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What are the recent advances in the field of laparoscopic surgery?

Dr Pradeep Chowbey
Chairman,
Department of Minimal Access Surgery, Metabolic and Bariatric Surgery,
Max Healthcare Institute.

Q: What are the recent advances in the field of laparoscopic surgery, especially from anaesthesia point of view?

A:1. Since many procedures are being done on an outpatient basis, TIVA technique(Total Intravenous Anaesthesia) with propofol, fentanyl.2. Set protocols for Advanced lap procedures

  • DVT prophylaxis
  • Intraoperative sequential compression devices
  • Monitoring meticulous of IAP,Airway pressures and temperature3. Airway management with ProSeal LMA - of course this requires experience and practice by the anaesthesiologist.