Bariatric and Metabolic surgery
Weight loss has become an important issue in this millennia for various reasons.
Cosmetic reasons aside, main problem is metabolic syndrome.
What is metabolic syndrome?
Metabolic syndrome is a cluster of conditions that occur together, increasing the risk of heart disease, stroke and type 2 diabetes.
These conditions include
- High blood sugar
- Increased blood pressure
- Abnormal cholesterol and triglyceride levels.
All the above conditions increase in many folds in central obesity patients.
Other than metabolic conditions caused by obesity, obesity also causes many complications like
- Certain cancers – breast, colon, esophagus, rectum etc.
- Digestive problems.
- Gynecological and sexual problems – infertility, irregular periods and erectile dysfunction in males.
- Sleep apnea.
- Osteoarthritis.
Obesity can be measured with BMI and BMI above 30 is considered obesity.
Weight loss surgery is considered an important surgery in reducing obesity and metabolic syndrome and other risk factors.
Types of Bariatric or Obesity Surgery:
- Sleeve gastrectomy.
- Mini Gastric Bypass.
- Roux en Y Gastric Bypass.
Endoscopic Thyroid surgery – Revolutionary scar less surgery
Enlarged thyroid pose an important cosmetic concern for many young ladies. Scar in neck after thyroid surgery can be ugly and sometimes painful. It may restrict movement when it undergoes hypertrophy in neck and upper chest. Scar less thyroidectomy is an advanced procedure where the entire thyroid or part of it is removed
Here, by endoscopic technique thyroid gland is approached and removed. The scar is so small near the arm pit it is almost invisible. By this revolutionary technique the problems of scar are overcome and one need not worry about ugly scar in the neck
Minimally Invasive Hernia Surgery
For all inguinal, ventral and incisional hernias, surgery is done with minimal access technique where, defect is corrected and prosthesis is placed in the posterior wall which is the gold standard for all the hernia surgeries.
Minimally invasive techniques for Inguinal hernia :
- Lap TAPP
- Lap TEP
Minimally invasive techniques for Ventral and Incisional hernia :
- E-TEP
- IPOM Plus
Other advanced and basic laparoscopic procedures done here are:
- Lap appendectomy
- Lap cholecystectomy
- Lap antireflux surgery
- Lap perforation closure
- Lap resection and anastamosis of bowel
- Lap rectal prolapse repair
- All other bowel related surgeries.
- Stapled hemorrhoidectomy
- All open surgeries from lump excision to exploratory laparostomy done in advanced and minimal blood loss.
Main objective and advantages of minimally invasive techniques are:
- Day care surgery.
- Low to nil pain after surgery.
- Minimal blood loss
- Very low or nil infection risk
