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Minimally Invasive Surgery

Also called “laparoscopic, endoscopic, “keyhole,” or “Band Aid” surgery, Minimally Invasive Surgery (MIS) involves the insertion of an endoscope – a long, flexible tube with a light source and camera – either through a tiny (less than an inch) incision on the skin or a body cavity.

The image of the body organ is captured by the camera and sent to a monitor/screen that surgeons can view during and after the procedure. Surgeons may also make other small incisions to insert special tools necessary for the procedure. The number and size of the incisions depend on the type of operation.

What advantages does MIS have over conventional surgery?

  • Cost-efficient
  • Shorter hospital stay
  • Less patient trauma
  • Less pain
  • Less blood loss
  • Smaller scars
  • Lower infection risk
  • Quicker recovery and return to normal activities

Why go to Perpetual Help Medical Center – Las Piñas (PHMC-LP) Center for Minimally Invasive Surgery?

The Center for Minimally Invasive Surgery’s team of accomplished and highly trained specialists from different medical and surgical disciplines, supported by seasoned anesthesiologists and specially-trained nurses, performs a broad range of MIS procedures, as MIS is done to diagnose and/or treat a variety of diseases affecting different body organs.

The team is composed of specialists in Bariatric and Metabolic Surgery, General Surgery, Gynecologic Endoscopy, Gastrointestinal Endoscopy, Orthopedics, Surgical Endoscopy, Thoracic Surgery, and Urology.

The Operating Room Complex of the Perpetual Help Medical Center – Las Piñas is equipped with the state-of-the-art Laparoscopy Tower, which consists of:

Karl Storz Image I High-definition Camera – provides razor-sharp and crystal clear images with natural color reproduction in full high-definition resolution – a prerequisite to the highest MIS standards

Xenon Light Source – delivers ultra-bright, clean light to the operating room for superb tissue definition, even in hard-to-see cavities

High-flow Insufflator – infuses CO2 to provide optimum abdominal space, which allows for a more focused surgery

Laparoscopic Cholecystectomy

  • removal of the gallbladder
  • gold standard in the treatment of gallstones

Laparoscopic Appendectomy

  • removal of infected or inflamed appendix (appendicitis)

Laparoscopic Herniorrhaphy

  • treatment for inguinal hernia

Laparoscopic Colectomy

  • treatment for colon cancer

Diagnostic Laparoscopy

  • performed to examine internal organs in the abdomen and pelvis areas

Laparoscopic Sleeve Gastrectomy (Bariatric Surgery – Weight Loss Surgery)

  • removal of approximately 70% – 80% of the stomach and shaping the remaining stomach into a tube or “sleeve”

Laparoscopic Adrenalectomy

  • removal of tumor in one or both adrenal glands
  • located on top of the kidneys, the adrenal glands produce hormones that control the body’s metabolic process

Laparoscopic Nephrectomy

  • removal of kidneys

Ureterolithotomy

  • removal of stone from the ureter

Cystectomy

  • removal of all or part of the urinary bladder
  • performed to treat bladder cancer

Dismembered Pyeloplasty

  • removal of blockage in the area that connects the renal pelvis (part of the kidney) to one of the tubes (ureters) that move the urine to the bladder

Living Donor Nephrectomy

  • removal (harvesting) of kidney from a live, healthy donor for transplantation to a patient

Partial Nephrectomy

  • removal of tumor and some of the surrounding kidney tissue in order to remove the cancer while preserving as much nephrons (functional filtering units of the kidney) as possible

Renal Cyst Decortication

  • removal of large, problematic kidney cysts

Repair of Retracaval Ureter

  • repositioning of deviated right ureter

Ureteral Reimplantation

  • performed to treat reflux, a condition in which urine from the bladder flows back up into the kidneys through the ureters

Ureteral Resection and Anastomosis

  • creation of a diversion to drain urine when the bladder has been removed (radical cystectomy) or there is urinary obstruction

