Frequently Asked Questions

What is advance Laparoscopy?
Laparoscopy means keyhole surgery. Same operative procedure done through small holes. It is a better procedure than open as view is magnified, but laparoscopy needs more operating skills. Earlier laparoscopy was done for cholecystectomy and appendicectomy but now the scope has widened to almost all surgeries like 1) Bariatric (Wt. Loss) and Metabolic Surgery

What is bariatric surgery and its advantages?
It is a weight reduction surgery advised wisely to needy people, as they are not patients but are in the queue to be one of them. Obesity leads to many disorders like Diabetes Mellitus, Arthritis, and sleep apnea etc. If such people are unable to reduce their weight by diet and exercise then we do bariatric/obesity surgery.

What are types of Bariatric surgery?
There are three types of bariatric surgeries 1) Restrictive like sleeve 2) Mal absorptive like gastric bypass 3) Combination of both.

What is metabolic surgery?
Surgery through which metabolic issues are brought under control, like in case of uncontrolled Diabetes Mellitus with obesity-gastric bypass has very good results. Similarly in obese hypothyroidism. Apart from these dyslipedemia also is corrected very well.

Who is a candidate for bariatric and metabolic surgery?
Asian people with a BMI of >30 or > 28 with co morbidity are candidates for such surgeries. Recently it has been in vogue to operate lower BMI patients with uncontrolled Diabetes Mellitus to control Diabetes. Looking at recent trends and results of surgeries now age is not being considered as a bar for the surgery.

How does laparoscopy help in cases of abdominal cancers?
Laparoscopy is the best diagnostic tool to confirm the operability of the patients. In case of cancer of the esophagus and stomach relatively much better surgical results are obtained by laparoscopic surgery as magnification gives good view of the sub carinal lymph nodes through thoracoscopy and good dissection of the celiac lymph node through laparoscopy. The post operative pain and morbidity of the patients decreases considerably and need for post operative ventilator support is also less.

How about cancer of large intestine?
Cancer of colon/large intestine are also benefited through laparoscopy but the best advantage is in case of cancer of rectum in patients with low CA rectum who would have had to undergo a abdomino perineal resection and a permanent colostomy bag on the anterior abdomen. Laparoscopically operated patients are saved from this.

To what extent laparoscopy is beneficial in pelvic surgeries?
Yes, of course the carcinoma of cervix is a good indication for laparoscopic weirtheimis operation for better clearance due to the magnification and accessibility by using 300 & 450 scopes.
Radical prostatectomy is also done laparoscopically for CA Prostate.

Are these procedures done in TITAN HOSPITAL?
Yes, we do all these procedures routinely at titan hospital which has a great ICU back up and trained staff with oncologist and radiation oncologist back up and team of specialty doctors including Dietician, Anesthesiologist and physicians.

What are cancers of the head and neck?
Cancers which originate from mucosal surfaces inside head and neck region eg. Oral cavity, Nose , Throat and Tongue are collectively termed as head and neck cancers. Majority of these cancers are squamous cell carcinomas but head and neck cancers can also begin in the salivary glands and thyroid gland.

What are the symptoms/presentation of head and neck cancers?
The symptoms of head and neck cancers may include an ulcer in mouth or a lump in neck that does not heal, difficulty in swallowing, and a change or hoarseness in the voice. It is important to check with a doctor about any of these symptoms.

How are head and neck cancers treated?
Treatment for head and neck cancer can include surgery, radiation therapy, chemotherapy, targeted therapy, or a combination of treatments. These cancers are curable if detected early and treatment strategy differs with type of cancer and organ of involvement and stage at presentation. The patient and the doctor should consider treatment options carefully. They should discuss each type of treatment and how it affects form and function of the patient.

What rehabilitation or support options are available for patients with head and neck cancers?
The goal of treatment for head and neck cancers is to control the disease, but preserving the function of the affected areas is of paramount importance and helps the patient return to normal activities as soon as possible after treatment. Rehabilitation is a very important part of this process. The goals of rehabilitation depend on the extent of the disease and the treatment that a patient has received.

What new strategies or treatments are coming up for management of head and neck cancers?
The newer techniques in surgical methods like Endoscopic resections, Robotic surgery (TORS), Transoral laryngeal surgery and similarly emergence of newer techniques in radiotherapy have effected a major change in treatment practices. Advent of newer chemotherapy drugs and targeted therapy have also helped in management of patients afflicted with these cancers.