What is Laparoscopic Surgery?
Laparoscopic surgery, commonly known as keyhole surgery, is a modern surgical method that involves incisions the size of a pinhole (3mm-10mm) to access the abdominal area. The surgeon uses specialised medical instruments such as a laparoscope, which is a long, thin tube attached to a tiny camera on the other end, to perform procedures inside the abdomen or pelvis.
Laparoscopic surgery relies on video-assisted techniques to provide immaculate visualisation. Patients suffering from medical conditions associated with the abdominal region, such as gallbladder stones, hernia, appendicitis, etc., to gynaecological operations usually benefit from the surgery.
The procedure is considered minimally invasive as it reduces tissue damage, minimises the blood loss, involves almost negligible scars and offers faster recovery. Laparoscopic surgery offers several benefits as opposed to a traditional open procedure, which has made it a preferred choice among patients.
What Conditions are Treated With Laparoscopic Surgery?
Laparoscopy is an advanced medical procedure that effectively treats symptoms that affect quality of life. Patients suffering from the following medical conditions may benefit from laparoscopic surgery:
Gallstones and Cholecystitis
Gallbladder stones are hard deposits of cholesterol and bilirubin that form in the gallbladder and can lead to inflammation, pain, and digestive issues. The surgeon uses a laparoscopic technique to remove the gallbladder through small incisions to relieve pain and prevent further complications.
Appendicitis
Appendicitis refers to the inflammation or infection in the appendix that can result in rupture and even death. Laparoscopic surgery for appendicitis is performed through keyhole incisions, leading to a quicker recovery and minimal scarring compared to open surgery.
Hernias
A hernia is a medical condition where an organ protrudes through a weak muscle or tissue wall. The general surgeon pushes back the protruded tissue or organ via laparoscopy and secures the weakened area with surgical mesh.
Endometriosis
It is a painful condition where tissue similar to the uterine lining grows outside the uterus. Laparoscopic surgery allows precise removal or elimination of the endometrial tissue, resulting in improved symptoms and fertility outcomes.
PCOS (Polycystic Ovary Syndrome)
It is a hormonal disorder that causes irregular periods, cystic ovaries, and in severe cases, infertility. Laparoscopic surgery for PCOS offers ovarian drilling to stimulate ovulation by reducing excess hormone-producing tissue.
Ectopic Pregnancies, Ovarian Cysts, and Uterine Fibroids
Ectopic pregnancy:The laparoscope is used to remove the fertilised egg implanted outside the uterus (usually in the fallopian tube) without damaging the surrounding tissue.
Ovarian cysts: These refer to the functional, dermoid, or endometriotic cysts that can be removed while preserving ovarian function.
Uterine fibroids:Uterine fibroids consist of subserosal or intramural fibroids, causing pain, pressure, or infertility, which can be treated via laparoscopic myomectomy, leading to faster recovery and preserved fertility.
Colorectal Conditions
Colorectal conditions refer to diseases that affect the colon (large intestine), rectum, or anus. Common examples include colorectal cancer, diverticulitis, inflammatory bowel disease (IBD) like Crohn’s disease or ulcerative colitis, polyps, and colonic obstruction.
Laparoscopic surgery has become a preferred approach for many colorectal procedures due to its minimally invasive nature and better outcomes compared to traditional open surgery.
Urological and Bariatric Conditions
Urological conditions such as certain sizes of kidney stones, which may require nephrectomy (kidney removal), removal of prostate tissue, and adrenal tumours. Laparoscopy is performed to achieve better cosmetic outcomes and offers a shorter hospital stay compared to traditional surgeries.
Additionally, laparoscopy is also preferred in weight-loss surgeries such as the gastric sleeve, the gastric bypass, or adjustable gastric band operations. Patients benefit from healing, fewer complications, and quicker mobilisation for obesity-related health issues like diabetes, sleep apnea, or hypertension.
When Should I Consult the Surgeon for Laparoscopic Surgery?
Consult a laparoscopic surgeon if you are experiencing symptoms that do not improve with non-surgical treatments like medications or have a medical condition that might require surgery. It is also advised to consult the doctor if only a minimally invasive option is suitable for the condition. Here are some of the common symptoms that may require consultation from a general surgeon for laparoscopy:
Persistent abdominal pain or unexplained digestive symptoms.
Pelvic pain, which is caused due to irregular periods, pain during intercourse (potential signals of PCOS or endometriosis)
In case the patient is diagnosed with gallstones, hernia, uterine fibroids, etc.
Laparoscopic surgeries are also done for chest conditions, especially lung lesions.
