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Minimal Access Surgery
 

Dr. B. S. Sandhu
MS (Surgery)
General & Laparoscopic Surgeon

Dr. Sushil Jindal
MS (Surgery)
General & Laparoscopic Surgeon


The Minimal Access Surgery department has been delivering critical care with precision, even in cases involving complex procedures. It has advanced laparoscopic facilities, apart from surgical gastroenterology, amongst others.

Its forte lies in treating critically ill surgical patients like poly trauma with exceptional results.

The Operation theaters at Ludhiana Mediciti have been equipped to make them completely modern. It can be utilized for every super specialty including major surgeries and procedures.
 
EMERGENCY LAPAROSCOPY
They are indicated in acute abdominal pain like, right lower abdominal pain ( R/O Gynaecological pathology), peritonitis, mesenteric ischaemia, draining intrabdominal abscess ( not amenable to image guided drainage), acalculus cholecystitis, small bowel obstruction, fever of unknown origin, gastro intestinal hemorrhage of unexplained etiology. It is also useful in blunt abdominal trauma as well as penetrating trauma to exclude peritoneal penetration and to evaluate diaphragmatic injuries.
Hernia procedures
Laparoscopic inguinal hernia repair: repair of the groin hernias (including recurrent hernias). TAPD/TEPP.

Laparoscopic ventral hernia repair: repair of the hernias in the middle or on the side of the abdomen (usually resulting from a congenital defect or prior surgeries.
Gallbladder stones and liver procedures
Laparoscopic cholecystectomy: removal of the gallbladder for a variety of reasons, such as stones.

Laparoscopic common bile duct exploration: removal of the stones that escaped the gallbladder and are now lodged in the bile ducts.

Laparoscopic liver resection: removal of the diseased part of the liver for an infection, growth or cancer

Laparoscopic cholecystojejunostomy for carcinoma of the head of the pancreas and other obstructive lesions of the peri ampullary region where stenting is not possible.
Procedures on esophagus/ myotomy/fundoplication
Minimally invasive esophagectomy: removal of the entire esophagus for a variety of benign conditions or cancer.

Laparoscopic Heller myotomy: treatment for achalasia.

Laparoscopic fundoplication: treatment of heartburn (gastro-esophageal reflux disease).

Laparoscopic hiatal hernia repair: repair of the hole in the diaphragm muscle usually causing heartburn.
Procedures on the stomach cancer
Laparoscopic gastrectomy: removal of the part of the stomach for tumors (smooth muscle tumours, some gastric cancers, gastric lymphoma) or intractable peptic ulcer disease.

Laparoscopic gastrostomy when PEG cannot be performed or contraindicated.

Laparoscopic placation of perforated ulcer.

Laparoscopic gastrojejunostomy for byepass of distal gastric, pyloric or duodenal obstruction, generally when the patient is not considerd to be a candidate for a more definitive procedure.
Procedures on the small intestine ( Crohns disease)
Laparoscopic small bowel resection: removal of the diseased portion of the small intestine for bleeding, tumors, diverticula,stricture or inflammatory bowel disease (Crohn’s disease)

Laparoscopic small bowel bypass: bypass around the intestinal blockage

Laparoscopic Meckel’s diverticulectomy: removal of a Meckel’s diverticulum
 
Procedures on pancreas
Laparoscopic distal pancreatectomy with spleenectomy for tumours of the tail and distal body of the pancreas
 
Procedures on other organs
Laparoscopic splenectomy: removal of the spleen for many hematological disease, and tumours
Laparoscopic adrenalectomy: removal of the adrenal gland.
Laparoscopic appendectomy: removal of the appendix for appendicitis
Laparoscopic pancreatectomy: removal of the diseased pancreas for cysts, tumors or inflammation
 
Endocrine Surgeries
Breast
  • MRM
  • Breast Conserving Surgery
Thyroid
  • Thyroidectomy - partial / complete