General Surgeon at Melomed Gatesville

Laparoscopic Surgery

Laparoscopy is an innovative surgical technology that uses small incisions instead of large cuts, offering patients faster recovery and less discomfort. This procedure involves a laparoscope, a slender instrument with a tiny video camera, that Dr Webner expertly guides through a small opening to see inside your body on a high-definition monitor.

Types of laparoscopic procedures

Hernia Repair

Umbilical and Incisional Hernias

An umbilical or incisional hernia occurs when tissue pushes through a weak spot in the abdominal wall, causing a visible bulge and sometimes discomfort or pain, especially when lifting or coughing. Laparoscopic Intraperitoneal Onlay Mesh (IPOM) repair is a minimally invasive surgery where small incisions allow insertion of a laparoscope and instruments. The hernia sac is reduced, and a mesh is placed inside the abdomen over the defect to reinforce the weakened area. This technique offers smaller scars, less pain, and faster recovery compared to open surgery.

Inguinal Hernia Repair

An inguinal hernia occurs when tissue, such as the intestine, pushes through a weak spot in the lower abdominal wall near the groin, often causing a bulge and discomfort, especially when lifting, coughing, or standing.

Laparoscopic repair techniques for inguinal hernias include Totally Extraperitoneal (TEP) and Transabdominal Preperitoneal (TAPP) approaches. Both involve small incisions and the use of a laparoscope to place a mesh that reinforces the weakened area. TEP is performed without entering the abdominal cavity, while TAPP involve entering the abdomen to access the hernia site.

These minimally invasive methods typically result in less pain, smaller scars, and quicker recovery compared to open surgery.

Colon

A colon resection, or colectomy, is a surgical procedure to remove part or all of the colon, commonly used to treat colon cancer and other related conditions. Symptoms leading to this surgery often include abdominal pain, changes in bowel habits, bleeding, or a diagnosis of cancer.

Laparoscopic colon resection is a minimally invasive technique where the surgeon makes several small incisions in the abdomen. Through these, a laparoscope, a thin tube with a camera, and specialised instruments are inserted. The surgeon views high-definition images on a monitor to precisely remove the cancerous portion of the colon along with nearby lymph nodes and healthy tissue margins. The remaining ends of the colon are then reconnected.

This approach offers significant benefits over traditional open surgery, including smaller scars, less blood loss, reduced pain, shorter hospital stays, and faster recovery times. Importantly, laparoscopic colon resection has been shown to provide equivalent long-term cancer control and survival outcomes when performed by experienced surgeons.

Dr Webner’s expertise in laparoscopic colon surgery ensures patients receive safe, effective treatment with the advantages of minimally invasive techniques, helping them return to normal life sooner.

Abdominal procedures

Appendectomy

An appendectomy is a surgical procedure used to remove an infected appendix(appendicitis). Symptoms of appendicitis may include vomiting, abdominal pain, chills and fever. If appendicitis is left untreated, the appendix may rupture, and the infection can spread.

Cholecystectomy

Cholecystitis is the inflammation of the gallbladder caused by blockage (gallstones) from the gallbladder to the small intestine. The symptoms of cholecystitis vary between the locus, gastrointestinal and entire body. These symptoms include severe abdominal pain, nausea and fever. A cholecystectomy is a surgery used to remove the inflamed gallbladder.

Recovery

After a laparoscopic procedure, you are likely to have pain for several days. You may have a slight fever and feel tired or sick to your stomach. These symptoms are common and should subside in 1 to 2 weeks.

You may also notice that your bowel movements are irregular after your surgery. You may want to take a fibre supplement every day. If you haven't had a bowel movement after a couple of days, ask Dr Webner about taking a mild laxative.

If your stomach is upset, try low fat, bland foods, such as steamed chicken, plain rice, toast and yoghurt. Be sure to drink plenty of water to prevent dehydration. You will also need to rest as much as possible and avoid strenuous activities for a few weeks.

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