Laparoscopic surgery
Laparoscopic, or keyhole, surgery is performed through several small incisions using a camera and fine instruments, rather than one large incision. For many abdominal operations it means less pain and a faster return to normal activity.
How it works
A small camera is passed into the abdomen through one incision, and fine instruments through one or more others. The surgeon operates while viewing a magnified image on a screen.
Dr. Mansukhani holds FMAS, the Fellowship of Minimal Access Surgery, obtained in India in 2017.
Operations commonly performed this way
Gallbladder removal for gallstones. Hernia repair, including inguinal, femoral and incisional hernias. Appendix removal. Diagnostic laparoscopy, where the cause of abdominal pain is unclear.
What it means for recovery
Smaller incisions generally mean less post-operative pain, a shorter hospital stay, a quicker return to normal activity, and smaller scars.
Recovery still varies by operation and by individual. Keyhole surgery is a different approach to the same operation, not a smaller operation.
When open surgery is the right choice
Not every operation should be laparoscopic. Extensive scarring from previous surgery, certain emergencies, and some anatomical findings make an open approach safer.
Occasionally an operation that begins laparoscopically is converted to open during the procedure. This is a judgement made in the interest of safety, and it is discussed as a possibility before any keyhole operation.
Common questions
How soon can I return to work after keyhole surgery?
This depends on the operation and on the nature of your work. Many people return to desk-based work within one to two weeks after uncomplicated keyhole gallbladder surgery, while physically demanding work takes longer. Your surgeon will give you specific guidance for your operation.
Is keyhole surgery safer than open surgery?
Neither approach is universally safer. For many operations the keyhole approach offers a faster recovery, but the right approach depends on the condition, your anatomy and your surgical history.
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