For early evaluation of infertility (in case of PCOS or endometriosis)
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How to Prepare for Laparoscopic Surgery?
Preparing for laparoscopic surgery is essential for a smooth operation to reduce the chances of complications. Based on the symptoms, the doctor may recommend clinical investigations and diagnostic tests to evaluate the severity of the condition. After the comprehensive diagnosis, it is advised to follow certain pre-operative tips before laparoscopic surgery:
The doctor recommends fasting for 6 hours before the procedure to avoid any risks associated with the anaesthesia. It is generally recommended that you do not eat or drink after dinner.
Discuss Ongoing Medications
It is important to discuss any ongoing medications, such as blood thinners, allergy medications, supplements, diabetic medicines, heart medications, etc., with the doctor. Certain medications need to be stopped 5 to 7 days prior to the surgery. Do not stop or adjust any medication without consulting the doctor.
Current Medical Conditions
If the patient has a history of any chronic medical condition or is suffering from any disorder that can increase the risk of complications during the laparoscopic surgery, then it is crucial to reveal it to the doctor. The doctor discusses the complications and benefits of the laparoscopic surgery to help the patients understand the outcome of the procedure if they are suffering from any medical condition.
History of Allergy To Anaesthesia
Inform your doctor if you have any history of allergic reactions to anaesthesia or related medications. Reactions from anaesthesia may include skin rashes, breathing difficulties, low blood pressure, etc.
This is necessary for certain laparoscopic surgeries involving the intestines, colon, or pelvic organs. The doctor may prescribe laxative solutions or an enema a day before the procedure to empty the bowels. This helps reduce the risk of infection and improve the digestive system.
How is Laparoscopic Surgery Performed?
Laparoscopic surgery or keyhole surgery, is a minimally invasive surgery that involves small incisions, the size of a pinhole, to gain access to the surgical site. Once the patient is sedated using anaesthesia, the surgeon uses precise medical instruments, including a laparoscope, which is a thin, long tube with a camera on the other end.
This allows the surgeon to view internal organs on an external video monitor and operate while minimising the damage to the surrounding tissues. Laparoscopy is a preferred surgical method for its shorter recovery time, reduced pain, minimal bleeding, and almost invisible scars. Here is how laparoscopic surgery is performed for different conditions:
Gallbladder Removal (Laparoscopic Cholecystectomy)
Laparoscopic cholecystectomy (gallbladder removal surgery) is a common procedure to remove the gallbladder, usually due to gallstones or inflammation (cholecystitis). During the surgery, the surgeon makes a few tiny incisions to gain access to the abdomen. Subsequently, a laparoscope is inserted through one of the incisions, which helps the doctor gain a clear view of the gallbladder on a monitor.
This allows the surgeon to carefully detach the organ from the liver and bile ducts through one of the incisions. After ensuring there is no bleeding and cleaning the area, the instruments are removed, and the incisions are closed. This minimally invasive method typically results in a shorter hospital stay and quicker recovery compared to open surgery.
Appendix Removal (Laparoscopic Appendectomy)
Laparoscopic appendectomy is performed to treat appendicitis, an inflammation or infection of the appendix. Once the patient is given anaesthesia, the surgeon makes small incisions in the lower abdomen through which the laparoscope and surgical instruments are introduced. The appendix is located using the camera and then clamped, tied off, and removed.
The abdominal cavity is flushed with sterile fluid to prevent infection, especially if the appendix has ruptured. The instruments are then withdrawn, and the incisions are sutured.
Hernia Repair (Laparoscopic Hernioplasty)
Laparoscopic hernia repair is often used to treat inguinal, umbilical, or ventral hernias. In this procedure, the surgeon makes small incisions in the abdomen and inserts a laparoscope to view the herniated tissue.
The protruding tissue or organ is gently pushed back into its proper position within the abdominal cavity, and a synthetic mesh is used over the weak spot to reinforce the abdominal wall and secured with staples or sutures to provide long-term reinforcement.
Endometriosis Treatment
Laparoscopic surgery is effective in diagnosing and treating endometriosis, a condition where tissue similar to the lining of the uterus grows outside of it. During the procedure, a laparoscope is inserted through a small incision to identify the endometrial lesions. Depending on the extent of the disease, the surgeon may use lasers, scissors, or electrical devices to remove or destroy the abnormal tissue.
Adhesions (bands of scar tissue) may also be removed to relieve pain and improve fertility. Because the incisions are small, recovery time is relatively short, and patients typically experience less pain and a faster return to daily activities.
Ovarian Cyst Removal (Laparoscopic Ovarian Cystectomy)
Laparoscopic ovarian cystectomy is performed to remove cysts from the ovaries, particularly when they are large, persistent, or symptomatic. The surgeon locates the affected ovary and carefully separates the cyst from the ovarian tissue using the laparoscope.
