Solid organ Surgery in Delhi, India

Adrenalectomy can be performed in two ways. The type of surgery depends on the problem being treated.

• Laparoscopic Adrenalectomy: In this, several small incisions are made.
• Open Adrenalectomy: The surgeon makes one large surgical cut to remove the gland.

Procedure

• The surgery is performed under complete general anaesthesia.
• Few small punctures are done in abdominal cavity in the upper abdomen or flank just below the ribs.
• A laparoscope connected to a camera is inserted through the cannula.
• Other cannulas are also inserted, which allows the surgeon to delicately separate the adrenal gland from its attachments. Once the adrenal gland has been dissected free, it is placed in a small bag and is then removed through one of incisions.
• After the adrenal gland is removed, the small incisions are closed.

Splenectomy" is a surgical procedure to remove your spleen. Below mentioned are few reasons for spleen removal:

Auto-immune thrombocytopenia purpura (ITP): In this disease, the patient's platelet count is significantly low because the body makes antibodies to platelets, which are destroyed in the spleen itself. 

Hemolytic anemia: In this, the body makes antibodies to red blood cells that also are destroyed in spleen.  

Hereditary conditions: There are several diseases that affect the shape of red blood cells, such as, spherocystosis, sickle cell disease or thalassemia. Spleen identifies the red cells as abnormal in the patients suffering from these diseases and ultimately reduce their count. 

Malignancy: Patients suffering from lymphoma or certain types of leukamia rarely require spleen removal. 

Other reasons: Spleen needs to be removed when the blood supply becomes blocked (infarct) or artery abnormally expands (aneurysm)

Procedure

• The surgery is performed under general anaesthesia.
• A cannula is placed in the abdomen, causing it to inflate with carbon dioxide gas in order to create a space to operate.
• A laparoscope is put through one of the cannulas, which projects a video picture of the internal organs and spleen on a television monitor.
• Several cannulas are placed in different locations on abdomen to allow surgeon to place instruments inside your belly to remove your spleen.
• After the spleen is cut from all that it is connected to, it is placed inside a special bag. The bag with the spleen inside is pulled into one of the small, but largest incisions on your abdomen. 

They are:

• Urinary tract infection
• Urinary tract obstruction
• Nephrotic syndrome
• Nephritis
• Cysts
• Chronic kidney disease
• Kidney stones
• Renal failure
• Diabetic nephropathy

"Nephrectomy" is a surgical procedure to remove all or parts of kidney. It is also done to remove a healthy kidney from a donor for transplantation.

There are two types of nephrectomy for a diseased kidney:

Complete nephrectomy: Complete nephrectomy involves removing the entire kidney.

Partial nepherctomy: In partial nephrectomy, only the diseased or injured portion of the kidney is removed.

Procedure

• The surgery is performed under general anaesthesia.
• It is performed through few small punctures or incisions made in the abdomen.
• Laparoscope and instruments are inserted into abdomen through these keyhole incisions, allowing the surgeon to dissect kidney.
• The kidney is then placed within a plastic sack and removed through an extension of existing incision sites. 

• Diabetes (Type I and Type II)
• Pancreatitis (inflammation of the pancreas)
• Cysts
• Tumors
• Cystic fibrosis
• Pancreatic cancer
• Islet cell tumour

A "pancreatectomy" is the surgical removal of all or part of pancreas. There are several types of pancreatectomy:

• Pancreaticoduodenectomy
• Distal pancreatectomy
• Segmental pancreatectomy
• Total pancreatectomy

These procedures are used to treat a number of conditions, including Inflammation, Necrotising pancreatitis, Severe chronic pancreatitis, Severe Trauma, Neoplasms, Adenocarcinoma, Cystadenoma, Cystadenocarcinoma, Islet cell tumors, Papillary cystic neoplasms, Lymphoma, Acinar cell tumors, Ampullary cancer, Duodenal cancer, Severe hyperinsulinemic hypoglycemia and several others. 

Procedure

• The surgeon makes few punctures/incisions to insert tube-like surgical trochars.
• The abdomen is filled with gas, usually carbon dioxide, to help the surgeon view the abdominal cavity.
• A laparoscope and instruments are inserted through incisions.
• A camera is inserted through one of the tubes and displays images on a monitor in the operating room.
• If the pancreatectomy is partial, the surgeon clamps and cuts the blood vessels, and the pancreas is stapled and divided for removal. If the disease affects the splenic artery or vein, the spleen is also removed.
• If the pancreatectomy is total, the surgeon removes the entire pancreas and attached organs. 

• Hepatitis
• Fatty liver
• Cirrhosis
• Cancer
• Gallstones
• Ascites

•  In Hepatectomy surgery, the surgeon makes two-three tiny incisions in the abdomen to insert tube-like surgical instruments.
•  The abdomen is filled with gas, usually carbon dioxide, to help the surgeon view the abdominal cavity.
• The surgeon then enters the laparoscope and instruments through these incisions and removes the affected portion of the liver by placing it inside a bag inside the body.

• Minimal post operative pain
• Shorter hospital stay and quick return to normal activities
• Excellent cosmetic results