Latest Procedures

Single Incision laparoscopic Surgery
Single incision laparoscopic surgery is the latest innovation in the field of laparoscopic surgery. As the availability and awareness of laparoscopic surgery (key hole surgery) is increasing among all, the desire to further reduce the number incision has given rise to this new procedure. This new technique is only in its initial steps even in major cities and only few cases have been performed in Bangalore. The first SILS cholecystectomy (gall bladder removal for gall stones) was carried out by team of Dr. Keshav Prasad Y. V. (laparoscopic surgeon) and Dr. Ganapathibhat (chief anesthesiologist) with s/n Donna on a 53yr old lady at MangalaHospital and Kidney Foundation. The patient who was referred by Dr. Gopalakrishna from Ujire had symptomatic gall stone disease. The patient underwent the procedure on Tuesday morning and been discharged after 2 days of routine recovery period. She was very happy to go back home with a small single incision of 2cms around her umbilicus which will be barely visible after a while.

About the technique
Conventional laparoscopy which is regarded as the gold standard for many surgeries involves making of multiple small incisions to access the abdomen and carry out the surgery. In the new technique only a single incision of about 2cms in made around the umbilicus (belly button) and all the working instruments are inserted through a special port designed for the purpose. Although the surgery is of great benefit to the patient, performing the procedure is very demanding and needs significant expertise on the part of the surgeon. Any surgery entitles risks but in this case the risks are not more than conventional laparoscopic surgery. Many surgical procedures such as appendicectomies, cholecystectomies any hystrectomies can be performed by this method. The cost of the procedure is marginally higher from routine laparoscopic surgery as it entails use of specialized instruments and port.
  Single wound around belly   button after surgery.  

Endovenous Laser Therapy for Varicose Vein
Varicose veinsare enlarged twisted unsightly veins of the lower extremity. This may present as leg heaviness, leg ache or visible spider veins or bulging veins. Varicose veins are most commonly due to the presence of incompetent valves in the leg veins- leading to reflux disease of the superficial veins.
The primary goal in the management of varicose veins of the legs is to treat the reflux disease of the vein. This can be done by vein stripping or by endovenousablation.Vein stripping removes the saphenous vein through surgical incisions. This is done under regional anesthesia and requires hospitalization. Endovenous ablation using laser therapy obliterates the saphenous vein by heat using laser fiber inserted through the vein distally. This is a procedure performed under local anesthesia.
Conservative management of poor risk patients include using compression stockings, leg elevation for 15 minutes several times a day and avoiding constricting garment.

Endovenous Laser Therapy (EVLT) for treatment of varicose veins
Endovenous Laser Therapy (EVLT) is a minimally invasive, no-surgery, no-scar treatment for varicose veins. Your doctor uses ultrasound to map out your vein and then apply local anesthesia to the area to be treated. A thin laser fiber is inserted through a tiny entry point, usually near the knee. Laser energy is delivered to close the faulty vein, eliminating the cause of bulging. Blood circulation will not be harmed and the legs remain healthy. The procedure offers immediate relief of symptoms with very low risk of post-operative pain and infection.
Pressure bandages are applied to the treated area and a twenty-minute walk immediately after the procedure is encouraged. Normal daily activity can be resumed; however, rigorous activities such as heavy lifting or squatting should be avoided.There may be minor soreness and bruising. Any discomfort can be treated with over-the-counter non-aspirin pain relievers as needed.

Depending on the extensiveness of the varicose veins, additional procedure like microphlebectomy, sclerotherapy and superficial laser treatment may be needed to completely treat residual varicosities. All these supplemental procedures can be done as an outpatient procedure, under local anesthesia.

VERTIBROPLASTY -New Treatment for Spinal Fractures
Osteoporosis a common condition in elderly citizens. Patients with osteoporosis have a tendency to sustain fractures following minor trauma. The common sites for these fractures include wrist, hip, spine and shoulder. Normally spinal fractures in elderly are treated with bed rest, belt or plaster for a period of one to three months. The elderly patients cannot tolerate prolonged bed rest and it can lead to other illness. The fractured bone heals in collapsed position which may lead to deformity of the back.

But in Vertebroplasty procedure, using a small needle, bone cement is injected into the fractured bone and it is stabilized. The biggest advantage is immediate and complete pain relief.     The height of the fractured bone will restore which gives patient a complete relief from the pain and make him able to walk normally.

Laminoplasty – new treatment for compression of spinal cord
Here, the narrow bones of the neck are surgically opened with specialized instruments and held in place with screws. With this procedure, multiple levels of compression of the spinal cord can be relieved with minimal removal of normal tissues. The time for surgery is only about one hour. The blood loss is very minimal. Patient need not collar for more than two weeks. There are no late complications due to this procedure. It takes about six months to one year for complete recovery. The recovery is dependent on delay in diagnosis, longer the delay, prolonged is the recovery.