Laparoscopic Hysterectomy

  • removal of the uterus

Laparoscopic Myomectomy

  • removal of uterine fibroids (myoma)

Hysteroscopy / Tubal Surgery

Oophorectomy / Oophorocystectomy

  • performed on the fallopian tubes, which connect the ovary to the uterus, for sterilization (tubal ligation), to treat ectopic pregnancy, to remove cysts, and to re-open blockages in the fallopian tubes

Arthroscopy

  • performed to diagnose and treat joint disease or injury
  • it includes meniscus, cartilage, ligament, and tendon injury usually due to degeneration and trauma
  • this is done on shoulders, knees, ankles, and hips

ERCP (Endoscopic Retrograde Cholangiopancreatography)

  • therapeutic treatment of common bile duct stones
  • stenting of benign and malignant strictures

 Upper GI Endoscopy

  • PEG insertion
  • diagnostic for peptic ulcer diseases/injection sclerotherapy for PUD
  • stenting of esophageal perforations/fistulas, malignant strictures
  • dilatation of achalasia and benign/caustic strictures
  • rubber band ligation/injection sclerotherapy for esophageal gastric varices

Colonoscopy

  • diagnostic/therapeutic procedure for colon diseases (colon cancer, polyps, lower GI bleeding)
  • stenting of malignant structures

 

Minimally Invasive Surgery

Arthroscopy is a type of surgery that helps doctors look inside a joint, like the knee, shoulder, or ankle, to find and fix problems. It uses a thin, tube-like tool with a tiny camera and light, which is inserted through a small cut, so the doctor can see what’s wrong and make repairs without large incisions.

Diagnostic laparoscopy is a minimally invasive surgical procedure that allows doctors to closely examine the abdominal and pelvis organs. It is often done when other tests do not provide clear answers or when more detailed information is needed to identify the cause of symptoms, evaluate the extend of a disease, or guide treatment planning.

Hysteroscopy is a procedure that allows a doctor to look inside the uterus using a thin, lighted tube called a hysteroscope. This tube is gently inserted through the cervix (the opening to the uterus) so the doctor can see the inside of the uterine cavity on a screen. Hysteroscopy can be used to find the cause of problems such as heavy or irregular bleeding, infertility, or repeated miscarriages. It can also be used to treat certain issues, like removing small growths (polyps or fibroids) or scar tissue, without the need for large cuts or major surgery.

Laparoscopic cholecystectomy is a minimally invasive surgery to remove the gallbladder, a small organ under the liver that stores bile for digestion. It’s usually done when gallstones or other problems cause pain, nausea, or digestive issues. The surgeon makes a few small cuts in the abdomen and uses a laparoscope—a thin tube with a camera and light—to see inside and guide the removal. Because the cuts are small, recovery is faster, pain is less, and scars are minimal compared to traditional surgery. Most patients can go home the same day and return to normal activities within a week or two.

Laparoscopic herniorrhaphy is a minimally invasive surgery used to repair a hernia. This happens when an organ or tissue pushes through a weak spot in the abdominal wall. Instead of making one large cut, the surgeon makes a few small incisions and inserts a laparoscope, a thin tube with a camera and light, to clearly see the hernia on a screen. Special instruments are then used to strengthen and repair the weak area, often with the help of a surgical mesh. Because the cuts are small, patients usually have less pain, recover faster, and return to normal activities sooner compared to traditional open surgery.

Laparoscopic myomectomy is a minimally invasive surgery to remove uterine fibroids—non-cancerous growths that can cause heavy bleeding, pain, or fertility issues.

The surgeon makes small incisions in the abdomen and uses a laparoscope, a thin tube with a camera, to see and remove the fibroids while preserving the uterus. This approach offers smaller scars, less pain, and faster recovery than traditional surgery, with most patients returning to normal activities within a couple of weeks.

