Using laparoscopic procedures, also referred to as keyhole surgery, Mr Sanjay Agrawal is able to access your inner abdomen without needing to make a large incision in your skin. This minimally invasive surgery is possible with the help of an instrument known as a laparoscope, which is a narrow tube with a light and camera that can relay pictures of your inner abdomen to a television screen. Receiving laparoscopic surgery for bariatric procedures and those to manage a hernia, acid reflux and gallstones offers a several advantages over conventional open surgery, which aids a better patient experience.
It is common to worry about how extensive your scarring will be after surgery, but as smaller incisions are made to insert the laparoscope and additional surgical instruments, you will benefit from reduced scarring after the operation, so it will be less obvious in the future that you had a surgical procedure. However, less noticeable scarring isn\'t the only advantage of having laparoscopic surgery. For instance, a smaller incision means that you will have less pain afterwards, as well as less bleeding, so you will feel more comfortable post-operatively. Additionally, you will need to spend less time in hospital after your operation and you will recover faster, allowing you to get back to your normal activities sooner.
Mr Agrawal is able to carry out the three main surgeries to aid weight loss - gastric banding, gastric bypass and gastric sleeve - laparoscopically. Although all bariatric operations are major procedures, performing them less invasively aids your recovery afterwards. If you need surgery to remove gallstones, repair a hernia or to treat acid reflux, Mr Agrawal is also able to perform keyhole procedures in these instances as well. However, you should be aware that sometimes due to your medical history it is not always possible to use keyhole surgery. Alternatively, if during the operation complications develop, it may be necessary to revert to an open procedure to safeguard your health.
Although full details will be provided by Mr Agrawal about what to expect before, during and after your surgery, here is an outline to offer you the basics.
In the run up to your operation besides making changes to your diet and exercise habits, you will also need to stop smoking to aid wound healing and prevent post- operative complications. It is also important to follow any instructions about the medications you take, as blood thinning drugs can increase the likelihood of heavy bleeding during surgery. Before the laparoscopy you additionally won\'t be able to eat or drink for up to 12 hours. Depending on the type of laparoscopic surgery you are having, you may be given further advice on how to prepare beforehand.
When receiving an operation laparoscopically you will have a general anaesthetic, so you will be unconscious during the procedure and won\'t feel any pain. During surgery Mr Agrawal will make several small incisions in your abdomen, usually no more than 1.5cm in diameter, to insert the scope, surgical instruments and a tube to introduce gas to your abdomen. It is necessary to inject your abdomen with carbon dioxide, as this makes it easier to assess your internal organs and there is more space to operate. Mr Agrawal is then able to perform your laparoscopic surgery of choice and once complete the gas is removed from your abdomen, the small incisions are stitched and a dressing is then used to cover your surgical wounds till they heal.
After surgery you may feel disoriented and nauseous while you recover from the anaesthetic. You will have some discomfort at the wound sites for several days and it is also relatively common to have a sore throat due to the insertion of a tube to help you breathe during the laparoscopy. Sometimes you may retain a proportion of the gas used to inflate your abdomen, which can lead to bloating, cramping and shoulder pain, though there is no need to worry, as these symptoms resolve in a matter of days as your body absorbs the leftover gas. Recovery times vary between different types of , but usually for bariatric procedures you will need between one and three weeks to recover before returning to work.
If you would like to discuss undergoing one of the keyhold surgeries that Mr Agrawal offers, phone for an appointment today.