• Hernia Repair
• Cholecystectomy (removal of gall bladder)
• Appendicectomy (removal of appendix)
• Splenectomy (removal of spleen for blood related disorder)
• Laparoscopic Fundoplication (surgery to prevent gastroesophageal reflux)
• Laparoscopic Colectomy (removal of large intestine for cancer or other diseases)
• Laparoscopic Bariatric Procedures (for weight reduction)
• Thoracoscopic Sympathectomy (for reducing excessive sweating of palm and sole)

 Inguinal Hernia Repair
A hernia is a common condition, often referred to as a protrusion of tissues or the fascia of an organ that bulges out of the weakened abdominal wall, where they are normally contained. It is a small balloon-like sac that occurs when the inner lining of the abdominal muscle pushes its way through the abdominal wall due to an opening or weakness.

Laparoscopically hernia repair is the latest and most advanced procedure for correcting hernia with proven outcomes. In this procedure, a laparoscope (telescope) connected to a camera and other surgical instruments are inserted through incisions allowing the surgeon to view hi-res images of the hernia and surrounding tissues, on a monitor. The hernia is repaired from behind the abdominal wall. A small piece of surgical mesh is placed over the hernia defect and is secured in position with small surgical staples. This surgery is usually performed with general anaesthesia or occasionally using regional or spinal anaesthesia.

Laparoscopic Cholecystectomy is the surgical removal of the gallbladder in the presence of stones in it or to remove an infected or inflamed gallbladder. The common symptoms are acute pain in the upper centre or right abdomen, low fever, nausea and feeling bloated.

When we eat, bile is added to the food as it passes out into the duodenum. Bile is stored in the gallbladder, which serves reservoir of bile. When we eat, fatty foods, the gallbladder contracts and pushes extra bile out through the common bile duct and into the duodenum. Bile breaks the fatty material of food into tiny fragments that can be more easily absorbed by the intestine.

Gallstones can block the normal flow of bile if they move from the gallbladder and lodge in any of the ducts that carry bile from the liver to the small intestine. The ducts include the.

• hepatic ducts, which carry bile out of the liver
• cystic duct, which takes bile to and from the gallbladder
• common bile duct, which takes bile from the cystic and hepatic ducts to the small intestine

The liver produces bile to digest a normal diet. Once the gallbladder is removed, bile flows out of the liver through the hepatic ducts into the common bile duct and directly into the small intestine, instead of being stored in the gallbladder.

Appendicitis is an infection of the appendix. The infection and swelling can decrease the blood supply to the wall of appendix. This leads to tissue death and appendix can rupture or burst causing bacteria and stool to release into the abdomen. The symptoms of appendicitis are stomach pain around the navel, loss of appetite, low grade fever, nausea, diarrhea or constipation.

In laparoscopic appendectomy, surgeon makes 1 to 3 incisions in the abdomen to insert the laparoscope and other surgical instruments. The surgeon operates on with aid of video on the monitor and removes the appendix. This procedure helps in minimal tissue damage, minimal post-operative infections, less scarring and faster recovery.

Laparoscopic fundoplication is a safe and effective treatment for GERD (Gastro-esophageal reflux disease). It is a common condition in which stomach contents reflux into the lower esophagus causing a variety of symptoms due to weakening of the lower end of food pipe(lower esophageal sphincter) or due to hiatus hernia(protrusion of stomach into chest). When left untreated, GERD may increase the risk of developing cancer of the esophagus.

• Heartburn
• Abdominal or chest pain
• Belching or bloating
• Difficulty swallowing
• Regurgitation
• Nausea, vomiting or severe pain

You may require a laparoscopic fundoplication if you experience any of these symptoms.

• 360 degrees Nissen fundoplication (NF)
• Toupet fundoplication (TF)