What Are the Benefits of Laparoscopic Surgery?

• Four or five tiny scars instead of one large abdominal scar.
• Shorter hospital stay.
• Reduced pain after surgery.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect After Surgery?

You will receive instructions on post-operative activity and suggestions for your diet.

How Safe Is Laparoscopic Small Bowel Resection?

If performed by experts in this field, laparoscopic small bowel resection is as safe as "open" surgery in carefully selected cases.

Right Colectomy


A right colectomy, or ileo-colic resection is the removal of all or part of the right colon and part of the ileum. These operations are performed for removal of cancers, certain non-cancerous growths as well as severe KOCHE’S or Crohn’s disease. If surgery is the form of treatment your doctor recommends, surgeons at the LAPAROSURGE HOSPITAL can determine if laparoscopic surgery is appropriate for you.

How Are Laparoscopic Right Colectomy and Ileo-colic Resections Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the area he or she is operating on. Additional small incisions are made in the abdomen through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to perform the operation. Following the procedure, the small incisions are closed with sutures or surgical tape.

What Are the Benefits of Laparoscopic Surgery?

• Four or five tiny scars instead of one large abdominal scar.
• Shorter hospital stay.
• Reduced pain after the operation.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect after Surgery?

You will receive instructions on post-operative activity and suggestions for your diet. It is important to follow your doctor's instructions after surgery. You will need to take it easy for four to six weeks.

How Safe Is Laparoscopic Surgery?

If performed by experts in this field, laparoscopic right colectomy and ileo-colic resection are as safe as "open" surgery in carefully selected cases.

Left Colectomy


A left colectomy is the removal of part or all of the left colon. A proctosigmoidectomy is the removal of the sigmoid colon and at least part of the rectum. These operations are performed for the removal of cancers, certain non-cancerous growths, or complicated diverticulitis. If surgery is the form of treatment your doctor recommends, surgeons at the LAPAROSURGE HOSPITAL can determine if laparoscopic surgery is appropriate for you.

How Are Laparoscopic Left Colectomy and Proctosigmoidectomy Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the area he or she is operating on. Additional small incisions are made in the abdomen through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to perform the operation. Following the procedure, the small incisions are closed with sutures or surgical tape.

What Are the Benefits of Laparoscopic Surgery?

• Four or five tiny scars instead of one large abdominal scar.
• Shorter hospital stay.
• Reduced pain after the operation.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect after Surgery?

You will receive instructions on post-operative activity and suggestions for your diet. It is important to follow your doctor's instructions after surgery. You will need to take it easy for four to six weeks.

How Safe Is Laparoscopic Surgery?

If performed by experts in this field, laparoscopic left colectomy and proctosigmoidectomy are as safe as "open" surgery in carefully selected cases.

Laparoscopic Total Abdominal Colectomy


Total abdominal colectomy is the removal of the entire colon. This may be necessary due to ulcerative colitis, Crohn's colitis or familial polyposis. In many patients, this procedure can be performed using laparoscopic technology.

What is the Postoperative Course Following Laparoscopic Total Colectomy?

After a two-hour stay in the recovery room, the patient is transferred to a surgical floor. Most patients are out of bed the evening of surgery. Injectable pain medication is given the first night and oral pain medication the day after. A tube in the nose (nasogastric tube) is not required depending on the cases. Clear fluids are given the day after surgery, and solid food when the patient passes gas. Discharge from the hospital is usually 4 or 5 days following surgery, and return to normal activities is around two weeks after the operation.

What are the Benefits of Laparoscopic Total Colectomy?

• Four or five small incisions, avoiding a large scar.
• Reduced pain after surgery.
• Shorter hospital stay.
• Shorter recovery time, and quicker return to daily activities.

Am I a Candidate for Laparoscopic Total Colectomy?

Many patients are candidates for this procedure, but not all. Patients should discuss this surgical option with their physician. Extensive training in laparoscopic techniques is required in order to complete this procedure laparoscopically. If performed by a qualified laparoscopic surgeon, it is as safe as traditional surgery.

Abdominal Perineal Resection


An abdominal perineal resection is the removal of the anus, rectum, and sigmoid colon, and the creation of a permanent colostomy. This procedure is usually performed to treat cancer located very low in the rectum or in the anus, close to the anal sphincter (control) muscles. If surgery is the form of treatment your doctor recommends surgeons at LAPAROSURGE HOSPITAL can determine if laparoscopic surgery is appropriate for you.

How Is Laparoscopic Abdominal Perineal Resection Performed?

Laparoscopic surgery uses a thin, telescope-like instrument called a laparoscope, which is inserted through a small incision at the umbilicus (belly button). The laparoscope is connected to a tiny video camera--smaller than a dime--which projects a view of the operative site onto video monitors located in the operating room. The abdomen is inflated with carbon dioxide, a gas, to allow your surgeon a better view of the operative area. Three or four additional small incisions are made on the abdomen through which the surgeon inserts very small specialized surgical instruments. The surgeon uses these instruments to perform the operation. The small incisions are closed with sutures and covered with surgical tape. A permanent colostomy is made on the abdominal wall.

What Are the Benefits?

• Four or five tiny scars instead of one large abdominal scar.
• Less pain after surgery.
• Shorter hospital stay.
• Shorter recovery time and quicker return to daily activities, including work.

What Can I Expect after Surgery?

It is important to follow your doctor's instructions after surgery. You will need to take it easy for a few weeks.

How Safe Is Laparoscopic Abdominal Perineal Resection?

If performed by experts in this field, laparoscopic abdominal perineal resection is as safe as "open" surgery in carefully selected cases.