Doc throws light on laparoscopic surgery

Tribune News Service

Bathinda, January 12

North Indian states, mainly Punjab, Haryana and Rajasthan, are witnessing a rise in the number of Gall-bladder stone disease.

Dr Kuldip Singh (MS, FRCS and FACS), head of the department of laparoscopic surgery at AIMSR, Bathinda, has performed more than 700 laparoscopic surgeries in the past two-and-a-half-year with zero complications.

One in every 100 cases is suffering from this disease while one in every 200 people get the gall bladder operated, but sometimes the life of the patient is at risk when cystic duct (that carries bile juice) is also snapped.

Dr Kuldip Singh has performed more than 10,000 surgeries and has submitted the first ever thesis on ‘Critical View of Safety in Laparoscopy Cholecystectomy’.

In a tete-to-tete, Dr Kuldip Singh, who has also served as head of the department of surgery from 1987 to 2014 at DMC, Ludhiana, threw light on this critical issue to provide a better vision on gall bladder stone disease and its treatment.

What is laparoscopic surgery?

The history of laparoscopy is a story of many researchers and innovators from 1950-1980. Eric Muhe from Germany and Philip Mauret from France got this distinction of revolutionising a big change in the surgical history of 75-100 years.

Laparoscopic surgery has ended the age old dictum of surgeons that, “Big surgeons make big incisions. The way to hell is paved. with small incisions I do not enter through windows, I enter. through doors.” and brought a new era of surgery, which gave much more space to surgeons.

Laparoscopy is a Greek word and literally means to look into a cavity and survey. A telescope of 10mm in size is put into the belly of the patient into the navel. A camera with a microchip is attached to the telescope, which brings the picture of the internal organs to the monitor. The surgeon and the whole team watch the screen and thereafter put three or more instruments of 5mm size under vision which are used to operate.

Can all operations be done this way?

Laparoscopic surgery has now touched each and every field of surgery like all general surgical operations, gynecological, ENT, orthopedics, thorax, neurosurgery and cardiac.

Operations like GB stones, appendix, hernia, kidney, colon, thyroid, testis, renal, spleen, breast, pancreas, liver, lungs and many more can be done.

Gall bladder stone and related operations, Nissens fundoplication — a type of hernia which occurs inside the body, can be done.