Specialised assessment, latest treatments along with clinical post-operative care.
department specialises in performing all major surgeries involving abdomen, skin, breast, soft tissues, and hernia.
Laparoscopic surgery involves insufflation of a gas (usually carbon dioxide) into the peritoneal cavity producing a pneumoperitoneum. This causes an increase in intra-abdominal pressure (IAP). Carbon dioxide is insufflated into the peritoneal cavity at a rate of 4–6 litre min−1 to a pressure of 10–20 mm Hg. The pneumoperitoneum is maintained by a constant gas flow of 200–400 ml min−1. The raised intra-abdominal pressure of the pneumoperitoneum, alteration in the patient’s position and effects of carbon dioxide absorption cause changes in physiology, especially within the cardiovascular and respiratory systems. These changes, as well as direct effects of gas insufflation, may have significant effects on the patient, especially if they are elderly or have associated morbidity.