What does keyhole surgery mean?
Laparoscopy uses small incisions, a camera and instruments to perform an operation. It may offer benefits for suitable patients, but it is not appropriate for every condition.
Why might an open operation be needed?
The condition, previous operations, anatomy or findings during surgery may make an open approach more appropriate. Ask whether conversion from keyhole to open surgery is a possibility in your case.
What about laser treatment?
Laser is a tool used in selected procedures. It is not a guarantee of a painless operation, no complications or no recurrence. Ask how it compares with the alternatives for your diagnosis.
Questions that support a decision
- Why is this technique suitable for me?
- What are the reasonable alternatives?
- What are the benefits and risks in my situation?
- What happens if the planned approach needs to change?
Further reading
DR RICHA MISHRA · BENGALURU
Discuss surgical approaches with a female GI surgeon in Bangalore
Dr Richa Mishra explains the diagnosis and suitable treatment before an operation is planned. Ask why an open, laparoscopic or robotic approach is being considered, who will perform it, and the benefits, risks, alternatives and expected recovery for your condition.
Consultations are available at Evexia Diagnostics Centre, Nyanappana Halli, with other consultation locations at Fortis Hospital, Bannerghatta Road, and Apollo Clinic, JP Nagar. Call +91 93535 23083 to confirm the clinic, appointment and fee.
You may discuss privacy preferences and request a chaperone when booking. Patients of all genders are welcome.
Related care and patient guides
Department procedure directory
The following is the department’s service scope, not a claim that Dr Richa personally performs every operation. Consult her to establish the suitable specialist, her role, and current availability.
Upper gastrointestinal surgery
- Laparoscopic / robotic Heller–Dor cardiomyotomy
- Laparoscopic / robotic Toupet and Nissen fundoplication
- Laparoscopic / robotic partial gastrectomy for gastric GIST
- Robotic / laparo-endoscopic excision of gastric GIST
Hepato-biliary-pancreatic (HPB) surgery
- Laparoscopic / robotic hepato-biliary-pancreatic surgery
- Cholecystectomy with RUBINA ICG assistance for complex gallstone disease
- Laparoscopic / robotic choledochal cyst excision with hepaticojejunostomy
- Laparoscopic / robotic cystogastrostomy or cystojejunostomy for pancreatic pseudocyst
- Laparoscopic / robotic pancreatic necrosectomy
- Laparoscopic / robotic splenectomy
Complex abdominal wall reconstruction & hernia surgery
- Robotic posterior component separation / transversus abdominis release (TAR) for complex and recurrent incisional hernias with loss of domain
- eTEP-RS with abdominal wall reconstruction for ventral hernia with divarication recti
- TAPP / TARM / TARUP for abdominal wall hernias
- TEP / TAPP / eTEP for giant inguinal hernia
- Robotic repair of lumbar, Spigelian, epigastric, suprapubic and flank hernias
- Laparoscopic / robotic parastomal hernia repair using the Sugarbaker technique
Bariatric & metabolic surgery
- Roux-en-Y gastric bypass (RYGB)
- Laparoscopic sleeve gastrectomy
- Single anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S)
Lower gastrointestinal & colorectal surgery
- Laparoscopic / robotic right hemicolectomy for recurrent TB, Crohn’s stricture and appendicular mucocele
- Laparoscopic / robotic left hemicolectomy
- Sigmoid colectomy
- Hartmann’s procedure
- Laparoscopic / robotic abdominoperineal resection (APR)
- Laparoscopic / robotic anterior resection
Colo-proctology & pilonidal procedures
- Laparoscopic / robotic mucopexy for rectal prolapse
- Laser / stapler haemorrhoidopexy for grade III and IV haemorrhoids
- Laser-based treatment for complex perianal fistula (FiLaC)
- Laser-based surgery for anal fissure
- Laser-based treatment for pilonidal sinus
- Limberg flap repair for pilonidal sinus
Emergency minimal access surgery
- Small bowel obstruction
- Intestinal intussusception
- Bowel perforation
- Bowel bands and adhesions
- Gastric and duodenal perforation
- Diagnostic laparoscopy in acute abdominal trauma
- Management of bile leak
- Liver abscess management