Minimally invasive urology refers to surgical techniques that use small incisions, or sometimes none at all, to treat problems in the urinary tract and male reproductive system. One common method is laparoscopy where a thin tube with a camera is used to see and treat the affected area. Compared to traditional open surgery, these techniques usually mean less pain, smaller scars and quicker return to normal activities, helping patients recover more comfortably.

  • Kidney Stone
  • Vasectomy
  • Varicocelectomy

Video-assisted thoracoscopic surgery (VATS) is a minimally invasive procedure used to diagnose and treat problems inside the chest, especially those affecting the lungs and nearby tissues. Instead of making a large incision, the surgeon makes a few small cuts and inserts a thoracoscope, a thin tube with a camera, so the inside of the chest can be viewed on a monitor. This approach allows the surgeon to work with precision while causing less pain and trauma to the body, leading to smaller scars, a quicker recovery, and less discomfort compared to traditional open chest surgery.

Colonoscopy is a procedure that lets doctors look inside the large intestine, which includes the colon, rectum, and anus, and sometimes the very end of the small intestine. During the test, a long, flexible tube called a colonoscope, which is equipped with a tiny camera, is gently inserted through the anus. This allows the doctor to clearly see the lining of the intestine on a monitor, check for any problems like polyps, inflammation, or bleeding, and even perform treatments if needed during the same procedure.

Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure used to diagnose and treat problems in the bile and pancreatic ducts. Using a flexible tube with a camera, the doctor passes the scope through the mouth, down to the stomach, and into the small intestine. A thin tube is then guided into the ducts, and contrast dye is injected so they can be seen on X-rays. ERCP can remove gallstones, open blockages, place stents, or check for issues like narrowing, inflammation, or tumors—all in a single
procedure.

Laparoscopic appendectomy is a minimally invasive surgery to remove the appendix, usually when it becomes inflamed or infected—a condition called appendicitis. Instead of making one large cut, the surgeon makes a few small incisions in the abdomen and uses a tiny camera to see inside and guide the surgery. This method often causes less pain, leaves smaller scars, and allows for a quicker recovery compared to traditional open surgery. Most patients can go home within a day and return to normal activities in about a week.

Laparoscopic colectomy is a minimally invasive surgery used to remove part or all of the colon, also called the large intestine. Instead of one large cut, the surgeon makes several small openings in the abdomen and inserts a laparoscope, a thin tube with a camera, along with special instruments. The camera sends clear images to a screen, allowing the surgeon to see inside and carefully remove the diseased part of the colon. This approach usually results in smaller scars, less pain, and a quicker recovery compared to traditional open surgery.

Laparoscopic hysterectomy is a minimally invasive surgery to remove the uterus using a few small incisions in the abdomen. A thin tube with a camera, called a laparoscope, is used to help the surgeon see inside and guide the procedure. Compared to traditional abdominal hysterectomy, this method usually means less pain, smaller scars, and a faster recovery, allowing most patients to return to normal activities sooner.

Laparoscopic Sleeve is a type of weight-loss surgery that can improve health and reduce the risk of problems linked to obesity, such as high blood pressure, diabetes, and breathing issues. During the procedure, about two-thirds of the stomach is removed, leaving a narrow, tube-shaped stomach. This limits how much food you can eat and changes hormone signals that help control appetite and fullness. The surgery is done through small cuts in the abdomen using keyhole (laparoscopic) techniques, which usually means a faster recovery. It is not reversible and works best when combined with healthy eating and regular exercise.

  • Gastrectomy (Bariatric Surgery – Weight Loss Surgery)

Upper GI endoscopy is a procedure that lets doctors look inside the upper part of the digestive system, which includes the esophagus, stomach, and the first part of the small intestine (duodenum). A thin, flexible tube with a camera, called an endoscope, is gently passed through the mouth and down into these areas so the doctor can check for problems and, if needed, perform treatments during the same procedure.

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