Department of General, Minimal Access & Laparoscopic Surgery
Surgery is a branch of medicine concerned with diseases and conditions requiring operative or manual procedures.
General surgery is a surgical specialty that is not confined by a limitation and involves or affects practically the entire body. General surgery involves requisite knowledge of anatomy, emergency and intensive care, immunology, metabolism, nutrition, pathology, physiology, shock, and resuscitation, and wound healing.
General surgery covers various types of surgical conditions and treats a wide range of health problems and diseases. Common surgical procedures include Appendectomy, Esophageal procedures, breast surgery, Colonoscopy, Hernia repairs, and other surgical procedures.
In the early days of surgery, larger surgical incisions were necessary; exposure was the key to safe and successful operation. Exposure is still essential, but it can now be obtained through very small incisions and a minimally invasive approach, which is achieved through minimal access surgery.
Minimal access surgery, also called keyhole surgery is
- safe and reliable
- involves tiny incisions
- less scarring
- faster recovery time
- reduced blood loss
Minimally access or invasive surgery involves the use of specially designed instruments and high-tech imaging systems. Continental hospital is one of the best hospitals for minimal access surgery in Hyderabad as we have advanced robotic systems that give doctors greater control and vision during surgery so that they perform safe, precise and less invasive surgeries.
Non-robotic minimally invasive surgery includes Endoscopic surgery that involves the insertion of a thin, flexible tube with a video camera through a small incision into the body cavity. Endoscopy involves the use of an endoscope, which is an instrument to visualize the interior of an organ without making a large incision. Endoscopy is typically used to diagnose any abnormalities and take biopsies.
Laparoscopy is a visual examination of the abdomen using a laparoscope by making a small incision. A laparoscope is a long slender optical instrument for insertion through the abdominal wall that is used to visualize the interior of the organs. Continental Hospital is one of the best hospitals to perform laparoscopic surgery in Hyderabad as there is less pain after laparoscopic surgery, faster recovery time, smaller scars and less chance of infection.
Why choose Continental Hospitals for minimal access surgery?
Minimally access surgery is usually associated with less pain or complications and shorter hospital stay.
Laparoscopy and endoscopy are types of minimally access surgeries. Laparoscopic surgery is done through small incisions using small tubes, cameras, and video instruments. Endoscopy involves the use of a long insertion tube with a small camera and a light to view the interior of an organ or cavity of the body.
Laparoscopic surgeries are used for gynecological operations, gall bladder operations and other gastrointestinal operations. Laparoscopic surgeries could be robotic or non-robotic. Laparoscopic surgery also helps to diagnose tumors, blockages, unexplained bleeding and infections in the abdominal area.
Endoscopy allows a doctor to view the internal organs in a person's body. It helps doctors diagnose diseases in the esophagus, abdomen, heart, joints, ear, nose, throat and urinary tract. Endoscopy helps doctors to screen a patient for cancer and identify diseases by taking biopsies.
The surgeons at Continental Hospitals have vast experience in the field of Laparoscopic surgeries and have performed minimally invasive surgeries with finesse and skill. This is one of the many reasons that you will agree that Continental Hospitals is the best hospital for minimal access surgery in Hyderabad as well as the best hospital for laparoscopic surgeries in Hyderabad.
What are the different types of minimal access surgeries?
5 strategies are used in the refinement stage:
- Restricted rule out process: For instance, in the case of a headache the common causes are tension and migraine, but malignant hypertension, temporal arteritis and the subarachnoid hemorrhage must routinely be ruled out
- Stepwise refinement: It is based on either the anatomical location of the problem or the putative underlying pathological process.
- Probabilistic reasoning: It is the specific but probably imperfect use of symptoms, signs, or diagnostic tests to rule in or rule out a diagnosis.
- Pattern fit: Symptoms and signs are compared to previous patterns or cases, and disease is recognized when the actual pattern fits. This is the refinement strategy most commonly used by GPs. Its use relies on the memory of known patterns, but no specific rule is used. Some conditions may have various patterns—for example, acute myocardial infarction.
