Slideshow of Laparoscopic Surgery by Prof. R.K. Mishra Prof. R.K. Mishra has the distinction of being first Asian who is honoured as Professor of Minimal Access Surgery by legislated University of Govt. of India. He is is currently the most experienced professor of minimal surgery in the world who has alone as a single faculty trained more than 3000 surgeon and gynaecologists from 108 countries. http://www.laparoscopyhospital.com/drrkmishra.htm

1. Introduction of Minimal Access Surgery R. K. Mishra M.B.B.S; M.S; M.MAS; MRCS; FICS; FACS Director, Laparoscopy Hospital, New Delhi The First Master Minimal Access Surgeon of India Member World Association of Laparoscopic Surgeon (WALS) Member European Association of Endoscopic Surgery (EAES) Member European Association of Transluminal Surgery (EATS) Member Indian Association of Gastrointestinal Endosurgeons (IAGES) Member Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Professor and Head of the Department of Minimal Access Surgery TGO University.

2. Synonym Surgical rose with different names Key Hole Surgery Endoscopic Surgery Button Hole Surgery Minimally Invasive Surgery Minimal Access Surgery Laparoscopy Thoracoscopy Cystoscopy Hysteroscopy 1953 by Professor Hopkins World Laparoscopy Hospital

3. History 1901 - Von Ott - First inspection of abdominal cavity using a speculum and candlelight. 1983 - First laparoscopic appendicectomy Semm, a German gynaecologist. 1985 - First Lap Chole Erich Muhe a German surgeon. 1987 - First laparoscopic repair of inguinal hernia by Ger. 1989 - First lap hysterectomy, Reich et al. 1993 - First Robotic Laparoscopic surgery (Robotic telesurgery) Dan Stoianovici. World Laparoscopy Hospital

5. Nephrectomy

6. Adrenalectomy

7. Stone disease

8. Prostate

9. Varicocele

10. Neck

11. Thyroid

12. Parathyroid

13. Thymus

14. Axilla &Breast

15. Axilloscopy

16. Subcutaneous Mastectomy

17. Robotics

18. Chest

19. Mediastinoscopy

20. Thymus

21. Pericardial window

22. Hilar/ Mediastinal Node

23. Pleural lesions

24. Lung biopsy

25. Lung resections

26. Empyema

27. Effusions

28. Sympathectomy

29. Spine

30. Abscess drainage

31. Discectomy

32. Biopsy

33. Scoliosis

34. Abdomen

35. Esophagectomy

36. AchalasiaCardia

37. Hiatus Hernia

38. Intestinal resection

39. Mesenteric nodes

40. Appendicectomy

41. Hernia Repair

42. Gall Bladder

43. Splenectomy

44. Sympathectomy

45. Spinal surgery

46. Rectal prolapse

47. Piles

48. Gynaecology

49. Ovaries

50. Uterus

51. Infertility

52. EctopicWorld Laparoscopy Hospital

53. Most commonly done MAS Diagnostic laparoscopy Cholecystectomy Appendicectomy Repair of all types of Hernia Hysterectomy Splenectomy Fundoplication Repair of D.U. perforation Piles and Prolapse Nephrectomy World Laparoscopy Hospital

54. Diagnostic Laparoscopy Kelling 1901 Electronic Eye Inside Abdomen World Laparoscopy Hospital

55. Laparoscopic Cholecystectomy Lap chole is now gold standard for the treatment of gallstone diseases. Most commonly performed Minimal Access Surgery by General surgeons worldwide. In Europe 97% of cholecystectomy is now done laparoscopically. Most commonly done MAS in India. World Laparoscopy Hospital

56. Laparoscopic Appendicectomy Gold Standard in female of Child Bearing Age Group 10 days Post OP World Laparoscopy Hospital

57. Tubal Surgery Most of the tubal surgeries are possible by MAS Sterilization * Ectopics * Cysts * Recanalization World Laparoscopy Hospital

