Best Laparoscopic Surgery Hospital in Jaipur

Until recently, gallbladder surgery involved a 15cm cut into the abdomen, a week in hospital and six weeks off work. This is now carried out via three or four small incisions that are no more than a centimetre each and most patients leave hospital the day after surgery.
The change is a laparoscopic surgery and it has changed the perception of surgery for patients.
Unfortunately, not all hospitals provide laparoscopic procedures and specially in a city like Jaipur you need to find out the best Laparoscopic Surgery Hospital in Jaipur. The technique will need specialized training, dedicated equipment and experience of a surgeon with a good volume of experience. Laparoscopic surgery is a procedure that every patient should know and understand, when it is recommended, what it costs, and what makes one surgical team better than another.

What Is Laparoscopic Surgery?

Before we go ahead let’s start by knowing what is laparoscopic surgery. Laparoscopic Surgery also known as minimally invasive surgery or keyhole surgery, involves inserting a small camera (laparoscope) and thin surgical instruments through small incisions in the abdomen. A magnified, high-definition image of the internal organs is sent to a monitor, and the surgeon works from a view on screen while using the instruments inserted into the body.

Advantages of Laparoscopic Surgery

• A considerable reduction in incisions, which in general are 3-4, each measuring 0.5-1 cm compared to one incision of 10-20 cm.
• Pain post surgery is reduced, smaller wounds create less trauma to the surrounding tissue.
• Reduce hospital stay, most patients are discharged within 24 hours for routine procedures
• Faster return to work and normal activity, 1-2 weeks instead of 6-8 weeks
• Decreased risk of infection, smaller wound exposed to less infection
• In laparoscopic surgery, there is less blood loss.
• Improved cosmesis small incisions, or scars, that are less noticeable than a large scar in the abdomen.

NOTE:Laparoscopic surgery is more complex and requires advanced surgical expertise and training. Not all surgeons who do open surgery are experienced in laparoscopy. The number of a specific procedure performed by a surgeon is directly correlated with the outcome.

Conditions Treated with Laparoscopic Surgery

Gallstones Laparoscopic Surgery

What are Gall Bladder Stones or Gallstones?

Gallstones develop in the gallbladder and lead to intermittent discomfort in the upper abdomen (usually following fatty food), nausea, and occasionally to intense cramping. Surgery is the definitive treatment if stones cause repeated symptoms, if the stone blocks the bile duct, or if the stone infects the gallbladder (cholecystitis).

What is Laparoscopic gallstone surgery?

Gallstones laparoscopic surgery (laparoscopic cholecystectomy) involves removal of the gallbladder through three small incisions. It is the standard treatment for gallstones that cause symptoms in all parts of the world. Generally 24-48 hours in hospital followed by 1-2 weeks at home prior to return to work.

Patients can still digest normally without gallbladder bile being released into the small intestine directly from the liver.

When to see a surgeon for gallstones:

• Abdominal pain in the upper right quadrant that extends to the back or right shoulder
• The pain usually starts 30-60 minutes after having a fatty food.
• Abdominal pain or nausea and vomiting.
• Fever and abdominal pain (may be a cholecystitis an emergency)
• Yellow skin or eyes (jaundice indicates blockage of bile duct)

NOTE:The above  last two points are considered an emergency get a same-day checkup by doctor.

Hernia Repair - Laparoscopic Hernia Surgery

What is Hernia?

A hernia occurs when an organ or tissue in the body pushes through a weakness in the tissue or muscle around it. Inguinal hernias (groin hernias) are the most frequent, especially men. Umbilical hernia is a hernia that is located at the navel. Incisional hernias occur when a previous surgical incision opens up.

What are the Symptoms of Hernia and Why Do You Require Treatment of Hernia?

All hernia that cause symptoms like pain, a bulge that doesn't shrink down when lying down or discomfort during activity needs repair. If left untreated, hernias will progressively get larger and can become strangulated, which means that the blood supply to the herniated tissue is cut off and it becomes an emergency.

What is Laparoscopic Hernia Surgery?

During Laparoscopic hernia surgery hernia is fixed with a mesh patch from the inside, allowing the abdominal wall to be reinforced without the tension of the open surgical repair. Recovery is 3-5 days (compared to open surgery in 2-4 weeks) and recurrence is as low or lower.

If there is a bilateral inguinal hernia (both sides), then laparoscopic repair is strongly recommended both sides can be repaired in the same surgery through small incisions.

Appendicitis - Laparoscopic Appendectomy

What is Appendicitis?

Appendicitis is one of the most common surgical emergencies. This causes inflammation and infection of the appendix, which will usually begin around the belly button and spread to the right lower abdomen, followed by fever, nausea and loss of appetite.

What is Laparoscopic Appendectomy?

During laparoscopy, the appendix is removed through three small incisions in the abdomen. Hospitalization is 24 hours followed by home care for 5-7 days. If the appendicitis is simple, laparoscopic removal is the recommended treatment, recovery is quicker, and there is less pain, less infection risk than when removed open.

If the appendix has perforated (burst) open surgery may be necessary. This will be determined in the operating room by your surgeon.

Laparoscopic Surgery for Uterus Conditions

Where the standard open hysterectomy a few years ago involved a large cut down in the abdomen and a 6-8 week recovery period, gynaecological conditions involving the uterus are now increasingly being treated with laparoscopic surgery for uterus.

