MINIMALLY INVASIVE SURGERY
It is the utilization of most recent medical equipment’s and techniques in surgery to make many surgeries safer and less painful for the patient, and easier for surgeon as well
advantages:
Less traumatic, no extensive wound
A short stay in the hospital and therefore return back work and physical activities early
Less surgical scars, this is very important aesthetic and psychological concern
Safer: Less bleeding, lower risk of wound infection
Fewer complications: in short term post-surgery and in long term as well
some these types of surgeries are:
laparoscopic Surgery:(key-hole surgery)
overview: this kind of surgeries depend on laparoscope and other tiny long instruments instead of traditional surgical instruments The surgeon here will not make wide wound in the skin, muscles and tissues to complete the surgery, only small holes (5 mm - 10 mm) are made as entrances for endoscope and other instruments via tiny ports. The surgery is performed using laparoscopic instruments with video monitoring transmitted by the scope from inside the abdomen. This technique can be used to perform a wide range of surgeries such as appendix and gallbladder removal, colon resection, hernia repair and abdominal tumor removal. It can also be used for diagnostic purposes by diagnostic laparoscopy and collect tissue biopsies.
Robotic assisted surgery
This technique is considered an advanced phase of laparoscopic surgery Overview: In this surgery, laparoscope and all tiny instruments are installed on the robot’s arms (usually used 3 or4 arms) and are controlled by the surgeon from his console away from patient advantages: Less traumatic no extensive wound A short stay in the hospital and therefore return back work and physical activities early Less surgical scars, this is very important aesthetic and psychological concern Safer: Less bleeding, lower risk of wound infection Fewer complications: in short term post-surgery and in long term as well 3D vision and magnification up to 10 times The surgeon has full control of all instruments and scope at the same time
Surgery by Using ultra sound_ doppler
This technique is used to treat anal hemorrhoids in most patients Overview: ligating the arteries which supply blood to the venous expansions that form hemorrhoids, which leads to their contraction over time Arterial locations are accurately determined using ultra sound doppler Advantages: Much less pain than the traditional hemorrhoidectomy less bleeding faster recovery The prolapsed mucosa can be treats at the same time by mucopexy technique to get better and faster results
Video assisted surgery
This technique is an excellent option for the treatment of some complex anal fistula and pilonidal sinus Overview: Inserting a scope (5 mm scope) into the external orifice of fistula and investigating fistula tract all the way, which gives the surgeon a clear view of the structure of the fistula wall from the inside and its tract Then, surgeon can remove unhealthy tissue by tiny instrument and make fistula_ ablation more effectively than other methods. advantages: This technique avoids wide wounds in the anal and perineum area, which may lead to secondary infection Significantly reduce recurrence Reducing the incidence of incontinence after this surgery
Laser ablation surgery
Laser ablation is an excellent option in some surgery for hemorrhoids and anal fistulas overview: In hemorrhoids, a sharp laser tube is inserted into the hemorrhoidal pile itself and laser ablation are applied on it, which leads to pile contraction directly In anal fistula and pilonidal sinus, laser ablation are applied on the tract of the fistula, which leads to its closure
Medical research is still in development and gives us new techniques every day, such as single site laparoscopic surgery, single port laparoscopic surgery, the use of fibrin glue to close fistulas, monitoring the nerves during surgery and other techniques.