58. Uterine Surgery Myomectomy by Minimal Access Surgery World Laparoscopy Hospital

59. Laparoscopic splenectomy Open Laparoscopic World Laparoscopy Hospital

60. Splenectomy Gold Standard for Small Spleen

61. Laparoscopic Splenectomy Cosmetically better outcome compared to open surgery World Laparoscopy Hospital

63. Labio-scrotal fold on left

64. Severe hypospadiasWorld Laparoscopy Hospital

65. Ambiguous genitalia Can be corrected by MAS World Laparoscopy Hospital

66. Pull Through for Hirschsprng’s Mobilization of Colon is better by MAS World Laparoscopy Hospital

67. Pull Through for Hirschsprung’s Disease Mobilization of Colon World Laparoscopy Hospital

68. Pull Through for Hirschsprung’s 1 hour 1 month World Laparoscopy Hospital

69. Fundoplication Commonly Required in Cerebral Palsy Patient World Laparoscopy Hospital

70. Phaeochromocytoma Laparoscopy has good outcome World Laparoscopy Hospital

71. Obesity Surgery Gastric Banding World Laparoscopy Hospital

73. No Sternotomy

74. Minimal morbidity

75. Advantage of Thoracoscopy is >> than Laparoscopy

76. Anaesthesia with double lumen tube

77. Lateral positionThoracoscopy World Laparoscopy Hospital

78. Oesophageal atresia Open Morbity can be reduced with MAS World Laparoscopy Hospital

79. Oesophageal Atresia Minimal Access Surgery for OesophagealAtresia World Laparoscopy Hospital

80. Oesophageal Atresia Rapid Recovery after OesophagealAtresia Minimal Access Surgery World Laparoscopy Hospital

81. Nephrectomy Laparoscopic Living Donor Nephrectomy For Kidney Transplantation The University of Maryland & Dundee has the world’s largest experience with this technique World Laparoscopy Hospital

82. Axilloscopy After Minimal Access Breast Augmentation World Laparoscopy Hospital

83. Right Lobectomy of Thyroid Axillary-Breast Approach World Laparoscopy Hospital

84. HALS Hand Assisted Laparoscopic Surgery World Laparoscopy Hospital

85. HALS Hand is the best instrument World Laparoscopy Hospital

86. HALS (Hand Assisted Laparoscopic Surgery) Extraction of Tumors with HALS World Laparoscopy Hospital

87. HALS (Hand Assisted Laparoscopic Surgery) Omniport can accommodate Hand as well as Instruments World Laparoscopy Hospital

88. HALS (Hand Assisted Laparoscopic Surgery) Hemicolectomy by HALS World Laparoscopy Hospital

89. HALS (Hand Assisted Laparoscopic Surgery) World Laparoscopy Hospital

90. Gasless Laparoscopic Surgery Abdolift can replace the pneumoperitoneum World Laparoscopy Hospital

91. Gasless Laparoscopic Surgery Added advantage if patient is at high risk to pneumoperitoneum Abdolift World Laparoscopy Hospital

92. Mini & Micro Laparoscopy Good Approach for Beauty Conscious Female World Laparoscopy Hospital

93. Present status in world Coronary bypass surgery on beating heart Cardiac Valve Surgery Cardiac Tumor Surgery Surgery without sternotomy World Laparoscopy Hospital

94. Future of Minimal Access Surgery Now surgeons can operate exclusively via a computer interface controlling a master–slave manipulator through Internet. World Laparoscopy Hospital

95. Trans Atlantic MAS Globalization of Surgery World Laparoscopy Hospital

96. Master slave manipulator Robotic Surgery World Laparoscopy Hospital

97. Robotic arm ROBODOC® DaVinci CASPAR® World Laparoscopy Hospital

98. Robotic console ZEUS™ console AESOP® console World Laparoscopy Hospital

99. Single Incision Laparoscopic Surgery (SILS) World Laparoscopy Hospital

100. Magnetic Surgery (MALS) World Laparoscopy Hospital

101. NOTES (Natural Orifices Transluminal Endoscopic Surgery) Trans Vaginal Cholecystectomy World Laparoscopy Hospital

102. Future is Minimal Access Surgery Surgical Procedure of New Millennium Thank You ! Welcome to World Laparoscopy Hospital World Laparoscopy Hospital