Laparoscopic Nephrectomy Surgery

India's breakthroughs in medical science make it a desirable destination for medical tourism. There are a number of reasons why people decide to have kidney-related treatment in India. The affordable nature of treatment is among the primary causes. India is a popular option for those on a restricted budget because laparoscopic nephrectomy here is far less expensive than in other nations. In addition, there are a lot of highly skilled physicians in India that specialize in treating kidney-related issues. The majority of Indian hospitals can provide the most cutting-edge therapies and have excellent infrastructure. 

About Laparoscopic Nephrectomy

Laparoscopic nephrectomy is a minimally invasive procedure that is used to remove a damaged or malignant kidney. Because laparoscopic nephrectomy is a minimally invasive procedure, it may result in a shorter hospital stay, an earlier return to work, and a great reduction in post-operative pain when compared to conventional open surgery.

Laparoscopic refers to the procedure in which telescopic tools are used to view within the abdomen and access the damaged kidney. Keyhole surgery is another name for this procedure.

Need for laparoscopic nephrectomy surgery

A person may need laparoscopic nephrectomy surgery when:

The kidneys are damaged and not functioning properly. 

• There is susceptibility to kidney cancer.
• Recurrent infections are causing kidney cancer.
• Kidney stones are causing kidney damage.
• There is injury to the kidney
• In order to donate a kidney 

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Before laparoscopic nephrectomy surgery

• After a quick assessment of your medical history and current prescriptions, your urologist will talk with you once more about the surgery to make sure you're comfortable.
• You need to let your urologist know if you had a blood vessel transplant, pacemaker, heart valve transplant, implanted foreign body (stent, joint replacement), or a regular prescription for a blood thinner (warfarin, aspirin, clopidogrel, rivaroxaban, or dabigatran).
• Typically, you will check into the hospital one day before the procedure.
• Prior to the procedure, an antibiotic test dose will be administered.
• Before the procedure, you won't be able to eat or drink anything for roughly six hours.

Laparoscopic Nephrectomy Steps

• Using laparoscopic tools, a kidney is removed during laparoscopic nephrectomy. Up to five tiny incisions, each measuring about one centimeter, are created in the flank and are punctured with long, thin devices. 
• To enable vision during the procedure, carbon dioxide is first injected into the belly to separate the tissues.
• After that, a camera is sent through the abdomen to provide the urologist with a clear image inside.
• The kidney can be removed with or without its surrounding tissues by isolating and tying off its blood supply through the other incisions, which also serve as passageways for cutting and suturing devices. 
• Then, to drain any wound oozing, a wound drain is implanted. This is often sewn in and remains there for one to two days.
• Dissolving stitches are used to close the incisions after the procedure, and the carbon dioxide air is expelled from the belly. 
• Next, little plasters are applied to the spots. 
• The urine flow from the remaining kidney is also monitored by the insertion of a catheter, a drainage tube that removes waste from the bladder. 
• Typically, the catheter is left in for one to two days, or until you are able to move around.

Laparoscopic nephrectomy port placement

A tiny reservoir called a peritoneal port (per-ih-toe-NEE-ul) is surgically inserted beneath the skin to remove extra fluid from the peritoneal (abdominal) cavity or to administer medication there. Compared to other devices, these ports have a significantly lower risk of infection and eliminate the discomfort of frequent needle sticks. 

After laparoscopic nephrectomy surgery

In hospital

• Following a laparoscopic nephrectomy, patients often remain in the hospital for three to six days, though this is not always the case. This will depend on how well you heal from the procedure.
• Following your exit from the operation theater, you will first be taken to the recovery area and then returned to your ward.
• You will receive oxygen through a face mask, and at first you might still feel quite tired.
• You might receive nursing care in the High Dependency Unit (HDU) until you're well enough to go back to the main ward.
• You will be given medications by the ward staff to manage any discomfort you may experience.
• A drip will be inserted into a vein until you are able to drink properly.
• Over the next few days, you will progressively increase your intake of food and fluids, and the drip will be stopped.

Laparoscopic Nephrectomy recovery time at home

• Returning to work: This will rely on the nature of your work and your emotional state. After this treatment, you should return to your normal self after around two to three weeks, although you may need to take more time off work until you feel fully recovered.
• Driving: Until your urologist certifies that you are well enough to drive, you should refrain from driving for at least three weeks.
• Activity: Start light activity, such as walking or swimming, two to three weeks following your surgery.
• After the procedure, refrain from lifting any weights for six weeks.
• Fluids: To help maintain the health of your remaining kidney, drink a good amount of water and pass urine frequently.

Advantages of undergoing laparoscopic nephrectomy surgery in India

 A laparoscopic nephrectomy has several benefits, which include:

• Fewer incisions are made, and the muscles are separated rather than sliced, so there is less pain and discomfort.
• Reduced length of stay in the hospital: 3 to 5 days, as opposed to a week or more for an open surgery.
• The capacity to resume work in two to four weeks as opposed to six weeks or longer following the conventional open surgery.
• Less bleeding and less need for blood transfusions.
• Affordable and inexpensive treatment in India

Factors affecting the cost of laparoscopic nephrectomy surgery in India

India provides excellent healthcare at a relatively low cost, making access to top-notch care affordable for everybody. In India, the cost of a laparoscopic nephrectomy is less than that of the US and other industrialized countries.

The following are some factors that may impact the cost of laparoscopic nephrectomy surgery in India:

• Medications

• Location 

• The cost of hospital stays

• Infrastructure and reputation of hospitals

• The proficiency and background of healthcare providers

• Types of diagnostic tests

• Type of treatment approach

Best Hospitals for  Laparoscopic Nephrectomy surgery in India

• Fortis Memorial Research Institute, Gurgaon
• Medanta - The Medicity, Gurgaon
• Artemis Hospital, Gurgaon
• Indraprastha Apollo Hospital, New Delhi
• Max Super Speciality Hospital, Saket
• Fortis Escorts, Okhla Road, New Delhi

Best surgeons for  Laparoscopic Nephrectomy in India

• Dr. Anil Mandhani
• Dr. Rajesh Ahlawat
• Dr. Rajiv Yadav
• Dr. Anshuman Agarwal
• Dr. Anupam Bhargava
• Dr. Paresh Jain

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