Special care is taken to preserve as much healthy ovarian tissue as possible, especially in women who wish to maintain fertility. The cyst is then extracted through one of the small incisions. The surgical area is checked for bleeding, and once everything is secure, the instruments are removed and the incisions are closed.
Hysterectomy (Laparoscopic Hysterectomy)
A laparoscopic hysterectomy involves the removal of the uterus and is performed for conditions such as uterine fibroids, endometrial cancer, or chronic pelvic pain. After the anesthesiologist administers anesthesia to the patient, the surgeon inserts a laparoscope through a small incision near the navel, along with additional instruments through other small incisions in the lower abdomen to gain access to the internal organs.
The uterus is detached from surrounding tissues and blood vessels, and may be removed in one piece through the vagina or morcellated (cut into smaller pieces) and removed through the laparoscopic ports. Subsequently, the incisions are closed using surgical sutures. This minimally invasive approach results in less blood loss, reduced pain, and a shorter hospital stay compared to traditional open hysterectomy.
Colorectal Surgery
Laparoscopic colorectal surgery is used to treat conditions such as colorectal cancer, diverticulitis, and inflammatory bowel disease. After the patient is sedated, the procedure begins with the insertion of a laparoscope to visualize the intestines.
The affected section of the colon or rectum is carefully isolated and removed while preserving surrounding healthy tissue. The remaining ends of the bowel are reconnected in a process called anastomosis. If needed, a temporary colostomy or ileostomy may be created. The laparoscopic technique minimizes damage to abdominal structures, promotes faster return of bowel function, and typically results in fewer complications compared to open surgery.
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What to Expect After Laparoscopic Surgery?
Immediately after the laparoscopic operation, the patient is moved to a recovery area where medical staff will monitor the vital signs until the effects of anesthesia wear off. Most patients can go home on the same day or within 24 hours after the procedure, depending on the doctor’s consultation, medical health of the patient and post-surgery recovery.
The patient may experience some discomfort around the incision sites, as the effect of anesthesia wears off, along with mild shoulder or abdominal pain due to gas (carbon dioxide) used during the procedure to inflate the abdomen. This typically subsides within a day or two.
There may be mild bruising and swelling around the incisions, which is normal. There may be slight pain as well, which can be managed with over-the-counter medications prescribed by the doctor.
What are the Benefits of Laparoscopic Surgery?
Laparoscopic surgery offers several advantages over traditional open surgery, making it a preferred choice for many procedures across various medical specialities. These benefits largely stem from the minimally invasive nature of the technique, which uses small incisions, specialised instruments, and a camera to guide the operation.
One of the most visible benefits of laparoscopic surgery is the involvement of tiny incisions, which are usually less than an inch long, compared to the larger cuts needed for open surgery.
Almost Negligible Scarring
Laparoscopic surgery offers tiny incisions that result in minimal scarring, which is cosmetically more appealing and reduces the risk of wound-related complications.
Reduced Pain and Discomfort
Minimal invasion in laparoscopic procedures involves less trauma to the muscles and tissues of the abdominal wall. Patients typically experience significantly less postoperative pain. This often means a reduced need for strong pain medications and a more comfortable recovery.
Most laparoscopic surgeries are performed as outpatient procedures or require only a brief hospital stay. Patients are often able to return home the same day or within 24–48 hours after the doctor’s consultation, depending on the complexity of the surgery and their condition.
Recovery is usually quicker after laparoscopic surgery, allowing patients to resume normal activities, work, and exercise much sooner than with traditional surgery. Most people return to daily routines within a week, whereas recovery from open surgery can take several weeks.
Smaller incisions result in minimal blood loss, which reduces the risk of postoperative infections and other complications. This is especially beneficial for patients with underlying health issues or compromised immune systems.
Less Blood Loss and Reduced Need for Transfusions
Laparoscopic surgery is associated with less blood loss during the operation, reducing the likelihood of needing a blood transfusion and decreasing the overall risk during surgery.
Enhanced Precision and Visualisation
The high-definition camera used in laparoscopy provides a magnified view of the internal organs, allowing surgeons to perform delicate operations with greater accuracy and control. This can improve surgical outcomes and reduce damage to surrounding tissues.
Laparoscopic Surgery Recovery
Recovery after laparoscopic surgery is generally quicker and less painful than conventional open surgery. However, patients are still advised to follow certain post-operative recovery tips to prevent any complications or risks after the operation.
