Minimal Access Surgery

Top 10 Needs

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1. An effective and definitive way to avoid infections at the post-op site in patients who have undergone open or laparoscopic surgical procedures in a tertiary healthcare setting.
2. A safer way to clear diseased tissue (soft tissue and bony tissue) in the sinuses to prevent major orbital complications such as nasolacrimal duct injury, retro orbital hematoma, optic nerve injury and one case of extraocular muscle injury.
3. An effective way to prevent the onset of port site hernia and incisional hernias post abdominal surgery to prevent abdominal obstruction and other complications.
4. A safer way to create an intestinal anastomosis in laparoscopic or open abdominal procedures to prevent anastomotic leak leading to complications such as septic shock, re-exploration surgery, and mortality.
5. A simple, accurate, reliable non-invasive way to measure and monitor hepatic venous pressure in patients with chronic liver disease with cirrhosis and hepatocellular carcinoma for prognostication of patients in a tertiary care center.
6. An accurate way to identify and continuously monitor the location of the ureter in any laparoscopic abdominal or pelvic procedure to avoid injury leading to further complications and morbidity.
7. An accurate, affordable way to detect vascular structures (arterial and venous) peri-operatively (insertion of trocars and/or intra-operatively) in laparoscopic surgery to avoid laceration of said vascular structures during any laparoscopic abdominal or pelvic procedure to avoid injury leading to complications related to blood loss, conversion to laparotomy and possible mortality.
8. A safer and more accessible way to identify, skeletonize and avoid injury during dissection to the nerves (especially facial & recurrent laryngeal nerves) during head and neck surgery to avoid intra-operative damage and further complications.
9. A safer and more effective way to manage actively bleeding esophageal varices (compared to endoscopic banding and endoscopic injection sclerotherapy) to prevent complications such as strictures, ulcers, perforations, and re-bleeding.
10. A safer way to allow safe and complete dissection within the abdominal cavity without damaging the bowel such that complications such as peritonitis, sepsis, conversion to open surgery and mortality are avoided.