Laparoscopic surgery for uterus conditions include:

1. Laparoscopic hysterectomy (LAVH): removing the uterus through small incisions or vaginally (assisted with laparoscopy). Used for uterine fibroids, heavy bleeding that doesn't respond to drugs, endometriosis and early onset uterine cancer.
2. Laparoscopic Myomectomy: Uterine fibroid removal without the removal of the uterus. Important for women who wish to preserve the potential to get pregnant.
3. Laparoscopic treatment of endometriosis: removal of deposits of endometrial tissue outside the uterus. Severe endometriosis is often the only long-term treatment that is effective.
4. Laparoscopic ovarian cystectomy: removal of ovarian cysts while preserving the ovary.

Recovering from laparoscopic gynaecological surgery is generally 3-5 days in hospital (and 2-3 weeks at home) compared with 7-10 days in hospital (and 6-8 weeks at home) after open surgery.

If you are a woman who needs to go through any of these procedures, it is always worth asking specifically about laparoscopic surgery as there can be a huge difference in recovery.

Other Laparoscopic Procedures

Currently the laparoscopic technique is used for:  

• Tumours in the appendix – laparoscopic right hemicolectomy
• Removal of the bowel for diverticulitis or early colorectal cancer (colorectal surgery).
• Trocar surgery - a procedure that is used to explore the abdomen when a diagnosis is needed, such as for unexplained pain, infertility or suspected disease
• Splenectomy is the surgical removal of the spleen (the organ that filters blood) in certain cases.

Laparoscopic Surgery Cost: What to Expect in India and Jaipur

Laparoscopic surgery cost in India is dependent on the complexity of each case, the type of surgery being performed, and the tier of hospital and city.

What affects the cost:  

• Specialist surgeons and specialists.
• Hospital Type (corporate hospital vs independent hospital).
• The induction of mesh (hernia repair)
• The number of variables involved in the particular situation.
• If elective or emergency;
• Period of time spent in the hospital.

Health insurance policies: Most of the laparoscopic procedures are included in health insurance policies. Treatment without cash is available in empanelled hospitals. For many surgical operations, the families are covered under the Ayushman Bharat (PM-JAY) and Mukhymantri Ayushman Aarogya Yojana (MAA) and can avail these services without paying any money to the empanelled facilities which provide these services.
Always request a written quote from the hospital prior to any procedure, covering the entire cost, including surgical fees, anaesthetic, consumables, bed fees and aftercare medicine. This is offered at the outset by reputable hospitals.

What Makes a Laparoscopic Surgeon Genuinely Experienced

Compared to open surgery, the laparoscopic method is much more difficult to learn. The surgeon works in a 3D space, with a 2D image, and with limited tactile feedback from the instruments. This is a skill which can be acquired and will improve with practice.

When evaluating a laparoscopic surgeon:

• Ask how many of the procedures they have carried out (cholecystectomy, hernia, hysterectomy). Expertise is solid experience (above 100) and established expertise (above 300).
• Inquire about the rate of conversion — how often do they convert from laparoscopy to open surgery? Some conversion is normal and acceptable (not all cases can be done laparoscopically) and a high conversion rate indicates little experience in laparoscopy.
• Inquire if the hospital has a specific laparoscopic tower (camera system, monitor, insufflator) and if the instruments are kept up to date to standards.
• Be sure to ask what would happen if there is a complication in the middle of the procedure – would the hospital be able to handle it in the theatre or would you have to be transferred?  

The foundational qualification is held by a surgeon with a 3-year post graduate surgical qualification in MS (General Surgery). Real-life experience and documented case volume after a given degree is a true sign of expertise.

 

The Rules of Surgical Emergencies

The surgical emergencies are appendicitis, perforated peptic ulcer, intestinal obstruction and strangulated hernia. The longer it takes to reach a surgical facility with 24/7 operating theatre, the poorer the outcome will be.

The golden hour concept of stabilising a critical patient in the first 60 minutes after reaching hospital is no different in the case of emergency surgery. Patients in Bagru, Mahindra SEZ and across the western part of Jaipur can now reach a surgical wing at Thikariya on the Jaipur-Ajmer Expressway in 10-15 minutes without having to deal with the chaos of city traffic in the event of a medical emergency.

Access to emergency surgery is a factor, not a convenience, especially when close to home.

Conclusion

Laparoscopic surgery is not only smaller scarring but also benefits in numerous ways. It results in less pain, fewer hospital stay days, quicker return to work and reduced risk of infection. For the majority of the conditions that require abdominal surgery, it is no longer an “advanced option,” but rather a standard.

This is what the best laparoscopic surgery hospital in Jaipur can do, thanks to the right equipment, trained surgical team, and 24/7 emergency backup. The indirect costs of laparoscopic surgery (lost days at work, disruption to family life) are much less than open surgery and the cost of laparoscopic surgery is available under insurance and government schemes in Jaipur.

For conditions such as gallstones, a hernia, an appendix or any condition related to the uterus, inquire specifically if the surgery can be performed laparoscopically. It's nearly always is when it's in the hands of an experienced surgeon that has the proper facility. Learn more about laparoscopic surgery in this guide.

Book a Surgical Consultation with Dr. Ashok Kumar Jain for checkup of gallstones, hernia, appendix concerns, or any abdominal surgical condition.