How keyhole surgery works
In laparoscopic surgery, the surgeon makes a few small cuts, usually between half a centimetre and just over a centimetre. The belly is gently filled with carbon dioxide gas to create space. A thin telescope with a camera (the laparoscope) sends a magnified, high-definition picture to a screen, and slim instruments are passed through the other cuts to perform the operation.
Because the muscles are not cut open, most people have less pain, smaller scars, a lower risk of wound infection and hernia, and get back to daily life sooner than after a traditional open operation. Samrijo Hospital describes itself as an "Advanced Laser & Laparoscopic Surgery centre", and keyhole surgery is central to our surgical work.
What we treat laparoscopically
Gallbladder stones: removal of the gallbladder (cholecystectomy), one of the most common keyhole operations worldwide.
Hernias: inguinal (groin), umbilical and incisional hernias, repaired with mesh from behind the muscle.
Appendicitis: emergency removal of the inflamed appendix, available 24×7.
Stomach and bowel problems: such as a perforated ulcer or adhesions causing obstruction, where suitable.
Diagnostic laparoscopy: a look inside the belly when scans haven't found the cause of pain, or to take biopsies, for example in suspected abdominal TB.
Is keyhole surgery right for me?
Most adults and children who need these operations are suitable. Keyhole surgery may be less suitable, or may need to be converted to open surgery during the operation, if you have had several previous abdominal operations with scar tissue, severe heart or lung disease, very heavy inflammation or bleeding, or certain complicated conditions. Your surgeon will discuss this with you before surgery and explain why a particular approach is recommended.
Your journey at Samrijo
Consultation: examination and a review of scans and reports, with a clear explanation of whether you need surgery at all.
Tests: blood tests in our own laboratory, with ECG and X-ray as needed, and an anaesthesia check.
Surgery day: admission on the day for most planned operations; the procedure under general anaesthesia in our operation theatre.
Recovery: walking and fluids the same day for most; many patients go home within 24 hours. Written advice on wound care, diet, activity and warning signs.
Follow-up: a check-up about a week later, sooner if needed. The hospital is open 24×7 if you have any concerns.
Laparoscopic surgery vs GI surgery: what's the difference?
"Laparoscopic" describes how an operation is done: through small keyhole cuts. "GI surgery" describes what is being treated: the stomach and intestines. Many GI operations are done laparoscopically, and many laparoscopic operations are not GI surgery (hernia repair, for example). This page covers the common keyhole operations; for surgery on the stomach and bowel, see our GI surgery page.
Preparing for surgery
A few simple steps make surgery safer and recovery smoother. If you smoke, stopping even a few weeks before helps wound healing and lung recovery. Keep diabetes and blood pressure well controlled. Bring a full list of your medicines, especially blood thinners, and ask which to pause. Arrange for someone to take you home and help for the first day or two. And write down your questions beforehand. There is no such thing as a silly question about your own operation.
Get an opinion
If you've been told you need an operation, or you want a second opinion on whether surgery is necessary, call 93196 62944 or book a consultation below. Bring your ultrasound and other reports.