Advanced Laparoscopic Surgery

Treat gallbladder, hernias, colon cancer & gastric sleeve resections for obese patients with the single incision laparoscopic surgery in Kerela from Dr. K Prakash. He is a veteran laparoscopic gastro surgeon who operated a number of patients till date. Single-incision laparoscopic surgery is a section, he has already mastered in.

With over years of experience and hands-on expertise, Dr. K Prakash made SILS an ideal solution for removal of tumors, cancer, fat, gastrointestinal problems and different types of abdominal surgery with less pain. SILS surgery leaves no scars on the body after the surgery. Above all, the added advantage of a quick recovery and early discharge made it a favorite among youngsters, particularly females due to the absence of postoperative scarring. SILS is the most advanced form of surgeries we provide to our patients. It’s safe, targeted and 100% cost-effective to any other forms of surgeries you know.

We provide the advanced SILS procedure only, which is gaining more popularity day by day. If you talk about traditional laparoscopy, doctors need to do a number of cuts or incision to locate and do the operation. However, SILS requires only one incision/cut, which significantly reduces pain and expedites the recovery process. SILS is cosmetically more effective than conventional laparoscopic surgeries.

Aster Medcity is the only hospital in Kerala to offer single-incision laparoscopic surgery with 100% successful results.

About SILS

This is a new evolving innovation in the field of laparoscopic surgery wherein entire surgery is carried out through a 2.5 cm incision and a port introduced through the umbilicus. In single port surgery of SILS approach special angled instruments are used. The main benefit of single incision laparoscopic surgery is cosmetic and to an extent less pain. Almost all procedures like surgery for gall bladder, hernias, colon and rectal cancer treatment and bariatric obesity surgery in Kerala are done very effectively using the SILS approach. For young patients Single incision approach provides surgery with virtually no scar.

Benefit with Us

Our laparoscopic surgeries are invented to serve mankind. We are a highly professional team of surgeons and medical experts, with 20+ years of experience in laparoscopic surgeries in Kochi, Kerala. Our care unit offers the best medical facilities, you have experienced ever. The senior laparoscopic surgeon Dr, K Prakash bears an acclaimed profile, he has been certified and awarded for providing an outstanding contribution in the field of medical science. Getting treated at Aster Medcity gives complete peace of mind and satisfaction. We provide you the safest, less invasive and highly targeted solution for all types of abdominal surgeries.

If you are seeking for the best single incision laparoscopic surgeon in India, kindly fill up the consultation form available in the contact us page. Schedule an appointment to meet with Dr. K Prakash. You will be provided with thorough analysis, suggestions and best treatment in Kochi, Kerala here.

Give us a call for an appointment, we are available at +91 97455 44493!

Robotic surgery is the latest evolution of minimally invasive surgical procedures wherein surgeon uses da Vinci Robotic Surgical System for precise surgery. During surgery, three or four robotic arms are inserted into the patient though small incisions in the abdomen. One arm is a camera, two act as the surgeon’s hands and a fourth arm may be used to move obstructions out of the way. Patients are surrounded by a complete surgical team, while the surgeon is seated at a nearby console. The surgeon uses a viewfinder which provides a three-dimensional image of the surgical field, and the surgeon’s hands are placed on special devices that direct the instruments. The robotic arms filter out any tremors in the physician’s hands and increase the physician’s range of motion. This enhanced precision is especially helpful to the surgeon during especially delicate portions of procedures.

Patient Benefits

Due to small incisions, less trauma to the body and greater surgeon precision, robotic surgery provides the following benefits over traditional open procedures including:

• Shorter hospital stay
• Less blood loss
• Less pain
• Fewer complications, including less risk of infection
• Faster return to normal activities

For surgeons, robotic surgery is more precise due to better visualization of the surgical field, correction for tremors in hand movements and greater manoeuvrability of instruments. Watch the video below to understand more about the da Vinci robot.