- Clinical prediction rule: is a formal version of pattern recognition based on a well-defined and widely validated series of similar cases. Which rules are useful and how they can best be used in practice remains an important unanswered question.
Strategies in the final definition stage
Less than 50% of cases resulted in the certainty of a “known diagnosis” without further testing. Thus GPs use other strategies in the final stage of diagnosis such as :
- Known diagnosis: a sufficient level of certainty of the diagnosis to start appropriate treatment or to rule out serious disease without further testing.
- Ordering further tests: a standard test can sometimes be used to rule in or rule out the disease – for example, midstream urine (MSU) in urinary tract infection. Also, further tests were used in response to “red flags” and when the diagnoses did not fit any obvious pattern of disease.
- Test of treatment: when the diagnosis is uncertain, the response to treatment is often used to refute or confirm it. Examples included the use of inhalers in nocturnal cough.
- Test of time: the course of the disease is used to predict when a person should be better or worse; a “wait and see” strategy allows the diagnosis to become more obvious.
- No label applied: where no diagnostic label could be assigned to the patient, presentations were often vague and didn’t fit a recognizable pattern. Various strategies can be used – recalling the patient for further review, using an exploratory investigation, sharing uncertainty with the patient, or referral to secondary care for a second opinion.
What are the different types of general surgeries that are performed at Continental Hospitals?
Continental Hospitals are the best hospital for minimal access surgery in Hyderabad as we have a wide range of surgeries across multiple specialties that are performed using a laparoscope or endoscope. The advantages of minimal access surgeries outweigh the benefits of open surgeries as the patients have less scarring, lower risk of complications and greater recovery time.
Continental Hospitals is one of the best hospitals for laparoscopic surgeries in Hyderabad as it is well equipped with modern equipment handled by efficient and well-trained surgeons.
The types of general surgeries performed at Continental Hospitals include:
- Treatments for Gastroesophageal Reflux Disease (GERD)
Gallbladder removal surgery by laparoscopy involves the removal of gallstones or complete removal of the gallbladder, depending on the symptoms faced by the patient.
It is the surgical removal of the appendix by laparoscopy by making small incisions in the abdomen of the patient.
Laparoscopic (minimally invasive) hernia repair uses a laparoscope, a thin, telescope-like instrument that is inserted through a small incision at the umbilicus (belly button) of the patient.
Removal of the spleen can be done by laparoscopy surgery using miniaturized surgical instruments by a method called Splenectomy.
Treatments for Gastroesophageal Reflux Disease (GERD)
Laparoscopic anti-reflux surgery is performed for the treatment of Gastroesophageal Reflux Disease (GERD) by making small incisions in the abdomen of the patient.
What are the different types of minimal access surgeries done at Continental Hospitals?
Continental Hospitals are the best hospital for minimally invasive surgery in Hyderabad, wherein latest and less invasive surgeries are carried out professionally and are beneficial for patients as the surgeries involve less scarring, low risk of complication, fast recovery time and short hospital stay.
The type of surgeries done at continental Hospitals are:
- Bariatric (Weight loss) Surgery
- Breast Surgery
- Colorectal Surgery
- GI/Endocrine Surgery
- General Surgery
- Hernia Surgery
- Vascular Surgery
Bariatric (Weight loss) Surgery
Bariatric surgery is an operation that helps you lose weight by making changes to your digestive system. It is advised as an option for weight loss in individuals having severe obesity who are unable to lose weight or regain weight by using medicines and making lifestyle changes.
There are three types of bariatric surgery-gastric band, gastric bypass, and gastric sleeve surgery. The Roux-en-Y Gastric bypass is considered a type of weight loss surgery, in which laparoscopic surgery is done with small incisions in the abdomen. The success rate of gastric bypass surgery depends on the individual case. The advantages of this gastric bypass surgery are it produces significant long-term weight loss in patients and produces favorable changes in gut hormones that reduce appetite and enhance satiety in them. Side effects of gastric bypass surgery include long-term vitamin/mineral deficiencies which require adherence to dietary recommendations and lifelong use of vitamin/mineral supplements for the patients.