Fatigue is common during the first few days, and patients are advised to rest while gradually resuming light activities. Most people can return to normal daily routines within a week. However, more strenuous activities, heavy lifting, or exercise may need to be avoided for several weeks, depending on the type of surgery.
Incision sites should be kept clean and dry. Any signs of infection, such as redness, swelling, pus, or fever, should be reported to a doctor immediately. A follow-up appointment is usually scheduled within 1 to 2 weeks to check healing progress and remove any stitches or dressings if necessary.
Overall, laparoscopic surgery offers a smoother recovery, with less postoperative pain, shorter hospital stays, and a quicker return to normal life. However, each person’s recovery usually varies depending on the medical condition treated, their general health, and how strictly they follow post-operative instructions.
Choose Artemis Hospitals for Advanced Laparoscopic Surgery in Gurgaon
Artemis Hospitals' minimally invasive team focuses on treating complex medical conditions with a high success rate. Our team of highly experienced general surgeons leverage modern medical equipment to ensure negligible complications during the procedure. Our general surgeons perform the safest and advanced laparoscopic surgery in Gurgaon. Call us to book an appointment with some of the best laparoscopic surgeons in Gurgaon.
Robotic Surgery with Da Vinci Surgical System
Our use of robotic-assisted laparoscopic surgery ensures greater precision, smaller incisions, faster recovery, and improved outcomes for procedures like sleeve gastrectomy and gastric bypass.
Focus on Safety and Results
Every procedure is designed to be minimally invasive, ensuring faster recovery, less pain, and significant, sustainable weight loss, allowing you to return quickly to your daily activities.
Personalised Patient Care
We provide comprehensive pre- and post-surgical support with individualised treatment plans, nutritional guidance, and lifestyle counselling to help patients maintain long-term results.
To book an appointment with some of the best general surgeons at Artemis Hospitals, call our customer care at +91-124-451-1111 or WhatsApp us at +91 959-928-5476. Appointments can also be scheduled through the online patient portal or by downloading the Artemis Personal Health Record mobile app, available on both iOS and Android devices.
Reviewed by Dr. Kapil Kochhar
Head (Unit II)- General & Minimally Invasive Surgery
Artemis Hospital
Frequently Asked Questions
What are the symptoms of gallbladder stones?
Laparoscopic cholecystectomy is recommended for gallbladder stones if the symptoms are persistent and do not go away with medications. Patients with gallbladder stones may experience the following symptoms -
Immense pain
Nausea & Vomiting
Jaundice
High Fever & Chills
Which doctor performs laparoscopic surgery?
Laparoscopy is performed by a general surgeon. A general surgeon specialises in treating medical conditions such as gallbladder stones, appendicitis, hernia, etc., using the laparoscopic technique. Get in touch with some of our top laparoscopic surgeons in Gurgaon.
Is laparoscopy painful?
No, laparoscopy is not painful, as the patient is given anaesthesia before the procedure. However, there may be some discomfort or pain around the site of the incision when the effect of anaesthesia wears out.
What is the duration of laparoscopic surgery?
The surgical time for laparoscopy is usually 45 minutes to 1 hour. However, the duration of surgery can vary depending on the technique used, type of medical condition, severity of the medical disorder, health of the patient, the surgical expertise of the surgeon, and the complexity of the procedure.
How long does it take to recover from a laparoscopy?
Patients undergoing laparoscopy usually go home on the same day or 24 hours after the surgery due to minute incisions. However, recovery may take 1 to 2 weeks, depending on the medical condition and the health of the patient.
When can I resume my daily activities after laparoscopic surgery?
Most patients can resume their daily activities within a week or two after their laparoscopic surgery. However, it is important to consult the doctor before you resume your work or school. Kids can resume school after a week of the procedure with certain precautions to avoid complications.
Where can I get the best laparoscopic surgery near me?
Artemis Hospitals offer advanced laparoscopy surgery with a high success rate. A team of highly experienced general surgeons leverage modern medical equipment to ensure zero complications during the surgery and offer a smooth recovery. To book an appointment with some of the best laparoscopic surgeons in Gurgaon, get in touch with us.
What is the cost of laparoscopic surgery?
The cost of laparoscopic surgery can vary depending on the technique used, hospital stay, doctor’s fee, insurance coverage, additional cost of medications and other surgical equipment, etc. Give us a call at +91 7290011531 to get an estimate on the laparoscopic surgery cost in Gurgaon.
Is laparoscopic surgery covered by insurance?
Laparoscopy is done for medical reasons and may be covered under insurance. However, insurance coverage depends on the type of insurance provider and the terms and conditions set by them. Get in touch with us to learn more about the best offers and discounts for your laparoscopic surgery.