Many scientific studies and registries state that in the last 5 to 10 years we have witnessed drastic growth in cases of colon and rectal cancer. It is true that there is gross increase in the number of new cases of colorectal cancer Nationwide particularly in Kerala. It has been observed from a study among private hospitals in Kochi, Kerala that the number of patients siffering from clon and rectal cancer has increased 3-4 fold over last 2 decades. Similar high incidence is reported in North-Eastern states as well. It is difficult to estimate the actual increase in percentage due to lack of audited data. The incidence of colorectal cancer in Kerala is about 5.5/ 100,000 and recent PCBR data in 2015 (unpublished ) is 9.4%.

Signs and symptoms of colon & rectal cancer include:

• A change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool, that lasts longer than four weeks
• Rectal bleeding or blood in your stool often missed with mucus
• Persistent abdominal discomfort, such as cramps, gas or pain
• A feeling that your bowel doesn’t empty completely, thin stools
• Weakness or fatigue
• Unexplained weight loss

1. What are the tests for colon malignancy before treatment?

Colonoscopy with biopsy is the test for confirmation. Colonic polyps can be removed with colonoscopy. A CT scan and or MRI scan and certain blood test are essential for planning surgery. A PET scan is done selectively.

2. How do we treat colon cancer?

Once diagnosed and if it is confined to colon or operable, radical surgery is the treatment of choice. Hemicolectomy, transverse colectomy, extended colectomy of subtotal colectomy are the procedures done depending upon the site and nature of the cancer. Most often these procedures are done by laparoscopy or by robotic surgery. Tumour with all draining nodes are taken out. Most colon cancers can be treated with laparoscopy or key hole surgery. Benefits of laparoscopic colonic surgery are early recovery, less pain, less blood loss and early return of bowel function. It is well proven in many large studies that the results of laparoscopic surgery for colon cancer is equal to that of open surgery in short and long term. Robotic surgery is another excellent precise way to remove colon cancer very effectively. Aster Medcity is a referral center for forms of laparoscopic and robotic colon cancer surgery and has excellent results.

3. What is the treatment for rectal cancer?

Rectal or rectosigmoid cancers are malignancy involving last portion of large intestine. They present with rectal bleed or altered bowel habits. If diagnosed sufficiently early, rectal and rectosigmoid cancer can be treated with laparoscopy or key hole surgery as well. In locally bulky or slightly advanced rectal cancers, chemoradiation therapy is given before surgery. For lower sigmoid or rectosigmoid cancer laparoscopic high anterior resection is offered. Laparoscopic low anterior resection surgery provides radical surgery for rectal cancer with total mesorectal excision. Few patients with low rectal cancer may require a temporary colostomy for few weeks along with laparoscopic low anterior resection. Robotic surgery for rectal cancer also is a very effective method for treatment of carcinoma rectum. With robotic surgery very low rectal cancers can be removed safely. If the lesion is involving anal canal or anal sphincters, laparoscopic abdominoperineal resection surgery (Lap APER) may be required. Laparoscopic rectal cancer surgery is now proven to have equivalent results compared to open surgery and offers advantage of early recovery.

4. What are the results of surgery in colorectal cancer?

The long term results of colon or rectal cancer depends upon the stage of the disease. In general, colorectal cancer responds to treatment very well and good proportion of patients have favourable outome. Depending upon the stage of the disease patient may require postoperative chemotherapy or chemoradiation therapy. In general, the results of laparoscopic surgery for colon and rectal cancer is very good and a significant proportion of patients get long term cure.

Key Hole Sleeve Gastrectomy Surgery for Weight Loss

The prevalence of morbid obesity in the Indian population, particularly in Kerala obesity is rising, bringing with it increased levels of cardiovascular disease, diabetes, arthritis and early mortality. A sample survey conducted among school children in Kochi, Kerala has shown alarming results with more than a third of children are overweight and half of them are obese. So, finding a treatment or solution is a necessary thing.

