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By Dr. Manish Baijal in Laparoscopic / Minimal Access Surgery
Nov 28 , 2020 | 1 min read
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Ever since its origin in late 1980’s, Laparoscopic surgery has established itself as a gold standard for various surgical diseases. In the history of surgery, it is considered as one of the greatest revolutions in surgical innovations. The reason is, its very apparent advantages in the form of faster post operative recovery, early return to work, minimal pain, minimal wound complications and brilliant cosmesis.
In recent years, surgeons have been working to further enhance the techniques of Laparoscopic surgery, and one such enhancement is Microlaparoscopy. Laparoscopic surgery in its original form used instruments of diameter 10mm in size. Slowly with progress in the field, size started ranging from 5 to 10mm. Now with further progress in quality of instrumentation, size of instruments with <5mm diameter are used for most laparoscopic surgical procedures. In Microlaparoscopy, instruments used are usually <3mm in size. Such fine instruments significantly reduce surgical trauma to the body thus reducing pain and has even better cosmesis. It also makes it possible to perform most common surgical procedures like Laparoscopic Cholecystectomy (gallbladder removal), Hernia repairs, Appendicectomy, Hiatus hernia repairs etc. as day care (short stay) procedures. Patients usually spend less than 24 hours in the hospital. With improved surgical skills, anesthesia techniques combined with microlaparoscopy, in a hospital with good infrastructure, common surgical procedures are now being performed with quick recovery as “short stay walk back home procedures”.
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