Laparoscopic adjustable gastric banding (LAGB) is a surgical procedure that involves the placement of an adjustable belt around the upper portion of the stomach using a laparoscope. This is one of the surgical procedures employed for the treatment of obesity. Continental Hospitals has some of the best doctors for gastric bypass surgery in Hyderabad on board as they explain the pros and cons to the patients undergoing bariatric surgery.
Minimally invasive breast surgery involves techniques of breast-conserving surgery, vacuum-assisted needle biopsy. Minimally invasive surgery involves small incisions and faster recovery time for the patient. Continental Hospitals is one of the best hospitals for breast surgery in Hyderabad as we have highly skilled and trained surgeons who perform these techniques.
Minimally invasive laparoscopic surgeries are carried out to treat disorders affecting the colon, rectum, and anus. Laparoscopic-assisted surgery involves a small incision but large enough so that surgery can be performed on the colon. Since the laparoscopic colorectal surgery takes place inside the body, it requires extensive and highly trained surgeons to perform such surgeries. Continental Hospitals is one of the best hospitals for colorectal surgery in Hyderabad as it has these specialized doctors in the hospital.
Minimally invasive endocrine surgery involves thyroidectomy (removal of total or part of the thyroid gland by small incisions), minimally invasive parathyroidectomy (small incision in front of the neck), and adrenalectomy (remove tumors or cysts on one or both adrenal glands laparoscopically). Continental Hospital is the best hospital for endocrine surgery in Hyderabad using minimally invasive techniques.
Using non-robotic minimally invasive endoscopic surgery is used to treat conditions like pancreatic cancer, benign pancreatic lesions, hernias, severe GERD, liver tumors, gallbladder cancer, obesity, and gastrointestinal conditions. Endoscopic surgery allows the surgeon to see inside the patient’s body using a thin flexible tube with a video camera through a small incision or orifice like mouth or nostrils and to operate through this incision. Continental hospital is the best hospital for General Surgery in Hyderabad as it uses the latest techniques of minimally invasive surgery.
Hernia Surgery-Laparoscopic (minimally invasive) hernia repair uses a laparoscope, a thin, telescope-like instrument that is inserted through a small incision at the umbilicus (belly button). The benefits of this surgery are tiny scars, less pain after surgery and fast recovery time.
Continental Hospitals is one of the best hospitals for vascular surgery in Hyderabad as minimally invasive procedure such as endovascular aneurysm repair is used to repair abdominal aortic aneurysm which is incision-less or with a small incision in the groin followed by attaching a stent-graft to repair the aneurysm.
When you think of minimally invasive surgery, Continental hospital is the best hospital in Hyderabad as it has the best surgeons for minimally invasive surgery. Our doctors have received extensive and thorough training in laparoscopic surgeries across all the specialties of medicine. Each Specialty in the hospital has the best doctor for minimally invasive surgery in Hyderabad.
Minimal access surgery which also involves endoscopic surgery is performed by our surgeons in Hyderabad. Our specialists have advanced training in state-of-the-art endoscopic techniques to provide patients with effective, minimally invasive treatments for Gastroesophageal Reflux Disease. Our doctors also use the novel method in the treatment of obese patients by performing Roux-en-Y Gastric bypass with minimally invasive techniques that are beneficial for patients to have less pain, less scarring, faster recovery time and shorter hospital stay.
Our surgeons are some of the best general surgeons in Hyderabad as they have vast experience in dealing with general surgical and gastrointestinal problems.
Dr Satish Reddy Pullalrevu
MBBS, MS (Gen Surgery)
Senior Consultant General & Laparoscopic Bariatic Surgeon
Dr A. Dinakar Reddy
MBBS, MS (General Surgery), Mch (Surgical Gastroenterology), FIAGES, EFIAGES, FACRSI, FALS
Consultant Surgical gastroenterologist, Continental Hospitals