Morbid obesity is associated with twice the mortality compared with the general population and with other conditions such as hypertension and type II diabetes, as well as increased levels of psychiatric illness. Many of the co-morbidities listed in the box result from the metabolic effects of obesity. The so‐called “metabolic syndrome” becomes more common with rising BMI, and carries a threefold increase in cardiovascular morbidity. Further, non‐alcoholic fatty liver disease is present in 90% of liver biopsy specimens taken during bariatric surgery.

All these facts and figures urge for a safe and reliable solution like a keyhole sleeve gastrectomy provided at Astra Medcity Kochi Kerala.

Treatment options for morbid obesity

A number of weight loss operations have been devised over the last 40-50 years. The three main treatment options for morbid obesity are a lifestyle change, pharmacotherapy and surgery. Lifestyle change should involve restriction of calorie intake with an increase in exercise so that moderate weight loss can occur in the short term. However, the effects of these weight loss measures are not sustainable in the long term with 66%-90% of them regain weight after cessation of treatment. Best is going through a keyhole sleeve gastrectomy or laparoscopic surgery to bring the increased BMI index to normal condition.

WHAT IS BARIATRIC SURGERY?

Bariatric surgery indicates a set of surgical procedures on the gastrointestinal tract originally designed to reduce intake and/or absorption of nutrients by reducing the stomach’s size or bypassing a part of the small intestine, or by a combination of the above. Bariatric surgery offers the only means of delivering sustained weight loss. Comorbidity resolution after bariatric surgery occurs in 75–90% of cases, particularly for insulin resistance, hypertension and respiratory disorders. The number of bariatric procedures performed worldwide has increased considerably over the past few years for weight loss.

Laparoscopic or keyhole sleeve gastrectomy is the simplest form of surgery for overweight or morbidly obese patients. In this keyhole surgery, the stomach size is restricted to reduce food intake. Sleeve gastrectomy has no or minimal long term nutritional consequences. Weight loss following sleeve gastrectomy is maximum in the first 3 months and continues up to 1-year post laparoscopic sleeve gastrectomy. This surgery can be done by single incision bariatric surgery method as well. About 60 5 excess body weight is lost following this bariatric surgery- laparoscopic sleeve gastrectomy.

The Roux‐en‐Y gastric bypass (RYGBP) is another most common bariatric surgery done for morbidly obese patients after the keyhole sleeve gastrectomy. This effectively reduces the size of the meal that the patient is able to ingest. Additionally, the bypass causes some degree of malabsorption. Gastric bypass achieves excellent initial weight reduction, with a mean EWL of nearly 70% at 1 year. Gastric bypass is also effective in the treatment of “super” obese patients with a BMI of ⩾60 kg/m.

Laparoscopic Minigastric bypass is a new development is the laparoscopic mini‐gastric bypass procedure, a modification of the older loop gastrojejunostomy. Mini gastric bypass a technically simpler modification of Roux Y Gastric bypass. Laparoscopic mini‐gastric bypass procedure has been shown to achieve EWL of >70% at 2 years, equivalent to RYGBP but long‐term data are not yet available. It is a simpler and easier laparoscopic procedure to perform than RYGBP; however, long‐term data are still needed to determine whether it can match RYGBP in terms of sustained weight reduction, and also whether there is an increased incidence of long‐term complications such as biliary reflux, marginal ulceration and reflux oesophagitis.

Bariatric surgery can effectively contrast such physiologic, compensatory changes and therefore results in greater and more durable weight loss than any other weight reduction therapy. All these surgeries for weight loss are being done at our hospital at Kochi Kerala under the guidance of veteran laparoscopic surgeon Dr. K Prakash. Ask for Laparoscopic weight loss surgery or the keyhole sleeve gastrectomy from us, it’s now affordable and sage.

Call us on 91 97455 44493 to Schedule an Appointment Today!