|
|
- SPECIALIZED PROCEDURE
- Urology
Transurethral Resection of Prostate (TURP) - This is endoscopic surgery for enlarged prostate, which caused obstruction to the urinary flow. Most prostate are operated thus, even upto a size of 80-90gms. The operation is conducted under direct vision, which means minimum chances of post-operative incontinence. Owing to direct fulguration, the patient can go home within 3 days without any suture of wound. This operation is safe for elderly and high-risk patients because it is less invasive. This is world-recognized practice with less than 2% morbidity & 0.2% mortality.
Transurethral Resection of bladder Tumour (TURBT) - This is an option for treating bladder tumour (cancer), which can be resected by cattery through the telescope under general Anaesthesia. The patient needs to stay for 3-4 days. No spillage of tumour and better staging is possible.
Internal Optical Urethrotomy (IOU)- Narrowing of the urinary passage a common phenomenon in Bihar, is successfully operated under spinal Anaesthesia, with the patient returning home within 2-3- days without any wound or stitches. Unlike open surgery, this prevents injury to the penile nerve.
Open Surgery- In Spite of advancement of optics instrument 10-15% urology cases need open surgery of urethra, bladder and kidney. All types open surgery is done with safe monitoring & Anesthetic facilities in all age group and both male & female including
VVF.
- Comprehensive treatment of Renal Stone
Extra Corporeal Shockwave Lithotripsy (ESWL) - most of the kidney stone patient treated by this method, as it involves minimal discomfort, no anaesthesia, no body invasion and virtually no hospital stay. The patient's routine activities can be resumed in the following 48 hours.
Stone are broken by shockwaves produced outside the body with no ill effects on the kidney. Fragments are expelled through the urinary tract within 1-2 weeks. 70% of the stone cases completed their treatment in single session.
Percutaneous Nephrolithotripsy (PCNL) - Stone above 3 cm in size are broken by a hand -held lithoclast through a telescope "Nephroscopy" inserted upto the stone through an incision. Fragments are then removed from the kidney with forceps. Today, 5-7% of the stones are being removed by this method, which needs general anaesthesia. Patients can resume work within 10 days.
Ureteroscopic Lithotripsy (URS) - Stones in the ureter are removed by a telescope passed through the urinary bladder upto the stone, which is then disintegrated under vision and removed with forceps.
- Comprehensive treatment of Biliary Tract diseases (General Surgery)
Laparoscopic Cholecystectomy (Lap Chole.)- Gallstones have traditionally been removed by conventional Cholecyctectomy (open surgery), posting the threat of postoperative pain, infection or even incision hernia.
Now for the last 10-12 years, Laproscopy is removing them. After instilling carbon dioxide in the peritoneum, the telescope is inserted in the abdomen. 2-3 holes are made to introduce hand -held instrument. The patient needs only 2-3 sutures, and is discharged within 24-48 hours.
Cholangio Pancreatography (ERCP) - This is a minimum invasive method to remove stones from the Common Bile Duct. Quit often the patient comes with jaundice due to stone in the CBD. In such a case, the stone is removed or a stent is inserted to drain the bile. Ones the jaundice abates the CBD stone is treated with either ESWL or open surgery.
|
