Laparoscopic Surgery
Laparoscopic (keyhole) surgery is a minimally invasive surgical technique in which small incisions (0.5–1 cm) are made in the abdomen. A tiny camera (laparoscope) is inserted through one incision, and the surgeon operates using long thin instruments through other small incisions while viewing the operation on a monitor. Compared with open surgery, laparoscopic surgery causes less pain, results in smaller scars, reduces hospital stay, and allows faster recovery. At Iswarya Hospital, it is used for appendectomy, cholecystectomy, hernia repair, colorectal surgery, bariatric surgery, and gynaecological procedures.
🔬 How the Procedure Is Performed
- 1
General anaesthesia is administered.
- 2
Carbon dioxide gas is introduced into the abdomen to create a working space.
- 3
A trocar (hollow tube) is inserted through the umbilicus and the laparoscope passed through it.
- 4
2–4 additional small trocars are placed for working instruments.
- 5
The operation is performed under high-definition camera guidance.
- 6
Gas is released, instruments removed, and skin incisions closed with sutures or glue.
✅ Benefits of Laparoscopic Surgery
- ✓Much less post-operative pain than open surgery
- ✓Shorter hospital stay — often same-day or 1–2 days
- ✓Smaller, cosmetically better scars
- ✓Faster return to normal activities and work
- ✓Lower risk of wound complications and hernia at incision sites
📋 How to Prepare
- Fast for 6–8 hours before the procedure.
- Complete pre-operative investigations as requested.
- For bowel operations: a mechanical bowel preparation may be required.
- Arrange for a responsible adult to collect you (if day case).
- Remove all jewellery and nail polish.
⚠️ Possible Risks & Side Effects
- Injury to blood vessels or internal organs during trocar insertion — rare
- Gas embolism — very rare
- Conversion to open surgery if unexpected findings (announced to patient before operation)
- Post-operative shoulder tip pain from carbon dioxide gas (resolves in 1–2 days)
- Hernia at trocar sites (rare with good technique)
Your surgeon will discuss all risks with you before the procedure and take appropriate precautions to minimise them.
💊 Post-Procedure Care
- Most patients can eat and drink a few hours after the operation.
- Walking is encouraged from the same day — prevents clots.
- Shoulder tip pain from gas: walking and peppermint water help.
- Return to light desk work in 1 week; heavy manual work in 4–6 weeks.
- Keep incision sites clean and dry; report any redness or discharge.
❓ Frequently Asked Questions
Are there operations that can't be done laparoscopically?
Most common abdominal and pelvic operations are now performed laparoscopically. In some situations — severe adhesions, major bleeding, or very large tumours — open surgery may be preferred or required.
Will I have visible scars after laparoscopic surgery?
The scars are typically 0.5–1 cm and are placed in natural skin creases or the umbilicus. They fade significantly over 6–12 months and are barely noticeable.
🏥 Laparoscopic Surgery at Iswarya Hospital
Led by Prof. Dr. G. Manoharan, one of India's most distinguished Surgical Gastroenterologists and Liver Transplant Specialists, specializing in advanced surgeries for gastrointestinal, liver, pancreatic, and biliary disorders.
ℹ️ This information is for educational purposes only and does not constitute medical advice. Individual treatment plans may vary. Always consult a qualified healthcare professional before making any medical decisions.